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How to choose a doctor to avoid the failure of "hyaluronic acid" syndrome "hyaluronic acid"

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Hidemasa Shinohara
Dr. Hidemasa Shinohara

Skin Refine Clinic Ginza

Regular member of the Japanese Society of Plastic Surgery Certified specialist Regular member of the Japanese Society of Clinical Dermatology Regular member of the Japanese Society of Cranial Forehead Surgery

Medical institution with Dr. Hidekatsu Shinohara

Skin refine clinic Skin Refine Clinic Ginza
Contact: 0120-661-062

Unlike surgical operations that use a scalpel, hyaluronic acid injection can be expected to change with a single injection needle, so downtime is short and it can be said that even beginners in cosmetic medicine can easily receive it.

Hyaluronic acid injection can be expected to have lift-up and contouring effects by injecting an appropriate amount, but there are cases where too much injection results in an unnatural finish called a "hyaluronic face", which is cautioning.

Some people who are considering injecting hyaluronic acid or who have already given regular injections are worried that repeated injections may result in a face with too much hyaluronic acid, the so-called hyaluronic face. There may be some who have.

In order not to regret the injection of hyaluronic acid, it is safe to know the cause of hyaluronic acid, the troubles associated with it, and how to avoid the troubles .

How to choose a doctor to avoid the failure of "hyaluronic acid" syndrome "hyaluronic acid"

Overfill Syndrome, one of the failed hyaluronic acid injections

Hyaluronic acid injection is a cosmetological treatment that can make wrinkles due to sagging less noticeable and contour the forehead, chin, and nose in about 5 to 10 minutes.

In the late 30s, in addition to the loss of skin elasticity, hypertrophy, contracture, and drooping of subcutaneous fat begin, and the skull itself begins to contract and deform. Aging symptoms begin to appear.

Hyaluronic acid injection is effective for wrinkles caused by such sagging. By injecting into areas where volume has been lost due to age, such as the cheekbones and mandible, and aiming to increase the volume of soft tissues to compensate for the atrophy of the skull and the decrease in subcutaneous fat, the sagging of the skin is improved and wrinkles due to aging are reduced. It will be less noticeable.

In addition, injection into the forehead to make the forehead round, formation of a tear pouch by injecting hyaluronic acid under the eyes, formation of nasal muscles by injection into the nose, improvement of vertical wrinkles by injection into the lips, formation of plump lips, It is also possible to form contours such as.

Hyaluronic acid can be expected to improve your worries if you inject an appropriate amount into the appropriate area, but if you add too much hyaluronic acid, your skin may be pulled and you may have a bulging "hyaluronic face" .

This over-injection of hyaluronic acid has been alerted by Dr. Tinson Lim of Malaysia, a key opinion leader in aesthetic medicine in Asia, called "overfilled syndrome" . Overfilled syndrome is also called "overfilled syndrome" or "overfilled syndrome" and is found not only in women but also in men.

Hyal face is caused by excessive injection

"Overfilling syndrome" may occur with a single treatment, but in many cases, repeated injections often result in an unnatural impression of overfilling.

Hyaluronic acid is absorbed in the body about 6 months to 2 years after injection, so it is necessary to repeat regular replenishment and injection to continue the injection effect.

Given the risk of having an unnatural face with too much hyaluronic acid, you may be worried that you should inject it regularly, but the cause of hyaluronic acid is inappropriate. Excessive injection into the position .

As long as you inject the required amount into the proper position for lift-up with the minimum amount, you will not have a fluffy face .

Trouble associated with overfilling syndrome, not just cosmetic problems

Promotes sagging of the face

Excessive hyaluronic acid infusion can promote sagging of the face due to its weight.

To briefly explain the anatomy of the face, there is a layer of muscle on the skull, a layer of subcutaneous fat on it, and the outermost surface is the skin, which is a layered structure like Milfille, hyaluronic acid. Is injected into the fat layer above the periosteum and below the skin, and into the skin, depending on the treatment site and symptoms.

Hyaluronic acid injection aiming at lift-up is basically an image of replenishing the skull and skeleton, and it is injected into the deep part just above the bone, but if it is excessively injected into the shallow part of subcutaneous fat etc. It is undeniable that the skin may sag as a result in areas that are easily affected by gravity .

Increased likelihood of allergic / rejection

Allergic reaction / rejection is a complication that an inflammatory reaction or induration / nodular change (lump) accompanied by an inflammatory reaction appears at the injection site several weeks to several months, or even several years after the injection of hyaluronic acid. is.

The cause of allergic and rejection reactions is not clear, but the effects of the drug used, such as the molecular weight, structure, and concentration of hyaluronic acid, and the concentration of the cross-linking agent BDDE, are considered.

When a large amount of hyaluronic acid preparation is injected, the proportion of cross-linking agent that enters the body increases relatively, and the possibility of allergic reaction / rejection reaction increases .

In addition to allergic reactions and rejection reactions, hyaluronic acid injection has serious complications such as skin necrosis, cerebral infarction, and blindness.

These complications can be caused by accidental injection of hyaluronic acid into blood vessels, as well as overinjection of hyaluronic acid.

In order to prevent the risk of hyaluronic acid complications, it is necessary to inject a small amount of hyaluronic acid and inject it little by little .

To avoid overfilling syndrome

Some people are surprised at the changes immediately after the injection of hyaluronic acid when they receive it for the first time.

On the other hand, when I was satisfied, I was convinced that "it should be better if I put in a little more", "I feel that the volume is gone, so I want to inject more" and "I'm worried about the nasolabial fold." Some people ask for more injection than necessary, saying "I want to put it in again."

It would be nice if the practitioner explained that it is important to inject an appropriate amount of hyaluronic acid and avoid unnecessary injections, but if you give priority to your senses and respond to your wishes, it will be over-injection. There is a possibility.

Importance of objective perspective

One of the reasons why you add too much hyaluronic acid may be that you lose track of your natural condition by injecting additional hyaluronic acid on a regular basis.

However, if the doctor performs the correct injection treatment aiming for a natural finish, even if the patient asks for an injection, it will not be overfilled .

If you do not give priority to sales by increasing the injection amount and number of injections with additional injections, and if you can not expect improvement of symptoms even if requested, if you are a doctor who refuses after explaining the reason firmly, you can overfill It can be said that the syndrome can be avoided.

To prevent overfilling syndrome, check the case photos (Before / After photos of the person who received the treatment) posted on the official website of the medical institution or the doctor's blog, and aim for a natural finish. You may want to determine if it is.

In addition, it is necessary for the practitioner to acquire anatomical knowledge and inject at the correct position and to inject the minimum amount of hyaluronic acid.

Combine with other aesthetic medicine as needed

In some cases, instead of lifting up by injecting hyaluronic acid, irradiation treatment that improves skin tissue and tightens fascia is effective, and in some cases synergistic effects can be expected when used in combination .

If you aim to improve sagging with a dermal filler such as hyaluronic acid alone, you are more likely to overfill.

Facial sagging is caused by complex changes such as aging of skin and supporting tissues, loss of bone volume, and fat movement, but hyaluronic acid injection cannot restore skin and fascia tightening and fat movement. you can't.

It is necessary to determine the cause of the sagging and select the treatment required for each symptom .

Wrinkles and sagging = not evil! Get age-appropriate natural beauty

If you stick too much to the golden ratio where the aspect ratio is "1: 1.618" and the ogee curve (a beautiful curve of the cheek ridge) that is said to be a beautiful cheek shape, you will be too conscious of correction from the original state. There is a high possibility that you will add too much hyaluronic acid.

It is also important to seek the natural beauty of each person by making the most of their individuality without comparing them with others.

Even if you are worried about wrinkles and repeat beauty medicine and there are no wrinkles on your face, it cannot be said that the overall balance is unnatural and beautiful. Aging appears not only on the face but also on the neck and body.

In addition, you can give a beautiful impression by your posture and behavior, and I also want to value the "inner beauty (mental beauty)" that you acquire as you grow older in a positive way .

Choose a hyaluronic acid preparation that lifts firmly even with a small injection amount

As for hyaluronic acid preparations, various manufacturers have put out various products, but KYSENSE®, which was launched in the EU in February 2021, is said to have high uplifting power even with a small injection amount, and it is overfilled syndrome. It is a hyaluronic acid preparation that is also used by Dr. Tinson Lim, who warns (overinjection syndrome) and advocates "minimum injection".

The cause of hyaluronic acid is to inject an excessive amount of hyaluronic acid, but if you choose Kaisense, which can be lifted firmly even with a small injection amount and can be expected to change, you may say that the risk of injecting a large amount of hyaluronic acid is low. ..

How to choose a doctor to avoid failure with hyaluronic acid injection

Hyaluronic acid injection is a cosmetic medicine that is relatively easy to receive because it has a short downtime, but it is not always good for a doctor to meet all the wishes of the patient.

If the condition after the treatment becomes unnatural, you can prevent the failure of "overfilling" hyaluronic acid by refusing the treatment and choosing a doctor who pursues "natural beauty" .

You should also be aware that hyaluronic acid infusion has serious complications such as allergic and rejection reactions and skin necrosis, stroke and blindness.

Blood vessels run intricately on the face, and tissues such as bones, muscles, subcutaneous fat, and skin overlap. To avoid the risk of false injections and complications, it is important to choose a doctor who is familiar with the anatomical knowledge of what layers and how blood vessels run and has extensive practical experience. ..

Introduction of supervising doctor

Dr. Hidekatsu Shinohara, the founder of Skin Refine Clinic and the director of Skin Refine Clinic Ginza. For hyaluronic acid injection and Botox injection, he will instruct doctors as an injection instructor. As a certified specialist of the Japan Society of Plastic and Reconstructive Surgery, we provide careful counseling and perform a wide range of treatments from injection treatment to laser treatment and phototherapy.

Medical institution with Dr. Hidekatsu Shinohara

Skin refine clinic Skin Refine Clinic Ginza
Contact: 0120-661-062

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