Episode Synopsis "Podcast hyaluronic acid - Episode 03- How do I know that these treatments are suitable for me?"

Always, first of all, we consider that a clinical examination of the aesthetic units of the face is needed and then the complete evaluation of the face as a whole. Following this, it can be decided whether a certain treatment is good or not, according to the patients' wishes, or what the doctor says it should or can be obtained. Sometimes the indication may be surgical in nature. We cannot treat any deformity or defect with hyaluronic acid alone. When the laxity of the skin of the eyelids, cheeks or jaw line is extremely loose, a blepharoplasty or a facelift will most likely be needed. The principle of injecting hyaluronic acid or even fat is based on the possibility of creating a lifting effect of the tissues, by expanding them due to the filling process. Therefore, we will never be able to create a surgical facelift effect using hyaluronic acid when the indication is clear for a surgical procedure. Eventually we can improve the appearance using hyaluronic acid treatments for patients who do not want to opt for a surgical procedure, do not have a clear indication for this due to comorbidities that may adversely affect the result, or do not have the necessary budget for it. This improvement that can be offered with hyaluronic acid can be considered only in the case of a patient who also needs a restoration of the volume of the face, because in the case of those who already have a consistent volume, the procedure does not have a clear indication. The idea of ​​filling is not good at all if the tissue needs more repositioning. For example, here we are talking about tissues such as eyebrows, tear troughs or cheeks. If there is a ptosis or a falling down effect of the skin to a certain degree and there is already a substantial volume of subcutaneous tissue, the injection of hyaluronic acid will not solve the patient's requirement in any way. More specifically, if the patient complains about the bags under the eyes and especially the tear troughs that are deepened and there is also a laxity of the skin, the injection of hyaluronic acid is not a good idea. In this case the solution is most often transconjunctival or transcutaneous blepharoplasty with transposition or removal of fat deposits from the 3 internal compartments of the lower eyelid to the marginal arch, after the orbito-malar ligament has been severed from the bony surface. Trying not to do surgery and injecting hyaluronic acid over the marginal arch just to fill the area and create a smoother transition between the skin of the eyelid itself and the junction between the eyelid and cheekbones is not a good idea because it can cause quite a lot of discomfort. This is just a fairly common example in cases where patients do not want surgery and the doctor does not know which is the correct indication and responds to the patient's request. Everything is done with an indication, depending on the needs of the patient's tissues.

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More episodes of the podcast Cosmedica Clinic- Plastic Surgery guide for patients

• Podcast hyaluronic acid - Episode 08- When can I see the results? What happens if I think that there was too much of a product that was used? Can I get it out?
• Podcast hyaluronic acid - Episode 07 - How do we calculate the dosage of the hyaluronic acid for a facial treatment?
• Podcast hyaluronic acid - Episode 06- How often do I need to repeat these treatments and what happens if I don't?
• Podcast Hyaluronic acid - Episode 05- What regions of the face can we improve with hyaluronic acid?
• Podcast hyaluronic acid- Episode 04- What types of hyaluronic acid do we use and how we choose them for our patients
• Podcast hyaluronic acid - Episode 03- How do I know that these treatments are suitable for me?
• Podcast hyaluronic acid - Episode 02- Patient assessment for a hyaluronic acid treatment
• Podcast hyaluronic acid- Episode 01- Introduction into the hyaluronic acid world, principles and advantages of the facial fillers treatments