HYALURONIC ACID FACE

The initial consultation is fundamental. It assesses the whole face, considering volumes, proportions and expressive dynamics. As the face is complex, assessment never concerns only one isolated area.
Dr Romano examines anatomy in detail, from front and profile, at rest and in movement. Skin tissue quality, volume distribution, lost support and asymmetry are assessed to understand changes caused by ageing, constitutional anatomy or external factors.
A full history covers previous conditions, current treatments and earlier aesthetic procedures, checking contraindications and adapting care.
It is also a discussion and information appointment. The doctor clarifies requests, assesses feasibility and explains general injection principles and limitations. A personalised proposal can then be made.

Injections are indicated when assessment identifies volume imbalance, lost support or altered facial structure. The first indication is ageing, characterised by gradual volume resorption, changed contours and reduced tissue cohesion. Hyaluronic acid compensates progressively and precisely.
It also suits constitutional characteristics : areas may lack volume or projection regardless of age, disrupting proportions. Treatment then rebalances the face.
Another indication is imbalance following weight changes, hormonal factors or earlier aesthetic procedures altering distribution. Local treatment restores anatomical coherence.
Finally, coordinated correction of interconnected areas may support overall harmonisation. Every indication rests on precise assessment of an identified concern, respecting anatomy and identity.

Injections treat the whole face rather than isolated areas. This respects natural proportions and balance between parts. The goal is overall harmony rather than an accumulation of visible corrections.
A major strength is choosing different products for different goals. Some support structures, others redefine contours or restore lost volume. Strategy and technique are adapted to each face and need.
In a strict medical setting, these injections offer a high level of safety.
In rigorous medical practice, safety is excellent. Gradual absorption allows natural evolution without abrupt transformation or permanent feature changes.

General recommendations prepare tissues and reduce adverse reactions.
In preceding days, avoid sudden changes in habits that could cause unpredictable skin or vascular reactions.
Temporarily avoid practices sensitising skin. Prolonged sun exposure, saunas, steam rooms and harsh cosmetics should be avoided to preserve balance.
Use substances affecting microcirculation or vascular reactivity cautiously. Alcohol in preceding hours and non-essential supplements are discouraged. Report recent medication to Dr Romano.
Arrive with a perfectly clean face without make-up or skincare for optimal hygiene, assessment and asepsis. Recent irritation, lesions or inflammatory sensations may lead to postponement after medical advice.

Treatment is straightforward and supervised. After positioning, Dr Romano thoroughly cleanses and disinfects the area for optimal hygiene.
Small amounts are then injected gradually, adapting placement as treatment progresses for balance and naturalness.
The doctor observes tissue response and precisely adjusts injections throughout. There is no standardised protocol : each face receives personalised treatment until the intended result.
At the end, the whole face is re-examined for even distribution and unusual reactions. The session ends after these checks without particular observation requirements.

Selection is not limited to one product. Different gels suit each area's characteristics : some regions move considerably, others provide support, and others need particularly subtle correction.
Products differ in consistency and behaviour. Supporting areas need sufficient firmness to maintain volume and resist movement; superficial areas need softer gels for natural integration without rigidity or visibility.
Depth is also essential. A deep-injection product will not suit superficial injection. Dr Romano selects according to area, depth and goal, whether support, contour definition or volume restoration.

After injections, precautions support optimal integration and the initial tissue response. In following hours, rest the face and avoid unnecessary activity that might alter freshly injected product distribution.
The first 24 hours are an adaptation period. Avoid extreme heat, marked cold and sudden temperature changes, which may worsen temporary inflammation and disturb stabilisation.
Everyday actions should be gentle. Avoid repeated pressure, massage and manipulation of injected areas. Postpone new or potentially irritating cosmetics so they do not interfere with the physiological response.
Monitor facial changes carefully in following days. Moderate swelling, localised redness or small bruises are possible and part of usual recovery. 
Following instructions directly supports safety and final result quality, allowing gradual integration in optimal conditions.

The protocol is precise and personalised. Every facial region relates to others, so injections account for overall balance, circulation and tissue depth.
Dr Romano first defines depth for each area. Some corrections need deep support; others require superficial placement for subtle results. This is essential for both safety and quality.
Injection proceeds gradually in a precise sequence, area by area. Small quantities allow immediate tissue assessment and adjustment, avoiding excess and balancing volumes.
Particular vigilance concerns sensitive areas, especially vessels. Precise anatomical landmarks and adapted techniques ensure a fully safe injection. Placement is slow, controlled and repeatedly reassessed.
At the end, overall examination checks harmony and integration. Immediate assessment anticipates evolution and possible adjustment at follow-up. This methodical framework is indispensable for safety and aesthetic quality.

Facial filling primarily rebalances the whole face rather than visibly changing one feature. It gradually improves volume harmony while respecting anatomy and expression.
Better continuity develops between areas. Lost volume or support is restored to a balanced structure, making contours clearer and more coherent. The face looks supported and harmonious without excess or artificial effects.
Subtlety is central. Injections correct slight imbalances rather than transform features.
The overall impression is a rested, better-balanced face without an identifiable treatment area.
Results appear quickly and progressively improve with integration, preserving natural expression. Success lies in supporting the face over time while preserving identity.

Duration differs across the face because it is not uniform. Deep structural injections tend to last longer. In mobile or superficial areas, repeated movements and daily mechanical stresses can accelerate absorption.
Product also influences durability. Highly cross-linked, stable gels last longer than softer products; selection directly determines longevity. Finally, factors specific to the
patient affect results. Metabolism, age, lifestyle, oxidative stress exposure and weight changes may influence degradation. Absorption is always gradual, without abrupt disappearance, allowing natural, harmonious evolution.

Recovery is a temporary tissue adaptation phase. Immediate local reactions vary by area and individual sensitivity, reflecting needle or cannula passage and gel presence.
In initial hours, tightness or slight tenderness may occur. Some areas look mildly swollen or red. These expected moderate inflammatory reactions reflect physiological response and spontaneously decrease over following days.
Small bruises may occur, especially where vessels are superficial. They evolve gradually without specific care. Temporary unevenness or local firmness also disappears as product integrates.
Recovery allows a rapid return to social life

Follow-up shows perceived improvement is rarely linked to a precise area. Patients generally describe diffuse improvement without identifying a particular correction.
Over time, they forget the intervention and integrate results into their appearance. Rather than a specific change, they feel better or more rested. Others often notice improvement without knowing what changed or suspecting treatment.
This satisfaction reflects naturalness. Treatment restores overall balance rather than transforming features, maintaining continuity with initial appearance and stable, consistent effects over time. Its value lies in lasting harmony without changed identity rather than immediate impact.