Episode Synopsis "Podcast hyaluronic acid - Episode 06- How often do I need to repeat these treatments and what happens if I don't?"
We never know how long the retention of hyaluronic acid can last because it all depends on the wishes of the patients. There are also some medical conditions, such as some autoimmune diseases, dehydration, vitamin deficiencies, amino acids, Mg, Ca, or anemia, endocrine disorders or imbalances, etc. that can reduce the retention of hyaluronic acids over time, but most often, from experience, we consider that it depends on what the patient sees in the mirror and what he wants. There are some patients who want to increase their cheekbones 2-3 times a year with 1 ml of hyaluronic acid on each side in a single session and others for whom this amount would be much too much. This does not mean that we do not explain to them what they need, but sometimes the quantities differ. It all depends on what the patient sees in the mirror and on our indication. It also depends a lot on the artistic decision of us and the patient, but often they are not the same. Another issue we want to bring up is related to the usual mirror date. This means that immediately after treatment you will see a big difference, especially if you have worked on large areas. Then over time it will seem to you that the acid has resorbed and you are as before, actually forgetting how you were before, if you did not see the images before the injection. This does not happen in all patients, but in those who do occur, it may produce the need to return for completion. Our role as doctors and professionals in this field is to evaluate the result and appearance at that time and to indicate whether further completion is needed or not. So in the end, it depends a lot on the patient, but also on the doctor. We do not encourage large quantities stored in a restricted area, or improper use of the product in that area, because there are risks of complications, which no one would want to assume. Following a consultation that involves an effective history and a local clinical examination performed meticulously followed by explanations with the patient in front of the mirror, it is very possible to develop a strategic plan of sessions that involve injection of hyaluronic acid associated or not with neuromodulators. This plan can include a certain number of sessions over a period of several months between them, during a year, which can then be repeated, over a period of time, which the patient can establish alone or with us. It is very important that patients are informed about this plan, so that everything is clear and they know what to expect. On the other hand, we will inform patients that it is not mandatory to strictly follow that plan, because let's not forget, the acid will cause some tissue changes and it is very possible that those amounts of hilauronic acid that were expected at the initial consultation will not may be necessary because patients feel that they have achieved a result that they are satisfied with. What we do not encourage are individual, targeted treatments, when patients need to correct several areas and want this, but it is not explained to them. We receive many patients at the consultation after having performed such treatments in the past elsewhere and they tell us that if they had known how to establish a long-term plan, they would have obtained a better result and would have had a lower budget.
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