Episode Synopsis "Podcast hyaluronic acid- Episode 04- What types of hyaluronic acid do we use and how we choose them for our patients"

Depending on the texture of the skin, the amount that would be needed for a noticeable effect and last but not least the budget, we can choose the type of acid. Sometimes it doesn't matter and we can choose anything. Each range of acids has certain properties and even some types of acid in that range may be different from others in other ranges. Therefore, we often make the choice depending on the thickness of the skin and what the patient wants to get. Hyaluronic acid can be classified into 2 ways:- Depending on the hygroscopic capacity, we have it here two- macromolecular - which attracts water and is based on its hygroscopic ability to absorb water from tissues; the more hydrated the tissue, the more hyaluronic acid will be able to be maintained in the tissues by stimulating the collagen bonds in its structure. In these cases when we use such a hyaluronic acid, we ask patients to drink as much water as possible, because the body is hydrated by the capacity of ingested water, not by creams, solutions or lipsticks that produce hydration and are often used by patients. , on the grounds that “it is difficult for me to drink water; I can't drink water or I don't have time to drink water ". Our advice in these conditions is to try to use a mobile application, or any reminder that reminds them to drink water from time to time on a specific scheme.. If the tissue is dehydrated, it will not be able to produce a localized water retention and thus its retention would be lower in the long run.The second type of hyaluronic acid that we can refer to in this regard is the micromolecular one, ie it has a structure based on small particles, which cannot expand on contact with water. In other words, for this type of hyaluronic acid, the patient does not need to be well hydrated, because it does not base it’s principle on binding with water. In this case, you will get an effect of "What you see is what you have" .Often in our decisions comes the experience and medical flair of each doctor, who can sometimes dictate a slightly different solution from the recommendations of the company producing hyaluronic acid. For example, there are some patients who want a lip augmentation procedure with hyaluronic acid and confirm from the beginning that they do not want big lips and that they do not drink water at all during a day. Therefore, in this situation we should choose a micromolecular hyaluronic acid - which does not attract water, it does not produce the appearance of fluffy or larger lips, but the appearance of discreet lips. Frequently in our daily practice it happens to us that a patient of this kind comes to tell us at the next hyaluronic acid injection session, for lip augmentation, after she already has experience with both types, that she prefers the product that attracts water. because she likes more what shape and volume the lips have and especially, that it would last longer than the one that does not attract water, although it does not consume a sufficient amount of water, so that this hyaluronic acid has a good indication . So in the end, it all depends on how the patient's tissues support, accept and maintain hyaluronic acid over time. That's why we sometimes tell patients that they may end up trying more products until they know which one is best for them. The second type of classification is- Depending on the degree of viscosity.That is, to fill the tear troughs, we will use only a certain type of acid and the same is true when we talk about temples, cheeks or jaw line. What we will never do is we will not use to fill the tear troughs, what we use to enlarge the cheekbones, fill the nasolabial folds or correct the mandible line, which are practically treatments located at the opposite pole for the viscosity of hyaluronic acid.This would mean a customized treatment depending on the patient's needs.

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• 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?
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• Podcast Hyaluronic acid - Episode 05- What regions of the face can we improve with hyaluronic acid?
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• 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
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