Beauty and cosmetics, Health, treatment

30 Things You Need to Know About Hyaluronic Acid

For the first time, veterinarians started talking about hyaluronic acid.

This is true – and for the first time this happened in the distant 1934. It was the veterinarians who discovered the new substance in the bull’s eye and began to study its properties, and only then other medical scientists picked up the discovery. Research did not stop, and since the 70s of the last century, their intensity began to increase, and now we can safely assume that hyaluronic acid is at the peak of its popularity.

Hyaluronic acid is found in our skin.

More precisely, it is produced by the cells of our body. In the skin, hyaluronic acid fills the voids between the collagen and elastin fibers, preventing wrinkles from forming. Thanks to it, the skin acquires elasticity and smoothness. But there can be several reasons for the breakdown of hyaluronic acid: ultraviolet damage to the skin, aging, unbalanced nutrition and bad habits.


Hyaluronic acid is in the bones, joints and other tissues of the human body.

Yes, it is constantly present in the joints, so they are so flexible and mobile. In the cartilage, however, it increases their stability and wear resistance, and in the eyeball it maintains the normal state of the vitreous body.


One molecule of hyaluronic acid can hold 500 water molecules.

Hyaluronic acid can be compared with a sponge, because its main role is the binding and retention of water in the cells of the body. It has the highest viscosity, which can be compared with a gel.


Hyaluronic acid is of various origins.

Yes, there is also animal origin, but nevertheless the hyaluronic acid synthesized in laboratories is better. And therefore, in modern drugs it is used to eliminate the risk of side effects in the form of allergic reactions.


Hyaluronic acid may consist of small and large molecules.

The smaller the molecule of hyaluronic acid, the better it holds water. In order to stimulate the synthesis of its own hyaluronic acid, it is necessary to use its low molecular weight structure. The same rule applies to areas that are prone to swelling – for example, the area around the eyes. But high molecular weight acid will not penetrate the skin – it lies on it with a film, and there is no effect from this.


There are dietary supplements with hyaluronic acid.

Yes, they exist and work in complex therapy very well. But they must be taken at least six months. Of course, a lot depends on the composition and quality of dietary supplements, so the ideal option is to choose an additive with a dermatocosmetologist.

When taking hyaluronic acid inside, the effect will not be noticeable immediately.

To see the effect of taking hyaluronic acid in the form of capsules, at least six months must pass – this is a long process. Much depends on the quality of the supplement and on how strong the deficiency of hyaluronic acid in the body is. When taking dietary supplements, hyaluronic acid will primarily enter the joints, ligaments, and only at the end it will enter the skin.

A lack of hyaluronic acid in the body can be determined by the symptoms.

More precisely, according to the degree of dryness of the skin. And also – by the number of wrinkles formed during facial expressions. It’s easy to check – just fold the skin on your face and see how quickly it recovers. With a deficiency of hyaluronic acid, the degree of elasticity of the skin decreases, and joint function disorders can also occur.


Hyaluronic acid is injected to fill in wrinkles.

This applies to absolutely any wrinkles, but it is important to understand that hyaluronic acid alone will not cope with them. It is also used for volumetric face correction, that is, to change the volume and geometry of the face.



The effect of hyaluronic acid injection lasts differently for everyone.

If we are talking about hyaluronic acid, which is used for contour plastics, then such gels are of high and low viscosity. The choice of a particular filler is determined by what needs to be done. So, for fine wrinkles, we select a soft gel that is injected superficially – accordingly, the effect after the procedure will last up to 6-8 months. And for deep folds or in areas where there is a lack of volume, the gel is selected more viscous, and in this case, the duration of the effect is from 8 months to 1.5–2 years. If we are talking about biorevitalization, where the concentration of hyaluronic acid is less, and it is administered in a course, then the effect lasts from 6 to 8 months.


Everything is very individual – the anamnesis, the patient’s lifestyle, and age are taken into account.

During the injection, hyaluronic acid is injected to a depth of 6 millimeters.

Yes, subcutaneous fat is located there, and at this depth we use fillers based on hyaluronic acid to make up for the lost volume.


Hyaluronic acid is also used for contour plastics.

For this, the same fillers are used – filler preparations that correct various aesthetic defects. The introduction of these drugs into the subcutaneous layer allows you to smooth wrinkles, tighten the oval of the face, change the shape of the cheekbones and nose.

Using hyaluronic acid, you can change the shape of the lips.

Not only to change the shape, but also to correct the asymmetry, to correct the omission of the corners of the mouth, to augment the lips using the “natural lips” technique, or to make lips like those of Angelina Jolie. It all depends on the wishes of the patient.


Hyaluronic acid cannot be called hypoallergenic.

Individual intolerance to synthetic hyaluronic acid is an extremely rare situation. Preparations of the first generations were made from organic tissues – cocks, as well as vitreous bodies of the eyes of cattle. Even with a very thorough purification, it was impossible to remove all protein and lipid compounds, as well as other impurities from the obtained extract, therefore, such preparations quite often caused undesirable reactions in patients.

Modern hyaluronic acid for use in cosmetology is synthesized from a wheat substrate using special bacteria, which reduces the likelihood of allergies to a minimum, although it does not completely exclude it. The real cause of the problem in this case are foreign substances that enter the body with injections (if the proper level of antiseptics is not observed), as well as aseptics used before the injection session. This situation is much more common than individual hyaluronic acid intolerance, and it can be assumed and prevented in advance.

Due to addiction, the skin may stop producing hyaluronic acid on its own.

It is a myth. Injections of hyaluronic acid are not addictive, but only make up for the lack of hyaluronic acid in the body. With age, our cells begin to produce less acid. Outwardly, this is manifested by sagging skin, its dryness, creases, the appearance of wrinkles. Correcting flaws, we return the lost.

Hyaluronic acid is not absorbed into the skin from cosmetics.

But this is true. Hyaluronic acid is a very large molecule, so it cannot penetrate deep into the skin through a regular cream. The maximum effect can be achieved only with the help of microinjections.


Cosmetics with hyaluronic acid can cause a feeling of tightness.

Yes, it creates a film on the skin without penetrating inside, and this may result in a feeling of tightness. It is worth looking at the composition and giving preference to funds from cosmeceutical rulers: they provide complete care and have a slightly balanced composition. These are professional skin care products that are sold in specialized clinics. The doctor should select such funds, based on the condition of the skin, the age of the patient and his individual characteristics.



Hyaluronic acid is also present in anti-acne products.

Yes, such creams may contain hyaluronic acid. Acne is a violation of the lipid balance of the skin, but you must understand that there will be no result from creams with hyaluronic acid.


Hyaluronic acid injections can be replaced with home-use mesoscooter and serum.

It is better not to carry out this procedure at home: I, as a doctor, strongly advise against this. The mesoscooter is equipped with needles that damage the skin. Such manipulations can only be carried out in a sterile room. Serums, peptides and other active substances should also be selected by a doctor. Products must be certified and not cause allergies.


Hyaluronic acid injections can have side effects.

There may be an allergic reaction to any drug administered, and hyaluronic acid is no exception. The risk is very small, since modern cosmetic preparations use non-animal hyaluronic acid, which has undergone thorough purification from pyrogenic components. The most common side effect in cosmetology is a hematoma, because the blood supply to the face is very active, and drugs with HA are most often injected with needles.

Edema is possible – this may be due to the wrong choice of the drug or a violation of the technique of administration, as well as an individual reaction – alas, the last factor is very unpredictable. With the introduction of HA-based fillers, the thrombosis of large vessels is the most formidable complication, which is why it is so important that a person with a higher medical education and good knowledge of anatomy conduct contouring procedures. Alas, sometimes this happens when all the rules and regulations are followed, since the anatomy is very variable. Fortunately, there is an enzyme called hyaluronidase, which breaks down a filler based on HA, so with timely treatment, almost any problem is reversible.


Before injection, a number of recommendations must be followed.

Ideally: do not take alcohol 24 hours before injections, do not engage in active physical activity 6-7 hours before the procedure, stop taking blood thinners for 3 days (aspirin, citramone, cardio magnesium, and so on). In case of excessive fragility of blood vessels and often formed bruises for 3 days, start taking Dicinon. If the patient has frequent exacerbations of herpes virus infection, and the correction is carried out in the perioral region, it is necessary to take anti-herpes drugs (Acyclovir, Famvir, Valtrex) on the day of the procedure and 3 more days after.

With severe age-related changes in the face, injections of hyaluronic acid may be ineffective.
The effect will be in any case, but not as pronounced as if the patient turns at a younger age. As in any field of medicine, in cosmetology it is much easier to prevent a problem than to treat it.


Hyaluronic acid injections are not addictive.

No, hyaluronic acid is not addictive. Neither HA-based fillers nor biorevitalizants have a withdrawal symptom. They simply make up for the lack of HA in the body (in the case of fillers, the lack of tissue volume, move the tissue). The whole problem is that as soon as GC is completely biodegradable (excreted from tissues), age-related changes will return. Alas, the drug has not yet been invented, which once and for all will adjust the quality of the skin and the architecture of the face.



Injections have contraindications.

These are common contraindications for most invasive procedures: pregnancy, the period of breastfeeding, severe somatic diseases, infectious processes in the injection area, oncological diseases, increased body temperature, and the formation of keloid scars.

With caution, it is worth injecting HA with patients with chronic tonsillitis, frequent tonsillitis, and other diseases associated with beta-hemolytic streptococcus A. This is due to the peculiarity of the synthesis of HA. Moreover, in serums and creams, all of these patients with HA can be safely used.


To fill the shortage of hyaluronic acid, you can also use food.

About stimulation – this is doubtful. But products containing hyaluronic acid exist. Most of it (like collagen, by the way) is in jellied meat and poultry, in cartilage, ears, tails. Also, a fairly large amount of hyaluronic acid is present in soybeans and soy products. It is believed that trace elements contained in red wine can stimulate the synthesis of HA, which is very doubtful, because for this, this drink will have to be consumed in doses bordering on alcoholism.


Hyaluronic acid is used for hair care.

High molecular weight hyaluronic acid is able to envelop hair, creating a film on it that prevents damage. But in my opinion, preparations with keratin and ceramides are more effective and physiological. But for the treatment of scalp, you can use HA in the form of injections, but only in cocktails with vitamins and minerals.


Creams with hyaluronic acid can not be used in winter.

Creams with hyaluronic acid, like serums, can be used at any time of the year. It is important to remember that in winter, any cream, especially moisturizing, should be applied to the face with a mininum 30 minutes, or better, an hour before going outside. Well, a lot depends on the quality of the components of this cream. HA injections in the winter are a salvation for skin that has been withered by the heating season and temperature drops.

Hyaluronic acid injections are more effective than serum.

If it’s rough, then the skin consists of two layers: the epidermis (superficial) and the dermis (deep layer), between them there is a partition – the basement membrane. So, external remedies and injections work on different layers. Therefore, the statement is which is better, cream or syringe? – fundamentally wrong! For skin health, you need both. Often, at a young age, we can do only with creams and serums, since our own HA is still synthesized in the dermis, but with age (after 30-35 years), HA synthesis practically stops and you have to resort to the creation of a depot by injection.

Hyaluronic acid is not only an anti-aging component.

The introduction of hyaluronic acid, like any other drug should be carried out strictly according to the indications. We treat not age, we treat the patient. There is a situation when young skin needs external support, in particular the introduction of hyaluronic acid. But there are practically no situations when a 40+ girl doesn’t need her!

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