Hyaluronic Acid Injection (Temples, Hollow Cheeks, Nasolabial Folds, Cheeks, Marionette Lines: Restylane Lyft, Juvederm VOLIFT, Juvederm VOLBELLA), Baby Collagen (Under Eyes)

Treatment details: Hyaluronic Acid Injection (Temples, Hollow Cheeks, Nasolabial Folds, Cheeks, Marionette Lines: Restylane Lyft, Juvederm VOLIFT, Juvederm VOLBELLA), Baby Collagen (Under Eyes)

Volume loss here was spread across the midface rather than confined to a single fold, so treating only the nasolabial lines would have left the underlying support unaddressed. Restylane Lyft was placed at the temples and hollow cheeks where firmer support is needed, Juvederm VOLIFT along the nasolabial folds and cheeks, and VOLBELLA at the marionette lines where finer material sits better. Baby Collagen was added under the eyes, an area where thin skin makes hyaluronic acid prone to showing a bluish tone. The one month photograph shows the settled result after early swelling resolved. Asymmetry can occur with work across several areas and is reviewed at the follow up visit.

Hyaluronic acid placed in the temples and deep cheek sits close to important vessels and nerves, so bruising, tenderness, and swelling for several days are usual and pressure sensitivity can last longer. Product may be felt as a firm area, shift slightly with facial movement, or look bluish through thin skin, an effect known as Tyndall. Asymmetry is reviewed and adjusted later. Vascular occlusion with skin damage or loss of vision is rare, and hyaluronidase is kept for emergency use.

The skin beneath the eyes is thin, so pinpoint bruising after injection is common and can take one to two weeks to clear, and morning puffiness may appear during that period. Small raised areas or slight unevenness can be felt for a few weeks. Differences between the two sides sometimes need a further session. Collagen is absorbed within months, so the change is temporary. Infection and lasting nodules are uncommon at these small volumes.