Armando Boccieri - Gobba Nasale

Hyaluronan is a polysaccharide, i.e. a type of sugar, that exists naturally in the organism and is a fundamental constituent of the connective tissue. The hyaluronan used as a filler is a synthetic product identical to the substance present in the human body but modified in its chemical bonds so as to increase its stability. It can be used to fill lines and wrinkles in the face or reshape lips and/or cheekbones so as to enhance their definition and volume.

Hyaluronan is completely resorbable and preferable as such to nonresorbable fillers because of the risks and complications that the latter have frequently demonstrated over the years. The time required for resorption is variable and individual, and depends on various factors like age, type of skin, and location of implant. It takes 4–7 months on average.

Hyaluronan is injected into the dermis with a very fine needle. The depth of the injection depends on whether its purpose is to eliminate a wrinkle or enhance the volume and definition of lips, for example. Slight redness appears immediately after treatment but disappears in the space of a few hours with no need for medication.

A completely safe and natural substance, hyaluronan has been used for aesthetic purposes on millions of patients over the last few years and there are numerous histological and clinical studies demonstrating its tolerability and effectiveness. The primary uses are filling in facial wrinkles and reshaping lips and cheekbones. The injection is not normally painful but the application of an anaesthetic cream before treatment can prove advisable. The use of very fine needles means that only slight discomfort is felt, which varies in relation to the area involved and the individual threshold of pain awareness.

Slight reactions are common immediately after treatment as the natural consequence of the injections. The most frequent are reddening, swelling, itching, pain, and hematoma. These generally disappear spontaneously in a few hours.

While the effect is immediate, it should be borne in mind that the definitive result is seen about 2–3 days after treatment. Hyaluronan can be combined both with other forms of treatment by injection, such as Botox, and with surgical operations such as rhinoplasty and blepharoplasty.


This patient complained of flattening of the cheek bones but was unwilling to undergo a surgical operation and requested a reversible form of treatment so that she could see for herself whether the effect was naturala.


Injections of hyaluronan were administered after precise mapping of the areas to be addressed in order to avoid asymmetry and any filling in the wrong place.



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