The most promising material for soft tissue augmentation today is Hyaluronic Acid and its derivatives. Hyaluronic Acid (HA), also known as hyaluronan and glycosaminoglycan, plays a key role in both tissue hydration and lubrication. Stated simply, the compound takes years off the life of skin; it helps make it vibrant, supple and moist.

All living organisms have natural Hyaluronic Acid in their bodies. In humans this is the substance that creates volume in the face, giving it a healthy, young appearance. Our skin is made of two layers. The area in–between the layrers holds the natural clear–jelly like substance, Hyaluronic Acid. While young, the Hyaluronic Acid is in abundance. Our bodies gradually lose this acid as a result of exposure to sunlight and other pollutants. Therefore, Hyaluronic Acid injection therapy is the wise choice for facial augmentation. The efficacy is comparable to collagen restorative therapy.

About Hyaluronic Injection Therapy:

  • Hyaluronic Acid has been shown to decrease dryness in the skin and revitalize the skin.
  • As we grow older, the Hyaluronic Acid between the layers diminishes, and the skin somewhat caves, causing a wrinkle along the line. With hyaluronic injections, the wrinkle would be gone.
  • A treatment consists of a clear gel being injected into the skin with a very thin needle.
  • The injection restores the natural volumes underneath the wrinkle. The wrinkle is now lifted up and smoothed out.
  • Hyaluronic Acid implantation can be used to improve the skin's contour and reduce depressions in the skin due to scars, injury or lines.
  • There are no pretests.

Indications for Treatment:

  • Worry lines that run across the forehead (forehead lines)
  • Crow's feet at the corner of the eyes (periorbital lines)
  • Frown lines that run between the eyebrows (glabellar lines)
  • Smoker's lines which are vertical lines on the mouth (perioral lines)
  • Marionette lines at the corner of the mouth (oral commissures)
  • Deep smile lines from side of the nose to corners of the mouth (nasolabial furrows)
  • Cheek depressions
  • Redefining lip border
  • Acne scars
  • Some facial scars

FDA Approval

Publication Date: 19–NOV–03

The U.S. Food and Drug Administration's (FDA) clearance of a new class of soft tissue fillers may give Hyaluronic Acid–based injectables the potential to become the next "hot shot" for erasing wrinkles. Used safely and effectively worldwide for years, Hyaluronic Acid is a naturally occurring element in human connective tissue

Before Hyaluronic Injection Therapy

  • Sign the Hyaluronic Injection Therapy consent form
  • The Aesthetic & Anti-Aging Centers of Houston technician will thoroughly cleanse your face
  • The treatment area is swabbed with an antiseptic.
  • An anesthetizing cream will be applied to your face to numb the treatment area.
  • Injection method means a series of small injections with a very fine needle
  • The treatment takes 20 minutes to an hour, with minimal discomfort

After Hyaluronic Injection Therapy

  • Depending on the area treated, the skin may be lightly massaged after the injections
  • The results can be seen immediately.
  • Common side effects may be pain, redness, swelling, itching, discoloration, and tenderness at the point of injection. These side effects typically subside within two days of the injection procedure.
  • Another one or two treatments (at least a week apart) may be necessary to achieve the desired correction.
  • Time for re–treatment following injections is typically 6 to 12 months.

Before & After Photographs


Before & After: Dermal Facial Fillers

Before & After: Dermal Facial Fillers

Fequently Asked Questions

What is Hyaluronic Acid?

The role of Hyaluronic Acid in skin is to:

  • provide a mechanism of transport of essential nutrients from the bloodstream to living skin cells
  • hydrate the skin by holding in water
  • act as a cushioning and lubricating agent against mechanical and chemical damage.

Am I suitable for Hyaluronic Acid therapy?

Almost all people are suitable for Hyaluronic Acid therapy. Because Hyaluronic Acid is chemically identical within and between species, allergy to it is very rare. Hyaluronic Acid therapy is suitable for patients allergic to bovine collagen.

Where is the Hyaluronic Acid treatment performed?

Hyaluronic treatments are performed by a physician in the office setting.

How long do Hyaluronic Acid implants last?

Hyaluronic Acid implantation is not permanent. Like natural Hyaluronic Acid, manufactured Hyaluronic Acid once injected into the skin will gradually break down and be absorbed by the body. In most cases, the augmentation usually lasts anywhere between 3–9 months. To maintain the initial results, repeat treatments will be necessary. Most people have 2 to 3 treatments per year.

Are there any side effects from Hyaluronic Acid therapy?

Hyaluronic Acid therapy is generally very well tolerated. At the time of treatments most patients report minor discomfort. This is minimized by the use of an anesthetizing cream. Immediately after treatment the area may be red, swollen and tender, this usually improves within a few days. May prefer ice packs on the injections sites to prevent swelling.

How do facial lines and wrinkles form?

Facial lines and wrinkles (rhytides) form because of the following factors:

  • Aging processes
  • Sun damage
  • Muscle movement
  • Gravity
  • Injury
  • Surgery
  • Acne
  • Other skin diseases with a tendency to scar (e.g. discoid lupus)
  • Smoking

Are their stages of ageing?

Dermatologists and cosmetic surgeons often state Glogau's classification of ageing changes to their clients:

Mild—a few minor wrinkles Moderate—Early wrinkling, beginning of a sallow complexion Advanced—Persistent wrinkling, skin discoloration with broken blood vessels and solar keratoses Severe–wrinkling and furrows are significant, solar keratoses noticeable, often make–up may not hide the ageing changes

The Fitzpatrick classification of facial lines refers to the degree of wrinkling around the mouth and eyes:

Class I: Fine wrinkles
Class II: Fine–to–moderately deep wrinkles and moderate number of lines
Class III: Fine–to–deep wrinkles, numerous lines, and possibly redundant folds

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