Timeless Clinic
Injectables

Hyaluronic Acid Filler

Hyaluronic Acid (also known as transparent quality acid or glass sugar uronic acid) is a substance that originally exists within living organisms. It is easily broken down and absorbed naturally by the human body and belongs to the category of "polysaccharide substances." It is especially present in the dermis and has an extremely strong water-retention capacity. It can not only absorb and retain moisture in the skin tissue, but also slow the appearance of fine lines and depressions, making it one of the skincare and aesthetic-medicine options commonly chosen by the public. Injected hyaluronic acid relies mainly on hyaluronic acid's unique viscosity, permeability, and elasticity, allowing it to serve as a filler that fills depressions across the face. The method involves injecting hyaluronic acid into the dermal tissue to refine facial lines of varying depth, or to make the cheeks, lips, chin, nose, and other areas fuller.

Types and Molecules of Hyaluronic Acid

The natural form of hyaluronic acid is actually liquid, and it is easily absorbed by the human body and lacks supporting structure. Therefore, the reason the hyaluronic acid injected at aesthetic-medicine clinics can have a filling effect comes from the application of a "cross-linking agent." According to hyaluronic acid's "cross-linking composition method," it can be divided into the following three major categories:

  1. Gel-type Hyaluronic Acid

Belonging to monophasic cross-linking, it has higher viscosity and a uniform gel state. The lower the viscosity, the more suitable it is for filling small areas such as eye fine lines, lip contours, and expression lines; the higher the viscosity, the higher its stability within the tissue, and the better its shaping and supporting strength, making it more suitable for deep support and contour shaping.

  1. Particle-type Hyaluronic Acid

Belonging to "biphasic cross-linking," particle-type hyaluronic acid involves a "sieving" step in manufacturing. Hyaluronic acid particles of different sizes can be sieved out according to the size of the sieve holes, and the formulation is distinguished by "molecular size" — what is commonly heard as large-molecule hyaluronic acid and small-molecule hyaluronic acid.

  1. Flexible-type Hyaluronic Acid

Flexible-type hyaluronic acid, based mainly on "cross-linking chains," gives its originally soft nature added toughness, so that even when used in large-volume injections, very good results can be achieved.

Suitable Treatment Areas and Indications for Hyaluronic Acid

Because of the difference in hyaluronic acid molecular size, the degree to which it penetrates the skin also differs. The smaller the molecule, the deeper it can penetrate the skin, but this does not mean that more small molecules is better — each has different effects and suitable areas. Large molecules are harder and more elastic hyaluronic acid; small molecules are softer and smoother hyaluronic acid. Let's look at the common application areas of hyaluronic acid:

Large Molecules

Strong supporting power, suitable for "refining contour lines or shaping the face," such as: depressions of the cheeks (apple muscles), temples, the "marriage palace" (upper outer brow area), cheekbones, nose, chin, cheeks, forehead, etc.

Medium Molecules

Suitable for injection into the mid-layer and deep skin, such as: forehead lines, frown lines, nasolabial folds, marionette lines, some shallow cheek fullness, etc.; sometimes also used in nose augmentation, lip enhancement, or combined with large-molecule injection.

Small Molecules

Suitable for "small-area" refinement and can smooth shallow fine lines, such as: tear troughs, fine lines around the eyes, eye bags, drooping outer eye corners, around the lips, shallow nasolabial folds, and other areas where the skin is thinner; sometimes also used to improve wrinkles on the neck, hands, or chest.

Comparison of Common Hyaluronic Acid Brands on the Market

★Restylane Hyaluronic Acid

It holds three major international official certifications — the US FDA, the EU CE, and Taiwan's Ministry of Health and Welfare — and sells well in over 100 countries worldwide, demonstrating its solid professional trust and market-leading position. It is divided into two major series:

OBT Dynamic Hyaluronic Acid: suitable for emphasizing natural expression and a smooth sense of line.

Using Restylane's exclusive technology, it is designed specifically for areas with frequent facial-expression changes. Through a special cross-linking method and gel adjustment, the product is given high extensibility and flexibility, allowing the hyaluronic acid to flow naturally with muscle movement, making expressions more three-dimensional and lively yet not stiff, creating a youthful face that is dynamic yet natural.

★NASHA Pure Hyaluronic Acid

Featuring high support and refined three-dimensional contours.

Using hydration technology, the product reaches near hydration equilibrium before injection, greatly reducing the chance of post-treatment swelling and edema.

★Neuramis Fairy Hyaluronic Acid (Youmeishi Hyaluronic Acid)

Neuramis (Youmeishi) Fairy Hyaluronic Acid comes from the major Korean biotech company Medytox. Its feature is the use of SHAPE cross-linking technology to create stable hyaluronic acid chains, while also containing anesthetic (lidocaine) to reduce pain during injection. Currently only the large-molecule version is available in Taiwan.

Fairy Hyaluronic Acid — tailor-making your perfect contour

・Cheeks, cheekbones, or chin lines not three-dimensional enough?
→ Fill immediately to create a naturally soft and beautiful contour

・Wrinkles and fine lines troubling your skin's radiance?
→ Smooth the skin and restore youthful firmness and plumpness

・Sunken "marriage palace" making your eyes look tired?
→ Fill the depression and restore a refreshed look

・Want long-lasting, natural hyaluronic acid results?
→ Fairy Hyaluronic Acid lasts long, natural and not stiff

One injection sculpts natural three-dimensional beauty, letting you shine confidently from every angle!

★Hya-Dermis® Hyaluronic Acid

Hya-Dermis® Hyaluronic Acid comes from a highly viscoelastic water micro-crystal developed by Taiwan's Scivision Biotech. Marketed in many European and Asian countries, it uses microbial-fermented purified hyaluronic acid combined with the exclusive CHAP® patented cross-linking technology to create a multiphasic composite particle structure with up to a 98% effective cross-linking ratio, giving the hyaluronic acid superior viscoelasticity and supporting power.

Hya-Dermis Formulations and Suitable Areas

  • Blink (Yellow): Suitable for fine lines around the eyes, tear troughs, and shallow full-face lifting, providing a bright-eyed effect.
  • Kiss (Green): Used for lip enhancement, tear troughs, cheeks (apple muscles), and shallow folds, bringing a natural plumpness.
  • Smile (Peach Red): Improves cheeks (apple muscles), nasolabial folds, the "marriage palace," and other areas, creating a charming smile.
  • Chic (Purple): High supporting power, suitable for nose-shape refinement, chin shaping, facial-contour sculpting, and other areas requiring high shaping strength.

★ANiMERS Hyaluronic Acid

ANiMERS (also known as Love Hyaluronic Acid) is a new-generation gel-type hyaluronic acid filler created in Taiwan specifically for modern aesthetic needs. With the core concept of improving the drawbacks of traditional hyaluronic acid being easily stiff and unnatural, it combines the CHAP™ cross-linking patent with innovative silking technology to create a unique "Silky Forming" force, making the filling effect more conforming and natural.

Three Formulations, Multiple Applications

Gold Aqua – Rippling Light Touch

  • Concentration: 15mg/ml
  • Features: Delicate and silky, water-absorption resistant
  • Suitable for: Fine lines around the mouth, mouth corners, lip lines, lip enhancement, superficial wrinkles
  • Maintenance: No less than 6 months

Pink Bella – Elegant Light Touch

  • Concentration: 17.5mg/ml
  • Features: High applicability, finishing touch
  • Suitable for: Nasolabial folds, marionette lines, cheeks (apple muscles), cheeks
  • Maintenance: No less than 6 months

Silver Chiara – Crystal-Bright Light Touch

  • Concentration: 20mg/ml
  • Features: Lifting support, conforming plumpness
  • Suitable for: Nose, chin, full-face lifting, "marriage palace"
  • Maintenance: No less than 6 months

★Juvederm® Long-Lasting Hyaluronic Acid

Juvederm Hyaluronic Acid, commonly called long-lasting hyaluronic acid or V+ long-lasting hyaluronic acid, comes from the US company Allergan (Corneal-Allergan, Irvine, CA, USA). It offers two hyaluronic acid injection gels, VOLBELLA and VOLUMA, made from natural sugar polymers.

Formulation Introduction

  • Voluma (Volume type): Used for deep injection to increase facial three-dimensionality.
  • Volift/Vobella (Medium molecule): Used to smooth fine lines and for mid-layer filling.
  • Volite (Moisturizing type): Used for full-face skin hydration.

Ultra/Ultra Plus (Higher concentration): Used to improve wrinkles and contours.

★Belotero Seamless-Water Hyaluronic Acid

A hyaluronic acid filler series developed by the well-known German pharmaceutical company Merz Aesthetics, beginning in 2005. Widely used in European countries, it has obtained CE and US FDA certification, with "seamless water" and "natural fusion" as its main features.

Five Formulations of Seamless-Water Hyaluronic Acid, Layered Treatment

German seamless-water hyaluronic acid has four different filling formulations — Soft/Balance/Intense/Volume — and the Revive (Suyan injection) water-light injection formulation:

Revive/Suyan Injection is suitable for deep hydration and moisture replenishment via water-light injection, improving skin imperfections

  • Soft/Hydrating Soft Type is suitable for shallow fine lines around the eyes, philtrum, and mouth corners, as well as neck lines and hand lines
  • Balance/Balance Type is suitable for filling moderately sunken areas or adding contour reshaping
  • Intense/Reinforced Type is suitable for deep depressions requiring support, such as nasolabial folds, laugh lines, and marionette lines
  • Volume/Plumping Type is suitable for large-area filling, such as refining the temples, cheeks, and other regions

What is the Suyan Injection / Bare-Face Injection? A new concept beyond water-light

The Swiss-made Suyan Injection / Bare-Face Injection (Belotero Revive) is currently the only injection product on the market that combines glycerin with cross-linked hyaluronic acid in a water-light treatment. It has not only been recognized by the AMWC International Aesthetic and Anti-Aging Medicine Association as the "Best Water-Light Injection Aesthetic Treatment," but has also won the "Powerful Moisturizing Aesthetic Treatment" title at Hong Kong's MORE Beauty Product Awards for consecutive years, and was the first to be approved by Taiwan's TFDA as a subcutaneous injectable for skin hydration and moisturizing.

Experiments have proven that it delivers dual moisturizing ingredients directly to the skin base, and combined with the patented CPM® cross-linking technology, it effectively strengthens the skin's water content and barrier function, reduces roughness, improves sensitive and weak skin suffering from dehydration, redness, and loss of elasticity due to early-onset photodamage, quickly smooths surface fine lines, and enhances skin health and hydration — with the moisturizing effect lasting up to 36 weeks!

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