{"id":28748,"date":"2025-07-14T20:27:18","date_gmt":"2025-07-14T18:27:18","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=28748"},"modified":"2026-06-12T09:46:22","modified_gmt":"2026-06-12T07:46:22","slug":"frown-line-filling-hyaluronic-acid","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/comblement-ride-lion-acide-hyaluronique\/","title":{"rendered":"Les injections d&rsquo;acide hyaluronique peuvent-elles combler la ride du lion ?"},"content":{"rendered":"<h1>LES INJECTIONS D&rsquo;ACIDE HYALURONIQUE PEUVENT-ELLES COMBLER LA RIDE DU LION ?<\/h1>\n<p>Frown lines appear as one or more vertical creases between the eyebrows. Often associated with a stern or annoyed expression, they are a frequent concern during consultations. Unlike wrinkles solely related to skin ageing, frown lines are primarily muscular in origin\u202f: they result from repeated contraction of the corrugator and procerus muscles, which chronically crease the skin.<br \/>Si la toxine botulique est le traitement de r\u00e9f\u00e9rence pour inhiber cette contraction, une autre solution peut \u00eatre envisag\u00e9e dans certains cas : les injections d\u2019acide hyaluronique, l&rsquo;acide hyaluronique comblera des rides plus profondes.<br \/>But is this option appropriate ? Can a dermal filler really treat frown lines ? Under what circumstances is the procedure indicated ? Above all, what are its benefits, limitations and possible risks ?<br \/>This text provides a comprehensive, rigorous analysis of the effectiveness of hyaluronic acid injections specifically for treating frown lines.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"image of young hydrated skin\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Hyaluronic acid and frown lines : a possible indication<\/h2>\n<p>Hyaluronic acid is a molecule naturally present in the skin's extracellular matrix. Its exceptional ability to retain water and restore volume makes it a reference filler for treating static wrinkles.<br data-start=\"397\" data-end=\"400\" \/>Frown lines, however, are a particular case. They result not simply from skin laxity or age-related loss of support, but from a genuine skin crease caused by intense, repeated muscle contractions. Hyaluronic acid injections performed without considering the underlying muscular dynamics may therefore produce limited or even unattractive results.<br data-start=\"843\" data-end=\"846\" \/>Filling the glabella is therefore not a direct alternative to botulinum toxin. It is a complementary approach reserved for specific indications, generally when the crease persists despite neutralising muscle activity.<\/p>\n<h2>When are hyaluronic acid injections justified for frown lines ?<\/h2>\n<p>Hyaluronic acid has a place in frown line management primarily in two clearly defined situations :<\/p>\n<ul>\n<li>Patients with a deep static wrinkle : a persistent skin crease visible even without muscle contraction, despite previous botulinum toxin treatment. Muscle relaxation has neutralised the functional cause, but the dermal fold remains. Hyaluronic acid injections can then smooth and soften this residual mark.<\/li>\n<li>Patients unable to receive botulinum toxin for medical or personal reasons. Hyaluronic acid can then be used cautiously through superficial micro-injections strictly confined to the dermis to avoid complications associated with injections placed too deeply<\/li>\n<\/ul>\n<p>In every case, glabellar filling requires rigorous dynamic assessment. Careful observation of facial expressions, both at rest and during movement, is essential to establish an appropriate, safe treatment plan.<\/p>\n<h2>The particular anatomy of the glabella<\/h2>\n<p class=\"translation-block\">The glabella is one of the most vascularly sensitive facial areas. It is supplied by a particularly dense arterial network, including the supratrochlear and supraorbital arteries, some deep branches of which communicate directly with the ophthalmic circulation. This anatomy makes any injection potentially risky if the product is incorrectly positioned.<br>The main danger is vascular embolism : if hyaluronic acid is accidentally injected into a vessel, it may migrate and cause severe complications ranging from skin ischaemia to rare but serious visual damage.<br>For these reasons, filler treatment for frown lines is strictly reserved for experienced doctors who understand both vascular anatomy and safe injection techniques, such as cannula use and the blanching technique.<\/p>\n<h2>Which types of hyaluronic acid are used for frown lines ?<\/h2>\n<p class=\"translation-block\">Product selection is decisive. Unlike deeper areas such as the nasolabial folds or temples, the glabella requires very fluid, lightly cross-linked hyaluronic acid to avoid overcorrection or visible nodules.<br>Manufacturers now offer formulations specifically designed to fill fine to moderately deep wrinkles, with excellent tissue tolerability. These gels gently correct the skin crease while respecting natural facial expression dynamics.<br>Conversely, an overly dense product or excessive volume risks creating an unattractive prominence or even a frozen appearance. Treatment success therefore depends equally on delicate technique and appropriate product selection.<\/p>\n<h2>How long do results last after filling frown lines ?<\/h2>\n<p>L&rsquo;injection d\u2019acide hyaluronique dans la glabelle donne un r\u00e9sultat imm\u00e9diat\u202f: la ride statique est visiblement att\u00e9nu\u00e9e d\u00e8s la fin de la s\u00e9ance. L\u2019effet optimal est g\u00e9n\u00e9ralement atteint apr\u00e8s quelques jours, une fois que le produit s\u2019est bien int\u00e9gr\u00e9 dans le tissu.<br \/>Longevity depends on several factors : product type, wrinkle depth, residual muscle activity and skin quality. Results last an average of 6 to 10 months, sometimes longer when treatment is combined with botulinum toxin.<br \/>Il convient toutefois de rappeler que\u00a0l&rsquo;acide hyaluronique ne traite pas la cause de la ride, c\u2019est-\u00e0-dire la contraction musculaire, et que sans traitement de fond par toxine botulique, l\u2019effet du comblement sera n\u00e9cessairement plus \u00e9ph\u00e9m\u00e8re.<\/p>\n<h2>What do medical studies say about filling frown lines?<\/h2>\n<p data-start=\"116\" data-end=\"907\" class=\"translation-block\">Scientific literature on hyaluronic acid injections for frown lines remains more limited than that on botulinum toxin, because the indication is less common and the treated area requires greater precautions. Nevertheless, several publications, particularly in <em data-start=\"421\" data-end=\"443\">Dermatologic Surgery<\/em> and <em data-start=\"447\" data-end=\"474\">Aesthetic Surgery Journal<\/em>, report good patient satisfaction when the procedure is performed by an experienced doctor.<br data-start=\"588\" data-end=\"591\">These studies consistently emphasise prior assessment, careful product selection and technical injection expertise. In most cases, they also recommend a two-stage approach, with a review 15 days later for a touch-up if needed.<\/p>\n<h2>Hyaluronic acid alone or combined with botulinum toxin for frown lines ?<\/h2>\n<p>In the vast majority of cases, optimal treatment for frown lines combines both techniques :<\/p>\n<ul>\n<li>Botulinum toxin is injected first to inhibit the muscle contraction responsible for frown lines.<\/li>\n<li>Hyaluronic acid may then be injected 10 to 15 days later, only if the skin crease persists and the fold is sufficiently pronounced to justify filling.<\/li>\n<\/ul>\n<p>This two-stage approach optimises the aesthetic result. It follows a cause-based treatment strategy : botulinum toxin treats the cause, while hyaluronic acid corrects the consequence.<\/p>\n<h2>Why can't some frown lines be treated with hyaluronic acid injections ?<\/h2>\n<p>Not every frown line is suitable for filling. When wrinkles are exclusively dynamic \u2014 visible only during muscle contraction \u2014 there is no skin crease to correct. Botulinum toxin is then the only appropriate treatment because it directly addresses muscular overactivity. Injecting hyaluronic acid into a purely dynamic wrinkle risks accentuating the fold or creating an unattractive ridge.<br data-start=\"642\" data-end=\"645\" \/>Hyaluronic acid filling should therefore be limited to deep static wrinkles that persist even after botulinum toxin treatment. Distinguishing dynamic from static wrinkles is central to the initial medical assessment, ensuring appropriate and safe aesthetic care.<\/p>\n<h2>Can hyaluronic acid cause specific complications in frown lines ?<\/h2>\n<p>Among facial areas, the glabella is considered one of the highest-risk sites for dermal filling because of its particularly vulnerable terminal vascular network. An injection placed too deeply or performed without prior aspiration may occlude an artery, causing skin ischaemia, localised necrosis or \u2014 in very rare but documented cases \u2014 visual damage through retrograde migration towards the ophthalmic artery.<br data-start=\"611\" data-end=\"614\" \/>Although rare, these complications justify restricting the procedure to expert doctors using appropriate equipment (microcannula, low-pressure syringe) in a medical setting able to provide immediate care in the event of a vascular incident.<br data-start=\"892\" data-end=\"895\" \/>Awareness of these risks explains why many doctors choose not to inject hyaluronic acid into the glabella without prior botulinum toxin treatment.\u00a0<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Photo of doctor Valeria Romano in Geneva\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Article written by <a href=\"https:\/\/drromanovaleria.ch\/en\/\">Dr Romano Valeria<\/a><\/p>\n<p>SHARE THIS ARTICLE ON<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"elementor_header_footer","class_list":["post-28748","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Combler la ride du lion gr\u00e2ce \u00e0 l&#039;acide hyaluronique \u2013 Gen\u00e8ve \u2013 Dr Romano<\/title>\n<meta name=\"description\" content=\"Les injections d\u2019acide hyaluronique sont parfois utilis\u00e9es pour combler la ride du lion : indications, m\u00e9canisme de comblement, efficacit\u00e9, risques \u00e9ventuels et alternatives.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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