Aging is associated with an inevitable volume loss of the fascial structures. The once triangular youthful appearance shifts to a more square appearing face due to volume loss and the effects of gravity.
In addition to volume loss there is also a change in skin texture, thinning, pigmentation and loss of collagen and elastin.
Hyaluronic acid is a naturally occurring jelly-like substance found in the normal skin. As it does not express any tissue or species specificity it is safe for injection. The jelly like substance is hydrophilic which means it has the unique ability to not only enhance volume on its own but like a sponge absorb surrounding fluid further enhancing the volumizing effect.
Hyaluronic acid has recently been shown to be responsible for the formation of new collagen. This is a revolutionary finding as previously we have not been thought to be able to from new collagen. Thus despite the volume enhancing properties of hyaluronic acid it also seems to have a direct antiaging effect by the formation of new collagen further highlighting the importance of including hyaluronic acid in your antiaging regime. It also seems to have a major effect on lighting pigmentation.
According to the literature the effect of hyaluronic acid lasts about 1-2 years. I do agree with this in terms of the volume effect but I also think there is a permanent structural change in the quality of the skin of patients whom regularly use hyaluronic acid filler.
There are different types of Hyaluronic acid products depending on the thickness of the gel. Roughly it can be understood as having a superficial, intermediate and deep role. The thicker the gel, the more dramatic the effect and unfortunately the more expensive the product. Luckily the thicker the gel the longer it seems to lasts.
The amount of Hyaluronic acid needed depends on the timing of the treatment. Thus the later in life you start the more you will need and the more expensive it will be. The precious jelly comes in 1 or 2 millilitre syringes. The thick gel in a 2 mil syringe can be as much as R5000.00 for the raw product per 2 millilitre syringe.
Thus a 2 millilitre change in your fascial structure can cost a lot of money. Luckily the product draws in fluid giving you a further enhancement.
I do not like to use a lot of filler at once as I do not want the unwanted changes seen in so many ladies, the “duck-like” upper lip. I would recommend to start with one deep and one intermediate thickness filler some weeks apart and augmentation following that as desired or needed.
So what can hyaluronic acid filler do for you? It can give beautiful cheek bones, soften the deep lines from your nose to your mouth, enhance your lips and smile and straighten, lengthen or elevate the nose. There are tons of uses of hyaluronic acid fillers. The changes are subtle but certainly effective.
Botox and filler in facial rejuvenation is like food and water. Basic requirements.
Just a word of caution: There have been incidences of irreversible blindness associated with hyaluronic acid filler injection. This is the most severe and painful complication reported. Other side effect include pain and bruising. The procedure is generally uneventful and you can return to work the same day.