Woman with closed eyes applying moisturizer on face.

Facial Hydrofilling – A ‘Youthful’ Solution

Even today, an individual’s appearance influences how they are perceived socially and in their careers. Popular culture and media icons endorse the portrayal of radiant, flawless skin free from wrinkles. A youthful, supple skin is considered the benchmark of attractiveness.

The search for younger and healthier-looking skin and advances in cosmetic procedures drive people to seek safer, non-invasive solutions. A recent American Society for Dermatologic Surgery survey noted that 79-80% of patients have issues with changing skin texture, lines, and facial wrinkles.

This is where facial hydrofilling comes into the picture.

Facial hydrofilling is a cosmetic treatment that promises to rejuvenate one’s appearance and reverse the signs of aging. A trained cosmetic specialist injects dermal fillers into specific facial regions to enhance brightness, replenish lost volume, smoothen wrinkles, and create a radiant, youthful look.

Different fillers are available; some, like hyaluronic acid fillers, keep the skin hydrated, while others, such as calcium hydroxylapatite fillers, stimulate collagen production for longer-lasting results.

Aging and the Skin

Senescence is a result of complex mechanisms at the tissue level. As we age, reduced hyaluronic acid and elastin levels manifest in the skin’s lowered water-holding capacity and dehydrate it.

Collagen production (types I and III) experiences a hit due to diminishing fibroblast population and activity. Besides intrinsic factors, extrinsic agents like smoking, pollution, and UV light accelerate aging.

Additional skin changes with aging include:

  • Loss of elasticity;
  • Dryness;
  • Skin thinning;
  • Decreased blood supply, causing fragile skin;
  • Pigmentation.

These physiological effects are visible as wrinkles, a receding hairline, deepening nasolabial folds, sagginess, drooping of eyelids, and under-eye hollows, among others. These age-related changes are particularly prominent on the face, leading many individuals to seek effective solutions for facial rejuvenation.

The Rejuvenating Effects of Hyaluronic Acid

Hyaluronic acid (HA) is a long-chain glycosaminoglycan (GAG) found in all major body connective tissues, extracellular fluid, and organ systems.

Interestingly, the skin houses approximately 50% of the body’s HA. It is a true multi-tasker, acting as a lubricant, transport medium, and hydration agent. HA enhances skin structure and firmness by binding with collagen and elastin. Its ability to retain water and maintain the osmotic and ionic balance imparts to the skin its ‘plump’ appearance.

Depending on the user’s preferences, hyaluronic acid is available in creams, gels, serums, face masks, and fillers. However, injectable forms of HA perform better than topical ones due to their ability to penetrate well below the epidermis.

Skin boosters may be ideal for patients looking for hydrated and ‘plump’ skin but hesitant about using dermal fillers. Restylane Vital and Vital Light variants are non-animal stabilized hyaluronic acid (NASHA) based skin boosters  that enhance skin radiance, elasticity, and firmness without adding extra volume. NASHA’s high biocompatibility and novel stabilization technology make it among the safest filler materials for cosmetic treatments.

Indications & Contraindications

Patients affected with one or more of the following conditions can benefit from the ‘skin-deep’ effects of facial hydrofilling .

Acceptable Cases:

  1. Dry skin;
  2. Wrinkles and fine lines;
  3. Loss of facial volume in lips, cheeks, and under-eye region;
  4. Uneven skin tone;
  5. Lusterless skin;
  6. Pitted acne scars, especially rolling and box scars.

Although hydrofilling doesn’t extend beyond superficial skin layers, certain situations may call for postponing the procedure or adopting an alternative approach.

Proceed with Care

  • Pregnant or lactating females;
  • Any active infections, inflammation, or tumors in the treatment area;
  • Bleeding disorders, such as hemophilia and the Von Willebrand disease;
  • Patients with documented allergies to hyaluronic acid and its formulations;
  • Cases like deep folds and wrinkles which may benefit from other treatments;
  • Risk of keloidal lesions.

Nevertheless, proper planning and interventions can mitigate most of these conditions.

Patient Selection: Choosing the Best Fit

Understanding patient expectations and balancing them with the scope of treatment is the key to a successful facial rejuvenation procedure. Practitioners must evaluate the patient’s suitability when considering a skin booster treatment. It’s important to be truthful about what the treatment can achieve.

Skinboosters may be appropriate if the patient wants to improve their skin quality, but they won’t work as well for the deeper layers of the face. However, they can be used in adjunct with other therapies to address volume loss, improve hydration and smoothness, and achieve better overall results.

Apart from understanding symptoms, patient selection depends on proper psychological evaluation. Asking them to fill out satisfaction questionnaires is a helpful starting point. Additionally, many clinicians prioritize initial skin quality over the patient’s age. Skin quality analysis is possible by examining its tone, surface firmness, and glow.

Facial Hydrofilling with Restylane

An important reason for the growing popularity of facial hydrofilling with Restylane Vital among patients is the considerably short treatment time coupled with long-lasting effects. Treatment sessions are usually brief, usually lasting 15 to 45 minutes, and produce immediate results.

The technique involves a series of tiny injections that are placed subcutaneously using sharp needles or blunt cannulas, with the latter being preferable for its high patient comfort. Following the recommended injection guidelines for the specific treatment area helps achieve the best results.

The approved treatment protocol for Restylane Vital includes three initial treatments spaced one month apart and two supplementary treatments after six months. However, with ongoing studies in this field, clinicians are tailoring the regimen to cater to patients’ needs and preferences. This is realistic as long as safety remains a priority.

The updated treatment plan suggests two or three initial treatments with a month’s gap between each. A supplement of two additional treatments spaced 9-12 months later helps maintain results.

Although skin hydration is already visibly improved after the first session, multiple treatments will be necessary to properly stimulate fibroblasts and kickstart collagen production.

When To Choose Restylane Vital and Restylane Vital Light?

Different skin types pose unique challenges. Tackling them requires carefully analyzing several factors that give the skin its appearance and texture. When selecting a skin booster, it’s essential to consider its ability to address issues such as skin laxity, dehydration, wrinkles, and degeneration.

Restylane Skinboosters Vital can be a viable treatment option for individuals with Type A skin, as it offers substantial tissue coverage with a moderate lifting effect. Conversely, those with Type B skin may benefit more from Restylane Skinboosters Vital Light, which provides less tissue coverage and minimal lifting capacity.


Attribute Restylane Vital Restylane Vital Light
Optimal For Type A skin – mature, thicker, partially photo-damaged, with more covering tissue Type B skin – delicate, younger, thinner, relatively sensitive skin with less covering tissue
Treatment Zones Hands, upper arms, face, neck, décolletage Hands, upper arms, face, neck, décolletage
Chemical Composition 20 mg/ml stabilized hyalurone with or without 0.3% lidocaine 12 mg/ml stabilized hyalurone with or without 0.3% lidocaine
Injection Depth Subcutaneous Subcutaneous
Tissue Lifting Capacity Low Minimal
Tissue Coverage Strong Average to weak

It’s vital to take the time to choose a skin booster tailored to each patient’s unique facial features. This will help ensure the best possible outcome for their treatment. Regarding the longevity of results, the benefits of Restylane Vital Light can last up to nine months, while Restylane Vital lasts up to 12 months.

Facial Hydrofilling: The Positives

As a part of evaluating its benefits, a study1 reveals that Restylane® Skinboosters can stimulate procollagen and Type I collagen production (in intradermal layers).

As a non-invasive procedure, using Restylane for hydrofilling offers advantages such as:

  • Natural-looking skin;
  • Improved skin brightness;
  • Enhanced skin elasticity;
  • Better skin moisture.

Besides offering a quick recovery time, this procedure is versatile and can be customized to suit individual patient needs.

The Challenges of Injecting Skinboosters

Facial hydrofilling with Restylane Skinboosters is a safe procedure with minimal risk of adverse effects. The effects are usually short-term, mild, and manageable. The most common ones include:

  • Injection-associated consequences include pain, redness (erythema), hematoma, itching, and discomfort;
  • Nodules or lumps under the skin at the injection site;
  • Foreign-body granuloma;
  • Superficial necrosis due to vascular blockage;
  • Allergic reaction to hyaluronic acid;
  • Infection;
  • Papules;
  • Improper technique resulting in an irregular facial contour;
  • Post-inflammatory hyperpigmentation.

In the hands of a well-trained cosmetic specialist, the chances of complications are exceedingly low. This emphasizes the importance of seeking experienced professionals with expertise in the field to ensure the best possible outcome.

The Way Forward

Experts predict that the value of the facial rejuvenation market will reach $16.7 billion by 2030 . Hyaluronic acid skin boosters are a cutting-edge alternative to traditional cosmetic procedures. With immediate results, minimal downtime, and a proven track record, this procedure has helped countless individuals regain their self-confidence.

However, it’s essential to approach facial hydrofilling carefully and identify potential risks. Understanding how HA interacts with different skin layers and components can help develop better anti-aging solutions. With evolving technology and techniques, the future of facial rejuvenation through hydrofilling looks very promising.


What is hydrofilling?

Hydrofilling is a non-invasive cosmetic procedure where an injectable filler is inserted in the dermis to enhance skin hydration and elasticity. Several molecules like poly-L-lactic acid, calcium hydroxylapatite, polymethyl methacrylate (PMMA), and collagen are known for their hydration effects. However, hyaluronic acid remains the most effective and popular skin revitalization compound.

What are the side effects of Restylane Vital Light?

Like any cosmetic medical procedure, Restylane Vital Light is associated with temporary complications like pain, injection site inflammation, bruising, discomfort, infection, nodules, and lumps. Foreign granulomas are seen in rare cases. Patients sensitive to hyaluronic acid or its derivatives are at risk of allergic reactions.

What is a Restylane Skinbooster?

Restylane Skinboosters are an injectable form of NASHA gel that aims to rejuvenate aging skin by increasing tone and elasticity. They are administered superficially (subcutaneous or intradermal region). Depending on the target area and concentration, Restylane Vital and Vital Light are used to obtain optimal benefits.


  1. Rejuvenating Effects of Facial Hydrofilling using Restylane Vital
  2. Restylane® Skinboosters™ for the improvement of skin quality – Results of a consensus meeting
  3. Skin Quality – A Holistic 360° View: Consensus Results
  4. A randomized study showing improved skin quality and aesthetic appearance of dorsal hands after hyaluronic acid gel treatment in a Chinese population
  5. Hyaluronic acid: A key molecule in skin aging