Hyaluronic acid filler
Refined Filler
Tear troughs, flat midcheeks, sunken cheeks, nasolabial folds, chin, jawline and lips
What it is
Hyaluronic acid occurs naturally in skin. Aesthetic fillers use cross-linked HA that lasts longer, placed in hollows or where support is needed to refine contour; it can be dissolved with hyaluronidase if needed.
Common brands Brand and product are recommended at consultation based on your assessment.
Juvéderm
Restylane
Belotero
Teoxane
Suitable for
- Hollow tear troughs that look tired
- Flat midcheeks lacking fullness when smiling
- Sunken cheeks that look gaunt
- Deep nasolabial folds that age the face
- A short chin or undefined jawline
- Undefined lip shape or thin lips
Not suitable for
- Pregnancy or breastfeeding
- Infection at the site
- Allergy to the ingredients
- Active autoimmune disease
- Anticoagulants or bleeding disorders
- Active cold sores (for lip injections)
What ultrasound does here
Ultrasound maps vessels before injecting and guides placement in real time, lowering the risk of occlusion and migration.
See ultrasound images → Risks & how they're managed
General information only. Treatment, results and recovery vary; please consult a doctor. Any area
Swelling, bruising, mild tenderness Common What we do: Cold compress; settles in about 2–7 days.
Lumps or nodules Uncommon What we do: Massage and monitor; dissolve with hyaluronidase if needed.
InfectionReported incidence: Under 1 in 1,000 Rare but serious What we do: Antibiotics; dissolve the filler if needed.
By treatment area
General information only; likelihood and management depend on the individual. Contact the clinic right away if anything feels wrong. Tyndall effect (bluish tint) Uncommon What we do: Dissolve with hyaluronidase.
Under-eye puffiness Uncommon What we do: Monitor; dissolve if it persists.
Lumpiness or unevenness Uncommon What we do: Massage or dissolve.
Vascular occlusion, skin necrosisReported incidence: About 1–5 in 10,000 Rare but serious What we do: Immediate hyaluronidase, emergency care and hospital referral.
Vision loss, blindnessReported incidence: About 1 in 100,000 Rare but serious What we do: Immediate hyaluronidase, emergency treatment and urgent ophthalmology referral.
Overfilled look Uncommon What we do: Dissolve and reduce.
Migration Uncommon What we do: Dissolve and reassess.
Vascular occlusion, skin necrosisReported incidence: About 1–5 in 10,000 Rare but serious What we do: Immediate hyaluronidase, emergency care and hospital referral.
Migration or change in shape Uncommon What we do: Dissolve and reshape.
Vascular occlusion, skin necrosisReported incidence: About 1–5 in 10,000 Rare but serious What we do: Immediate hyaluronidase, emergency care and hospital referral.
Marked swelling Common What we do: Cold compress; settles in about 3–5 days.
Cold sore flare-up Uncommon What we do: Antiviral medication.
Lumpiness or asymmetry Uncommon What we do: Massage or dissolve.
Vascular occlusion, skin necrosisReported incidence: About 1–5 in 10,000 Rare but serious What we do: Immediate hyaluronidase, emergency care and hospital referral.