Wrinkle injection and volume restoration with hyaluronic acid
Hyaluronic acid is a substance produced by the body and one of the most thoroughly studied active substances in aesthetic medicine. This page explains in factual terms how an injection changes volume and contour, how an appointment proceeds and what matters for safety and tolerability — without promises, with the standard of evidence-oriented patient information.
“Filler” and hyaluronic acid — what is meant
In everyday speech, people often refer to “fillers” or “injection”. The medically correct term is in most cases hyaluronic acid — a natural component of the skin that binds water and gives tissue volume and resilience. With increasing age the body’s own share declines; an injection can specifically compensate.
The practice exclusively uses hyaluronic acid preparations approved in Germany. Which preparation is suitable depends on the area and the treatment goal — fine lines require a different material than a volume restoration at the cheek.
The holistic view
Individual wrinkles can rarely be considered in isolation. An assessment of facial proportions as a whole is sensible — the holistic hyaluronic acid concept describes this coordinated treatment approach.
How hyaluronic acid fillers work
Hyaluronic acid binds many times its own weight in water. When introduced into the skin, it creates volume, supports sagging tissue and can soften wrinkles from within. Depending on the properties of the material, the focus lies more on fine smoothing or on structural volume restoration.
The effect is temporary: the body breaks down hyaluronic acid over the course of months. The treatment goal is a harmonious, natural-looking contour — not a “filled-up” appearance.
Which areas are treated
An injection with hyaluronic acid is suitable for wrinkle smoothing, contouring and volume restoration. Which area is appropriate in your case results from an individual analysis of facial proportions. A selection of typical application areas:
Chin augmentation
Contouring and projection of the chin for a balanced profile.
To chin augmentation →How a treatment proceeds
History and analysis
In conversation, wishes, prior treatments and possible contraindications are clarified. Facial proportions are assessed in context — they determine which areas are treated.
The treatment
The hyaluronic acid is introduced via a fine needle or a blunt cannula. Many preparations already contain a local anaesthetic, which makes the treatment more comfortable.
Aftercare instructions
You receive specific guidance for the hours and days after the treatment — for example regarding sport, heat and pressure on the treated area.
Result
A first result is usually visible immediately. The final result becomes apparent once any swelling has subsided — usually within one to two weeks.
Follow-up
If needed, a follow-up review is possible to assess the result and fine-tune it if necessary.
Tolerability, reversibility and anaesthesiological background
Hyaluronic acid fillers are generally well tolerated when applied professionally and anatomically correctly. Common accompanying effects are transient and mild: swelling, pressure sensitivity or small bruises at the injection sites.
An important safety aspect: hyaluronic acid is fundamentally dissolvable. With the enzyme hyaluronidase, a result can be corrected or fully reversed if needed — more on this at dissolving hyaluronic acid.
Rare but serious complications
The rare but relevant complication of an injection is the accidental occlusion of a blood vessel. Anatomical precision, suitable injection technique and the ability to recognise and immediately treat such a situation are decisive here. For a critical assessment of existing treatments, there is the filler complications & second opinion page.
Why the anaesthesiological background is relevant
Dr. Ackermann is a specialist with anaesthesiological experience. The practised handling of circulatory reactions and emergency situations is particularly useful for a treatment whose rare complications require rapid and confident action.
The treatment is not suitable, among other situations, during pregnancy and breastfeeding or with certain pre-existing conditions or acute inflammations in the treatment area. Possible contraindications are individually checked before each treatment.
What patients often ask
Is the treatment painful?
A fine needle or a blunt cannula is used. As many preparations contain a local anaesthetic, the treatment is usually described as well tolerable.
How long does the result last?
This depends on the area and the material. A period of several months to over a year is usual, after which the body breaks down the hyaluronic acid.
When is the result visible?
A first result is usually visible immediately. The final result becomes apparent once any swelling has subsided, usually within one to two weeks.
Can I work normally afterwards?
As a rule, yes. Slight swelling or small bruises may occur transiently; some aftercare instructions should be observed.
Does the result look natural?
The treatment goal is a harmonious, natural-looking contour. A restrained dosage oriented to proportions is intended specifically to avoid an overfilled appearance.
Is the treatment reversible?
Hyaluronic acid can be dissolved with the enzyme hyaluronidase. A result can thus be corrected if needed — a substantial safety advantage of this substance.
Price orientation
The costs of an injection depend on the material used, the quantity required and the treated area. A flat-rate figure is therefore of limited meaning.
A binding, transparent assessment is provided after the individual analysis in a personal consultation — always before the treatment.
In-depth knowledge
Those who want to understand individual aspects in more detail will find thorough, professionally founded explanations on separate pages:
Anatomie & Sicherheit
Anatomical foundations and safety aspects of hyaluronic acid injection.
Learn more →Recognising complications
What to watch for after an injection and when medical advice is needed.
Learn more →Substances against skin ageing
What the science actually demonstrates about substances for skin ageing.
Learn more →From Erlangen, Nuremberg and the region
The practice is located in Herzogenaurach, conveniently within the Nuremberg metropolitan area. From Erlangen it is reachable in about a quarter of an hour, from Fürth and Nuremberg in about twenty to thirty minutes.
Many patients consciously take this route — for a treatment with hyaluronic acid that follows facial architecture instead of simply filling up volume. The focus is on a restrained, harmonious result and the anaesthesiological background of the practice, which stands for particular care regarding vascular anatomy and safety.
Herzogenaurach · Erlangen · Nürnberg · Fürth · Höchstadt · Forchheim
Appointment at the practice in Herzogenaurach
The Harmony of Aesthetics practice is located in Herzogenaurach and is easily reachable from Erlangen, Nuremberg, Fürth and Höchstadt. Arrange an appointment for a personal, factual consultation.
Book online appointmentThis page serves general patient information and does not replace a medical consultation. Whether a treatment with hyaluronic acid is sensible and suitable in your case can only be assessed after individual examination.
Skin Analysis
Wrinkles & Muscle Relaxants
Bio-Regeneration (Skin Quality)
HIFU Lifting
Primary Care Support
Tension & Pain
Hair Health & Hair Loss
Skin Diseases
Drip Spa & Infusion Medicine
