Hyaluronic Acid Lausanne

Whether the injection looks natural or not depends on the philosophy of the cosmetic surgeon consulted for your project.

Indeed, Dr. Smarrito For many years, he has advocated and taught respect for anatomy. Injections can enhance and rejuvenate, but certainly not the current trend toward transformation. Everyone has seen overly plumped lips, impressive cheekbones, and distorted, moon-like faces on social media and television shows.

This isn't medicine; it's transformation. We must avoid this kind of practice and not allow those who engage in these excesses at the expense of patients to have free rein. An injection must respect the anatomy; the volume must be controlled to avoid complications. In cases of excess, the complications include compression. Furthermore, the aesthetic result depends not on the quantity but on the shape.

Yes! It's perfectly possible to achieve a natural look that will delight you when you see yourself in the mirror. This result will please your family and add an aesthetic touch. You can also opt for a sexier look, but certainly not one that transforms you to the point where people don't recognize you.

Reservations can be canceled or changed free of charge up to XNUMX days before arrival. If the reservation is canceled or changed from XNUMX days before arrival, a fee of XNUMX% of the travel price may be due. This also applies to early departures. Cancellation is unpleasant for both parties. We therefore recommend that you take out travel cancellation insurance. As something can always happen before your vacation, we would like to draw your attention to our cooperation with Allianz Versicherung. You can take out travel cancellation insurance under the following link: https://www.allianzdirect.de/reiseversicherung/

Reservations can be canceled or changed free of charge up to XNUMX days before arrival. If the reservation is canceled or changed from XNUMX days before arrival, a fee of XNUMX% of the travel price may be due. This also applies to early departures. Cancellation is unpleasant for both parties. We therefore recommend that you take out travel cancellation insurance. As something can always happen before your vacation, we would like to draw your attention to our cooperation with Allianz Versicherung. You can take out travel cancellation insurance under the following link: https://www.allianzdirect.de/reiseversicherung/

Often, patients call Dr.'s secretaries. Smarrito To find out the price of a syringe of hyaluronic acid, we understand the initial impulse, but it's no longer in line with current practices. Many clinics advertise, but the person performing the injections is completely hidden behind the sign, or even nonexistent. Thus, the main selling point of these clinics is a low price, sometimes even leading to fierce competition among Lausanne clinics to see who can offer the lowest price for hyaluronic acid. This isn't a reliable way to compare doctors or clinics, as there are numerous laboratories, products, and varying qualities of hyaluronic acid, resulting in a wide range of prices. You could end up with a low-priced injection using a low-quality product whose long-term effectiveness is uncertain, and which could even lead to side effects like granulomas.

It is often preferable to have a fair price.  

The cost of an injection isn't solely determined by the product itself. Doctors aren't pharmacists who simply dispense medication; doctors primarily make a diagnosis and, based on the indication, select the appropriate product. For example, within the Stylage range, some products are designed for superficial injections, while others are for deep injections. The price of these products can vary significantly depending on the indication and the specific characteristics of the product.

 Doctor Smarrito You will be seen for a standard cosmetic medicine consultation and will receive a comprehensive quote, including one or more injections, or even several sessions over time. Therefore, the receptionist will not answer questions about the price per syringe. A package deal is offered. We strive to ensure that the price is as fair and medically accurate as possible.

 It's important to note that when it comes to cost, if you want results with hyaluronic acid, you have to be prepared to pay the price. It's a real financial investment because the surgeon needs to be able to purchase the highest-performing product and, above all, inject the precise amount, or even the number of injections, required to achieve your desired outcome. Otherwise, the objective won't be met, and the result will be disappointing, or even unstable over time.

 For information regarding pricing, please contact the office. A consultation will be conducted, and at the end of the consultation, you will receive a detailed quote.

Doctor Smarrito hates Russian lips.

Russian lips is a term referring to the over-correction of the lips for a so-called glamorous effect, very trendy at the moment, especially on social media and for the millennial generation.

This technique is not anatomically sound. In fact, it will distort the various lines of the anatomy. In this context, Dr. Smarrito conducted a study, over more than 3 years, starting with dissection of cadavers after injection and reflecting on a new philosophy of lip injection.

The Russian lips, also called "BEE-STUNG Lips" and going to the extreme "Heart-Shaped Lips", or even delusions like the devil's lips where doctors, if you can call them doctors, inject the lips to make 2 points like the devil's horns.

The Bibi Lips technique is a serious technique that respects the 2 anatomical planes, which are the dermis and the muscle, which uses a needle on the surface and a cannula in depth so as not to injure the artery of the lip, which blends the product with a light product (Stylage Lips) on the surface to give a beautiful contour line to the lips and a product underneath (Stylage Lips plus), which is more volumizing.

A study published in an international journal, conducted by Dr. SmarritoThe study demonstrated the absence of complications following these injections and good stability over a period of more than a year. Furthermore, the term "Bi-Bi" also refers to the ceremonial hat that is a hallmark of French elegance. This play on words is significant because, in fact, the goal of this injection is to give charm and character to the lips, not to create inflatable doll lips.

The doctor. Smarrito He does not practice the Russian Lips technique, as you will have understood.

Hyaluronic acid is a medical device; it is a gel like modeling clay that will allow hydration of the dermis and subdermis, but also to give volume on the spot, either micro-volume for fine lines or wrinkles, or significant modules to reshape a cheek, lift a zygomatic arch, sculpt the contour of the mandible (called Jauline), improve the aesthetic appearance of the nose, beautify a lip or simply plump the hands or rehydrate the décolleté.

Botulinum toxin, whose best-known brand name is Botox but which currently has other trade names such as Belotero or Alluzience or Azzallure, is a medicine, in this sense it is governed by the rules on Swiss medicines and SWISSMEDIC, therefore advertising for this product is prohibited.

Botulinum toxin has a completely different mechanism of action than hyaluronic acid. It is now a synthetic product that allows for the modulation of muscle activity. It is certainly possible to block the muscle, leading to a decrease in contraction and therefore in mechanical wrinkles over the muscle, but also to simply modulate muscle tone to soften the appearance of fine lines or light expression lines.

Only doctors can inject these products. Dr. Smarrito has extensive expertise in the practice of both botulinum toxin and hyaluronic acid. It should be noted that sometimes both must be combined to achieve the desired result.

The use of botulinum toxin in wrinkles requires the advice of a surgeon because sometimes muscle contraction is just a defense mechanism in relation to excess skin or sagging of the same, as in the case of the eyelids.

Often, forehead wrinkles are caused by the need for eyelid surgery. Injecting botulinum toxin into this area can lead to unsightly drooping of the eyelids. It is advisable to have botulinum toxin and hyaluronic acid injections performed by a cosmetic surgeon to obtain a comprehensive assessment and understand all the options available for your facial aesthetic goals.

A consultation is carried out and you must inform the doctor of any medical element that could constitute a contraindication, such as pregnancy, the presence of an autoimmune disease, the use of products that cause bleeding or anticoagulants, a chronic disease or a recent disease.

It is also very important to compile a list of injections that have already been performed. Some products that have produced granulomas in the past can be reactivated by a simple injection of hyaluronic acid; for example, Aqualyx has a tendency to cause premature granulomas and should not be reactivated by injection. A complete list of products injected into the areas during the project is crucial.

Taking arnica is possible, but arnica, as used in homeopathy, thins the blood. Using helichrysum will be much more beneficial after the injection to reduce swelling and even bruising.

It is advisable to buy a mask with beads to apply cold after the injection and some compresses which are moistened to provide relief, especially during lip injections.

You must absolutely not be pregnant or breastfeeding when receiving these injections. This is simply a perfectly understandable safety measure.

Dr.'s team Smarrito They will be able to provide you with all the necessary information if you have any doubts regarding precautions or contraindications. However, the medical decision rests solely with a doctor during a consultation.

Depending on the area, small procedures will be implemented to reduce swelling, promote comfort and achieve a more stable result over time.

 As always, reducing or stopping smoking is beneficial because the better vascularized the tissue, the greater the water supply to the hyaluronic acid will be, and the more generous and stable the effect of the product will be over time.

We make extensive use of homeopathy, especially after injection, to reduce transient edema, or even to erase possible bruises or contusions, particularly with preparations of the helichrysum type (immortelle flowers, the Curry plant).

 Dr.'s team Smarrito We remain available for any advice or to address any concerns following an injection. Furthermore, there are safety measures to be followed, and instructions will be given, particularly in case of unexplained pain, whitening of the area, or worse, the appearance of a dark spot, which may indicate a vascular complication.

No. First, slight swelling is possible immediately after the hyaluronic acid procedure, particularly in the lips, which may swell considerably for 24 to 48 hours. You should anticipate this socially and inform those around you, as this is not the final result. The result will be much more stable after a few weeks. If anything seems abnormal, a touch-up is possible, usually performed about two weeks later to make adjustments.

It's important to note that injections cannot correct asymmetry. Anatomy is inherently asymmetrical, and a product like hyaluronic acid doesn't have enough strength to correct tissue or morphological asymmetries, often caused by bone structure. Therefore, expect an overcorrection for the first two days, which will gradually subside, and sometimes bruising at the injection site that will take between one and seven days to disappear. Fortunately, makeup can be applied.

 It is perfectly possible to reapply makeup to the injection area immediately after the injection. Just be careful not to apply foundation to the area where the cannula or microneedle was inserted, to prevent the product from getting into the area. Note that this area will close within a few hours, and it is then perfectly possible to apply makeup or conceal any swelling or bruising.

Many brands offer a professional range of post-procedure makeup. It's worth noting that green concealer sticks are very useful because they neutralize redness and allow for the application of a full-coverage foundation, such as the one from Avène, which matches your skin tone and can be found in pharmacies. This helps to conceal the area during the transitional phase when it might be more visible.

Doctor SMARRITO Follow-up appointments are scheduled after injections as needed, or routinely based on the treatment plan established during the initial consultation. Touch-ups are free. However, if additional product is needed, volume is increased, or a different result is desired from the previous injection, or if a comprehensive year-long plan is required to enhance the appearance of, for example, the lips or the entire face, these are no longer considered touch-ups but rather new procedures or additional treatments that will be billed or included in an annual follow-up package. Please feel free to discuss this with Dr. SMARRITO whether you want a one-off injection or if you are investing in a progressive improvement of the beauty of your face, hands or décolletage with several sessions planned. 

Allergies to hyaluronic acid are extremely rare. They mainly manifest as swelling, or edema—a sort of local hyperreaction. These reactions are often caused not by the hyaluronic acid itself, but by the excipient or the liquid containing the hyaluronic acid.

These reactions are very rare, but they do occur. If you have a known or documented predisposition, you should mention it during your initial consultation. The doctor will then be able to determine if a test is necessary before administering the injection. In most cases, these extremely rare reactions are mild and require neither hospitalization nor specific treatment.

In more serious cases, the clinic is equipped to counteract any excessive allergic-type reactions. Allergies should be distinguished from side effects such as compression or intravascular absorption of hyaluronic acid, which must be immediately corrected by injecting the antidote, hyaluronidase. Similarly, reactions to foreign bodies (formation of an inflammatory capsule) that persist over time are extremely rare with hyaluronic acid in general.

Doctor SMARRITO has been using STYLAGE hyaluronic acid for many years and is also a world reference on the subject, has participated in the development of the safety notices for the products and has never observed granuloma on STYLAGE.

Doctor SMARRITO He admits at world conferences that when he was a young surgeon, he was impressed by the term "acid" and didn't quite understand why acid was injected under the skin to create volume. In fact, it's the purely molecular description in organic chemistry of the structure in the space of hyaluronic acid.

Indeed, as early as 1934, Karl Meyer and John Palmer , from the Department of Ophthalmology at Columbia University, isolated a new polysaccharide sugar from the vitreous humor of a bovine and combined two chemical terms from its structure to name it: uronic acid and hexosamine. Thus, they called this polysaccharide "hyaluronic acid" ( from the Greek hyalos = vitreous body and uronic because it contains a large amount of uronic acid ). In fact, in the body, this acid behaves like a salt (sodium hyaluronate).

Hyaluronic acid is therefore a "sugar" which is processed to be injected safely and also to have good stability in the body.

However, patients will not feel any acidity during the injection. This is the opposite of, for example, anesthetic products used by dentists, which, due to their acidity, generally cause pain during injection.

Therefore, there is no need to fear this word, which is simply a description of the arrangement of the molecules that form hyaluronic acid in space.

The consultation is important. Dr. SMARRITO will always achieve a 1^st A consultation is required before any injections. This consultation allows the doctor to define the treatment plan, create a medical file, and develop a comprehensive strategy. In Switzerland, hyaluronic acid injections are restricted to physicians because the product is absorbed within 30 days. This is the law. However, experience shows that the diagnosis is far more important than simply choosing the type or brand of syringes, as the doctor's level of expertise is crucial. SMARRITO will allow you to mix and match products to achieve the desired result. Furthermore, sometimes Dr. SMARRITO The procedure will be discouraged, either from an aesthetic or a purely medical point of view. Aside from this consultation, the injection lasts between 10 minutes and 1 hour. It's easy to understand that 10 minutes generally corresponds to the injection of a single syringe, while 1 hour can allow for a more comprehensive treatment of the face, hands, and décolleté, with the possibility of multiple injections using cross-linked or non-cross-linked pigment.

Hyaluronic acid is not manufactured by the doctor. It is produced in a cleanroom environment by certified laboratories, generally quite specialized. It is very important to be very careful and not to buy hyaluronic acid online, as counterfeit products are circulating. Boxes of STYLAGE-type hyaluronic acid have a label that allows the surgeon to track and identify the product batch, which is standard for industrial traceability. This label also contains magnetic lines that attest to the product's authenticity. While non-crosslinked hyaluronic acid can be mixed with other products such as vitamin E, DMAE, and MCTFs, it cannot be properly synthesized by a cosmetic surgeon.

In creams, the hyaluronic acid present is non-crosslinked. It is there to provide hydration which, in the case of the cream, remains very superficial, since it does not penetrate beyond the simple skin barrier and the dermis.

In the realm of injections, hyaluronic acid is either cross-linked or non-cross-linked. Non-cross-linked hyaluronic acid is used primarily in mesotherapy treatments due to its hydrophilic properties, which allow for excellent hydration, while cross-linked hyaluronic acid is generally used for its volumizing effect. It is not possible to inject a hyaluronic acid-based cream. Furthermore, the concentrations and molecular weight of hyaluronic acid differ significantly between creams and injected hyaluronic acid. Very few hyaluronic acid products are actually used in creams, whereas in injections, pure hyaluronic acid is most often used, resulting in an effect a thousand times greater than that of a surface cream application.

Yes, there is legislation governing the use of hyaluronic acid since it is a medical device and is strictly reserved for doctors.

 The doctor. Smarrito He conducts numerous training courses for future doctors injecting hyaluronic acid worldwide. He can attest that training is essential not only for patient safety but also for understanding the different products to use and, last but not least, for achieving professional results that match the consultation process.

Any medical procedure requires prior medical consultation and also the exclusion of any disease that would be incompatible with the use of hyaluronic acid.

According to publications from Swissmedic and the health authorities of the canton of Vaud as well as the cantonal doctor, beauticians are not authorized to inject hyaluronic acid.

Indeed, on the Swiss market, no hyaluronic acid product is absorbed in less than 3 days. An esthetician can inject a product that will be absorbed, primarily water-based products, but not hyaluronic acid-based products.

The use of a hyalupen, that is to say a high-pressure injection device without needles, does not deviate from the rule since it is an injection.

A wealth of information is available on the website of the Swiss Society of Aesthetic Medicine and on the website of the Canton of Vaud. Unfortunately, many of these offers are also found on social media.

Hyaluronic acid injections should be performed by a professional to achieve a satisfactory and long-lasting effect. Furthermore, the risks of an injection are low, provided the anatomy is understood. The major danger of an injection performed by an esthetician is the risk of injecting into an artery, which can lead to blockages or necrosis.

Furthermore, if we compare the price to the duration of the products and the effectiveness, in the end, the procedure is performed by a doctor or by Dr. Smarrito The expert will be much more profitable since there will be real efficiency and above all less need for touch-ups and reinjection over time.

Hyaluronic acid injection can be performed in a basic way, but there can also be refinements and very sophisticated techniques to obtain the desired effect.

Hyaluronic acid is a resorbable product. It is naturally present in the body, where it is absorbed through the action of hyalase , but also following degradation due to the presence of free radicals. In a way, hyaluronic acid has a natural function in the body, as it serves to hydrate the skin and give volume to the skin and subcutaneous tissue.

Non-absorbable products have generally been abandoned for facial applications because the body often interprets them as a foreign element and tries to defend itself by encapsulating them, creating inflammation, and attempting to reject them through macrophages. This foreign body reaction, unfortunately all too common with past products launched on the market with heavy advertising to last longer than hyaluronic acid, has sometimes led to catastrophic situations, as the resulting granulomas are very difficult to treat.

The absorbable aspect of hyaluronic acid is, according to Dr. Smarrito This is a clear advantage, as it allows the treatment to be adjusted over the course of the sessions, according to the patient's preference. Furthermore, if the patient doesn't like the volumizing effect of hyaluronic acid, it's possible to return to the initial treatment, and there will be no skin deformation thanks to the hyaluronic acid, at least during the first few sessions. Thus, the absorbable nature of hyaluronic acid can also be seen as a possibility for adaptation, which is a real benefit. However, it is true that using hyaluronic acid sometimes requires several injections (several syringes per session) to achieve the desired result, or even several sessions over time.

The only drawback of the absorbable form of hyaluronic acid is the cost, as you have to pay for each new injection. On the other hand, by combining sessions, the price is often much lower than that of surgery.

Doctor Smarrito is an FMH-certified cosmetic doctor who can certainly respond to your request with surgery, but it's a different philosophy regarding the use of fillers.

      This question is often the subject of heated debate at conferences. Dr. Smarrito He has the good fortune to often be the moderator at congresses like IMCAS, it's a non-issue!

Each tool, syringe (flexible or rigid) or cannula (micro-cannula), needles (short needles, long needle), has advantages and disadvantages, but strictly speaking it will also depend on the indication.

Needle work is often more precise and allows for the delivery of droplets to a very specific area. However, it is obvious that a needle is more traumatic than a cannula.

The cannula provides an element of safety, if one is in contact with vascular areas since above a diameter of 25 gouges publications show that there is little risk of having a vascular breach.

We are very attentive to this element since vascular breach can lead to tissue loss, necrosis, embolization inside an artery, which are one of the risks of injection that an expert can avoid in an emergency but which requires a certain know-how.

To avoid these incidents, the use of a cannula, once one is deep inside, seems safer to the entire medical community.

The choice of tool will therefore depend on the desired outcome for the area and the patient's comfort. For example, in the BIBI Lips technique, invented by Dr. Smarrito, Dr. Smarrito explained why a needle should be used on the surface, while a cannula is more suitable for deeper penetration.

Therefore, one should not have a stereotypical attitude when it comes to hyaluronic acid injections, but rather have the know-how and intelligence to adapt the product and the tool to the patient's needs and especially to the anatomical area.

      It is very important before having an injection, to have a medical consultation if you are taking medication or new medications compared to previous injections, you must tell the doctor. Smarrito.

Most of the time, antibiotics do not contraindicate hyaluronic acid injections; however, the disease for which the antibiotic is used may be a contraindication.

Some medications, however, are contraindicated, such as those that can cause bleeding, typically aspirin, anti-inflammatories, and those very clearly prescribed to thin the blood and prevent clotting, such as anticoagulants.

It is sometimes possible to deviate from this rule, but the injections must be superficial, rather mesotherapy type injections, because the risk of injecting deeply into a patient who has anticoagulants could be a risk of very large hematomas in particular in the muscular area which at best will give an unsightly appearance which will last several weeks and at worst can lead to a real formed hematoma.

Therefore, you should always inform your surgeon if you have changed your treatment or if a new condition is being treated.

Yes, it is perfectly possible to have an injection around the lips in case of herpes, however a consultation beforehand, a few weeks before the injection, is favorable since in this context the doctor aware of your history can prescribe you medication and an ointment, since herpes can appear the day before the injection due to stress or just after the injection, given that the needle or cannula can still have a traumatic effect.

Similarly, if a herpes outbreak occurs on the day of an injection, in the area or very close to it, it is best to postpone the session. You can come in for a consultation; the doctor will then prescribe the appropriate treatment if you are not already taking it.

         Doctor SmarritoAs an expert, I strongly advise against injecting hyaluronic acid, or any product, into an area that has been injected with silicone or that currently shows signs of a foreign body granuloma.

Indeed, any injection can reactivate inflammation and therefore accentuate the side effect of these non-absorbable products, which have led to encapsulation or a deleterious effect.

It should be noted that these products are currently banned in Switzerland. All injections of silicone into tissues must be strictly prohibited. Only silicone in breast implants is of interest, but the technology is entirely different.

        In the past, liquid silicone injections were performed, particularly in the lips. The body readily identifies it as an external element and fiercely fights it, resulting in swollen, red, and inflamed lips.

Often, it is an extremely complicated process for patients, since there is no real solution to get rid of silicone injected into the dermis.