The hyaluronic acid used for filling wrinkles is a treatment in aesthetic-oriented medicine aimed at softening or correcting furrows and skin folds linked to the progressive loss of tissue support. Wrinkles do not result solely from surface skin aging, but reflect a deeper modification of the cutaneous and subcutaneous architecture, involving a decrease in collagen quantity, loss of elasticity, and resorption of supporting volumes.
Wrinkle filling with hyaluronic acid is based on the injection of a resorbable, biocompatible gel. Unlike treatments acting on muscle contraction, hyaluronic acid works in a structural manner : it restores density to the tissues, supports the skin, and smooths the depression responsible for the wrinkle, without altering the natural mobility of the face.
Depending on the nature of the wrinkle, its depth, and its location, hyaluronic acid may be injected into different anatomical planes, ranging from the deep dermis to subcutaneous layers. The objective is not to erase all expression, but to correct a skin crease that has become permanent, while respecting facial dynamics and the patient’s identity.
Wrinkle filling with hyaluronic acid is therefore part of a measured and progressive medical approach to facial aging. It allows for a targeted, reversible, and evolutive correction, whose purpose is to soften features and restore skin continuity, without freezing expressions or transforming the face.
The initial consultation is an essential medical step before any hyaluronic acid injection intended for wrinkle filling. It allows for a precise analysis of the nature of the wrinkles, their origin, and their evolution, in order to determine whether a filling treatment is relevant and appropriate.
During this consultation, Dr. Romano carries out a careful examination of the face at rest and in motion. This dynamic observation is essential to distinguish wrinkles related to loss of cutaneous support from those primarily induced by muscle contraction. The analysis also considers the depth of the wrinkles, their location, and their impact on the overall harmony of the face.
The quality of the skin is carefully evaluated. Skin thickness, elasticity, degree of laxity, and hydration status directly influence the management strategy. Certain superficial or very marked wrinkles may require a combined approach or a progressive correction, which is discussed from this first consultation.
A complete medical history is taken in order to collect information on past conditions, ongoing treatments, and any previous aesthetic-oriented medicine procedures. This step makes it possible to rule out any contraindications and to adapt the treatment to the patient’s profile.
The initial consultation is finally a time for exchange and information. The doctor explains the principles of wrinkle filling with hyaluronic acid, its limits, and its temporary nature. At the end of this discussion, a personalized management proposal may be formulated, based on a rigorous and realistic medical evaluation.
Hyaluronic acid is indicated for wrinkle filling when these reflect a loss of tissue support that has become permanent. These are mainly so-called static wrinkles, visible at rest, resulting from a progressive alteration of the cutaneous and subcutaneous structure, independently of muscular activity.
The treatment is indicated when the wrinkle corresponds to a true skin depression, linked to thinning of the dermis, a decrease in collagen quantity, or loss of underlying supportive volume. In this context, hyaluronic acid acts as a structural restoration product, allowing the skin surface to be restored without modifying the natural dynamics of the face.
Certain deep wrinkles or established furrows also constitute a preferred indication. When the skin presents a marked crease, accentuated over time or by repeated environmental factors, filling with hyaluronic acid makes it possible to support the concerned area and durably soften the skin fold.
Hyaluronic acid may also be used when certain wrinkles are related to facial volume loss associated with less firm skin. In this case, the injection does not only serve to fill the wrinkle, but to rebalance the surrounding area, which tightens the skin in a more natural manner.
Conversely, the treatment is not indicated for wrinkles exclusively linked to muscular contraction, nor for fine lines that are the consequence of an alteration in skin quality. The precision of the indication is therefore decisive : wrinkle filling with hyaluronic acid is intended for identified structural depressions requiring targeted and measured support.
Hyaluronic acid injections make it possible to correct wrinkles by acting directly on their cause. A wrinkle appears when the skin lacks support and forms a depression. Hyaluronic acid is injected into this area to restore support beneath the skin, which smooths the fold in a natural way.
An important advantage is the possibility of precisely adapting the treatment to each wrinkle. There are different types of hyaluronic acid, more or less dense, which Dr. Romano selects according to the depth of the wrinkle and its location. The injection is thus performed on a tailored basis, while respecting the shape of the face and its natural movements.
The result is progressive and adjustable. The goal is not to completely erase all wrinkles, but to soften them. This approach preserves facial expressions and avoids a frozen or artificial appearance.
Hyaluronic acid also offers the advantage of being reversible and adjustable over time. The treatment can be completed or adapted according to the evolution of the face, which provides great flexibility.
Finally, when injected by an experienced physician, hyaluronic acid is well tolerated. It gradually integrates into the tissues and is naturally resorbed.
In summary, wrinkle filling with hyaluronic acid makes it possible to obtain a natural, personalized, and evolutive result, while respecting the identity and expression of the face.
Preparation prior to a hyaluronic acid injection aims to optimize the condition of the skin in order to ensure the best possible conditions before the wrinkle filling procedure.
Certain medications or supplements may promote bruising. When possible, it is preferable to avoid them before the session. All ongoing treatments, even those taken occasionally, must be reported to Dr. Romano during the preliminary consultation.
The skin must not be irritated before the injection. It is therefore recommended to avoid peelings, scrubs, certain intensive aesthetic treatments, or irritating products on the areas to be treated in the preceding days.
The day before and on the day of the session, it is preferable to limit alcohol, get sufficient rest, and drink enough water. On the day of the injection, the skin must be clean, ideally with no makeup or cream applied to the concerned areas.
Finally, any recent skin abnormality — redness, infection, inflammatory lesion, herpes — must be reported to Dr. Romano. In certain cases, the session may be postponed for safety reasons.
Respecting these instructions directly contributes to the smooth performance of the injection and to achieving a natural and safe result.
The procedure begins with a comfortable positioning of the patient, allowing an accurate observation of the wrinkles in a natural position, both at rest and during facial expressions.
The concerned area is then carefully prepared. The skin is cleansed and disinfected.
The injection itself is performed progressively. Hyaluronic acid is injected directly beneath the wrinkle or furrow, at a depth adapted to its nature. The gesture is precise, measured, and controlled, with particular attention paid to the regularity of product placement in order to avoid any cutaneous irregularity. Dr. Romano continuously adjusts the injection according to the immediate tissue response.
The wrinkle is not filled in a single injection. The doctor adds the product gradually. This makes it possible to avoid excessive corrections.
This method prevents a swollen or frozen appearance and allows the face to remain natural and expressive.
The choice of hyaluronic acid used for wrinkle filling is based on a precise analysis of the characteristics of each wrinkle, rather than on the use of a single product. A wrinkle corresponds to a localized alteration of the cutaneous structure, whose depth, width, and dynamics directly determine the type of hyaluronic acid to be used.
For superficial wrinkles or fine skin creases, the selected hyaluronic acid must be supple and not highly cohesive. This type of gel allows homogeneous integration into the dermis, without creating excess thickness or surface visibility.
For deeper wrinkles or marked furrows, it is necessary to use a hyaluronic acid with greater supportive capacity. In this case, the product must possess cohesion and elasticity adapted to restore the underlying structure responsible for the skin depression. This support smooths the wrinkle while respecting facial dynamics.
A determining parameter in product selection is its capacity for tissue integration. The hyaluronic acid used for wrinkle filling must distribute evenly, without forming nodules or surface irregularities. A gel that is too rigid would cause an artificial correction, whereas the correction achieved with a product that is too fluid would be insufficient or transient.
Finally, the choice of hyaluronic acid is part of a personalized medical approach. It takes into account skin thickness, the patient’s age, the location of the wrinkle, and its evolution over time. This rigorous product selection is a central element of result quality, because it is not the injected quantity that corrects a wrinkle, but the precise match between the gel, the wrinkle, the receiving tissue, and the medical gesture.
After a hyaluronic acid injection intended for wrinkle filling, a period of tissue adaptation begins, and during this period certain precautions must be observed in order to preserve the quality of the result. In the hours following the session, it is recommended to limit any excessive use of the injected areas so as not to disturb the initial distribution of the product.
The first twenty-four hours require particular attention. It is advisable to avoid exposure to heat, marked thermal variations, as well as activities likely to increase cutaneous vasodilation. These factors may transiently intensify local reactions and influence the stabilization phase of hyaluronic acid.
In the days following the injection, it is preferable to postpone facial aesthetic treatments involving mechanical or thermal stimulation of the skin. This precaution allows the tissues to regain their balance and the product to integrate in a homogeneous manner.
Careful monitoring of the evolution of the injected areas is recommended. Mild redness, local sensitivity, or small bruises may appear and disappear spontaneously.
Respecting these post-injection instructions directly contributes to the stability of wrinkle filling and to the quality of the final result.
The injection protocol for wrinkle filling begins with choosing the correct injection depth, depending on the type of wrinkle.
For fine wrinkles, the product is injected just beneath the skin, whereas for deeper wrinkles, support must be placed at a deeper level. This choice is essential to prevent product visibility, to obtain a smooth result, and to ensure good longevity over time.
The correction is always performed progressively. Hyaluronic acid is injected in small quantities, distributed homogeneously beneath the wrinkle. This method supports the skin without creating excessive thickness or perceptible relief. Volume management is deliberately cautious.
The wrinkle is assessed at rest and in motion. Dr. Romano verifies the result when the face expresses itself, in order to ensure that the correction accompanies expressions without freezing them. A well-treated wrinkle remains supple and natural.
Finally, the protocol is based on a measured approach over time. If an adjustment is necessary, it is performed during a subsequent session, once the result has stabilized. This way of proceeding allows for a safe, evolutive treatment that respects facial anatomy.
Wrinkle filling with hyaluronic acid injections makes it possible to soften established wrinkles, without blocking facial expressions.
Concretely, the wrinkle becomes less deep and less visible. It does not disappear abruptly and the face does not appear transformed. The skin regains a more homogeneous appearance, while remaining supple and mobile when smiling or speaking.
After the injection, the improvement is visible quickly, then the result continues to improve. The final result is obtained two weeks after the injection.
The treatment is considered successful when the wrinkle is visibly softened, without being completely erased, and when the face preserves its expression and identity.
The effects of hyaluronic acid injections for wrinkle filling last on average between 9 and 18 months. This duration varies depending on the treated wrinkle, the area of the face, and the product used.
Fine and superficial wrinkles tend to reappear more quickly.
Deeper wrinkles or furrows generally maintain the result longer, as hyaluronic acid is injected at a greater depth and is denser.
The choice of product also influences the longevity of the result.
Very supple products, used for fine lines, provide a discreet result but are less durable.
Slightly denser products, used for marked wrinkles, have a longer-lasting effect.
The duration also depends on personal factors : age, skin quality, lifestyle, sun exposure, or smoking may influence the speed at which the product is resorbed.
In all cases, the effect diminishes progressively. The wrinkle does not reappear abruptly, which makes it possible, if necessary, to plan maintenance treatment in a natural and controlled manner.
After an injection intended to fill a wrinkle, the skin requires a short adaptation period. In the vast majority of cases, the after-effects are mild and temporary.
Immediately after the session, the injected area may be slightly sensitive. It is common to observe mild redness, slight swelling, or tenderness to touch. These reactions are normal and most often disappear within a few hours to a few days.
Bruising may sometimes appear, especially in areas where the skin is thin. It fades progressively.
Some individuals may also feel slight firmness or notice a transient irregularity ; these manifestations generally disappear within a week.
In the days that follow, the skin gradually becomes more supple and regains a homogeneous texture. The after-effects of the injection do not hinder the rapid resumption of daily and social activities.
Patient follow-up shows that wrinkle filling with hyaluronic acid is not limited to “filling” a wrinkle. The most frequently observed change is an overall improvement in the appearance of the face, with the wrinkle no longer drawing attention as before.
The wrinkle is no longer visible at rest and no longer gives an impression of fatigue or severity. During facial expressions, it may still appear slightly, which is normal and natural.
During follow-up consultations, patients do not always speak directly about the treated wrinkle. They rather describe a face that appears more relaxed, less marked, or simply “fresher”. The fact that the correction is not identifiable as an aesthetic procedure is a sign that the result is successful. From a medical perspective, this satisfaction is based on the preservation of facial expressions.
