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Clínica Thuel · Aesthetic Medicine and Surgery Book my consultation

Facial Harmonization · Non-Surgical

Hyaluronic Acid: volume where your face has lost it

There are photos in which your face looks more hollow or tired than you feel inside. Over the years, the face gradually loses volume and support, and that slowly changes your features. Hyaluronic acid is a gel similar to a substance your body already produces; it restores that support and can be dissolved if needed. Dr. Thuel looks at your whole face and guides you so the result looks in harmony with your features.

Medical consultation · US$100, VAT included. This amount is applied in full toward your treatment or procedure if you formalize it with your payment on the same day or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.

Dr. Thuel personally sees every consultation, so her appointment availability is limited. We suggest booking in advance.

Dr. Irene ThuelMED10355 · More than 17 years
Illustrative image of Hyaluronic Acid
More than 17 yearsof practice in Aesthetic Medicine and Surgery
Trusted by colleaguesAmong those who trust her most are physicians and other health professionals
Patients who come backMany are referred by a family member, a friend, or someone who wishes them well
Verifiable physicianMED10355, Costa Rica College of Physicians and Surgeons (Colegio de Médicos y Cirujanos)
Duration
30 to 60 minutes
Recovery
Generally, the same day
When it shows
Better at about 2 weeks
How long it lasts
Generally 6 to 18 months

Starting with a little and adjusting at the follow-up visit.

Dr. Irene Thuel · Physician and Surgeon, Expert in Aesthetic Medicine and Surgery · MED10355

Dr. Irene Thuel at her office desk

The essentials before you decide

What Hyaluronic Acid treatment involves, step by step

General information so you arrive at your consultation with a clear idea. In your case it may vary; Dr. Thuel will confirm it during the consultation.

It may be right for you if…

  • You look at photos and notice your cheekbones or lips have less volume than before.
  • The folds running down from your nose or the corners of your mouth bother you.
  • You want a more defined profile at the chin or jawline.
  • You are looking for a subtle change that no one notices as filler.
What it is
A gel similar to a substance your body already produces. It restores volume and support, and can be dissolved if needed.
How it is done
It is injected with a fine needle or a cannula in the agreed areas. The doctor checks the result as she works.
Advantages
No operating room or incisions; in most cases you return to your routine the same day. The gel can be dissolved if needed.
Who performs it
Dr. Irene Thuel, in the clinic's office.
Anesthesia and discomfort
Anesthetic cream or none at all; many of these gels contain local anesthetic. You feel needle pricks and some pressure; most people describe it as tolerable discomfort.
Duration
Generally between 30 and 60 minutes, depending on the areas treated.
Sessions
One session is usually enough. Sometimes it is completed in a second one, a few weeks later.
Recovery and care
You return to your activities the same day. Avoid intense exercise for 24 to 48 hours, do not massage the area, and wait a few hours before applying makeup. Swelling usually lasts from a few days to a week.
When it shows
Part of the change is visible right after the session. The result is better appreciated at about 2 weeks, when the swelling goes down.
How long the result lasts
Generally between 6 and 18 months, depending on the area and the gel. In the lips it usually lasts less than in the cheekbones or chin.
Who should not have it
It is not applied during pregnancy or breastfeeding, with an active infection or herpes in the area, or if you are allergic to its components or to lidocaine. The doctor reviews this during the consultation.
Follow-up visits
It is usually done 2 to 4 weeks later, to refine the result if needed.

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What the gel is used for

Hyaluronic Acid restores volume and support

It does not relax expressions or tighten the skin. When something else is what bothers you, the doctor will tell you during the consultation and guide you toward what is appropriate.

  • Lost volume in the lips, cheekbones, chin or folds: here hyaluronic acid is usually the right option.
  • Lines that appear when you make facial expressions: these are treated with Botulinum Toxin.
  • Skin that has lost firmness: biostimulators or skin tightening can help here.
  • A nose that needs a structural change: it is worth discussing rhinoplasty.

Areas and uses on the face

Six uses of Hyaluronic Acid on the face

Lips

Defining the contour or adding a little volume.

Cheekbones and temples

Restoring support to the midface and temples.

Chin and jawline

Adding projection to the profile and defining the contour.

Nose (non-surgical rhinoplasty)

Camouflaging a slight hump, the small bump on the bridge, or slightly lifting the tip.

Under-eye circles and folds

Softening hollows and the lines running down from the corners of the mouth.

Deep hydration

Texture and glow, without changing volume.

In the office

How Hyaluronic Acid is applied, from consultation to follow-up visit

  1. Whole-face assessment

    Even if you come in only for your lips, the doctor looks at your whole face: proportion, symmetry, volume and skin. The lips are always assessed in relation to the nose and chin.

  2. Plan by area

    She defines the areas, the type of gel and whether it is best to proceed in stages.

  3. Application

    She uses a needle or cannula (a blunt-tipped needle), depending on the area, and checks the result as she works.

  4. Follow-up visit

    Once the swelling goes down, we review the result and refine it if needed.

Risks of Hyaluronic Acid

After the application: what to expect and what can go wrong

What to expect

  • At first, the area feels swollen and tender.
  • The result is assessed once that swelling goes down.
  • The instructions are simple: avoid intense exercise and do not massage the area.
  • How long it lasts depends on the area, the gel and each patient.

Discomfort and risks

  • Common and temporary: swelling and tenderness, sometimes bruising.
  • Uncommon: small lumps, asymmetries or infection.
  • Rare, but serious: the gel blocking a blood vessel. That is why it matters that a physician applies it.
  • As a precaution, it is not applied during pregnancy, breastfeeding or over an active infection.

Is this treatment right for you? During the consultation, Dr. Thuel reviews your case and tells you frankly whether it suits you and what it involves. The consultation costs US$100, VAT included, which is applied in full toward your treatment or medical procedure if you confirm it with your payment the same day or within the following seven calendar days. This can be the full payment or a first payment of more than US$100.

Frequently Asked Questions

What we are asked most about Hyaluronic Acid

Will the result look overdone?

Dr. Thuel proceeds in stages: she applies less than she could and, if needed, completes it at the follow-up visit.

And if I am not happy with the result, can it be removed?

Yes. It can be dissolved with an enzyme called hyaluronidase. This is an important safety margin.

Will it hurt?

Discomfort is usually mild: anesthetic cream can be used, and many of these gels contain local anesthetic. Afterward, the area may be swollen, tender or have some temporary bruising.

What is the investment?

It depends on the areas and the type of gel your face needs. You will know during the consultation, before starting.

The consultation costs US$100, VAT included. If you decide to have a medical treatment or procedure, that amount is applied in full toward your treatment or procedure when you formalize it with your payment on the same day as the consultation or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.

Can my under-eye circles be treated with Hyaluronic Acid?

It depends on the type of under-eye circle. The doctor checks whether the shadow comes from volume, pigment or the skin, and based on that tells you whether hyaluronic acid is suitable in your case or whether there is another option.

Helping your face regain its natural harmony

During the consultation, Dr. Thuel listens to you, looks at your whole face and tells you frankly what is advisable, in what order, and what she does not recommend. She also explains the investment for each stage, and you can take time to think it over calmly.

Medical consultation · US$100, VAT included. This amount is applied in full toward your treatment or procedure if you formalize it with your payment on the same day or within the following seven calendar days. It can be the full payment or a first payment of more than US$100.

Dr. Thuel personally sees every consultation, so her appointment availability is limited. We suggest booking in advance.

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