Hyaluronic acid in Barcelona

What it is and when it makes sense

Hyaluronic acid is a molecule already present in your skin and tissues; its role is to retain water and support volume. In aesthetic medicine it is used as an injectable gel with different cross-linking properties — more fluid or denser — depending on the area being treated.

It makes sense when there is a real loss of volume or a structural asymmetry that benefits from precise correction: lips that have lost definition, cheekbones that have descended, a short chin that breaks facial proportion, a marked nasolabial fold, or hollow under-eyes.

It does not make sense as an automatic response to every wrinkle or as an attempt to "rejuvenate" without a proper diagnosis. A good hyaluronic acid treatment begins by deciding where not to place it.

My approach

Before touching a syringe I study the architecture of your face: what has changed, what is part of your identity, and which area actually holds the balance. The same amount of product can either rejuvenate or disfigure a face depending on the exact point it is placed.

I work with the leading brands on the market — Juvederm, Restylane, Teosyal, Belotero — and the choice of one over another responds neither to price nor habit, but to the density, rheology and behaviour that specific area needs in your case. I use cannula where it reduces vascular risk and needle where it adds precision.

What the consultation looks like

The first visit is an assessment: I listen to what concerns you, study your face at rest and in motion, and propose a realistic plan — what makes sense to do today, and what is better postponed.

If we move forward, the treatment is performed the same visit or at a second appointment. I apply topical anaesthetic when required; the products I use include lidocaine to reduce discomfort. Sessions typically last 30 to 45 minutes.

What to expect and how long results last

The effect is visible immediately, though the final result appears at 2–3 weeks, once the product has integrated with the tissue and any residual inflammation has resolved. Duration varies by area: in lips 6 to 9 months; in cheekbones, chin and jawline contour 12 to 18 months; in the under-eye area often longer due to reduced mobility.

Hyaluronic acid is reversible: if the outcome does not convince you, or there is a complication, an enzyme — hyaluronidase — dissolves it. This is one of the reasons it remains the safest injectable material in aesthetic medicine, always in experienced hands.

When I DO NOT recommend this treatment

I do not inject hyaluronic acid when the aesthetic demand conceals a different problem: a global loss of volume that needs biostimulation before filler; marked laxity that a filler alone would worsen; or expectations that do not match what the technique can deliver.

Nor do I inject when medical contraindications apply — active autoimmune flare, infection at the site, pregnancy or breastfeeding — or when the patient is seeking a radical change that would break their identity. Saying no is as much part of the treatment as saying yes.

Frequently asked questions