HYALURONIC ACID INJECTIONS IN GENEVA

What is hyaluronic acid?

Hyaluronic acid is a component of the skin, contributing to hydration and skin density.
It's a biodegradable gel that lasts between six and twelve months, depending on the area injected and the product used.
It is biocompatible (identical to the one we have), which is a guarantee of safety and absence of rejection.
It has become one of the leading products in aesthetic medicine.

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Highlights

Hyaluronic acid injections in Geneva

The hyaluronic acid injections visibly reduce the changes associated with theage. Biocompatible, biodegradable, hyaluronic acid has become the leading product in the treatment of ageing of the face and body, as it helps to filling wrinkles and fine lines without surgery.

The skin is plumped up for a real youthful" effect. Minimal side effects, immediate results, injection of hyaluronic acid is a tried and tested technique used in the practice of Dr Valéria Romano in Geneva.

What are the effects of hyaluronic acid?

  • Intense skin hydration Hyaluronic acid attracts and retains water, providing deep, long-lasting hydration.
  • Antiage and anti-ageing.
  • Volumising and filling properties.
  • Anti-wrinkle and anti-furrow properties.
  • Improvement in skin irregularities.
  • Improved facial contours and proportions.
  • Collagen stimulator Hyaluronic acid stimulates the activity of skin cells.
  • Filling in wrinkles and fine lines.
  • Volume increase Hyaluronic acid: hyaluronic acid restores volume to areas of the face that have lost it, such as the cheeks or lips.
  • Improved skin elasticity Hyaluronic acid: by stimulating collagen production, hyaluronic acid contributes to skin firmness and suppleness.
  • Restorative effect hyaluronic acid promotes healing and cell regeneration.

What are the indications for hyaluronic acid injections?

Hyaluronic acid injections are an aesthetic medicine treatment used to treat wrinkles, reshape volumes, lift the face and treat the skin. Here are the indications.

Moisturising and revitalising the skin

deep hydration of the skin by injection of hyaluronic acid

All types of hyaluronic acid contribute to skin hydration, but hyaluronic acid is not the only one. skinbooster is a hyaluronic acid designed exclusively for this indication. The particles of the product are very small (so as not to give volume) and have a very high hydrophilic power.
The result is a healthy-glow effectThe result is more hydrated, toned skin and the disappearance of any wrinkled appearance.

Wrinkle filling

Depending on the type of rideDepending on the location and depth of the problem, different types of acid are used. However, for this indication, Dr Romano never chooses highly volumising products, which can swell the face and create unsightly bulges.
It is important to note that wrinkles accompanied by a marked break in the epidermis will be improved but not erased.
Expression lines are treated with an injection of botulinic toxin.

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image hyaluronic acid intimate area

The treatment of changes affecting the intimate sphere is becoming an increasingly frequent demand in aesthetic medicine. Hyaluronic acid is used in theincrease in G pointand labia majora and for the treatment of vaginal dryness.
Results are immediate and last for a year. The injections are painless and the after-effects are minimal.

Restoration or creation of volumes on the face and hands

To create volume, a volumising hyaluronic acid is used. This is a product whose particles are large enough to lift the tissues.
Dr Romano has chosen gels with very low hydrophilicity to avoid puffiness and temporary swelling (following an excess of salt, for example, or a plane journey).
For young people, it is often a question of creating volumes from the face lips, cheekbones, chin, nose...
Once you are in your thirties, it is important to carry out medical lift to reposition volumes that shift over time and then increase them.

When should hyaluronic acid injections be used?

Since its discovery in 1934, hyaluronic acid has been used in the medical field to treat numerous pathologies (ENT, neurology, etc.). In aesthetic medicine, this product has been used successfully since 1990. Patients who use this anti-ageing technique can rest assured. This is a CE-marked medical device with rigorous traceability.

A plumped-up, visibly rejuvenated face

As soon as the first signs of ageing appear, hyaluronic acid injections help to reduce them. With the passage of time, the amount of hyaluronic acid naturally present diminishes, the skin loses elasticity and the "baby-skin" effect disappears. Applying anti-wrinkle creams is not enough. Injections of hyaluronic acid are a solution to the loss of volume caused by ageing, but also to redesigning the ovale of the face and " smooth" the skin. Wrinkles and fine lines on the face are erased and the skin's appearance is visibly improved. What's more, hyaluronic acid is renowned for its moisturising properties. Thanks to the injections, the skin is more toned and better hydrated, and the face is plumped up and visibly rejuvenated.

For the body and face

  • Volumising product to fill in hollows: dark circles, scars, nasolabial folds, etc.
  • Volumising product to create volume: cheekbones, lips...
  • Lifting product: face lift, eyebrow lift...
  • A product that adds volume to certain areas of the body: buttocks, calves, etc.
  • Skin densification and rejuvenation product
  • Facial beautification products (improving the beauty and attractiveness of the face): profiloplasty, masculinisation, feminisation, etc.

A reshaped body

Hyaluronic acid injections can also be used to reshape certain parts of the body. The plumping effect of hyaluronic acid can be used to obtain the desired shape, for example, more rounded and lifted buttocks, firmer calves, etc. The figure is aesthetically improved. The benefits of this treatment for the patient are felt on a physical, psychological and emotional level.

Hyaluronic acid and Botox: what are the differences?

Hyaluronic acid and Botox are two popular treatments in aesthetic medicine, but they work in different ways.

Hyaluronic acid is mainly used to fill in wrinkles, restore volume and hydrate the skin. It is injected directly into the unsightly areas to be treated.

Botox, on the other hand, is a muscle relaxant that works by blocking nerve signals to the muscles. It is ideal for smoothing dynamic wrinkles, such as those on the forehead or crow's feet. This product is not injected directly into the wrinkle but into the muscle whose contraction causes the wrinkle.
It lasts less than hyaluronic acid: Botox lasts six months, hyaluronic acid one year.

What's better between botox and hyaluronic acid?

Be careful not to confuse hyaluronic acid with botulinum toxin, commonly known as "botox". These two products have different properties, specificities and applications. 
Botulinum toxin, first marketed in 2003, is used to treat expression lines. Botox works by blocking the contraction of the muscles responsible for these wrinkles, which are then erased.
Hyaluronic acid, which is naturally present in our bodies, is used to smooth out static wrinkles, lift tissues and add volume.

Course of a hyaluronic acid injection session

In concrete terms, what happens during a hyaluronic acid injection session? A preliminary consultation is scheduled to define the result that can be offered to the patient.

The injection of hyaluronic acid is carried out at the surgery after photographs have been taken.
The procedure is fairly quick, lasting around twenty minutes, and no anaesthetic is required.
The result proposed and recommended is a natural result, but the wishes and desires of patients are respected.
Facial analysis requires an experienced eye that knows the rules of harmony and beauty.

photo of hyaluronic acid session in Geneva

On disinfected skin, several injection options are available.

  • The technique used: bolus, fan, topping, backtracking.
  • The product used: products differ in their viscosity, firmness, volumising properties and hydrophilicity.
  • Depth of injection: middle dermis, superficial dermis, deep dermis, superficial subcutaneous, deep subcutaneous, deep fat, bone contact.
  • The quantity of product used for each point.
  • Tool used: needle or cannula (needle with a round tip). 


Once the injection has been given, a massage with a moisturising cream is performed to even out the result and distribute the product evenly.

Precautions to take after hyaluronic acid injection

Following the injection, it is important to follow certain instructions. 

For 48 hours 

  • Do not take anti-inflammatory drugs.
  • Avoid prolonged or intense exposure to sunlight or intense cold.
  • Do not engage in strenuous physical activity.
  • Don't go to the sauna or hammam...

For one week 

  • Avoid cleansing the skin.
  • Do not apply aggressive products to the skin.

For one month

  • Do not carry out laser, radiofrequency or ultrasound treatment on the injected area.

What are the contraindications to hyaluronic acid?

hyaluronic acid precautions

To avoid any risk of complications, certain contraindications must be scrupulously observed.
Injections of hyaluronic acid are not permitted in the following cases.

  • Injured or infected skin in the area to be injected.
  • Pregnancy and breastfeeding.
  • Hepatitis C.
  • Autoimmune diseases.
  • Presence of non-absorbable product in the injected area.
  • Taking anticoagulants (this contraindication is not absolute). 

What are the side effects of hyaluronic acid injections?

Side effects are minor and transitory. They do not require social eviction, as they are limited in both intensity and duration. As hyaluronic acid is naturally present in the body, the risks are extremely limited, and most patients tolerate injections extremely well. The biocompatible and biodegradable nature of the product makes tolerance tests unnecessary.

The side effects that can be observed following a session are :

  • Oedema (swelling) of the lips and dark circles. This temporary phenomenon can be prevented and treated by taking Solupred and Extranase. It is advisable to schedule the injection of lips and dark circles on a Friday.
  • Haematomas are rare, but can occur on thin skin. They can be prevented and treated by taking homeopathic remedies (Arnica 5CH).
  • In the case of herpes, Aciclovir is recommended to prevent a new outbreak following the injection.

At what age can you start hyaluronic acid injections?

There is no minimum age. From now on, even minors (accompanied by at least one parent and in possession of a written agreement from both parents) can have these injections.

Depending on the indication, the onset ages vary.

  • In the case of intimate injections, this is a lifelong process.
  • For the facial beautification and certain morphological changes, such as lips, women often start in their twenties.
  • For wrinkles and skin revitalisation, the best time to start is around the age of thirty. Starting treatment as soon as the first signs of ageing appear gives the best results.
  • Some late changes, such as ageing of the hands or neck, take place around the age of fifty.

Where are hyaluronic acid injections carried out?

The hyaluronic acid injections most frequently performed are :

 

Hyaluronic acid results: before / after hyaluronic acid injections

The result is immediate.
How long it lasts: depending on the cross-linking and firmness of the product, the area injected and the quantity used, the result lasts between six and twelve months.
In certain indications, such as the lips or upper eyelids, oedema is present after the injection, and you will need to wait a week before being able to appreciate the final result.
The skin is more hydrated and plumped, volumes restored and the face sublimated.

How much does a hyaluronic acid injection cost?

Hyaluronic acid: how much does a session cost? Convinced by its effectiveness, you are considering an injection hyaluronic acid? The price determined in advance?
Dr Valéria Romano welcomes you to her practice in Geneva. An initial consultation will enable us to better understand your expectations and define the number of injections needed to obtain the desired results. The price of a syringe of hyaluronic acid depends on the indication.
The total cost will also depend on the number of syringes used.

Type of consultation General rates
Hyaluronic acid
CHF 600 per syringe for most indications
For certain indications, the the price of a syringe varies between CHF 650 and 900

Injection of hyaluronic acid opinion

Patient feedback on hyaluronic acid injections is positive, although experiences can vary depending on a number of factors. Satisfaction largely depends on the skill of the practitioner and on patients' realistic expectations of the results.
Many patients appreciate the aesthetic results: the visible improvement in skin firmness and hydration, and the reduction in wrinkles and fine lines.
They appreciate the fact that the injections are relatively quick and painless, and do not require any recovery time.
The minimal and temporary side effects (redness, slight swelling and bruising) are well tolerated.

Creams vs hyaluronic acid injections: which is better?

Hyaluronic acid creams and hyaluronic acid injections are beneficial for the skin, but the effects and applications are different.

Creams moisturise the skin's surface, temporarily improving its appearance and texture. They are ideal for everyday use and for keeping the skin hydrated on a very superficial level. They do not penetrate deeply, fill in wrinkles or restore volume. Creams are a useful addition to a skincare routine.
Injections give immediate and longer-lasting results. They provide a significant anti-ageing effect, filling in wrinkles and restoring volume. For visible and effective rejuvenation, hyaluronic acid injections are the right choice.

Hyaluronic acid: is it dangerous?

Hyaluronic acid is a product naturally present in the human body, used in aesthetic medicine for its moisturising and volumising properties. When injected by a qualified and experienced doctor, hyaluronic acid is safe and well tolerated. However, as with any treatment, side effects can occur, such as redness, bruising or slight swelling at the injection site.

Where can I find natural hyaluronic acid?

Natural hyaluronic acid is found in the body's connective tissues, particularly in the skin, joints and eyes. It is also present in certain foods such as bone broth, green leafy vegetables, soya and citrus fruits. For medical and aesthetic applications, hyaluronic acid is often produced chemically, which guarantees optimum purity and compatibility with the human body.

The Tyndall effect, the temporary blue colour of the skin after a hyaluronic acid injection, can diminish over time. This effect is generally caused by an injection that is too superficial or by poor technique. It is important to consult an experienced doctor to avoid this inconvenience. The Tyndall effect takes years to disappear.

To prolong the effects of hyaluronic acid injections, it is advisable to :

  • Have a good skincare routine.
  • Maintain good skin hydration.
  • Protect the skin against external aggressions such as UV rays.
  • Avoid tobacco and alcohol.
  • A balanced diet and a healthy lifestyle.
  • Inject regularly, following the treatment plan suggested by your injecting doctor.

Hyaluronic acid injections are gradually and naturally reabsorbed over time, as hyaluronic acid is broken down by the body. Over the months, the gel is metabolised and the effects gradually diminish. 

Several factors can influence the durability of hyaluronic acid injections, including the quality and quantity of the product used, the injection technique and the patient's individual metabolism. Intense physical activity and certain lifestyle habits, such as saunas and steam baths, can accelerate its degradation. A consultation with an experienced doctor can help optimise the results and duration of the effects.

Although hyaluronic acid injections are generally safe, risks and side effects can occur: redness, bruising, temporary swelling. If the injections are carried out by an inexperienced doctor or a non-medical professional, more serious complications are possible: infections, necrosis, granulomas. Hence the importance of consulting an experienced, qualified doctor.

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.

If carried out by an experienced doctor, hyaluronic acid injections are virtually painless. The product contains an anaesthetic. An anaesthetic cream may be applied to minimise pain, but this is often not necessary.

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 undergoes injections without knowing that she is pregnant can be reassured. Injections are not carried out during pregnancy as a precautionary measure.

Breast-feeding women should express their milk before injections.

Normal activities can be resumed immediately after the injection. The only exception is the lips, which may swell considerably.
However, it is advisable to avoid sport and excessive exposure to the sun for twenty-four hours. Patients often use these techniques during their lunch break or before going to work.

Highly cross-linked and very dense hyaluronic acid lasts longer than less cross-linked versions. This type of product is used to add volume or for lifting techniques.

Products such as Juvederm Voluma or Restylane Lyft or Restylane Volyme are renowned for their longevity, lasting up to eighteen to twenty-four months.

Hyaluronic acid injections may cause some temporary swelling immediately after treatment, which disappears within a few days. The aim of the injections is to restore lost volume and improve facial contours in a natural way. A qualified practitioner will take care to avoid excessive swelling.

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.

Hyaluronic acid is injected to fill in wrinkles, restore lost volume and hydrate the skin.

It is strongly recommended not to smoke for two days following a hyaluronic acid injection. Smoking can interfere with the healing process and cause side effects. It reduces tissue oxygenation, increases inflammation and reduces the duration of results.
Tobacco is harmful to your health.

Doctors are the only professionals authorised to carry out injections. Legislation State of Vaud

It is advisable to sleep on your back with your head slightly elevated the first night after an injection, as this reduces swelling. Sleeping in another position does not influence the result and does not cause the product to move.

Highly cross-linked, highly volumising hyaluronic acids last the longest, often up to 12 to 18 months.

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

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

To minimise the risk of bruising, it is best to avoid certain supplements (vitamin E, ginkgo biloba) for a week before and after the injection.

Anticoagulants, antiaggregants and anti-inflammatories must be stopped with the agreement of the prescribing doctor.
Taking Arnica the day before the injection may be helpful.
The frequency of bruising depends on the experience of the injecting doctor.  

Balls can form if the hyaluronic acid is not correctly distributed or if the product migrates. This is a technical error. Correctly injected hyaluronic acid does not form lumps.

This is a false belief. It is advisable to hydrate properly. Drinking more does not change the result.

Massaging the injected area is not generally recommended. Massage could displace the product.

It is advisable to wait at least 24 hours before applying make-up.

To avoid excessive pressure or movement on the treated area, we recommend waiting 24 to 48 hours before kissing.

To reduce bruising, apply cold compresses to the area.
Arnica- or vitamin K-based creams can be used to speed up the process.

To reduce swelling, apply cold compresses to the treated area for 10 to 15 minutes at regular intervals. Avoid strenuous physical activity and keep your head elevated when sleeping. Taking bromelain speeds up the process.

To maintain the results, moisturise your skin regularly and use appropriate skin care products. Avoid excessive exposure to the sun and intense heat (sauna and hammam) and consult your doctor for regular maintenance treatments, generally every 6 to 12 months.

Hyaluronic acid injections can be less effective if the skin is very thick, if the product degrades rapidly or if the injection technique is unsuitable. For good results, you need to consult an experienced doctor.

To make the lumps disappear after a hyaluronic acid injection, light massage can help. If they persist, the doctor will decide whether to dissolve them or do a touch-up.

Properly injected, hyaluronic acid stays in place. It is important to call on an experienced doctor who can identify the right indications, inject the right product (there are a variety of hyaluronic acids depending on the indication), in the right place (there are different injection depths) and in the right quantity.

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