Hyaluronic Acid Fillers

Age is just a number. And your skin is our number one.

Hyaluronic acid is an important natural component of the tissue and acts as a moisture reservoir. Hyaluronic acids bind water resulting in a firm, elastic, fresh appearance. With age, our skin’s ability to produce hyaluronic acid decreases, elasticity diminishes and wrinkles and depressions form. The skin in the area of the cheeks drops and nasolabial lines become more pronounced. Marionette lines become more pronounced around the mouth and the chin furrows. In order to visibly correct these signs of aging, we use hyaluronic acid fillers.

Your questions. Our answers.

What do hyaluronic acid fillers do?

Hyaluronic acids consist of sugar molecule chains and can bind with many times their own weight with water. Because they fill the skin’s water reservoirs, they correct volume deficits and restore lost elasticity to the skin.

Which fillers are used?

In our practice we use liquid, degradable hyaluronic acid fillers with multiple cross-links, which are produced biosynthetically through microorganism fermentation. The degree of cross-linking of the hyaluronic acids influences the viscosity and the lifting power of the preparation. Low cross-linked hyaluronic acids are more liquid, have a lower lifting force and primarily increase the water storage capacity. Strongly cross-linked hyaluronic acids are gel-like, have a higher lifting force and can compensate for volume deficits. All materials used are body-identical, so there is a very low potential for allergy development. We only use well recognised product brands.

What are skin boosters?

This is an extremely low cross-linked hyaluronic acid which is injected in very fine microdroplets over a large area into skin showing signs of dryness. This results in the deep hydration of the tissue.

Which techniques are used to inject the fillers?

The fillers can be injected deep into the tissue using pointed cannulae in a so-called tower or depot technique. These techniques are suitable for building volume or for facial contouring. In the case of superficial wrinkles or for filling the tear ducts, these cannulae are considered extremely suitable. They also provide the advantage of an extremely low risk of injury to the blood vessels.

How does the treatment work?

In order to avoid any pain, we apply a local anaesthetic gel prior to the treatment. After a thorough analysis of the facial contours, we apply the appropriate hyaluronic acid directly under the skin where volume loss has occurred. The products we use also contain local anaesthetics, so that the punctures are hardly noticeable.

Are there any side effects?

Small amounts of bleeding and swelling can occur at the puncture sites. However, they disappear after a few days and can be covered with make-up immediately after the treatment. With lip injections, visible swelling can occur in the first 48 hours but will disappear again.

How long does the effect last?

The first effects are visible immediately after the treatment and are intensified by hyaluronic acid’s ability to bind water in the first weeks after the treatment. The treatment lasts about four to six months, after which the hyaluronic acid is broken down naturally. The filling of lips and tear ducts can last up to twelve months.

What is hylase and how does it work?

Hylase or hyaluronidase is an enzyme that break down hyaluronic acids. It is available in different concentrations and is dissolved in a salt solution. In order to dissolve incorrectly placed hyaluronic acid depots or swellings after injections, we can inject small amounts of the active substance with very fine needles. The result is immediately visible and increases slightly over the course of the following hours.

When is a hylase treatment appropriate?

We offer this treatment if there are severe swellings and deformities after injecting with hyaluronic acid. This can be the case, for example, if an excessively water-binding, viscous hyaluronic acid product has been used. If you are not satisfied with the results of your treatment, hyaluronic acid can be re-dissolved. It is important that only small amounts of hylase are administered in low concentrations in making corrections, since hylase can also break down the body’s own hyaluronic acid. A high level of experience is required for this treatment, which means you have come to the right place.

What does a treatment with hylase cost?

The costs start at approximately 180 EUR.

Which areas are hyaluronic acid fillers suitable for?

Injections with hyaluronic acid fill wrinkles, volume deficient areas and scars.
For facial contouring, hyaluronic acid injections emphasise the jaw line, chin and cheekbones and the facial skin is tightened.

In order to look more awake and fresh, you can also fill the tear duct below the muscle, which reduces dark circles around the eyes. If desired, hyaluronic acid can be used to optimise lip volume, strengthen contours or smooth fine wrinkles on the upper and lower lip.

Further areas of application include the filling of nasolabial and marionette lines as well as the temples and earlobes. Wrinkles in the décolletage can also be treated with hyaluronic acid.

Our expert for hyaluronic acid fillers

Dr. med. Anna Brandenburg

Make a non-binding enquiry via our contact form, call us on 040 – 46 77 46 27 or book an appointment directly online. We look forward to hearing from you.