Frequently asked questions about treatment with hyaluron filler

FAQ

• What is hyaluronic acid?

  Hyaluronic acid is an endogenous substance. Chemically speaking, hyaluronic acid is a chain of sugar molecules with the property of binding water. In anti-aging, hyaluronic acid is used against wrinkles because it can bind about 6000 times more water than its own weight, so 1 gram of hyaluronic acid can bind 6 litres of water. In the human body, most hyaluronic acid is stored in the skin, where it holds the cells together. It is also found in joints and in the eyes.

  From the age of 25 onwards, the body’s own production of hyaluronic acid decreases. At the age of 60, only 10% of the initial hyaluronic acid level can be detected in the body.

• What can be treated with Hyaluron filler?

  A hyaluron filler is very well suited to treat nasolabial folds, puppet wrinkles, hollow cheeks, tear duct and chin line. Furthermore, hyaluron is used to build up the chin, to increase the volume of the lips and to rejuvenate the skin on the neck and neckline. Hyaluronic acid is used at Dermacare especially for the so-called vampire lift, where the patient’s own blood plasma is taken and then reinjected into the skin in combination with hyaluronic acid. This smoothes and tightens the skin for a youthful appearance.

• What is the difference between Botox and Hyaluron Filler?

  Botox is a liquid protein that is used to relax certain muscles that contribute to the formation of wrinkles. This results in less wrinkling. The substance is injected directly into the muscle that causes the wrinkles. The effect decreases after 4 to 6 months.

  A Hayluronic acid filler is a natural gel-like substance that is injected into or under the skin. Due to its water-binding capacity, it increases the volume of the tissue and thus reduces wrinkles or smoothes the skin. Depending on the substance used, the substance is broken down by the body between 9 months and 24 months.

• Is a Filler treatment painful?

  We use only the highest quality hyaluronic acid from the world’s most renowned manufacturers, whose substances contain lidocaine. While injecting the hyaluronic acid with a very thin injection needle, the active ingredient Lidocaine anaesthetizes the tissue and thus makes the treatment painless.

• How does hyaluronic acid work?

  The treatment with hyaluronic acid fillers aims at the cushioning effect that the preparation produces when used correctly. In addition, hyaluronic acid binds liquid and causes hydration, the moisture balance of the skin and lips is refreshed in this way, leaving them plump and fresh.

• What do I have to consider BEFORE a treatment with hyaluronic acid?

  Blood-thinning medications such as (e.g. aspirin or ibuprofen) should be discontinued a few days before treatment with hyaluronic acid fillers if possible, as they promote the formation of haematomas (bruises). If haematomas do occur, they will disappear completely after a few days (about 5-7).

  If you have a known tendency to herpes, taking herpes tablets can be useful prophylactically.

• What do you have to consider after treatment with Botox and Hyaluron Filler?

  Physical protection is necessary after a treatment. Therefore, extreme physical exertion such as sports, sauna and solarium is not recommended for three to five days, depending on the extent of the treatment. After that you can be used again without any restrictions.

  During the first week you should not expose yourself to intensive sunlight.

• Am I socially acceptable after treatment with a hyaluronic acid filler?

  After the treatment, the skin bulges slightly upwards, which disappears by itself within one or two days. A small, swollen redness may appear at the injection site, which usually disappears within a day. On the lips, the swelling may remain a little longer.

  Although physical rest is recommended, it is still possible to do your daily activities.

• How long does the treatment with hyaluronic acid last?

  Depending on the region to be treated, a treatment takes about 10 to 30 minutes. If a consultation is required beforehand, you should plan on spending about an hour with us. Our doctors take their time to give you detailed advice and make the treatment as pleasant as possible.

• What side effects can occur during treatment with hyaluronic acid?

  The tolerance of hyaluronic acid is exceptionally good, but since every intervention in the human body carries risks, the possible side effects range from common reactions such as redness and swelling to very rare complications such as the occlusion of a blood vessel or an allergic reaction. Therefore, treatment with hyaluronan filler should always be carried out by an experienced physician who is aware of possible risks and side effects and can react to them if necessary.

  Frequent side effects are pain due to the insertion of the needle, feelings of tension, itching, swelling of the lips (after treatment of the lips with hyaluron) and bruising, which disappears within a few days.

  Rarely, there are circulatory problems, infections at the injection site and a displacement and nodulation of the injected substance.

• When should treatment with hyaluronic acid not be performed, what are the contraindications?

  Treatment with a hyaluronan filler (this includes lip correction with hyaluronic acid) should be avoided if one of the following points applies:

  • Persons under 18 years of age
  • Pregnancy
  • Breastfeeding
  • Known allergy to hyaluronic acid
  • Chemotherapy within the last 12 months
  • Taking blood clotting agents (e.g. aspirin, ibuprofen, diclofenac)
  • Acute infectious diseases (e.g. flu, herpes)
  • Autoimmune disease
  • Known wound healing disorders, tendency to hypertrophic scarring
  • Increased bleeding tendency and blood diseases

• What do I do if I am dissatisfied with the hyaluronic acid treatment or if nodules have formed?

  Hyaluronic acid has the advantage that it can be dissolved with the enzyme hylase. If you are dissatisfied with the results of a previous lip correction, or if residues of a previous treatment are to be removed, make an appointment for a consultation. Even if nodules have formed, they can either be dissolved or massaged out.

• What should be considered after lip correction with hyaluronic acid?

  On the first day after the treatment, the swelling, which starts shortly after the treatment, is the strongest. The appearance of bruising on the lips is not unusual. Both the swelling and the bruising will go down significantly after 1-2 days before they disappear completely (5-7 days). If desired, a medication with a decongestant effect can be prescribed.

  The body should be spared for 2 days after the treatment. Sports, sauna, alcohol and blood-thinning medication such as aspirin and ibuprofen should be avoided.

• How long does the lip treatment with hyaluronic acid last?

  On the day of treatment you will stay in our institute for about 1 hour. The actual treatment will take about 30 minutes and a local anesthetic cream will be applied beforehand, which has to work for 20 minutes.

• Which hyaluronic acid fillers are used at Dermacare?

  At Dermacare, we use products from market leaders (Juvederm from Allergan; Belotero from Merz; Restylane/Radiesse/Kysse from Galderma; Redensity from Teosyal) in the higher price segment, and select the appropriate filler that best integrates with the tissue. The attending physician selects the appropriate preparation according to the desired function (volume build-up, contouring, hydration) and lip condition.

  In addition to their quality, the high-grade products have the advantage that they have been tried and tested for a long time and have a longer shelf life.

• What are the common side effects of lip correction with hyaluronic acid?

  With an experienced doctor, who uses the hyaluronic acid filler properly, the application of fillers is a safe procedure with few side effects. As with any medical treatment, side effects and complications can never be ruled out with absolute certainty.

  Since each injection results in minimal tissue trauma, reactions such as itching, swelling, redness, a slight sensitivity to pain or haematomas (bruises) may occur, which subside after a few days (5-7 days). If desired, a medication with a decongestant effect can be used to support the healing process.

• Can a treatment be performed during the lunch break?

  Yes! A filler treatment takes on average about 5-20 minutes. Afterwards the puncture points can be covered with make-up after the treatment. As the treatment with Botox or filler is very quick, most of our customers can have their treatment during their lunch break and return to work immediately.