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HYALURONIC ACID INJECTIONS : WHAT WORKS WELL, AND WHAT DOESN'T

Dernière mise à jour : 6 November 2026

Hyaluronic acid injections can correct certain signs of ageing, restore volume and improve facial harmony. Their effectiveness, however, depends on the indication: hyaluronic acid gives excellent results when the indication is right, but it is not the appropriate solution for every aesthetic concern. A medical assessment of the face is essential to determine the most suitable treatment.

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Why do hyaluronic acid injections give good results?

Hyaluronic acid is one of the most widely used treatments in aesthetic medicine because of its many indications. It can correct various changes associated with facial ageing while maintaining a natural result.
Over time, facial volumes change, tissues gradually lose support and certain hollows appear. Depending on the needs, hyaluronic acid can restore volume, correct a hollow, support an anatomical structure or restore balance between different areas of the face.
However, the effectiveness of treatment depends above all on the diagnosis. A successful injection is not simply about filling a wrinkle or adding volume, but about identifying the cause of the observed change in order to choose the most suitable technique.
Thus, two patients expressing the same request will not necessarily benefit from the same treatment. The injection plan is always personalised according to facial anatomy, the mechanisms of ageing and each patient's goals.

Hyaluronic acid injections: restoring facial volume

One of the best indications for hyaluronic acid is restoring volume that diminishes over time.
With ageing, certain areas of the face may gradually lose their structure, creating a tired appearance.
Injections can be particularly beneficial in the cheekbones, temples and certain areas that support the face.
The aim is not to artificially increase volume, but to restore certain strategic points for a more harmonious balance.
A natural result must respect the patient's facial shape. The face should not look different, simply more rested.

Hyaluronic acid: correcting hollows and reducing a tired appearance

Some people seek a consultation because they feel they look tired despite sleeping well or having a healthy lifestyle.
This impression can sometimes be linked to anatomical changes: gradual hollowing of certain areas, loss of support or a change in facial shadows.
When the indication is appropriate, hyaluronic acid can soften certain hollows and improve a tired appearance. However, treatment must remain precise.
Not every hollow area should automatically be filled. In some cases, the problem is more related to skin laxity or skin quality.
This is why a medical assessment before injection is essential.

Hyaluronic acid: redefining contours and harmonising the face

Hyaluronic acid can also be used to improve certain facial proportions.
Depending on the patient's anatomy, it can help improve the definition of certain contours, the balance between different parts of the face and overall harmony.
A harmonious face depends on many factors: age, bone structure, natural volume and expressions.
A successful injection must respect these elements.

Why hyaluronic acid does not correct significant skin laxity

An important limitation of hyaluronic acid concerns advanced skin laxity.
Patients frequently wish to correct a “sagging” face with injections alone.
In some cases, restoring certain points of support can improve the overall appearance.
But hyaluronic acid cannot provide a significant tightening effect. In fact, in this situation, the quantity of hyaluronic acid required would be too great.
Sometimes, the right approach is to suggest another option rather than inject excessive quantities.

Can hyaluronic acid eliminate all facial wrinkles?

Another common belief is that hyaluronic acid should erase every wrinkle.
In reality, not all wrinkles have the same cause.
Some are linked to volume loss, others to repeated muscle contractions, skin quality or simply the natural movements of the face.
Hyaluronic acid can improve certain wrinkles, but it is not indicated for every wrinkle and is not intended to eliminate all expressions.
A natural face retains movement and some wrinkles.
The aim is a fresher face, not an expressionless one.

Can you completely transform your face with hyaluronic acid?

Hyaluronic acid aims to restore facial balance and harmony without altering its identity. When a request involves a significant transformation of facial features, a thorough medical assessment is essential to ensure that the treatment meets the patient's expectations. A successful result respects facial proportions, preserves expressions and enhances each person's individual characteristics.

Why do some injections produce an artificial result?

An unnatural result after hyaluronic acid injections is rarely related to the product itself. It most often results from an unsuitable indication, excessive injected volume, a poor choice of product or an approach that does not consider the balance of the face as a whole.
Not all hyaluronic acid products have the same properties. Their density, elasticity and capacity to integrate vary according to their indications. A product designed to restore deep volume is not necessarily suitable for a superficial or highly mobile area.
The quality of the result therefore depends on a precise facial assessment, the choice of the most appropriate product and a well-mastered injection technique.

How can you tell whether hyaluronic acid injections are suitable for your face?

It is not possible to determine the most suitable treatment by considering only one wrinkle or one area of the face. The consultation assesses the whole face, skin quality, volume, expressions and the patient's expectations. This assessment is essential to determine whether hyaluronic acid is the best option or another approach is more appropriate. In some situations, the most appropriate decision is not to perform an injection. This approach avoids unnecessary treatments and preserves a natural result over time.

How can you tell whether hyaluronic acid injections are suitable for your face?

Hyaluronic acid provides excellent results when used for the right indications. It can restore certain volumes, correct hollows and restore facial harmony. However, it does not address every concern. It does not replace treatment to improve skin quality, does not correct every type of wrinkle and is not intended to transform facial features. The quality of the result depends above all on an accurate diagnosis, an appropriate indication and an approach that respects each patient's anatomy.

Dr Valeria Romano

Article written by Dr Valeria Romano

Dr Valeria Romano supports each patient through a comprehensive approach to facial, body and intimate aesthetics, as well as skin and hair quality. Every treatment is based on a personalised medical assessment.

Learn more about Dr Valeria Romano
Contact Dr Valeria Romano : +41 78 209 02 89 dr.romano.valeria@gmail.com

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