Hyaluronic Acid

Hyaluronic acid is a natural polysaccharide, that in appropriate form, is a versatile soft tissue filler. Hyaluronic acid is being widely used for the management of wrinkles, fine lines, contour deformities, and volumetric deficiencies of face, cheeks, and lips associated with aging, developmental anomalies, and certain diseases. Restylane/Juvederm Ultra does not represent the final answer in the search for an ideal tissue filler but provides a predictable, safe, user-friendly approach.


Hyaluronic Acid is usually injected in the office. The areas of the skin to be treated are first coated with a topical anesthetic, which is usually sufficient for the patient's comfort, although a nerve block may be preferable for some patients. Hyaluronic acid is a hydrophilic agent, which means that it attracts water much like a sponge. This expansion contributes to the final volume that is achieved. Therefore, underfilling is necessary, and many patients will benefit from a touchup session in about three weeks after the first treatment. Overfilling can lead to bumps and irregularities which, although rare, can represent a small, temporary cosmetic problem. For many, but certainly not all patients, the results can last up to twelve months (one year). It is especially effective for the nasolabial folds, lip augmentation, and areas of contour deformities. It is also an ideal adjunct for Botox treatment and is frequently used in conjunction with Botox to correct lines and creases that persist.


  • A natural substance that does not require pretesting for allergic reactions
  • Injections can last for approximately six months
  • Minimal discomfort
  • Very few side effects
  • Can apply makeup immediately and return to normal activities

Other Considerations:

  • Bruising and swelling can occur
  • Small bumps are infrequently visible or are palpable
  • After about three weeks, repeat injections are often necessary to achieve an ideal result