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
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
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：
The wrinles from the sides of the nose to the corners of the mouth
are the most treated
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.
is one of the HA brands that is mainly used and the first to produced
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.
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.
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.