Hyaluronic acid

Hyaluronic acid is a constituent of our skin that laboratories manufacture synthetically and which quickly and reversibly replenishes and moisturizes the skin.

With botulinum toxin, it is a revolution in aesthetic medicine and remains the most widely used product in this field. Its tolerance is very good and the risk of allergy exceptional. Its great advantage is its slow absorption and therefore the reversibility if necessary by an enzyme (hyaluronidase).

There are several ranges of hyaluronic acid which can be used to treat the entire face or body (buttocks, calves, etc.).

Dr BENADIBA is a specialist in facial injections with hyaluronic acid and other fillers

He has been teaching aesthetic medicine for more than 10 years at the Faculty of Medicine in the Diplôme du DUTIC (www.dutic.info).

He is the author of a Reference Manual for all aesthetic physicians.

Find out more:

PRACTICAL MANUAL OF AESTHETIC MEDICINE


 

Objectives and principles of hyaluronic acid injections

In aesthetic medicine as in classical medicine, you have to know how to Listen, Look and Understand your patient in order to identify his request and respond to it as accurately as possible.

The fears of patients in aesthetic medicine:

  • Not to be failed ++ (too frozen, too changed, complications …)
  • Don’t hurt +
  • Not have any visible consequences (bruising, swelling, redness) ++
  • Pay the right price

TREATMENT OF DARK CIRCLES / UNDER EYE BAGS

The ring is a frequent request in aesthetic medicine. It can be either hollowed out, pigmented, or swollen by a fatty pocket. The most common is the combination of different problems. The use of fillers and in particular hyaluronic acid is useful for the hollow circle only.

Most often, dark circles are due to a deficiency in the lymphatic and microcirculatory system around the eye.

Dark circles are the colored appearance of the skin under the lower eyelids often associated with a hollow forming furrows and / or a fatty pocket. They give a tired and aged appearance before age especially in young people.

DURATION OF INTERVENTION: 20 minutes
REHEARSAL / DURABILITY: 1 session to be repeated twice a year.
FINAL RESULT: immediate and optimal after 10 days

FILLING WRINKLES

The purpose of the injections is to fill in wrinkles created either by reducing muscle tone and / or skin tone. I preferentially use absorbable products such as Hyaluronic Acid.

Anesthesia: not necessary, a local anesthetic is sometimes applied to the areas to be injected 1 hour before, but the use of cannulas makes the procedure painless.

DURATION OF INTERVENTION: 20 minutes
REPETITION / DURABILITY: between 6 and 12 months depending on the area and the product
FINAL RESULT: immediate

NASOLABIAL FOLD FILLERS / FURROW FILLING

This is the most frequent request and the easiest area to treat. Ideally with a cannula.

The nasolabial fold is a fibrous plane made up of the insertion of the radiary muscles. The fibers of the radial muscles anastomose with the orbicularisis of the lips. The fibrous plane adheres to the skin tissue blocks the jugal ptosis and creates with age the appearance of the nasolabial fold. The fear is vascular invasion, because the facial artery passes into the nasolabial fold in more than 43% (cadaver study), but its course is very variable.

CLASSIFICATION

BITTERNESS FOLDS AND MARIONETTE LINES TREATMENT

Bitterness folds and Marionette lines treatments are very common after the age of 40 and become more pronounced with facial ptosis and the appearance of jowl.

It is an oblique wrinkle or fold that starts at the edge of the lips and descends obliquely towards the angulo-maxillary angle. Together with the anterior mandibular line and the chin, they constitute an anatomical entity: the labio-chin region. This fold gives a sad, severe or even bitter aspect (bitter folds).

The appearance of bitterness wrinkles is linked to several factors: an underlying bone loss linked to age, a loss of subcutaneous fat, sagging skin and finally muscular action with hypertonicity of the orbicularis muscle and DAO (Depressor Anguli Oris) which have a retracting effect on the skin, pulling the corners of the lips down.

RESTORATION OF VOLUMES

During aging, the face tends to lose its volumes “it deflates”.

It is therefore useful to fill in its most often greasy melts.
This is the case of the cheekbone, the malar region, the temple, the cheeks, the tail of the eyebrow.

The injection of a hyaluronic acid type product (or fat) makes it possible to:

  • Redraw the oval of the face without lifting
  • Fill hollow cheeks
  • Restore the volumes of the cheekbones, temples, dark circles, jaws …
  • Rejuvenate and beautify the face without modifying the features

FILLING HOLLOW TEMPS

This problem is common on skinny and elongated faces, it is due to the loss of the temporal muscle around the age of 40.

The face then takes on a so-called “hourglass” appearance which greatly annoys patients and accentuates the drop of the eyebrow. It gives a “skeletonized” aspect of the face.

In practice: The plastic surgeon injects hyaluronic acid which immediately plumps up the area. The gesture is simple, usually once a year.


MEDICAL RHINOPLASTY

It is possible to correct certain small defects of the nose by simple injection of hyaluronic acid.

This technique is simple and widely used in the event of a defect after surgical rhinoplasty.

 

LIPS AUGMENTATION

As we age, the corner of the mouth falls and becomes hollow, thus accentuating the “bitterness fold” or “puppet” wrinkle. This is due to the slackening of the face which “falls” and to the action of a muscle which pulls down the commissure.

The plastic surgeon can inject the responsible muscle with botulinum toxin to relax it and combine bitterness filling with hyaluronic acid to create support at the corner of the mouth.

The goal: A luscious mouth in harmony with the patient.


AFTER SUMMER SKIN REPAIR

To regain a radiant complexion, it is important to rehydrate your skin deeply. The Skinbooster offers THE ideal solution to redensify the dermis and thus reduce the marks of a harsh winter.

This treatment with micro injections of hyaluronic acid and vitamins deeply hydrates the skin and also reduces fine lines. It is a good prevention to keep its youthful capital and to prevent the appearance of new wrinkles.

The ideal is to continue these aesthetic treatments with LED sessions.

SKINBOOSTER

This treatment revitalizes and restores the balance of the skin and lips, improves skin elasticity and structure to create a fresh and natural look.

This treatment makes it possible to treat all areas of the face and body by preventing the aging of young skin and restoring radiance to mature or damaged skin.

DURATION OF INTERVENTION: 20 – 30 minutes
REHEARSAL / DURABILITY: 2 to 3 sessions spaced one month apart, to be repeated twice a year
FINAL RESULT: at least 10 days

 

EAR LOBE REJUVENATION

Repair and rejuvenation of the lobe can be done through filling with Hyaluronic Acid.

By rejuvenating the lobe, a possible frequent tearing is thus avoided when wearing heavy jewelry which gradually widens the pierced hole in the lobe.

WRINKLE CORRECTION WITHOUT PAIN AND BLUE

The Magic Needle or Cannula:

New tools help correct wrinkles painlessly and without streaking, such as Magic Needle-type cannulas.

The Magic Needle revolutionizes facial injections because the main fear of patients is pain, it does not cut the skin or the underlying tissues.

  • Speed of execution of the procedure.
  • No pain, no blood
  • Decreased risk of bruising
  • We pass under the skin through a micro puncture which closes immediately.

KALINOX or GAZ HILARANT:

For absolute comfort before injections, Dr BENADIBA is equipped with nitrous oxide gas (laughing gas) which will allow you to relax during the injection.

  • Immediate recovery,
  • gas without risk even in children and pregnant women apart from the rare contraindications.

Cabinet of Doctor Benadiba, Paris

Tel : +33 (0) 1 47 20 40 07
86 Avenue Foch, 75116 Paris

Monday, Tuesday & Wednesday
14h-18:30

In Geneva : RIVE-Lac Clinic

RIVE-Lac Clinic
Adresse : Cours de Rive 2, 1204 Genève, Suisse
RDV:  +41 22 311 66 94

Thursday & Friday by appointment only

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Hours of operation may change. If you need to meet with me outside of these hours, please contact us for confirmation.