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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Bitter lines are caused by ageing and give the face a worried look. A number of aesthetic medicine techniques are effective in reduce bitterness lines. Injections ofhyaluronic acidfor example, are the reference treatment for filling of the bitterness line.
Other treatments, such as botox injections, Sculptra and the
mesotherapy can be used, in addition to hyaluronic acid, to eliminate this unsightly appearance.
For natural, harmonious results, the treatment must be carried out by a qualified, experienced doctor.
This page details the solutions available for get rid of the bitterness folds.
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.
Treatment
Hyaluronic acid injections: use of products with sufficient volume to fill deep folds.
Sculptra injections: to improve skin texture and stimulate collagen synthesis. One bottle is no longer enough.
Continuous ablative laser: medium peel.
Description
The bitterness folds are very deep and accompanied by significant sagging of the malar and jugal fat.
Very significant loss of volume and elasticity of the skin around the mouth and cheeks.
Treatment
Hyaluronic acid injections: a combination of lift techniques using hyaluronic acid injections and wrinkle filling.
Combination of treatments.
Bitter lines can be reduced naturally by lifestyle changes and appropriate skin care.
Here are a few tips on how to reduce wrinkles naturally.
Bitter lines can have a significant impact on the overall appearance of the face, making it appear older and less jovial.
Treating these wrinkles rejuvenates and refreshes the face, improving symmetry and harmony and boosting self-confidence.
Aesthetic medicine techniques make it possible to reduce and sometimes even eliminate the appearance of skin.erase the bitter lines.
Advanced stages usually require surgical management.
The proposed treatment is decided after a clinical examination, and the protocol is personalised.
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.
Although the procedures described above for treating bitterness folds without surgery are generally effective, they do have certain limitations. When the patient has excess skin that forms a bulge above the mandibular line, the results may be less satisfactory. In this case, for an optimal result, it is best to consult a cosmetic surgeon for a possible surgical intervention. cervico-facial lift.
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.
Results are immediate and improve within three weeks of treatment. It lasts approximately one year.
The lift technique restores the youthful triangle and refines the oval.
The face appears rested, wrinkles are reduced physiologically or completely erased, depending on the patient's request and her anatomy.
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 |
What are the opinion on bitterness fold injections ?
Patients' opinions on medical treatments for remove bitterness creases are positive.
Patients describe a marked improvement in the appearance of their face, and feel rejuvenated and more confident after the procedures.
The results are considered natural and respect the expressiveness of the face.
The procedure is defined as quick, painless and accessible, as this treatment does not require any recovery time.
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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