Hyaluronic acid is at the forefront of a new era for volumising injections.
Facial rejuvenation with fillers over the last twenty years, leading to the coming of a new era with hyaluronic acid. The first book in the Master Collection addressed indications and technique for the injection of botulinum toxin. This new work extends our work on facial rejuvenation to the field of volumising injections. The topic is of great importance given that the fight against aging is not just a trivial question of fashion but is essential to an individual’s well-being and social relationships.
This is an opportune moment for such a review insofar as there has been major progress in the techniques of facial rejuvenation in the last decade. The broad range of different resources available to us today means that we now often have extensive choice when making our therapeutic decisions. However, none of us would want to cross the ill-defined line between pleasing, natural, balanced rejuvenation and a radical change in facial equilibrium.
Medicine and aesthetic surgery are complementary disciplines, both developing quickly but not in competition. The indications for one or the other must always be followed with utmost rigour. The road to excellent outcomes passes by combining the various different methods available to us and by acting together with other experts.
From the first timid filling in of wrinkles barely twenty years ago, through focused filling treatments and ultimately global injection of the whole face, the journey has been long and sometimes difficult but always full of lessons.
Many different products have been used. Some turned out of have a short lifetime and others had adverse effects, serious ones in some cases. Finally, one compound emerged from the pack and now all experts agree on its efficacy; that compound is hyaluronic acid.
Philippe Garcia, MD