Hyaluronic Acid
Treating wrinkles and loss of volume.
Dr Gieres is a regular speaker and trainer for hyaluronic acid fillers at international congresses in Munich.
Hyaluronic acid is a naturally occurring sugar chain in the human skin with a high water-binding capacity. When we’re ageing, the hyaluronic acid concentration, thus the skin’s capacity to bind water and stay moisterized decreases. Commercially produced hyaluronic acid obtained from bacterial cultures (streptococci) has an identical structure to that of humans.
In a filler treatment with hyaluronic acid, cross-linked hyaluronic acid products with different viscosities and consistencies are used to compensate for a loss of volume within the skin (dermis) or in the subcutis, depending on the indication. They rebuild the missing tissue.
It is a filler material that is completely degradable by the body. The various hyaluronic acid products are no longer detectable in the tissue after varying periods of time and are completely absorbed. This makes filler treatments with hyaluronic acid very safe in the hands of a trained doctor and individually adaptable to the aging process and patient requirements.
- Sunken cheeks
- Defenition of the cheekbones
- Jawline
- Nasolabial folds
- Marionette lines / corners of the mouth
- Tear troughs
- Eyebrows
- Lips
- Lip wrinkles
- Skinboosters to improve the skin quality
- Atrophic scars
The product selection is determined by the areas to be treated, the current skin condition and the volume situation on the patient’s face. Dr Gieres uses high-quality fillers from the Juvéderm brand (market leader in this field) and selects the hyaluron fillers from the Juvéderm portfolio that are tailored to the individual needs of the patient during a personal consultation. By combining different products, very natural treatment results can be achieved. However, this usually requires several sessions.
A treatment takes about 30-60 minutes. After a thorough disinfection and a careful marking of the areas to be treated, the hyaluronic acid gel is carefully injected using fine, pointed or blunt cannulas. To make the treatment as pleasant as possible, the hyaluronic acid products contain a lidocaine additive (local anesthetic). Existing allergies or intolerance to local anesthetics should therefore be ruled out before treatment. However, during the injection, you may occasionally feel a slight stinging sensation. After the treatment, tenderness, redness and swelling, as well as bruising are temporarily possible. Treatment should therefore be planned in relation to professional and private activities.
Make-up should not be applied for 12 hours after the treatment. An antiseptic cream should be applied to the entrypoints of the needle/cannula twice a day for 1-2 days. Sunsvreen SPF 50 should be applied daily for 4 weeks. Physical activity should be postponed 24-48 hours. Sauna, steam baths or cold chambers are to be strictly avoided for 2 weeks.
The results of the hyaluronic acid treatment are immediately visible and can last up to 18-24 months.
- Pregnancy and / or breastfeeding
- Allergies to lidocaine or other product ingredients
- Local infections or open wounds in the treatment area
- Ongoing immunotherapy
- Tendency to develop hypertrophic scarring
- Pretreatment with permanent, non-absorbable fillers
Dr Gieres is happy to answer any further questions regarding the treatment during a private consultation.