{"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":"riempimento-ruga-leone-acido-ialuronico","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/it\/infographie\/comblement-ride-lion-acide-hyaluronique\/","title":{"rendered":"Les injections d\u2019acide 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>La ride du lion se pr\u00e9sente comme un ou plusieurs sillons verticaux situ\u00e9s entre les sourcils. Souvent associ\u00e9e \u00e0 une expression de s\u00e9v\u00e9rit\u00e9 ou de contrari\u00e9t\u00e9, cette ride constitue une plainte fr\u00e9quente en consultation. Contrairement aux rides li\u00e9es uniquement au vieillissement cutan\u00e9, la ride du lion est avant tout d\u2019origine musculaire\u202f: elle r\u00e9sulte de la contraction r\u00e9p\u00e9t\u00e9e des muscles corrugateurs et procerus, qui plissent la peau de fa\u00e7on chronique.<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 \/>Mais cette option est-elle pertinente ? Peut-on r\u00e9ellement traiter la ride du lion avec un produit de comblement dermique ? Dans quelles conditions ce geste est-il indiqu\u00e9 ? Et surtout, quels en sont les b\u00e9n\u00e9fices, les limites, voire les risques ?<br \/>Ce texte propose une analyse compl\u00e8te et rigoureuse de l\u2019efficacit\u00e9 des injections d\u2019acide hyaluronique pour traiter sp\u00e9cifiquement la ride du lion.<\/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=\"immagine di una pelle giovane e idratata\" 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\/it\/contattare-dottore-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tPrenota un appuntamento<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tIndice\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>Acido ialuronico e ruga del cipiglio : un\u2019indicazione possibile<\/h2>\n<p>L\u2019acide hyaluronique est une mol\u00e9cule naturellement pr\u00e9sente dans la matrice extracellulaire cutan\u00e9e. Gr\u00e2ce \u00e0 sa capacit\u00e9 exceptionnelle \u00e0 retenir l\u2019eau et \u00e0 restaurer les volumes, il constitue un agent de comblement de r\u00e9f\u00e9rence dans le traitement des rides statiques.<br data-start=\"397\" data-end=\"400\" \/>La ride du lion, cependant, repr\u00e9sente une situation particuli\u00e8re. Elle ne r\u00e9sulte pas seulement d\u2019un rel\u00e2chement cutan\u00e9 ou d\u2019une perte de soutien li\u00e9e \u00e0 l\u2019\u00e2ge, mais d\u2019une v\u00e9ritable cassure de la peau, provoqu\u00e9e par des contractions musculaires intenses et r\u00e9p\u00e9t\u00e9es. Dans ce contexte, une injection d\u2019acide hyaluronique pratiqu\u00e9e sans tenir compte de la dynamique musculaire sous-jacente peut conduire \u00e0 un r\u00e9sultat limit\u00e9, voire inesth\u00e9tique.<br data-start=\"843\" data-end=\"846\" \/>Ainsi, le comblement de la glabelle ne constitue pas une alternative directe \u00e0 la toxine botulique. Il s\u2019agit plut\u00f4t d\u2019une approche compl\u00e9mentaire, r\u00e9serv\u00e9e \u00e0 des indications sp\u00e9cifiques, g\u00e9n\u00e9ralement lorsque la cassure persiste malgr\u00e9 la neutralisation musculaire.<\/p>\n<h2>Quando sono giustificate le iniezioni di acido ialuronico per la ruga del cipiglio ?<\/h2>\n<p>L\u2019acido ialuronico trova la sua indicazione principale nel trattamento della ruga del cipiglio in due situazioni ben definite :<\/p>\n<ul>\n<li>Chez les patients pr\u00e9sentant une ride statique profonde : il s\u2019agit d\u2019une cassure cutan\u00e9e persistante, visible m\u00eame en l\u2019absence de contraction musculaire, malgr\u00e9 un traitement pr\u00e9alable par toxine botulique. Dans ce cas, le rel\u00e2chement musculaire a neutralis\u00e9 la cause fonctionnelle, mais le pli dermique demeure. L\u2019injection d\u2019acide hyaluronique permet alors de lisser et d\u2019att\u00e9nuer cette marque r\u00e9siduelle.<\/li>\n<li>Nei pazienti che non possono ricevere tossina botulinica, per motivi medici o personali. L\u2019acido ialuronico pu\u00f2 quindi essere utilizzato con prudenza, mediante microiniezioni superficiali rigorosamente limitate al derma, per evitare qualsiasi complicazione legata a un\u2019iniezione troppo profonda.<\/li>\n<\/ul>\n<p>In tutti i casi, il riempimento della glabella richiede una valutazione dinamica accurata. L\u2019osservazione attenta delle espressioni del viso, sia a riposo che in movimento, \u00e8 indispensabile per definire un piano di trattamento adeguato e sicuro.<\/p>\n<h2>Anatomia particolare della glabella<\/h2>\n<p class=\"translation-block\">La regione glabellare \u00e8 una delle aree del viso pi\u00f9 sensibili dal punto di vista vascolare. \u00c8 irrorata da una rete arteriosa particolarmente densa, che comprende le arterie sopratrocleari e sopraorbitarie, alcune delle cui diramazioni profonde comunicano direttamente con la circolazione oftalmica. Questa configurazione anatomica rende ogni iniezione potenzialmente rischiosa se il prodotto \u00e8 posizionato in modo errato.\n<br>Il principale pericolo \u00e8 l\u2019embolia vascolare : in caso di iniezione accidentale di acido ialuronico in un vaso, il prodotto pu\u00f2 migrare e causare gravi complicanze, che vanno dall\u2019ischemia cutanea a un danno visivo raro ma grave.\n<br>Per queste ragioni, il trattamento della ruga del leone con filler \u00e8 strettamente riservato ai medici esperti, che conoscano a fondo l\u2019anatomia vascolare e le tecniche di iniezione sicura, come l\u2019uso delle cannule e la blanching technique.<\/p>\n<h2>Quali tipi di acido ialuronico devono essere utilizzati per la ruga del leone ?<\/h2>\n<p class=\"translation-block\">La scelta del prodotto \u00e8 una fase determinante. A differenza delle zone pi\u00f9 profonde come i solchi naso-genieni o le tempie, la glabella richiede un acido ialuronico molto fluido e debolmente reticolato, per evitare una correzione eccessiva o la comparsa di noduli visibili.<br>I laboratori propongono oggi formulazioni specificamente studiate per il riempimento delle rughe da fini a moderatamente profonde, offrendo un\u2019eccellente tolleranza tissutale. Questi gel mirano a correggere con delicatezza la piega cutanea, rispettando al tempo stesso la dinamica naturale delle espressioni del viso.<br>Al contrario, l\u2019utilizzo di un prodotto troppo denso o in un volume eccessivo espone al rischio di creare un rilievo antiestetico o addirittura un aspetto rigido. Il successo del trattamento dipende quindi tanto dalla finezza del gesto quanto dall\u2019adeguatezza del prodotto scelto.<\/p>\n<h2>Qual \u00e8 la durata del risultato dopo il riempimento della ruga del leone ?<\/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 \/>La dur\u00e9e de tenue d\u00e9pend de plusieurs facteurs : type de produit utilis\u00e9, profondeur de la ride, activit\u00e9 musculaire r\u00e9siduelle, qualit\u00e9 de la peau. En moyenne, le r\u00e9sultat se maintient entre 6 et 10 mois, parfois plus en cas de traitement combin\u00e9 avec la toxine botulique.<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>Cosa dicono gli studi medici sul riempimento della ruga del lion ?<\/h2>\n<p data-start=\"116\" data-end=\"907\" class=\"translation-block\">La letteratura scientifica sull\u2019iniezione di acido ialuronico nella ruga del lion rimane pi\u00f9 limitata rispetto a quella sulla tossina botulinica, a causa di un\u2019indicazione meno frequente e delle maggiori precauzioni legate all\u2019area trattata. Tuttavia, diverse pubblicazioni, in particolare in <em data-start=\"421\" data-end=\"443\">Dermatologic Surgery<\/em> e <em data-start=\"447\" data-end=\"474\">Aesthetic Surgery Journal<\/em>, riportano un buon livello di soddisfazione dei pazienti quando l\u2019intervento \u00e8 eseguito da un medico esperto.<br data-start=\"588\" data-end=\"591\">Questi lavori sottolineano costantemente l\u2019importanza della valutazione preliminare, della scelta accurata del prodotto e della padronanza tecnica dell\u2019iniezione. Raccomandano inoltre, nella maggior parte dei casi, un approccio in due tempi, con un controllo 15 giorni dopo per eseguire un ritocco se necessario.<\/p>\n<h2>Acide hyaluronique seul, ou en combinaison avec la toxine botulique pour la ride du lion ?<\/h2>\n<p>Nella stragrande maggioranza dei casi, il trattamento ottimale della ruga del lion si basa su un\u2019associazione delle due tecniche :<\/p>\n<ul>\n<li>La toxine botulique est inject\u00e9e en premier pour inhiber la contraction musculaire responsable de la ride du lion.<\/li>\n<li>L\u2019acido ialuronico pu\u00f2 quindi essere iniettato, 10-15 giorni dopo, solo se la piega cutanea persiste e se il solco \u00e8 sufficientemente marcato da giustificare un riempimento.<\/li>\n<\/ul>\n<p>Cette approche en deux temps permet d\u2019optimiser le r\u00e9sultat esth\u00e9tique. Elle s\u2019inscrit dans une logique de traitement \u00e9tiologique : la toxine botulique traite la cause, l\u2019acide hyaluronique corrige la cons\u00e9quence.<\/p>\n<h2>Perch\u00e9 alcune rughe del lion non possono essere trattate con iniezione di acido ialuronico ?<\/h2>\n<p>Il est important de rappeler que toutes les rides du lion ne se pr\u00eatent pas au comblement. Lorsqu\u2019elles sont exclusivement dynamiques \u2014 visibles uniquement lors de la contraction musculaire \u2014 il n\u2019existe pas de cassure cutan\u00e9e \u00e0 corriger. Dans cette situation, la toxine botulique constitue le seul traitement pertinent, puisqu\u2019il agit directement sur l\u2019hyperactivit\u00e9 musculaire. Injecter de l\u2019acide hyaluronique dans une ride purement dynamique exposerait au risque d\u2019accentuer le pli, voire de cr\u00e9er un bourrelet inesth\u00e9tique.<br data-start=\"642\" data-end=\"645\" \/>Le recours au comblement par acide hyaluronique doit donc \u00eatre limit\u00e9 aux rides statiques, profondes, qui persistent m\u00eame apr\u00e8s un traitement par toxine botulique. La distinction entre ride dynamique et ride statique constitue un \u00e9l\u00e9ment cl\u00e9 du diagnostic m\u00e9dical pr\u00e9alable, garantissant la pertinence et la s\u00e9curit\u00e9 de la prise en charge esth\u00e9tique.<\/p>\n<h2>L\u2019acido ialuronico pu\u00f2 provocare complicazioni specifiche nella ruga del lion ?<\/h2>\n<p>Parmi les diff\u00e9rentes zones du visage, la glabelle est consid\u00e9r\u00e9e comme l\u2019une des plus \u00e0 risque lors d\u2019un comblement dermique, en raison de son r\u00e9seau vasculaire terminal particuli\u00e8rement vuln\u00e9rable. Une injection trop profonde ou r\u00e9alis\u00e9e sans aspiration pr\u00e9alable peut entra\u00eener l\u2019occlusion d\u2019une art\u00e8re, provoquant une isch\u00e9mie cutan\u00e9e, une n\u00e9crose localis\u00e9e, voire \u2014 dans de tr\u00e8s rares cas mais document\u00e9s \u2014 une atteinte visuelle par migration r\u00e9trograde du produit vers l\u2019art\u00e8re ophtalmique.<br data-start=\"611\" data-end=\"614\" \/>Ces complications, bien que rares, justifient que ce geste soit r\u00e9serv\u00e9 \u00e0 des m\u00e9decins experts, pratiqu\u00e9 avec un mat\u00e9riel appropri\u00e9 (micro-canule, seringue \u00e0 faible pression) et dans un environnement m\u00e9dical permettant une prise en charge imm\u00e9diate en cas d\u2019accident vasculaire.<br data-start=\"892\" data-end=\"895\" \/>La connaissance de ces risques explique pourquoi de nombreux m\u00e9decins choisissent de ne pas injecter d\u2019acide hyaluronique dans la glabelle sans traitement pr\u00e9alable par toxine botulique.\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=\"Foto del medico Valeria Romano a Ginevra\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Articolo scritto dalla <a href=\"https:\/\/drromanovaleria.ch\/it\/\">Dott.ssa Romano Valeria<\/a><\/p>\n<p>CONDIVIDI QUESTO ARTICOLO SU<\/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 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