There are many non-invasive procedures that can be used to reduce the effects of aging. Some of these techniques including bone-touching filler injection and facial thread lift have been discussed. Another innovative procedure is the Aqua Lift with Skin Booster will be introduced in this article.

Causes and Related Anatomy

The human skin is comprised of the epidermis and the dermis. The epidermis is the outer layer of the skin made up of dead cells. There is no tissue in this thin skin later. This skin layer gets the necessary moisture through diffusion from the dermis. The dermis is a thick layer of skin that is well fed by blood vessels supplying food and oxygen. Therefore, a healthy dermis would be capable of better supplying food and water to the epidermis. 

The thick dermis is a strong well-supplied thick layer of skin that is highly flexible. It can be compared to a sponge. In this skin layer the collagen and elastin threads create the composition like a sponge. The water or moisture is held by the Hyaluronic Acid (HA). As the person ages the Hyaluronic Acid reduces. This will result in a reduction of the collagen and elastin threads in the skin causing the dermis to get thinner. The skin then dries up losing its elasticity. Consequently, the blood circulation will become poorer thus the ability of the skin to rejuvenate itself also reduces. In effect the skin starts to sag and show signs of aging. 

Treatment Options

Medical studies have identified that the cause of aging signs on skin is the result of Hyaluronic Acid loss. Adding Hyaluronic Acid therefore would rejuvenate the skin resulting in more production of collagen and thicken the dermis once again. The benefits of this rejuvenation includes: 

  • Healthy, radiant, and vibrant skin (Popularized by the Korean beauty trend). 
  • The dermis thickens reducing visible signs of aging
  • The thicker dermis reduces the visible dark spots and blood vessels resulting from treatment of freckles and laser procedures
  • Reduces the scars from pimples and tightens facial pores
  • Results in fit and firm facial appearance

This treatment can be applied to the face, neck, chest, and back of the hand.

Revitalizing the skin by injecting Hyaluronic Acid (HA)

Hyaluronic Acid (HA) is the substance in the filler. Thus after injecting the filler into the skin it can be observed that the face of the patient becomes more full and firm. However, the effects of filler injection on the outer skin appear limited. The HA filler used for the deeper layers of the skin cannot be used for the much thinner outer layer because it would cause swelling. The filler for the outer layer of the skin should be Non-cross linked HA fillers that have a weak molecular structure allowing quick diffusion into the skin. This results in a smooth appearance after filler injection. The type of filler used for deep skin injection is the Cross linked filler. This type of filler has a strong molecular structure because it is designed to provide the support and help contour the face. Its strong structure is selected for this purpose so that it can last for a long period of time. Innovations in filler technology have created Cross linked fillers that have weaker molecular structure yet can last longer. These fillers are effective for this procedure because they can still diffuse quickly in the skin and combine the long lasting property. As a consequence, the effect will last longer and the patient does not need to return often to inject more fillers.

This procedure can be done using blunt tipped or regular sharp needles. This is because the injection is done in a shallow part of the skin where no harm can be done. There are two ways to operate this procedure. The first is to inject small drops of filler all over the face. The second is to inject the filler in a linear line. Within 1 – 2 weeks after the treatment, the treated area will visibly show signs of vibrant lifting. The face would look firm and healthy while injection on the neck would reduce signs of aging. If treatment is done on the back of the hand it would look brighter and full. The wrinkles and aging signs would disappear. The treatment should be done in 1 – 3 month intervals for 3 – 5 consecutive sessions for the skin to fully recover. Visible facial lift would be seen and the signs of aging would slowly disappear.

The relationship of hyaluronic Acid (HA) in skin and aging

Words of Warning and Side Effects

Treatment using Hyaluronic Acid (HA) is considered very safe. This is because it is the natural substance found in the skin. It is also found in animals and plants. Its molecular structure is the same therefore there is no allergic reaction. However, the allergies reported from the treatment come from protein contamination in the filler during manufacturing processes. Therefore, it is safer to choose high quality filler although it might be more expensive. 

  • Using regular sharp needles even though the injection is done in a shallow skin layer may result in bruising that would last up to 3 – 7 days.
  • Since the injection is done at a shallow skin layer, small skin irritations may appear. After 3 – 7 days once the filler has diffused into the skin these irritations will disappear. 
  • For those with advanced aging signs, this treatment would not be effective. Injecting Cross-linked fillers into the deeper skin layer would be necessary. 
  • Although this treatment will result in an appearance of facial skin lift, it would not solve the problem for those with advanced signs of aging. In these cases, it is important to provide a comprehensive treatment that targets all skin layers and address the deep layer of the bones and tissues. In such situations, bone touching filler injection would be necessary to provide the support for the skin to reduce the appearance of aging.

(Skin with good quality)                                  (Aged skin )

Image showing aging skin as a result of Hyaluronic Acid (HA) loss


Treating aging skin by injecting Hyaluronic Acid (HA) is an innovation for revitalizing the outer skin. It will help to treat wide pores, sensitive thin skin, black or red spots, pimple scars, and shallow wrinkles. It may be necessary to return for treatment many times so that the skin will slowly reconstruct and create new tissue. In addition to solving the aging skin problems, it would create a firm and radiant appearance on the outer skin. This technique in using Hyaluronic Acid (HA) injection has been pioneered long ago. However, it was not very effective because the Hyaluronic Acid (HA) fillers and injection techniques were still not well developed. Therefore it is very important to select a clinic that has a high standard of quality to ensure satisfaction in the treatment results.