The hyaluronic acid of the face refers to the medical use of a resorbable injectable gel intended to restore, support, or rebalance facial volumes and contours. It is a substance naturally present in the body, particularly in the skin, where it plays an essential role in hydration, elasticity, and tissue cohesion. In aesthetic-oriented medicine, hyaluronic acid is used in a stabilized form, specifically designed to be injected into precise anatomical planes.
When injected into the face, hyaluronic acid does not have a single function but a global structural role. Depending on its physical characteristics and the depth of injection, it can act as a filling agent, a support material, or a tool for redefining volumes. It thus makes it possible to act on different components of the face, without modifying the physiological functions of the tissues or resorting to a surgical procedure.
Facial hyaluronic acid is distinguished by its temporary and reversible nature. Its progressive resorption by the body follows a dynamic that respects the natural evolution of tissues. This property makes it a central tool of modern aesthetic-oriented medicine, allowing for modulable corrections, adjustable over time and integrated into the overall harmony of the face.
The initial consultation is a fundamental medical step before any facial hyaluronic acid injection. It makes it possible to evaluate the face as a whole, taking into account volumes, proportions, and the dynamics of expressions. As the face is a complex structure, the analysis is never limited to an isolated area, but is part of an overall assessment.
During this consultation, Dr. Romano carries out an in-depth morphological examination, from the front and in profile, at rest and in movement. The doctor evaluates the quality of the skin tissues, the distribution of volumes, areas of loss of support, as well as any asymmetries. This analysis makes it possible to understand the mechanisms underlying the observed changes, whether related to aging, constitutional morphology, or external factors.
A complete medical interview is conducted in order to collect medical history, ongoing treatments, and any previous aesthetic-oriented medicine procedures. This step aims to ensure the absence of contraindications and to adapt management to the specific characteristics of the patient.
The initial consultation is also a time for discussion and information. The doctor clarifies the request, evaluates the feasibility of the treatment, and explains the general principles of facial hyaluronic acid injection, as well as its limitations. At the end of this evaluation, a personalized management proposal may be formulated.
Injection of facial hyaluronic acid is indicated when an imbalance of volumes, a loss of support, or an alteration of facial structure is identified during medical analysis. The first indication concerns facial aging, characterized by progressive volume resorption, modification of contours, and a loss of tissue cohesion. Hyaluronic acid then makes it possible to compensate for these changes in a targeted and progressive manner.
The treatment is also indicated in patients presenting constitutional morphological particularities. Certain areas of the face may lack volume or projection independently of age, leading to a disharmony of proportions. In this context, hyaluronic acid is used with the aim of rebalancing the face.
Another indication concerns imbalances secondary to weight variations, hormonal factors, or previous aesthetic procedures that have modified the distribution of facial volumes. Hyaluronic acid makes it possible to intervene in a localized manner in order to restore anatomical coherence.
Finally, facial hyaluronic acid is indicated within a global approach to facial harmonization, when several interconnected areas require coordinated correction. Each indication is based on a precise medical evaluation, aimed at addressing an identified anomaly, while respecting the patient’s anatomy and identity.
Hyaluronic acid injections make it possible to treat the face as a whole, rather than addressing each area in isolation. This global approach helps respect the natural proportions of the face and preserve the balance between its different parts. The desired result is not an accumulation of visible corrections, but a harmonious overall improvement.
One of the major strengths of hyaluronic acid lies in the possibility of selecting different products depending on the objective to be achieved. Some are used to support facial structures, others to redefine contours or correct volume loss. The treatment is thus adapted to each face and to each need, both in terms of strategy and injection technique.
When performed within a strict medical framework, these injections offer a high level of safety.
When carried out in a rigorous medical setting, these injections present an excellent safety profile. Hyaluronic acid is progressively resorbed by the body, allowing the result to evolve naturally, without abrupt transformation or permanent modification of facial features.
Finally, this technique is part of an evolving approach. The treatment can be adjusted or complemented, depending on the natural changes of the face. This flexibility makes it a solution particularly well suited to a progressive, measured aesthetic approach that respects each person’s identity.
Before a facial hyaluronic acid injection, certain general recommendations must be followed in order to prepare the tissues and reduce the risk of adverse reactions.
In the days preceding the session, it is recommended not to make any abrupt changes to one’s habits, in order to avoid any unpredictable cutaneous or vascular reactions.
It is preferable to temporarily space out any practices likely to sensitize the skin of the face. Prolonged sun exposure, sauna or hammam sessions, as well as aggressive cosmetic treatments should be avoided, in order to preserve cutaneous balance before the injection.
Substances that may influence microcirculation or vascular reactivity should be used with caution before the treatment. Alcohol consumption is discouraged in the hours preceding the session, as is the use of non-essential dietary supplements. Any recent medication intake must be reported to Dr. Romano.
On the day of the injection, it is preferable to arrive with a perfectly clean face, without makeup or products applied to the skin, in order to guarantee optimal hygiene conditions for the procedure. This measure allows for optimal cutaneous assessment and ensures appropriate aseptic conditions. In the event of irritation, skin lesions, or a recent inflammatory sensation, the session may be postponed following medical advice.
A facial hyaluronic acid injection session takes place in a simple and supervised manner. After the patient is settled, Dr. Romano carefully cleans and disinfects the area to be treated in order to ensure optimal hygiene conditions.
Dr. Romano then begins the treatment by injecting the hyaluronic acid progressively, in small quantities. This method makes it possible to adapt the technique step by step and to obtain a balanced and natural result.
Throughout the session, the doctor observes tissue response and adjusts the injections with precision. There is no standardized protocol : each face is treated in a personalized way, until the desired result is achieved.
At the end of the session, the face is examined again in order to verify proper product distribution and the absence of any unusual reaction. The session ends immediately after these checks, without any particular monitoring.
The choice of hyaluronic acid for facial injections is not limited to a single product. It is based on the selection of different gels, chosen according to the specific characteristics of each area of the face. Indeed, the face is not uniform : some regions are highly mobile, others play a supporting role, while certain areas require a very fine and discreet correction.
The hyaluronic acids used differ in their consistency and in their behavior once injected. Products intended for support areas must be sufficiently firm to maintain volumes and withstand facial movements. Conversely, those used in more superficial areas must be more supple in order to integrate naturally into the tissues, without rigidity or visible effect.
The depth of injection is also an essential element in product selection. A hyaluronic acid suitable for deep injection will not be appropriate for superficial injection. Dr. Romano therefore selects the gel according to the treated area, the depth of injection, and the desired objective, whether it is to support structures, redefine contours, or correct volume loss.
After a facial hyaluronic acid injection, certain precautions must be observed in order to allow optimal integration of the product and to accompany the initial phase of tissue reaction. In the hours following the session, it is recommended to let the face rest, avoiding any unnecessary stimulation likely to modify the distribution of the hyaluronic acid that has just been injected.
The first 24 hours constitute a period of tissue adaptation. During this time, it is preferable not to expose the face to extreme conditions, such as intense heat, marked cold, or abrupt thermal variations. These factors may accentuate transient inflammatory phenomena and interfere with product stabilization.
Everyday gestures should be carried out with moderation. Repeated pressure on the face, massages, or manipulation of the injected areas should be avoided. Likewise, the application of new or potentially irritating cosmetic products should be postponed, in order not to interfere with the physiological post-injection cutaneous reaction.
In the days following the treatment, particular attention should be paid to the evolution of the face. The appearance of moderate swelling, localized redness, or small bruises is possible and corresponds to a usual evolution.
Compliance with these post-injection instructions directly contributes to treatment safety and to the quality of the final result, and allows the hyaluronic acid to progressively integrate into the facial tissues under optimal conditions.
The medical protocol for facial hyaluronic acid injections is based on a precise and personalized method. The face is not treated as an isolated area : each region is connected to the others, and every injection must take into account overall balance, blood circulation, and tissue depth.
Before the injection, Dr. Romano defines, for each area, the depth at which the product will be injected. Certain corrections require deep injection to support facial structures, while others are performed more superficially to achieve a fine and natural result. This choice is essential both for the safety of the procedure and for the quality of the result.
The injection is then carried out progressively, area by area, following a precise order. The product is injected in small quantities, allowing the doctor to immediately observe tissue response and adjust the technique if necessary. This method avoids excess and ensures balanced volume distribution.
Particular vigilance is given to sensitive areas, especially those where blood vessels pass. The doctor relies on precise anatomical landmarks and uses appropriate techniques to perform a completely safe injection . The gesture is slow, controlled, and regularly reassessed throughout the session.
At the end of the injection, the face is examined as a whole in order to verify the harmony of the result and the proper integration of the product. This immediate evaluation makes it possible to anticipate the evolution of the treatment and, if necessary, to plan an adjustment during a follow-up consultation. This methodical framework is essential to guarantee patient safety and the quality of the aesthetic result.
Facial filling with hyaluronic acid injections primarily aims to rebalance the face as a whole, rather than to visibly modify a single feature. The objective is not to create an obvious change, but to progressively improve the harmony of volumes, while respecting the morphology and the natural expression of the face.
The result is reflected in better continuity between the different areas of the face. Regions that have lost volume or support regain a more balanced structure, making contours clearer and more coherent. The face appears more supported and more harmonious, without excess or artificial effect.
The discreet nature of the result is a central element of this approach. The injections are not intended to transform features, but to correct slight imbalances.
The outcome is an overall impression of a more rested and better-balanced face, without it being possible to clearly identify the area that has been treated.
The result appears quickly after the injection and improves progressively as the hyaluronic acid integrates into the tissues. This gradual evolution helps preserve natural expressions. The success of the treatment lies in this ability to accompany the face over time, while preserving its identity.
The duration of action of hyaluronic acid is not identical across the entire face, as it does not constitute a uniform area. When the injection is performed deeply, with the objective of supporting structures, the product tends to last longer. Conversely, in more mobile or more superficial areas, resorption may be slightly faster, due to repeated movements and daily mechanical constraints.
The type of hyaluronic acid used also influences the duration of the result. Gels with a high degree of cross-linking and strong stability maintain their effect longer than more supple products. The choice of product therefore directly determines the longevity of the correction obtained.Finally, factors specific to
the patient play a role in the evolution of the result. Individual metabolism, age, lifestyle, exposure to oxidative stress, or even weight variations can influence the rate of hyaluronic acid degradation. This resorption always occurs progressively, without abrupt disappearance, allowing the face to evolve in a natural and harmonious way.
The aftereffects of a facial hyaluronic acid injection correspond to a transient phase of tissue adaptation to the injected product. Immediately after the session, the face may present local reactions that vary according to the treated areas and individual sensitivity. These manifestations are related to the passage of the needle or cannula as well as to the presence of the gel within the tissues.
In the first hours, a sensation of tension or mild sensitivity may be felt. Certain areas may appear discreetly swollen or slightly red. These moderate inflammatory reactions are expected and reflect the physiological tissue response to the injection. They tend to decrease spontaneously over the following days.
Occasional bruising may occur, particularly in regions where vascularization is more superficial. Their evolution is progressive and does not require specific management. The face may also present, on a transient basis, a sensation of localized irregularity or firmness, which disappears as the hyaluronic acid integrates into the tissues.
The aftereffects are compatible with a rapid return to social life .
The follow-up of patients who have benefited from facial hyaluronic acid injections highlights a perception of change that is rarely associated with a specific area. During follow-up consultations, the evolution is most often described as a diffuse improvement in the appearance of the face, without a clear identification of a particular point of correction.
Over time, patients end up forgetting the intervention itself and integrate the result as part of their face. They do not speak of a precise change, but rather of feeling “better” or “more rested”. Those around them often perceive an improvement, without being able to say what has been modified or to suspect a medical procedure.
This satisfaction is explained by the very natural character of the result. The treatment does not aim to transform facial features, but to restore a global balance of the face. It fits into the continuity of the initial appearance, with a stable and coherent effect over time. It is not the immediate impact that gives value to the treatment, but its ability to durably improve facial harmony without altering identity.
