The skin to stay young and supple must stay hydrated. For this, it has a natural ingredient of the body (a polysaccharide) present mainly in the dermis: Hyaluronic Acid.
However, over the years, this marker of youth, which acts as a cushioning and lubricating agent, gradually becomes scarce, thus reducing the firmness and elasticity of the skin tissues, which lose their radiance and tone.

Hyaluronic Acid is a binder of water molecules, which means it binds water into cells, and therefore functions as a powerful moisturizer. "Holding nearly 1000 times its own weight in water, Hyaluronic Acid can pull moisture out of the air and keep your skin hydrated," says Dr. Christophe Desouches.
Due to its composition, Hyaluronic Acid also works as an extremely well tolerated volumizer.

Depending on its density and concentration, Hyaluronic Acid will be used as a ?filling? or as a ?volumizer?, depending on whether the aim is to correct wrinkles or compensate for loss of volume.

Nearly half of Hyaluronic Acid is found in the dermis. It is also found naturally in the eyes, nerves, hair and cartilage.

At the food level, it is found in certain fruits and vegetables (tomatoes, kiwi, citrus fruits?), cereals and legumes, oilseeds (nuts, almonds?).

Retains hydration : it?s its extraordinary ability to retain water in the body that appeals so much to beauty professionals. This makes it a key ingredient in maintaining or improving skin hydration.

Reduces the appearance of wrinkles : Since dehydrated skin is one of the main causes of wrinkles, Hyaluronic Acid replenishes lost moisture and helps reduce the appearance of fine lines. This is true for static wrinkles (?wrinkles at rest?) caused by the degradation of collagen, but not for wrinkles due to facial expressions (in this case Botox is indicated, see below the differences between Botox and Hyaluronic Acid) .

A safe option foradding volume : given that the composition of Hyaluronic Acid is closely linked to the natural substances present in our body, it is an extremely well tolerated volumizer. It can help add volume to areas like the lips and cheeks that lose volume over time.

Rapid absorption : Unlike some skincare products, Hyaluronic Acid quickly penetrates the epidermis and dermis.

Non irritant : For most people, Hyaluronic Acid is non-irritating and safe for all skin types.

Absorbable: When used as a filler, Hyaluronic Acid lasts approximately two years. It dissolves naturally, which means it gradually disappears. You can also have the product removed by a doctor using a specific enzyme (hyaluronidase) if necessary.

Generally, there are no major side effects from Hyaluronic Acid, which is closely related to natural substances already present in the body.
As Hyaluronic Acid is often used as a filler, it can cause swelling as a side effect, but most reactions are from the injection itself, not the Hyaluronic Acid.

There are few contraindications:

• Autoimmune diseases
• Known hypersensitivity to Hyaluronic Acid
• Pregnancy and breastfeeding
• Infectious problems at injection sites (Herpes, Acne)
• Porphyria

Dr. Christophe Desouches uses the best hyaluronic acid-based fillers, including Fillmed, Teoxane, Restylane, Juvederm and Neovia laboratories. These are gels based on Hyaluronic Acid from non-animal sources, referenced in France with CE marking. After trying almost every filler over the years, we selected these Hyaluronic Acid fillers for their versatility, best safety profile and high patient satisfaction.

Each patient has a ?beauty passport? to have the traceability of the injected products, where all the products used are identified, with in particular the brand and the reference of the hyaluronic acid injected.

It is strongly recommended to avoid the use of products found on the Internet and of unknown origin.

The face is undoubtedly the area most improved by Hyaluronic Acid injections:

• Wrinkles
• Forehead
• Look and eyelids
• Nasolabial folds
• Nose
• Medical rhinoplasty
• Lips
• Russian lips
• Cheekbones
• Profiloplasty (nose, chin, lips)
• Chin
• Jawline Contouring
• Neck

Hyaluronic Acid is also regularly used to improve the lives of patients in the buttocks and sex area:

• Buttock augmentation
• Male increase
• Female G-spot Augmentation
• Improved vaginal hydration

The majority of patients tolerate the injections well. Sometimes they can feel uncomfortable, but Dr. Christophe Desouches has several techniques to make them as painless as possible.
First, the use of a numbing cream to numb the skin before the injection. Letting the cream sit in place for at least 10 minutes before injection makes a noticeable difference in comfort level, especially for lip fillers.
More rarely, the surgeon will use injectable xylocaine.

The longevity of a filler depends on its composition, the metabolism of the person and the location of the injection (cheek, chin, eyes, etc.).
The Hyaluronic Acid fillers used by Dr. Christophe Desouches last an average of 6 to 12 months.
The human body gradually breaks down the filler material over time.
However, repeated filler injections do not cause any kind of damage to the skin or soft tissues. So if you decide to stop taking fillers, you will simply gradually return to your pre-filler appearance.

Redness or hematoma at injection sites.
Bruising, swelling, and bumps can come and go over time.
Sensitivity disorders with sensation of muscle tension or fixity.
Imperfections of correctable results during retouching after one month: persistence of fine lines, asymmetry, raising of an eyebrow, facial expression disorders.
Infection (rare).
Injection into an artery or vein (rare but serious complication).

The days preceding the injection, it is recommended not to take medication that alters the fluidity of the blood (aspirin, anti-inflammatories?) in order to reduce the risk of bruising. It is safe to avoid alcohol and certain herbal supplements.

Many patients think that Botox and Hyaluronic Acid are the same, but they are not!
Granted, they can both be used for wrinkles or lips. And although they share many similarities, they offer different benefits and results.

What is Botox?

Botulinum toxin type A is a muscle relaxant produced from bacteria. A safe and effective product if you request a good professional and certified cosmetic surgeon.
Botox only works on expression lines, but not on static wrinkles (?resting wrinkles?) caused by the breakdown of collagen.
Repeat treatments are necessary because Botox is not a permanent treatment.

What is Hyaluronic Acid?

We have already seen in detail above in these questions and answers what Hyaluronic Acid is. A polysaccharide naturally produced by our body, mainly used to treat ?resting wrinkles? and plump up various areas of the face.

What are the differences between Botox and Hyaluronic Acid?

Duration : although the effect in both treatments is temporary, the duration is not the same. The approximate duration of Botox is between 4 and 6 months, while Hyaluronic Acid injections depend on many other factors such as where it was applied, how quickly each person's body reabsorbs it naturally, with a variation of duration from 6 to 12 months.

Goals : Botox is mainly used to correct wrinkles that form by wrinkling or contracting certain parts of our face, especially in the upper third of the face such as the forehead, between the eyebrows, and the famous "crow's feet". On the other hand, Hyaluronic Acid fillers are used to reduce wrinkles and to give volume to the lips, cheekbones or chin.

Results : The results of Hyaluronic Acid injections are immediate, although the final result is generally visible after two weeks when the product has completely settled. The results of Botox begin to be visible after 3 days and its final effect is visible after 10 days.

Frequently asked questions about Botox >

Yes, these are complementary treatments that can be performed during the same session, but not on the same area.
Some patients who want a Hyaluronic Acid injection for the lips also request Botox injections for the forehead or peri-ocular wrinkles, or to augment the chin or cheekbones.

Frequently asked questions about Botox >

The price of hyaluronic acid injections for facial treatment is between 300 ? and 600? depending on the products used, the volume needed and the number of injections (one or two).

The price starts at 300? for the first syringe injected, depending on the location and the product used. The price of the following syringes is decreasing.

• Fluid Hyaluronic Acid (Wrinkles) (1ml) 300 ?
• Classic hyaluronic acid (Wrinkles and Furrows) (1ml) 300 ?
• Volumizing Hyaluronic Acid (Cheekbones) (2ml) 600 ?
• Intravaginal Hyaluronic Acid (Desiryal) (1ml) 450 ?

Most of the cost results from the price of fillers, as only high quality products are used to ensure patient safety.

No coverage by health insurance is possible because these are acts for aesthetic purposes.

More details on surgery and aesthetic medicine prices by Dr Christophe Desouches >