HYALURONIC ACID INJECTIONS

Naturally present in the body, hyaluronic acid is a biocompatible and biodegradable product, used in aesthetic-oriented medicine for its hydrating and volumizing properties.
Hyaluronic acid injections make it possible to restore facial volumes, hydrate the skin and correct wrinkles without surgery.
In Geneva, hyaluronic acid injections are part of a global management of aging, with immediate and natural results that last between 10 and 12 months depending on the indications.

Key data on hyaluronic acid injections

  • Product naturally present in the body, not a foreign substance
  • Non-surgical and reversible treatment
  • Session duration : 15 to 30 minutes
  • Taux de satisfaction : 85 à 95 % Résultat visible : immédiat
  • Duration of results : 6 to 12 months
  • Side effects : generally minimal and transient
  • Anesthesia : none
  • Corrects the tired and aged appearance
  • Social downtime : none
  • Douleur : 2/10 Reprise du travail : immédiate
  • Physical activity : immediate
  • Prix : 600 CHF par seringue, sauf pour certaines indications entre 650 et 750CHF
  • Number of syringes : variable depending on the indication (often 1 to 3)

Data from clinical studies on hyaluronic acid injections

  • A study published in the Journal of Cosmetic Dermatology shows a significant improvement in skin hydration and quality after hyaluronic acid injections, with visible results from the first weeks.
  • According to the American Society of Plastic Surgeons, hyaluronic acid injections are among the most performed aesthetic treatments worldwide, with a high level of patient satisfaction.
  • Data from the International Society of Aesthetic Plastic Surgery confirm a constant increase in the number of injections, reflecting their effectiveness and safety in aesthetic-oriented medicine.
  • The National Institutes of Health highlights the biocompatibility of hyaluronic acid and its excellent tolerance in medical and aesthetic applications.

Contents

photo injection hyaluronic acid labia majora

What is hyaluronic acid ?

Hyaluronic acid is a substance naturally present in the skin, it contributes to its elasticity and hydration. It is also indicated for the treatment of wrinkles, the preservation of youthful volumes and the maintenance of skin density.
It is resorbable and biocompatible, that is to say it is identical to the one we have, which is a guarantee of safety and absence of rejection.
It has become one of the flagship products in aesthetic-oriented medicine.
Since its discovery in 1934, hyaluronic acid has been used in the medical field to treat numerous pathologies (ENT, neurology…). In aesthetic-oriented medicine this product has been successfully used since 1990. Patients resorting to this anti-aging technique can be reassured. It is a medical device certified with CE marking and benefiting from rigorous traceability.

What are the effects of hyaluronic acid ?

Hyaluronic acid plays an essential role in the hydration and suppleness of tissues. Used in cosmetics as well as in aesthetic-oriented medicine in the form of injections, it offers numerous benefits. Its main effects are :

  • Intense hydration and improvement of skin elasticity : hyaluronic acid attracts and retains water, providing deep and long-lasting hydration.
  • Anti-ageing and age-defying action.
  • Volumizing and filling properties : hyaluronic acid restores volume to areas of the face that have lost it, such as the cheeks or the lips.
  • Anti-wrinkle and anti-fold effect : filling of wrinkles.
  • Improvement of skin irregularities.
  • Improvement of facial contours and proportions.
  • Stimulator of collagen synthesis : hyaluronic acid stimulates the activity of skin cells.

What are the benefits of hyaluronic acid ?

Hyaluronic acid is today a reference injectable product in aesthetic-oriented medicine, thanks to its many advantages :

  • Track record : this gel has been used in aesthetic-oriented medicine for more than 30 years.
  • Interesting duration of action : results can last from 8 to 16 months depending on the product used and the treated area.
  • Excellent biocompatibility : naturally present in the body, it generally does not require a prior tolerance test.
  • Biodegradability : it is gradually resorbed over time.
  • Hydrating and revitalizing action : it improves the quality and suppleness of the skin.
  • Precise and adaptable use : the treatment is customized.
  • Immediate results.
  • Few side effects : reactions are mild and temporary.
  • Wide range of products : each hyaluronic acid is suited to a specific indication and to each area of the face.
  • Great versatility.

Areas treated by hyaluronic acid injections

The most frequently performed hyaluronic acid injections are :

  • Hyaluronic acid injections for the face : dark circles, nose, chin, lips, temples, cheekbones, cheeks, jawline.
  • Anti-wrinkle hyaluronic acid injections : nasolabial folds, marionette lines.
  • Hyaluronic acid injections for hand rejuvenation.
  • Hyaluronic acid injections in the neck.
  • Hyaluronic acid injections in the décolleté. 
  • Hyaluronic acid injections for facial enhancement : profiloplasty, masculinization, feminization, medical lifting techniques.
  • Hyaluronic acid injections for skin hydration : all types of hyaluronic acid contribute to skin hydration, but the Skinbooster is a hyaluronic acid exclusively designed for this indication. The particles of the product are very small (in order not to create volume) and have a very high hydrophilic power.
    The result is a healthy glow effect, more hydrated and toned skin and the disappearance of a possible crepey appearance.
  • Hyaluronic acid injections for wrinkle filling : depending on the type of wrinkle, notably depending on its location and depth, different types of acids will be used. However, for this indication, Dr Romano never chooses highly volumizing products that can swell the face and create unsightly bulges.
    It is important to specify that wrinkles accompanied by a marked break at the level of the epidermis will be improved but not erased.
    Expression lines (on the forehead, the glabella and crow’s feet) are treated by injection of botulinum toxin.
  • Hyaluronic acid injections for intimacy : the treatment of changes affecting the intimate area is becoming an increasingly frequent request in aesthetic-oriented medicine. Hyaluronic acid is used in G-spot augmentation, the labia majora and for the treatment of vaginal dryness.
    The result is immediate and lasts one year. The injections are painless and the after-effects are mild.
  • Hyaluronic acid injections for the body : hyaluronic acid injections can also be used to reshape certain parts of the body. Thus, its plumping effect makes it possible to obtain the desired contours, for example fuller and lifted buttocks, firmer calves. The silhouette is aesthetically improved. The benefits of this treatment for the patient are felt on the physical, psychological and emotional levels.

Before a hyaluronic acid injection

  • A preliminary consultation is essential in order to assess the patient’s expectations, carry out a medical analysis and look for any possible contraindications.
  • Photographs are taken before the session in order to ensure precise follow-up and to assess the result after treatment.
  • It is recommended to avoid aspirin and anti-inflammatory drugs in the three days preceding the injection, unless otherwise advised by the prescribing physician.
  • In the three days preceding the injection, it is also recommended to avoid taking certain dietary supplements such as ginkgo biloba, vitamin C and cod liver–based supplements which increase the risk of bruising.
  • It is preferable to come without makeup, it is possible to apply it at the end of the session.
  • If necessary, a numbing cream can be applied to improve comfort during the injection, but this is rarely required.

Procedure of a hyaluronic acid injection session

Concretely, how does a hyaluronic acid injection session take place ? A preliminary consultation is scheduled in order to define the result that can be proposed to the patient.
The injection of hyaluronic acid is performed at the office after taking photos.
The procedure is quite fast, it lasts about twenty minutes and no anaesthesia is necessary.
The proposed and recommended result is a natural one, but the patient’s desires and wishes are respected.
The analysis of the face requires an experienced eye and a deep knowledge of the rules of harmony and beauty.

photo of hyaluronic acid session in Geneva

On disinfected skin, several injection techniques can be used .

  • The technique used : bolus, fanning, linear threading, retrotracing.
  • The product used : products vary in viscosity, firmness, volumizing effect, and hydrophilicity.
  • The depth of injection : mid dermis, superficial dermis, deep dermis, superficial subcutaneous, deep subcutaneous, deep fat, periosteal.
  • The quantity of product used per injection point.
  • The tool used : needle or cannula (a needle with a rounded tip). 


Once the injection is done, a massage with a moisturizing cream is performed to even out the result and distribute the product properly.

Precautions to take after hyaluronic acid injections

After the session, a few simple precautions are recommended in order to optimize the result and limit temporary side effects.

  • It is recommended to remain at rest during the three hours following the injection and to avoid touching or massaging the treated areas during this period.
  • Cold compresses can be applied to soothe the treated area. In case of significant swelling, the application of cold may be useful, without ever placing ice directly on the skin.
  • In case of small bruises or ecchymoses, a corrective or soothing cream can be used if necessary.
  • A moisturizing or repairing cream can be applied in the days following the treatment.
  • Good hydration is recommended after the injections ; it is preferable to avoid alcohol during the hours that follow.
  • Avoid medications that promote bleeding, such as aspirin or certain anti-inflammatory drugs, unless otherwise medically indicated. In case of discomfort, paracetamol should be preferred.
  • Avoid applying makeup during the 12 hours following the session.
  • Do not massage the injected areas for 48 hours.
  • Suspend physical activity for 24 hours.
  • Avoid intense sun exposure, high heat, sauna, hammam as well as extreme cold for one week.

What are the contraindications of hyaluronic acid ?

hyaluronic acid precautions

Contraindications to hyaluronic acid injections are : 

  • Pregnancy and breastfeeding.
  • Skin condition in the area to be injected.
  • Hepatitis C.
  • Autoimmune diseases.
  • Presence of a non-resorbable product in the injection area.
  • Use of anticoagulants (relative contraindication, to be assessed on a case-by-case basis) 

Side effects of hyaluronic acid injection

The side effects of hyaluronic acid injections are minor and transient, notably slight edema and redness. They do not cause social downtime.
Other side effects that may be observed following a session are :

  • Moderate edema (swelling) in the lips and under-eye area. This temporary phenomenon can be prevented and treated by taking Extranase. It is recommended to schedule lip and under-eye injections on Friday.
  • Bruising is rare but possible, especially on thin skin. It can be prevented and treated with homeopathy (Arnica 5CH).
  • In case of herpes, taking Aciclovir is recommended to prevent a new outbreak after injection.

Hyaluronic acid results : before / after hyaluronic acid injections

The result of hyaluronic acid injections is immediate.
In certain indications, such as the lips or the upper eyelids, edema is present after the injection, it will be necessary to wait one week before being able to appreciate the final result.

How long do the effects of hyaluronic acid last and when should the treatment be renewed ?

Hyaluronic acid is a resorbable product, it is degraded by an enzyme present in the skin, hyaluronidase. The duration of the result depends on several factors. Depending on the degree of cross-linking and the firmness of the product, the injected area and the quantity used, the result persists between 6 and 24 months.
The skin is more hydrated and plumped, the volumes restored and the face enhanced.

At what age can hyaluronic acid injections be started ?

There is no minimum age. Nowadays, even minors (accompanied by at least one parent and with written consent from both parents) resort to these injections.
Depending on the indication, the starting ages differ.

  • For intimate injections : throughout one’s sexual life.
  • For facial enhancements and certain morphological modifications, for example the lips, women often start in their twenties.
  • For wrinkles and skin revitalization, it is around the thirties. Starting the treatment at the appearance of the first signs of ageing gives better results.
  • For more advanced changes (e.g. hand or neck aging) : around fifty.

What is the price of a hyaluronic acid injection ?

Hyaluronic acid : what is the price of a session ?
The price of one syringe of hyaluronic acid in Geneva is 600 CHF, for the majority of indications.
Depending on the anatomical area and the complexity of the procedure, the price may vary between 650 CHF and 900 CHF per syringe. The price of injecting one syringe of hyaluronic acid depends on the indication. This variation reflects both the technical expertise required, the duration of the procedure, and the specific nature of the product used (for example, some gels that are denser or more stable over time are more expensive).
The total cost will also depend on the number of syringes used. The number of syringes required is defined during the initial consultation, according to aesthetic needs, facial morphology, and the desired result. It is not uncommon for several syringes to be indicated, but the approach remains progressive and customized.

Hyaluronic acid and botulinum toxin : what differences ?

Hyaluronic acid and botulinum toxin are two popular treatments in aesthetic-oriented medicine, but they act in different ways.
Hyaluronic acid is used mainly to fill wrinkles, restore volume and hydrate the skin. It is injected directly into the areas that present the aesthetic concern to be treated.
Botulinum toxin, on the other hand, is a muscle relaxant that works by blocking the nerve signals that reach the muscles. It is indicated for smoothing dynamic wrinkles, such as those of the forehead, the frown lines or the crow’s feet. This product is not injected directly into the wrinkle but into the muscle whose contraction causes the wrinkle.
Its lifespan is shorter than that of hyaluronic acid : the lifespan of botulinum toxin is six months, that of hyaluronic acid one year.

Which is better between botulinum toxin and hyaluronic acid ?

Be careful not to confuse hyaluronic acid and botulinum toxin. These two products have different properties, specificities and applications.
Thus, botulinum toxin, which has been on the market since 2003, is used for the treatment of certain expression wrinkles. Botulinum toxin works by blocking the contraction of the muscles responsible for these wrinkles, which are thereby smoothed out.
Hyaluronic acid, naturally present in our body, is used to soften static wrinkles, lift tissues and provide volume.

Hyaluronic acid injection reviews

Patient reviews of hyaluronic acid injections are positive, although experiences may vary depending on several factors. Satisfaction largely depends on the expertise of the doctor and on the patients’ realistic expectations regarding the results.
Many patients appreciate the aesthetic results : the visible improvement in skin firmness and hydration, the reduction of wrinkles and fine lines.
They appreciate the fact that the injections are relatively quick and minimally painful and do not require recovery time.
The minor and temporary side effects (redness, small swellings and bruises) are well tolerated.

Hyaluronic acid creams vs. injections : which is better ?

Hyaluronic acid based creams and hyaluronic acid injections are beneficial for the skin, but their effects and applications differ.
Creams hydrate the surface of the skin, temporarily improving its appearance and quality. They are ideal for daily use and for maintaining very superficial skin hydration. They do not penetrate deeply, do not fill wrinkles and do not restore volumes. Creams are a useful complement in a skincare routine.
Injections provide immediate and longer-lasting results. They offer a significant anti-ageing effect, fill wrinkles and restore volumes. For visible and effective rejuvenation, hyaluronic acid injections are the right choice.

Références médicales sur l’acide hyaluronique

  • Les produits de comblement à base d’acide hyaluronique sont considérés comme des dispositifs médicaux injectables, dont la sécurité dépend notamment de la qualité du produit, de l’indication et de l’expertise du médecin.
  • La FDA rappelle que les fillers dermiques peuvent entraîner des effets secondaires fréquents comme rougeurs, gonflements ou ecchymoses, et plus rarement des complications vasculaires sérieuses.
  • L’American Society for Dermatologic Surgery souligne l’importance d’une évaluation médicale préalable et d’une technique d’injection adaptée pour limiter les risques liés aux produits de comblement.
  • données scientifiques disponibles sur PubMed Central décrivent l’acide hyaluronique comme un produit largement utilisé en médecine esthétique, avec des réactions généralement transitoires mais nécessitant une prise en charge médicale adaptée en cas de complication.
  • L’International Society of Aesthetic Plastic Surgery publie régulièrement des données internationales sur l’évolution des actes esthétiques, dont les injections de produits de comblement.

Questions fréquentes sur les injections d'acide hyaluronique à Genève

How long between two hyaluronic acid injections ?

The time between two hyaluronic acid injections depends on the area treated, the patient's anatomy and the type of product used. In general, it is recommended to wait at least six months before repeating the injection. The doctor will be able to recommend a specific interval depending on your morphology and your aesthetic goals.

The hyaluronic acid injected is not permanent. It breaks down naturally in the body, being metabolised and eliminated. The effects last between six and twelve months, depending on the type of hyaluronic acid used and the area treated. Regular injections are necessary to maintain the results.

Before the injections, it is advisable to avoid medicines and supplements that thin the blood to reduce the risk of bruising: aspirin, ibuprofen and vitamin E. A doctor's advice is required before stopping any medication. 

Hyaluronic acid injections are contraindicated during pregnancy . However, a woman who has injections without knowing that she is pregnant can be reassured. Injections are not performed during pregnancy as a precautionary measure.
A breastfeeding woman must express milk before the injections.

Yes, the hyaluronic acid injected breaks down and is reabsorbed by the body over time. The effects of the injections are therefore temporary. Maintenance sessions are necessary to maintain the results.

It all depends on the indication and the patient’s anatomy. In general, the alternatives are : botulinum toxin injections, collagen-inducing fillers such as Radiesse and Sculptra, lasers, chemical peels and radiofrequency.

The effects of hyaluronic acid injections are visible immediately after the treatment. However, the result is optimal one to two weeks later.

To avoid any pressure or excessive movement on the treated area, it is recommended to wait 24 to 48 hours before kissing.

Hyaluronic acid used in aesthetic-oriented medicine is manufactured in the laboratory by a bacterial fermentation process. It is then purified and stabilized in order to obtain a safe, biocompatible gel perfectly suited for injections.

No, the result cannot be guaranteed absolutely. Even though hyaluronic acid injections provide predictable and generally very satisfactory results, the outcome depends on many individual factors : facial anatomy, skin quality, indications, lifestyle and the body’s own response.

Hyaluronic acid injections do not stop aging, but they help to reduce its visible effects and to slow down its appearance.
By restoring volumes, hydrating the skin and correcting the first fine lines, they help preserve a rested and harmonious face. When performed early and appropriately, they are part of a prevention approach to skin aging, and limit the development of certain wrinkles and the loss of volume.

No, when performed with precision and moderation, hyaluronic acid injections do not freeze facial expressions.
This treatment mainly acts on volumes and skin hydration, without blocking the muscles responsible for facial movements. Expressions therefore remain natural.
An artificial or frozen result is generally linked to an excess of product or an incorrect indication. A personalized and controlled approach, on the contrary, makes it possible to preserve facial expressiveness.

Yes, in certain indications, hyaluronic acid can improve skin laxity, particularly when it is linked to a loss of volume.
By restoring the supporting structures of the face (cheekbones, temples, oval) and by performing medical lifting techniques, mild to moderate laxity can be treated.

Hyaluronic acid makes it possible to correct several types of wrinkles, whether they are superficial or deep.
It is particularly indicated for :

  • the nasolabial folds (creases between the nose and the mouth) ;
  • the marionette lines (corners of the mouth down to the chin) ;
  • the perioral wrinkles (around the lips, known as “barcode lines”) ;
  • the cheek wrinkles related to volume loss ;
  • the hollow dark circles (tear trough) ;
  • certain superficial fine lines of the face.

In addition, hyaluronic acid also makes it possible to restore facial volumes (cheekbones, temples, chin), which indirectly helps to smooth wrinkles and restore a more youthful and harmonious appearance.

Hyaluronic acid is widely used in medicine, well beyond aesthetics. It is notably found in ophthalmology (cataract surgery, hydrating eye drops), in rheumatology (intra-articular injections for osteoarthritis) and also in dermatology to promote healing. Its biocompatibility and hydrating properties make it a versatile and safe active ingredient.

Several alternatives can be considered depending on the indication and the desired objective. Among the most common :

  • botulinum toxin to treat certain expression lines ;
  • collagen inducers to improve skin firmness ;
  • laser or radiofrequency treatments for skin quality ;
  • cosmetic surgery in cases of significant laxity.

The choice always depends on a personalized diagnosis.

Hyaluronic acid injections are often part of a comprehensive facial approach. They can be combined with :

  • botulinum toxin to relax the muscles responsible for certain wrinkles ;
  • skin treatments (peels, lasers) to improve radiance and texture ;
  • skin stimulation techniques to enhance skin quality.

These combinations allow achieving a more complete and harmonious result.

Hyaluronic acid offers excellent results, but it has certain limits. It does not allow treating significant skin laxity nor replacing a surgical procedure when it is indicated.
Moreover, its effect is temporary, requiring maintenance sessions. Finally, certain specific indications require other approaches for an optimal result.

The number of areas to treat depends on each patient and their needs. In many cases, it is preferable to adopt a global approach to the face rather than focusing on a single area.
Treating several areas in a balanced way allows achieving a more natural and harmonious result. A personalized treatment plan is established during the consultation in order to define priorities and the volumes to be corrected.

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