南国の美容クリニック

In the beginning, there were the silicone and paraffin fillers in the 60's and 70's.
Because of issues they still show nowadays, collagen fillers replaced.
Collagens dissolve so fast, so hyaluronic acid(HA) appears in the scene,
After HA, many injectables such as Radiesse and hydrogels came out to obtain long lasting effect.
But unfortunately, they were not good enough, so we are back now to HA as the main filler of today.

That is how the history of filler flows, and still it is one of the main procedure of aesthetic medicine menu and has no sign of fading away from the list.

More outstanding injections is not available/
That is the main reason of HA'S realm.

’It sems so easy to erase wrinklies by pulling my cheek skin like this,' point out most patients when they come for counseling.
They are implying that facelifting might also pull well the wrinkles around the mouth and nose.
In fact, facelift surgery irons out cheek loosening well,
but folds along the nose and mouth cannot be pulled even with such aggresive approach.

The reason: there is no effective means that is as good as the fingers that the patient used to pull the nasolabial wrinkles.
Even if the stretched skin is tucked tightly to the front of the ear,
the skin at the front of the ear cannot withstand the gravity which consequently pulls the ear
making the stretched skin loose a bit to show up again the wrinklings.

Let's stop the persistent explanation at this point and go tp the details of where and how to use HA in a sequence of its popular part usage：


１．nasolabial folds　　　　　The wrinles from the sides of the nose to the corners of the mouth are the most treated wrinkle parts.



folds injection bef/aft

Some called them 'parentheses' or 'smile lines', and, of course, HA is the choice of treatment.
Because it is seen as part of the center of the face, people become anxious how the people look at them in a face-to-face situation.

Restylane is one of the HA brands that is mainly used and the first to produced it.







It has been already almost 30 years since the started it.
And it is still a popular brand.

Injecting HA to the dermis（lower skin layer）makes a very natural outcome.

Completely making the wrinkles pressed flat is a difficult task,
but filling them to show a shallow lines can show more natural rejuvenation.


２．marionette lines　　　　From the corner of the mouth to the sides of the chin are the marionette line, which are also good candidates for HA treatment.






It is quite clear, though, their name is from marionette's mouth, the puppet.

Filling up these lines with HA does not only shallow the lines
but also camouflage the jowls that are sagging at their sides.









HA has also effect on lifting mouth corners.


３．lower eyelid circles　　　　In Japan, these spots are the number one spots that everyone feels the aging process.
Anatomically they are called 'lower eyelid sulcus', they sunk deeper as the years go by.
They are like ’annual rings’that goes deeper instead of increasing in numbers.

They become obvious accordingly to the angles of the light.
Like lights that shines form the ceiling in a dim room,
or refections when you are outside looking at a window glass.
HA injection is the simplest solution.





Lower eyelid fat removal or lower eyelift(blepharoplasty) are more effective,
but if surgery is not the interest, HA is an option.