HYALURONIC ACID FACIAL LIFTING

The initial consultation assesses bone structure, volume distribution and tissue descent.
Dr Romano examines front, profile and movement to identify lost support altering contours. This distinguishes deep volume-related sagging from excess skin requiring other techniques alongside hyaluronic acid.
Care is never standardised. Areas, quantity and depth are adapted to anatomy, age and expectations for natural results.
Considerable time explains principles, expected results, duration and limitations. Transparency prevents unrealistic expectations.

Treatment suits mild to moderate descent mainly caused by lost volume and support, most often from the forties but sometimes earlier according to anatomy and individual ageing.
It particularly suits limited laxity where targeted volume restoration corrects descent, improving contour and projection without surgery.
It also offers an alternative for patients avoiding surgery or without surgical indication. Improvement is visible, gradual and reversible without recovery time.
Significant laxity or excess skin cannot be satisfactorily corrected by hyaluronic acid alone. Indication must be rigorous and limitations clear.

The main benefit is restoring support without surgery. Deep treatment harmoniously repositions descended tissues while respecting movement and expression.
It works comprehensively rather than on one wrinkle, redefining the facial contour and restoring strategic volumes for coherent rejuvenation. Structural care limits local overload and promotes naturalness.
Personalised areas, volumes and depth give tailored results respecting anatomy and proportions.
Finally, reversible, adaptable care can be adjusted as features and expectations evolve.

Following preparation instructions ensures safety and optimal results.
Avoid substances increasing bruising in preceding days. Non-steroidal anti-inflammatory drugs, aspirin, anticoagulants and certain supplements may promote bleeding and must be reported.
Avoid alcohol for 24 to 48 hours beforehand because of vasodilation.
Consultation collects necessary information, including ongoing treatments and previous injections, for adapted, safe care. This allows strategy adjustment and ensures safety.

Structured care includes precise planning and medical hygiene. After positioning, Dr Romano disinfects the whole face. Anatomical marking may identify support areas, guiding placement and harmony.
Needles or cannulas are selected according to areas and depth. Gradual, controlled deep placement restores structural support without excess. Technique is precise and constantly reassessed.
The session generally lasts 10 to 30 minutes depending on areas. Immediate assessment follows and usual activities resume immediately.

Product is chosen not for hydration or smoothing, but for changing mechanical forces. It must exert traction, resist gravity and remain stable.
Dr Romano uses deep-support gels highly resistant to deformation. Their molecular architecture maintains deep placement without secondary collapse or uncontrolled spread, acting like anchors to redistribute volumes and rebalance tension.
Durable tissue integration without perceptible rigidity or disrupted contours is central. An unsuitable gel would not lift.
Selection is inseparable from strategy, depending on bone, tissue thickness, descent and goals. No standard product fits all; clinical assessment determines choice.

Aftercare primarily preserves newly restored support. Initial hours and days determine correct deep integration.
Limit excessive mechanical activity. Repeated pressure, deliberate or accidental manipulation and everyday gestures may disturb structural support.
Avoid vasodilation triggers. Intense heat or abrupt temperature changes can increase inflammation and delay stabilisation. Resume exercise gradually to limit congestion.
Temporary local swelling or tightness reflects adaptation to restored volume.

The protocol is based on three-dimensional assessment, progressively reconstructing supporting force lines rather than simply performing successive injections.
Structural weaknesses causing descent are identified first. Sequential planning prioritises areas indirectly supporting sagging regions, allowing lift without directly injecting visible descent.
Precisely defined deep deposits use measured volumes. Each changes overall balance, requiring constant reassessment. Gradual adjustment takes priority over immediate correction.
Controlled care includes vascular knowledge, depth mastery and product traceability.

Treatment improves the whole face without changing features. It supports volumes to rebalance lines rather than tightening skin itself.
The face looks structured, sagging areas supported and contour defined. Improvement is global and subtle without identifiable treated areas, rigidity or frozen expression.
Patients often feel firmer or rested without visible transformation. Effects develop over following weeks.
It is effective for lost deep support. With substantial excess skin, it is less suitable : results are visible but not perfect.

Effects generally last ten to twelve months. Product properties and deep placement improve stability.
Deep planes experience fewer daily mechanical forces, slowing absorption compared with superficial or mobile areas. Quality of restored support also determines durability.
Metabolism, age, tissue quality, initial descent and lifestyle influence absorption and evolution.
Annual maintenance should be planned to prolong effects.

Recovery is straightforward and compatible with immediate usual activities.
Moderate swelling, tightness or tenderness may occur in following days. Small bruises are possible, particularly at deep injection sites.
These resolve spontaneously, with results gradually stabilising over a few weeks.

Patients often perceive overall improvement rather than local change, describing firmness without identifiable transformation.
Many find better definition. Preserved expressions and movement are key to satisfaction, with results consistent with age and identity.
Gradual evolution avoids abrupt change, supporting natural acceptance by patients and others.
Patients also value comprehensive care.
Detailed assessment rather than standardised correction is an important source of satisfaction.