# Hyaluronic *acid.*

> Hyaluronic acid in the lexicon: what it does in the body, how fillers are made from it, differences between products, durability, reversibility and risks.

- Source: https://www.vivaderm.de/lexicon-hyaluronsaeure-en.html
- Language: en
- Publisher: VIVA DERM, Privatpraxis für ästhetische Medizin, Rosastraße 6a, 45130 Essen, Germany, +49 1520 8367711
- Responsible physician: Katayoun Mostaghimi (Fachärztin für Allgemeinmedizin)
- Updated: 2026-10-05

A sugar molecule found in the body that binds water. As a cross-linked gel it serves as a filler for volume and contours; in soft form as a skin booster for hydration.

## A closer look.

Hyaluronic acid (hyaluronan) is a polysaccharide found in skin, joints and connective tissue, where it binds up to a thousand times its weight in water. With age the amount in the skin declines – it becomes drier and loses firmness. For aesthetic medicine, hyaluronic acid is produced biotechnologically, not from animal tissue.

As a filler it is chemically cross-linked so that it is not broken down within days. The degree of cross-linking determines firmness and durability: firm gels for chin, cheeks and jawline, soft ones for lips, tear trough and fine lines. Non-cross-linked or lightly cross-linked hyaluronic acid is introduced across the skin as a skin booster.

The great advantage over other fillers: hyaluronic acid can be dissolved within hours with the enzyme hyaluronidase. Depending on the area it lasts six to eighteen months. Risks are swelling, bruising, nodules and – very rarely – a vascular occlusion, which must be treated immediately.

This lexicon entry is general information and does not replace the medical consultation required under German law (§ 630e BGB).

## At a glance.

- **Origin:** biotechnological
- **Durability:** 6–18 months
- **Reversible:** yes, with hyaluronidase
- **Anaesthesia:** topical cream possible

## Frequently asked questions.

**Is hyaluronic acid the same as Botox?**

No. Hyaluronic acid gives volume and smooths lines at rest; botulinum toxin relaxes muscles and works on expression lines.

**Are all hyaluronic acid fillers the same?**

No. They differ in cross-linking, firmness, added local anaesthetic and licensing. The choice depends on area and goal.

**Can the body reject hyaluronic acid?**

Allergies are very rare because the molecule is identical to the body's own. Reactions usually concern additives or the injection itself.

## Related pages.

- [Hyaluronic acid treatment](https://www.vivaderm.de/hyaluronsaeure-en.html) – All areas
- [How long does filler last?](https://www.vivaderm.de/guide-filler-duration-en.html) – Guide
- [Hyaluronidase](https://www.vivaderm.de/lexicon-hyaluronidase-en.html) – Lexicon

## Sources

- [NHS: Dermal fillers – patient information](https://www.nhs.uk/conditions/cosmetic-procedures/non-surgical-cosmetic-procedures/dermal-fillers/)
- [MPDG – German medical devices act (fillers are medical devices)](https://www.gesetze-im-internet.de/mpdg/)
- [BfArM – Federal Institute for Drugs and Medical Devices](https://www.bfarm.de/)
- [DGPRÄC – German Society of Plastic, Reconstructive and Aesthetic Surgeons](https://www.dgpraec.de/)
- [§ 630e BGB – duty to inform before treatment (German Civil Code)](https://www.gesetze-im-internet.de/bgb/__630e.html)
- [DGBT – German Society for Aesthetic Botulinum Toxin Therapy](https://www.dgbt.de/)
- [AWMF – German clinical practice guidelines](https://www.awmf.org/)

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This page is general information and does not replace medical consultation and informed consent (§ 630e BGB). No guarantee of results. Prices are guide prices per GOÄ. Quoting with attribution (VIVA DERM, Essen) is expressly permitted.