Questions and answers: hyaluronic acid and fillers.

That depends on amount, layer and technique. The aim is small amounts at a few anatomically sensible points. A second appointment after two weeks is better than too much at once.

Often 1–2 ml per side spread over time. The actual amount follows the findings and is discussed beforehand.

Often indirectly: supporting the mid-face reduces the pull on the fold. The examination shows whether that applies to you.

Usually nine to eighteen months, depending on material, metabolism and area.

Anaesthetic cream is used if wanted, and many materials also contain a local anaesthetic. Most people describe a feeling of pressure. Full page: Cheeks & mid-face

Differently: instead of several pricks you feel a pressure or pulling sensation under the skin. Most find it more comfortable.

In most areas yes; it is no safeguard against complications. Very thin cannulas can behave like needles – hence gauges from 25G are preferred. Full page: Needle or cannula?

Botulinum toxin as an additional zone from €30 (alone from €190); hyaluronic acid from €250 per ml.

Yes. Correctly dosed, the smile stays complete; only the downward pull is gone. Full page: Drooping mouth corners

No – it lies deep on the bone and feels like bone. All you see is a more harmonious profile.

Often yes, because the neck-chin angle becomes clearer. With a true fat deposit, lipolysis is added. Full page: Receding chin

First change after four to six weeks, clearly after three months. The muscle needs time to shrink.

Without follow-up yes, slowly over months. With regular treatment the gaps get longer. Full page: Wide lower face

For contour, moisture and subtle fullness usually yes. Anyone wanting clearly more volume needs 1 ml – better in two steps.

Often because of smaller amounts, unknown products or treatment without a physician. Ask for product, amount and who injects. Full page: Cost of lip filler

Similar to a filler injection; the enzyme can sting briefly. Anaesthetic cream is possible.

That can be controlled. Small doses are often used, with a check after one to two days to see whether a second session is needed.

Yes, after examination. It helps to know which product was injected, when and where.

Invoicing follows the GOÄ and depends on the effort involved; the amount is stated in the consultation. Full page: Dissolving filler

Metabolism, movement in the area, choice of material and whether it is your first treatment: the first often lasts a little less than later ones.

To a limited extent: sun protection, not smoking, no excessive endurance sport right after treatment. Area and material have the biggest influence.

The material is broken down completely; the area then looks as it did before. The treatment does not cause 'stretching'.

Permanent fillers are not used here. They cannot be dissolved, do not age with the face, and carry a higher complication risk. Full page: How long does filler last?

For the cheeks usually 1–2 ml, for the fold itself 0.5–1 ml. Individually after examination.

Too much material too superficially in the fold. That can be corrected with hyaluronidase. Full page: Nasolabial fold

Because the cause was pigment or thin skin – filler only lifts the shadow of the trough. That is why the examination beforehand is so important.

Often 12 to 24 months, longer than in other areas because the tissue hardly moves. Full page: Tear trough

The aim is a profile that suits the face. Small amounts, deep placement and a check-up after two weeks matter more than a lot of material.

Indirectly: an emphasised chin makes the transition to the neck look clearer. Fat under the chin is more likely treated with injection lipolysis.

Yes, hyaluronic acid can be dissolved with hyaluronidase if needed. Full page: Chin (hyaluronic acid)

Only with mild laxity. With clear skin excess, surgery remains more effective.

After examination usually volume with hyaluronic acid in the mid-face and along the jawline – reversible and well controllable. Full page: Thread lift

There is no 'best' filler, only the right one for area, goal and tissue. For most uses, dissolvable hyaluronic acid is the safest choice.

Not with the right amount and placement. Over-filling comes from too much material, not from the filler itself. Full page: Filler

Usually in small steps with a check after one to two days, to avoid removing too much. Full page: Hyaluronidase

Yes, often especially so: an angular jawline is seen as masculine and the technique is adapted accordingly.

Then injection lipolysis is the more suitable method; the two are often combined. Full page: Jawline

Because drooping mouth corners and the line create the same expression as sadness – the brain reads it automatically as mood.

Usually yes. With strong muscle pull the combination with botulinum toxin makes sense – a medical decision. Full page: Marionette line

Against shadow-related circles yes; against pigmentation or visible vessels no.

Because the trough appears when the cheek descends; supporting it often makes the groove disappear on its own. Full page: Tear trough

No. A firm gel in the lips looks unnatural, a soft one on the chin disappears quickly. The fit to the area counts.

In licensed products the residual amount is minimal and strictly tested; intolerances are very rare. Full page: Cross-linking

Swelling in the first days is normal and makes the lip look temporarily fuller than the final result. We assess the outcome after about two weeks.

That can only be said after looking at your lips. Often 0.5 ml is enough to define contour and shape. We prefer to work in small steps.

Hyaluronic acid can be dissolved medically with the enzyme hyaluronidase. That is one reason this material is so widely used in aesthetic medicine.

Among others with acute infections or cold sores in the area, known intolerances, and during pregnancy and breastfeeding. This is checked medically before treatment. Full page: Lips

Not always. It is often more sensible to restore lost volume in the cheek and cheekbone area, because that reduces the pull on the fold. The examination shows what fits your case.

No. The nasolabial fold is an anatomical structure; it can be softened but not removed. Very deep folds stay visible.

Yes, with the enzyme hyaluronidase. That too is a medical treatment with its own risks and follows a consultation. Full page: Nasolabial folds