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Hyaluronic Acid Treatment
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Hyaluronic acid treatments treat wrinkles and furrows in facial skin by injecting hyaluronic acid into the area, which plumps up the dermis

Length of Surgery

15 minutes – 1 hour




An anesthetic numbing cream or anesthetic block may be administered to the area to be treated

Back to work in...


Back to the gym in...

A few days

Treatment Frequency

Repeat treatments will be needed to maintain your desired results


Allergic reactions; scar formation; pain; infection

Duration of results

Three to six months

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Click links below for detail.

Hyaluronic acid treatment Costs*

Hyaluronic acid injection costs vary widely depending upon the doctor, where you live, and the extent of the hyaluronic acid treatment. The cost for a Hyaluronic acid filler treatment may range from $600 - $1,200, depending on the materials used and the areas treated.

Compared to the cost of more invasive cosmetic procedures, a hyaluronic acid injection cost is relatively low. However, you should factor in the cost of future top-up of hyaluronic acid treatments, which are around two or three per year.

Board-certified plastic surgeons and dermatologists typically charge more for hyaluronic acid injections as they are better equipped to perform your procedure. Ask the doctor to provide you with a complete hyaluronic acid injection treatment price during the initial consultation that covers all aspects of the hyaluronic acid injection procedure.

You may also want to ask your doctor about hyaluronic acid injection financing and payment plans. Most plastic surgeons and surgical clinics offer flexible hyaluronic acid injection financing and payment options, some of which allow staggered payments or loans from VARIOUS FINANCING COMPANIES.

When comparing hyaluronic acid injection prices between different plastic surgeons, be aware that the plastic surgeon's fee does not include any medications, which may also be additional costs to consider.

If you are considering having a hyaluronic acid treatment but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE. You can discuss your financial options with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the smooth facial appearance you desire.

To find out more about financing options available please click here.

Am I a candidate for hyaluronic acid treatment?

Almost all people are suitable for hyaluronic acid therapy. Because hyaluronic acid is chemically identical within and between species, allergy to it is very rare. Unlike bovine-derived collagen implants such as Botox, you will normally not require a skin test prior to the procedure. You should however discuss with your doctor whether or not you require a skin allergy test with hyaluronic acid before commencing therapy.

Hyaluronic acid therapy is suitable for patients allergic to bovine collagen.

Ideal candidates for hyaluronic acid injections are young to middle aged men and women, usually between 35 and 60, who do not have significant sun damage but want to eliminate lines and wrinkles on their face.

You may be a good candidate for hyaluronic acid filler treament if :

  1. You are in good physical and emotional health
  2. You have reasonably good skin tone
  3. You are concerned about facial lines
  4. You have realistic expectations for the outcome of your hyaluronic acid treatment.
It is important that you have realistic expectations for the hyaluronic acid treatment, and you must be prepared for having repeat hyaluronic acid injections two to three times per year in order to maintain results.

Unsuitable candidates for hyaluronic acid injections include :
  1. Pregnant or nursing women
  2. People with certain medical conditions
  3. Patients with a known hypersensitivity to hyaluronic acid
  4. People with severe scarring
  5. Patients with sagging, thin or loose skin
  6. People with severe allergies (anaphylaxis) or allergy to injected local anesthetics
  7. Patients taking blood thinning drugs
  8. Patients with keloid-type scars
  9. Patients with skin infections on the areas to be treated
Before you choose to have a hyaluronic acid treatment, make sure that you have realistic expectations for what hyaluronic acid injections can do for you, and ensure that you choose an experienced and reputable practitioner who can advise you on whether you are a good candidate for a hyaluronic acid injection procedure.


What is a hyaluronic acid treatment Procedure?

Hyaluronic acid treatment is popular as temporary dermal filler for facial augmentation. It is a non-surgical procedure that softens facial lines and furrows, such as those around the eyes and mouth. Tiny quantities of hyaluronic acid are injected through very fine needles, boosting the skin's own hyaluronic acid, which plumps up the treated skin. Injectable fillers available include those with the trade names Hylaform, Restylane, Perlane, Juvéderm and Esthelis. The effects can be maintained by small ‘top-up’ treatments as required, about twice a year.

Hyaluronic acid is a natural substance found in all living organisms. High concentrations are found in soft connective tissue and in the fluid surrounding the eye. In skin tissue, hyaluronic acid is a jelly-like substance that fills the space between collagen and elastin fibers. It is also present in some cartilage and joint fluids.

Hyaluronic acid hydrates the skin by holding in water; aids the transport of essential nutrients from the bloodstream to living skin cells, and acts as a cushioning and lubricating agent against mechanical and chemical damage. Due to the natural aging process and other factors including pollutants, sunlight, fatigue and hormonal changes, the body's natural store of hyaluronic acid is degraded and destroyed over time, leading to facial furrows and wrinkles.

Dermal fillers are made of various kinds of natural and man-made or synthetic materials that have been developed over the years for injection into the skin.

Over the last 30 years synthetic forms of hyaluronic acid have been developed and used to correct medical disorders, including wound repair and connective tissue disorders, but now synthetic forms of hyaluronic acid are being manufactured in injectable gel form for use in facial augmentation. Brand names of manufactured hyaluronic gels for this purpose include Hylaform, Restylane, Perlane and Juvederm.

Hyaluronic acid injections can be used as dermal fillers to improve the skin's contour and also reduce depressions in the skin due to scars, injury or lines.

Facial lines and features that can be corrected using hyaluronic acid injections include:

  1. Frown lines (glabellar lines) – lines that run between the eyebrows
  2. Smoker's lines (perioral lines) – vertical lines on the mouth
  3. Marionette lines (oral commissures) – lines at the side of the mouth
  4. Worry lines (forehead lines)
  5. Crow's feet (periorbital lines)
  6. Deep smile lines (nasolabial furrows)
  7. Cheek depressions
  8. Lip border re-definition
  9. Acne scars
  10. Certain facial scars
The skin’s structure deteriorates at the level of the dermis, which is the deeper layer of the skin. When vital components of the dermis such as collagen fibers, elastin and hyaluronic acid diminish, the dermis is weakened, affecting the appearance of the skin. Hyaluronic acid occurs naturally in your skin and plays an important role in moisturizing it and giving it elasticity and tone. Collagen fibers and elastin sit within the hyaluronic acid and it is a reduction in the natural hyaluronic acid in the skin which contributes to skin aging over time.

Hyaluronic acid fillers, such as Restylane and Hylaform are formulated to be similar to the hyaluronic acid found in your skin. When injected into the dermis, they replenish the naturally occurring hyaluronic acid and hydrate the dermis by enveloping the water molecules and giving the skin a more youthful volume and form by plumping up the treated area. In this way aging lines are reduced and the lip border lifted and increased, so helping to preserve and restore a youthful looking skin.

Hyaluronic acid treatments take around 15 to 30 minutes to administer. The hyaluronic acid filler is injected into the dermis with a very fine needle, just a few millimeters beneath the surface of the skin. The hyaluronic acid molecules naturally draw in water and cause the tissue beneath the lines and wrinkles to swell. This process fills out the wrinkles and gives the skin a smoother surface. The process is usually painless although an anesthetic cream or anesthetic block may sometimes be used for your comfort.

In the hours following the injection, small red marks, bruising or a slight swelling may temporarily appear. The effects are immediate.

Hyaluronic acid treatments are not permanent. Over time, the body reabsorbs the additional hyaluronic acid and the effects fade. Patients will normally need top-up injections around two to three times per year.

Hyaluronic acid treatments may be suitable for people who want to improve their facial appearance but do not want the cost, risk, or downtime associated with invasive cosmetic surgery.


Hyaluronic acid treatment Procedure Steps

Hyaluronic acid treatments should be carried out at a medical center by a trained doctor or supervised nurse.

Step 1 – Preparation

  1. Your face is cleansed and the treatment area is wiped with an antiseptic. Local anesthetic may be used to numb the treatment area. Before injections in the lips, a dental or lip block may be used, where a small amount of lidocaine (an anesthetic similar to the ones used dentists) is injected into the lip area to help to numb them prior to treatment.
Step 2 – The injections

Different injection techniques are used depending on the type of filler and the area being treated. The doctor may use one of the following techniques:
  1. Serial intradermal puncture technique – the doctor will administer a series of small injections into the dermis with a very fine needle.
  2. Tunnel or threading technique – the full length of the needle is inserted into the middle of the wrinkle and the hyaluronic acid is then injected while pulling the needle slowly backwards.
You will probably feel a mild to moderate burning and stinging sensation during the hyaluronic acid injections. Depending on the area treated, the skin may be lightly massaged.

Step 3 – The results
  1. The effect of the hyaluronic acid injections on the treated areas is immediately obvious. The injection site may be, or may become red and swollen. Another one or two treatments (at least a week apart) may be necessary to achieve your desired result.


Hyaluronic acid treatment recovery and healing times

Depending on the area treated, and which filler is used, treatment times can vary from around 15 minutes to an hour, and recovery time can be from a few hours to a few days. Most people can return to work straight away after treatment with hyaluronic acid dermal fillers.

Normal activities can be usually be resumed immediately, and discomfort is minimal. The treatment site maybe a little swollen, and this may last a few hours. There may be some slight bruising which can be covered with make-up. If the lips have been treated, initial swelling and tenderness may occur within the first several days, but subsides after two or three days.

Any discomfort, bruising or swelling can be treated with mild over-the-counter painkillers such as ibuprofen. Do not use aspirin as this may make the bruising worse.

Call your doctor immediately if you experience any severe pain or symptoms that are progressive or seem unusual to you. Ensure that you talk to your doctor to fully understand the risks, complications and side effects of hyaluronic acid treatment.

You may need to return to the doctor’s office in two to three weeks so that the results can be checked and topped up with more hyaluronic acid injections if necessary. After that, you should not need to return for top-up hyaluronic acid treatment for around six months

Hyaluronic acid treatment Side Effects and Surgery Risks

Hyaluronic acid treatment is commonly performed and generally safe. At the time of treatments most patients report minor discomfort such as burning or stinging at the injection site(s). This is minimized by the use of a local anesthetic.

Hyaluronic acid treatment side effects may include redness, swelling, pain, itching, discoloration or tenderness at the injection site. This usually improves within a few days. Lip swelling and discomfort can be significant and asymmetry may be noted during the first one to two weeks.

Hyaluronic acid treatment complications are rare, but may include:

  1. Allergic reactions to hyaluronic acid - this may occur in patients with bird allergies and reactions are generally red and/or thickened nodules arising in the injected sites and may persist for several weeks or months.
  2. A more severe inflammatory reaction known as a granuloma can form in response to Hylaform injections and may require surgical treatment.
  3. Scar formation
  4. Pain
  5. Infection
You should talk to your doctor to decide if hyaluronic acid fillers are right for you. If your hyaluronic acid treatment is administered by an experienced physician, the possibilities of serious hyaluronic acid side effects and hyaluronic acid risks and complications are significantly reduced.


Questions to Ask a Surgeon about a hyaluronic acid treatment procedure

Knowledge is power so arm yourself with the facts before making any decision about hyaluronic acid treatment. Here is an essential check list to help you find the right Perfect Yourself Surgeon.

  1. Am I a good candidate for hyaluronic acid treatment?
  2. Are my described expectations realistic?
  3. Where is the hyaluronic acid treatment performed?
  4. How long will the procedure take?
  5. What kind of anesthesia is used?
  6. What is your experience in performing hyaluronic acid treatment?
  7. Can I see your qualifications?
  8. Ask to see any before and after hyaluronic acid treatment photographs of recent procedures?
  9. What percentages of your hyaluronic acid treatment patients have had significant post-treatment complications? (surgeons should disclose this information to you)
  10. How much will my hyaluronic acid treatment cost?
  11. Do you offer patient financing? (Flexible payment schemes for your surgery)
  12. Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
  13. Ask to observe the exact procedure you are considering before you decided to have surgery or a treatment, if you are unsure (this could be on videotape or in real life).
  14. What is the recovery and healing period for hyaluronic acid treatment? When can I resume full normal activity?
  15. Have you ever had your malpractice insurance coverage denied, revoked, suspended?
  16. Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past)


Skin Rejuvenation Checklist

Skin Rejuvenation Checklist

Knowledge is power so arm yourself with the facts before making any decision about Hyaluronic Acid Treatment procedures; click here for an essential check list to help you find the right Perfect Yourself skin specialist.

Most popular procedures on Perfect Yourself: liposuction, breast augmentation, face lifts, rhinoplasty, tummy tucks
Be sure to also visit our Expert Advice page where you can find great questions from real visitors, Answered by real plastic surgeons, cosmetic dentists, and skin rejuvenation specialists.