Hyaluronic Acid – A Treatment for Beautiful Skin

Hyaluron – The Anti Wrinkle Wonder Weapon

Overview of Hyaluron Treatments


Indications for SurgeryResting wrinkles, volume loss
Treatment Period 10 – 30 minutes
AnaestheticAnaesthetic Cream
Patient Stay Out-patient
Inactive Period0 – 2 days
Costs400 € per ml

What is Hyaluronic Acid and What is it used for?

Hyaluronic acid is a filling substance that is injected as a gel under the skin and lifts the skin. This causes the skin to fill wrinkles and serves to compensate for lost, reduced volume. This makes it the classic substance for wrinkle injections. Orthopaedists use it to inject it into patients with osteoarthritis, i.e. wear and tear of the cartilage of the joints and It can also be used to lift scars. It is, together with collagen, the building block of human connective tissue.

Causes and Mechanisms of Tissue Changes

As a person gets a little older, the composition and anatomy of the tissue changes.

In the face this means increasing age

The skin becomes thinner, i.e. the collagen content decreases.

The water content of the tissue decreases because the collagen of the skin binds less water.

The holding structures: ligaments and fasciae give way, i.e. the tissue follows gravity.

Fat tissue shrinks, decreases in volume

The facial features of the skull are reshaped: This occurs because the cells that disintegrate bones, the osteoclasts, start to become more active.

These changes can be influenced with hyaluronic acid.

Why do Facial Wrinkles Appear?

thin skin gets more wrinkles and fine lines and is more sensitive.

tissue with lower water content becomes and appears less full, less “healthy”, less fresh

If the tissues are not held in place, wrinkles, hanging cheeks, rings under the eyes form. The entire shape of the face changes.

The face becomes and looks more bony.

The shape of the face changes. This becomes particularly noticeable in the mouth region and the lower jaw edge, because the upper and lower jaw become less prominent.

All these symptoms increase over time.

Aim of a Treatment with Hyaluronic Acid

To treat such conditions as:

The consequences of ageing become less visible, i.e. wrinkles and loss of volume.

In addition, the face can be modeled specifically, e.g. by emphasizing the cheekbone region, in order to achieve an exotic expression: High cheekbones can be simulated and the entire shape of the face can be influenced.

Even in extreme athletes, the facial fat can disappear, making the face hard and unnatural.

Procedure of the Treatment

There are three types of hyaluronic acid, they differ in molecule length and are therefore fine, of medium consistency or solid.

The fine gel is used when the substance has to be distributed very finely: For the treatment of the lacrimal duct, i.e. to correct the furrow between the lower lid and cheek and to enlarge lips.

The medium consistency helps to correct the nasolabial fold and the corner of the mouth.

The solid hyaluronic acid is always taken when there is a lack of volume.
Hyaluronic acid is always broken down by the body: the fine gel after about 6 months, the medium after 12 months and the solid after about 24 months.

Once you have decided which type is the right one, you will be treated. First an anaesthetic cream is applied so that the injection is painless, this is particularly important for lip correction. The whole process takes 5 to 15 minutes and the result can be seen immediately.

The tissue then swells, usually only slightly, and after one to three days the swelling has subsided, Sport is possible immediately.

Creams made from hyaluronic acid are far less effective because they hardly penetrate into the deep layers of the skin using skin therapy.

Follow-up Treatment

In the past, we did follow-up treatment, but now we know that this is not necessary. After about a week, we organise an appointment to see our patients in our wellness clinic, Germany to see whether the result after the swelling has subsided, i.e. even, symmetrical and beautiful and then If necessary, fine corrections will be carried out.


Side effects include bruising, which is broken down by the body in a few days, Swelling is possible and usually disappears quickly.

As mentioned above, there can be no intolerances to hyaluronic acid. However, reactions against the added stabilizers are possible, they are very rare. If too much of the substance is injected, the excess can be reduced with the enzyme hyaluronidase.

When is Treatment not Recommended?

Known allergies to the stabilizers exclude treatment.

Costs / Reimbursement by Health Insurance

If the loss of volume in the face is caused by medication, an application can be made for reimbursement of costs.

Further Information

The following authors have dealt extensively with this topic: M. de Maj