The bitterness fold is a wrinkle on either side of the face that runs down from the corner of the mouth to the oval of the face. The name derives from the sad, tired look it creates. Aesthetic medicine techniques are effective in removing bitterness lines.
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Causées par le vieillissement, les rides d’amertume donnent au visage un air soucieux. Plusieurs techniques de médecine esthétique sont efficaces pour atténuer la ride d’amertume. Les injections d’acide hyaluronique, par exemple, sont le traitement de référence pour le comblement de la ride d’amertume.
D’autres traitements tels que les injections de botox, de Sculptra et la
mésothérapie peuvent être réalisés, en complément de l’acide hyaluronique, pour effacer cet inesthétisme.
Pour des résultats naturels et harmonieux le traitement doit être réalisé par un médecin qualifié et expérimenté.
Dans cette page, on détaille les solutions disponibles pour se débarrasser des plis d’amertume.
The appearance of bitterness folds is linked to ageing. Several changes to the face are responsible.
The appearance and progression of bitterness lines vary according to a number of factors, including age, genetics, repeated facial expressions and sun exposure.
Understanding the stages of severity of bitterness folds is essential in order to choose the most appropriate treatment. Possible solutions depend on the depth of the folds and the specific needs of each patient. A consultation with an experienced doctor will determine the most effective treatment to reduce bitterness folds and rejuvenate the face.
Here is a description of the different stages of severity and the treatment options depending on the stage.
Stage 1: Slight bitterness folds
Description
Appearance of slight lines around the mouth, mainly visible during facial expressions.
The skin begins to lose some of its elasticity, but the folds are not yet permanent.
Treatment
Hyaluronic acid injections: performed to fill in the first fine lines and restore lost volume.
Moisturising and preventive care: use moisturising creams and anti-ageing treatments to slow the progression of wrinkles.
Stage 2: moderate bitterness folds
Description
The folds become more visible and are present even when the face is at rest.
Moderate loss of volume and elasticity of the skin around the mouth and cheeks.
Treatment
Hyaluronic acid injections: more product may be needed to fill in folds and restore lost volume.
Sculptra injections: to improve skin texture and stimulate collagen synthesis. One bottle is often enough.
Ablative laser fractionated: to treat fine lines and improve skin elasticity.
Description
The folds are deep and well marked, even when at rest.
Significant loss of volume and sagging of facial tissues.
Traitement
Injections d’acide hyaluronique : utilisation de produits assez volumateurs pour combler les plis profonds.
Injections de Sculptra : pour améliorer la texture de la peau et stimuler la synthèse de collagène. Un flacon ne suffit plus.
Laser ablatif continu : réalisation d’un peeling moyen.
Description
Les plis d’amertume sont très profonds et accompagnés d’un affaissement important de la graisse malaire et jugale.
Perte très importante de volume et d’élasticité de la peau autour de la bouche et des joues.
Traitement
Injections d’acide hyaluronique : association de techniques de lift par injections d’acide hyaluronique et de comblement de la ride.
Combinaison de traitements.
Bitter lines can be reduced naturally by lifestyle changes and appropriate skin care.
Here are a few tips on how to reduce wrinkles naturally.
Les plis d’amertume peuvent avoir un impact significatif sur l’apparence générale du visage, le faisant paraître plus âgé et moins jovial.
Le traitement de ces rides rajeunit et rafraîchit le visage, en améliore la symétrie et l’harmonie et augmente la confiance en soi.
Les techniques de médecine esthétique permettent d’atténuer et parfois d’effacer les plis d’amertume.
Les stades avancés nécessitent, le plus souvent, d’une prise en charge chirurgicale.
Le traitement proposé est décidé après examen clinique, le protocole est personnalisé.
Injections of botox are only useful in cases of hyperactivity of the depressor muscle of the labial commissure. This muscle pulls the corner of the lips downwards. In some patients, this muscle is very active and blocking it by injecting botox causes the corners of the mouth to move upwards.
Some doctors give this injection systematically.
According to Dr Romano, this only makes sense if it is the right indication.
This injection must be carried out by an experienced practitioner, as a botched procedure will cause deformity of the mouth and salivary incontinence, forcing the patient to eat through a straw.
The main cause of bitterness lines is the loss of superficial malar fat.
The most physiological treatment, i.e. aimed at giving the patient a rejuvenated face without creating curves and volumes, is to lift the fat that has descended.
This therapeutic approach must precede any direct injection of the wrinkle so as not to weigh down the oval and puff up the face.
This is the medical lift by injection of hyaluronic acid invented by Dr Mauricio di Maio. This technique, one of the variations of MD CodesIt gives immediate results and aims to restore the face's youthful triangle.
Hyaluronic acid can be injected directly into the wrinkle. In the treatment protocol, the wrinkle is filled after the lift technique.
The injection is often carried out with a cannula to avoid bruising. The result is immediate.
Depending on the indication, Dr Romano will use a volumising hyaluronic acid, if the fat that has melted away needs to be replaced, or a hyaluronic acid of the type that has been used in the past. Skinboosterif there is a skin break.
More often than not, Dr Romano uses what is known as a "sandwich" technique: during the same session, the doctor uses a fairly dense hylauronic acid deep down and a hyaluronic acid with very small particles on the surface.
A hyaluronic acid A firm volumising agent is injected into the chin, para-chin and cheekbone areas in the event of bone and fat reabsorption.
The aim is to replace the structures that support the face and that have disappeared over time.
The injection is often carried out using a cannula.
Le Sculptra is an innovative and effective treatment to improve bitterness folds. This product, based on poly-L-lactic acid, a biocompatible and biodegradable substance, stimulates the skin's natural production of collagen.
The result is progressive, visible three months after the injection.
This treatment should be combined with hyaluronic acid injections, and is strongly recommended from the age of thirty. Sculptra injections alone cannot treat or prevent the appearance of bitterness lines.
The aim is to treat or prevent skin thinning and the resulting sagging.
By stimulating collagen synthesis and increasing skin thickness, Sculptra gives the face a more youthful, harmonious appearance, while significantly reducing bitterness lines.
Bitter lines can be reduced with fractional ablative laser.
The laser has no effect on fat sagging or on the loss of subcutaneous tissue below the fold.
The aim of the treatment is to stimulate collagen production and improve skin texture and firmness. Thicker skin slightly corrects the most bitterness, but the real benefit of this technique is to smooth out the skin break associated with the folds. The alternative to this procedure would be a medium peel, but this is rarely carried out as a demarcation (difference in colour) is common.
Two to four sessions are required. If the bitterness fold is treated annually with hyaluronic acid injections, there is no need to repeat the laser treatment.
Bien que les procédures décrites ci-dessus pour traiter les plis d’amertume sans chirurgie soient généralement efficaces elles ont certaines limites. Lorsque le patient présente un excès de peau qui forme un bombement au-dessus de la ligne mandibulaire, les résultats peuvent être moins satisfaisants. Dans cette indication, pour un résultat optimal il vaut mieux consulter un chirurgien esthétique pour un éventuel lifting cervico-facial.
After hyaluronic acid injections in bitterness folds may be necessary to fill in residual folds and achieve a perfect result. It is therefore essential to consult an experienced doctor to assess the best treatment options.
Le résultat est immédiat et s’améliore dans les trois semaines qui suivent le traitement. Il dure environ un an.
La technique de lift restaure le triangle de jeunesse et affine l’ovale.
Le visage apparait reposé, les rides seront atténuées de façon physiologique ou complètement effacées, cela dépendra de la demande de la patiente et de son anatomie.
The immediate after-effects are marked by slight swelling and the appearance of small haematomas, which are rare and last no more than a few days. Normal activities can be resumed immediately after the injections.
For botox injections, the result is visible after seven days and lasts for five to six months. On the day of the injection, you should avoid touching the injected points, for two days you should avoid sport, and for a week you should avoid sauna, hammam, massages and steam on the face.
Le price of injections to treat folds of bitterness varies according to several factors: the type of product used, the quantity required and the technique used, which depends on the doctor's expertise. How much does bitterness fold treatment cost? The cost of each product is shown in the table below.
A personalised quote is drawn up based on the needs and expectations of each patient.
| Type of consultation | General rates |
|---|---|
|
Hyaluronic acid
|
CHF 600 per syringe |
|
Botox
|
250 CHF |
|
Sculptra
|
CHF 800 per bottle
|
Quels sont les avis sur les injections des plis d’amertume ?
Les avis des patients sur le traitements médicaux pour faire disparaître les plis d’amertume sont positifs.
Les patients décrivent une amélioration notable de l’aspect du visage, ils se sentent rajeunis et plus confiants après les interventions.
Les résultats sont considérés naturels et respectent l’expressivité du visage.
La procédure est définie rapide, peu douloureuse et accessible car ce traitement ne nécessite pas de temps de récupération.
Treatments for bitterness folds are very painless. Local anaesthetics can be used to reduce pain during injections.
A treatment session for bitterness folds generally lasts 20 minutes, depending on the technique used.
The objectives of bitterness fold treatment are :
There is no specific age at which to start treating bitterness folds. It depends on individual needs and your doctor's advice.
After treatment for bitterness folds, it is advisable to avoid exposure to the sun, not to massage the treated area and to avoid strenuous physical activity for 24 to 48 hours.
Bitter lines can start to appear as early as your thirties, but they generally become more pronounced with age, particularly from your forties onwards.
The results of hyaluronic acid injections are immediate, whereas Sculptra works gradually over several months. The final result is obtained 3 weeks after the injection.
Yes, the treatments are safe when carried out by a qualified professional. They are approved by the health authorities and widely used in aesthetic medicine.
The results of hyaluronic acid injections for bitterness folds generally last between 6 and 12 months, depending on the type of product used and the individual characteristics of the patient.
Hyaluronic acid is a filler that adds volume to smooth wrinkles, while botox relaxes the muscles responsible for wrinkles. The two can be used together for optimum results.
Treatments for bitterness folds should be carried out by qualified and experienced doctors.
The cost of bitterness fold treatment varies according to the type of product used, the quantity required, the associated treatments and the practitioner's experience. A personalised consultation is necessary to draw up an accurate quote.
The results of hyaluronic acid injections are visible immediately after treatment. The effects of botox are visible a few days later. Results generally improve within two weeks of treatment. The results of Sculptra are visible after a few months.
It is not possible to prevent the appearance of bitterness folds. However, it is possible to avoid aggravating factors. We recommend keeping well hydrated, protecting the skin from the sun with sunscreen, eating a diet rich in antioxidants, practising facial exercises, stopping smoking and managing stress.
The choice of treatment depends on the severity of the bitterness folds and the desired result. A consultation with a specialist doctor will enable a personalised treatment plan to be drawn up.
The bitterness fold is located on either side of the mouth, extending from the corners of the mouth down towards the chin. These vertical folds are also known as the inverted smile lines.
The services described on this site are applicable to Switzerland; there are differences between countries.
Contact details
Dr Valeria Romano
Pl. du Molard 5, 1204 Geneva, Switzerland
Monday to Friday, 9.30am to 6pm
Dr Valeria Romano - All rights reserved.
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