The Revolutionary Discovery in Plastic Surgery
One of the most important discoveries of the 21st century in Aesthetic Plastic Surgery is undoubtedly hyaluronic acid.
To clarify, hyaluronic acid is not an “acid” in the conventional sense of the word, as the term refers only to its biochemical structure, not its action as a corrosive substance.
What It Is and How It Works
Hyaluronic acid is a glycosaminoprotein, a molecule naturally found in nature and a key structural component of the human body. It is nearly identical across species and tissue types.
The breakdown of naturally produced hyaluronic acid is a dynamic process involving fibroblasts and fibroclasts to maintain balance. As it is produced, it is also broken down, usually within 48 hours in the human body.
With age, fibroblasts deteriorate and decrease in number, causing the skin to thin, lose volume and firmness. As a highly hydrophilic molecule, capable of holding up to 1000 times its weight in water, the loss of hyaluronic acid leads to dehydrated, fragile skin prone to fine lines, atrophic areas, and deep wrinkles.
A Product with Remarkable Results
The hyaluronic acid used in aesthetic plastic surgery is a product of genetic engineering. It was developed in a laboratory in 1996 in Uppsala, Sweden, with a structure nearly identical to that of the human body.
It differs only by 1%, making it difficult for the body to break it down, allowing the effects of injectable filler treatments to last significantly longer.
It is injected to fill both superficial and deeper facial wrinkles, or to add volume to lips, cheekbones, and sunken cheeks. It is also used on other body areas to improve appearance.
Applications:
- Wrinkles of all kinds
- Scars or marks
- Acne
- Dark circles
- Facial or body asymmetries
- Indentations (small dimples)
- To highlight facial features
The substance is injected using a very fine needle or blunt cannula after applying anesthetic cream. It stimulates the production of new collagen and elastin fibers and is fully compatible with human tissue.
It attracts water molecules, keeping skin looking vibrant, radiant, and fresh.
Types of Hyaluronic Acid
To suit all skin types and needs, hyaluronic acid comes in three different forms, all with the same moisturizing and hydrating properties:
- Hydrolyzed Hyaluronic Acid
- Sodium Acetylated Hyaluronate
- Sodium Hyaluronate
For treating wrinkles, the appropriate density is chosen to fill the deficit at the base of the wrinkle. Lighter densities may also be used on upper skin layers for optimal results. All materials used by plastic surgeons are approved by international health authorities and proven to be safe and reliable.
Before Treatment Tips
- Avoid anticoagulants for a few days before treatment (consult your doctor).
- Avoid aspirin-like painkillers for 3–5 days prior.
- Refrain from alcohol and sun exposure the day before treatment.
- If you have a history of lip herpes, take antiviral medication preventively.
- Stop taking vitamin E or fish oil a few days before treatment.
Duration of Treatment
Results are visible immediately after the session. The longevity varies based on age, skin type, muscle movement, and lifestyle. Typically, results last 8 to 18 months depending on the area and depth of injection. Denser formulations and deeper injections are absorbed more slowly, hence last longer. Lower muscle activity in the area also contributes to prolonged hydration and volume.
Most of the hyaluronic acid remains during the first year. Over time, gradual absorption occurs, and touch-ups can be done after 8 months, especially for lips.
Side Effects and Reversibility
As injectable hyaluronic acid is nearly identical to the natural version, it is considered very safe when applied by a trained physician. It is an inert substance and does not cause allergies, inflammations, malignancies, or collagen diseases.
It remains in place once injected and rarely shifts. Mild swelling may occur and is treated with anti-inflammatories. Rare allergic reactions may be managed with corticosteroids.
Occasionally, minor bruising appears but fades within days. A rare hypersensitivity reaction may occur (2 in 1000 cases) and is treatable with an antidote (hyaluronidase), which can also reverse the effects if desired.
Aftercare Instructions
- Avoid touching the injected area.
- Do not take any medications without medical approval.
- Avoid sun exposure, high heat (e.g., sauna, hot showers), and alcohol for 48 hours.
In summary, when applied correctly by a skilled plastic surgeon, hyaluronic acid can significantly improve facial imperfections and asymmetries. It is a completely safe treatment that effectively reduces wrinkles without scars, side effects, or discomfort.
Today, the plastic surgeon is the ideal beauty consultant for both women and men seeking to maintain or enhance their appearance.
Do not hesitate to contact Plastic, Reconstructive & Aesthetic Surgeon Dr. Dimitrios–Edward Daskalakis for any questions about hyaluronic acid or other concerns regarding plastic surgery.
References
- Ghatge, A.S., et al. (2023). The Effectiveness of Injectable Hyaluronic Acid in Improving Facial Skin Quality: A Systematic Review. Journal of Cosmetic Dermatology, 22(10): 4214–4221. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082573/
- Shang, L., et al. (2024). Recent Applications and Molecular Mechanisms of Injectable Hyaluronic Acid in Skin Rejuvenation. International Journal of Molecular Sciences, 25(9): 4567. https://www.sciencedirect.com/science/article/pii/S2590093524000365
- Baranska-Rybak, W., et al. (2024). Late-Onset Reactions After Hyaluronic Acid Dermal Fillers: Consensus Recommendations on Etiology, Prevention, and Management. Dermatology and Therapy, 14(3): 713–727. https://doi.org/10.1007/s13555-024-01202-3
