Hyaluronic Acid Wrinkle Fillers

Hyaluronic acid dermal fillers at Brandeis Clinic restore facial volume, smooth deep wrinkles, and enhance facial structure — performed by MUDr. Lucie Kalinová using Juvéderm products (Voluma, Volbella, Volift, Volite, Volux) and the MD Codes systematic treatment approach. The range covers nasolabial folds, cheekbone augmentation, jaw and chin definition, marionette lines, under-eye hollows, hand rejuvenation, and non-surgical rhinoplasty. Sessions last 15–60 minutes depending on the areas treated; results last approximately 1 year. All Juvéderm fillers are reversible with hyaluronidase enzyme.

Hyaluronic acid wrinkle fillers at Brandeis Clinic extend well beyond simple line filling — MUDr. Kalinová applies the MD Codes framework, a systematic three-dimensional facial treatment approach developed by Maurício de Maio that treats the face as an interconnected anatomical system rather than a collection of individual wrinkles. **The MD Codes approach:** MD Codes maps the face into treatment zones (the 'Codes'), each of which, when treated in the correct anatomical sequence, supports adjacent zones and produces a coherent, balanced result. Rather than treating 'the nasolabial fold' in isolation, the MD Codes approach might address the midface volume loss that causes the fold to deepen, the malar fat pad descent that loads the nasolabial region, and the chin projection that affects lower-face balance — in a single session or planned sequence. The full MD Codes face treatment at Brandeis Clinic starts from 20,000 Kč. **Products used:** The clinic uses the complete Juvéderm VYCROSS range from Allergan: - *Voluma*: high-cohesivity, high-lift gel for deep injection into the cheekbone, chin and jawline. Lasts up to 18–24 months. - *Volift*: medium cohesivity for nasolabial folds, marionette lines and oral commissures. - *Volbella*: low cohesivity, smooth gel for perioral area and lip borders. Also used for under-eye hollows. - *Volux*: maximum cohesivity for strong structural enhancement — chin and mandible definition. - *Volite*: a skin-quality product rather than a volumiser — injected superficially in a grid pattern to improve skin hydration, elasticity and texture (a single treatment per area, from 8,500 Kč). Different in mechanism from structural fillers. - *Saypha* fillers: additional HA brand used where appropriate. **Areas and indications:** *Cheekbones (from 11,000 Kč):* Deep injection of Voluma over the malar eminence to restore or augment cheek projection. Also addresses the shadow below the cheek that contributes to tired appearance. *Nasolabial folds (from 9,500 Kč):* Medium-depth injection of Volift along the fold. For deep folds, combination with midface volume restoration (cheekbones) produces a more complete correction than direct nasolabial filling alone. *Jawline and chin (from 10,000 Kč):* Volux for chin projection; Voluma along the mandibular border for jaw definition and jowl camouflage. *Marionette lines and mouth corners (from 10,000 Kč):* Downturned corners and marionette lines respond to injection at the modiolus and along the lower face, in combination with lip corner lift. *Under-eye circles / tear trough (from 9,500 Kč):* Delicate periorbital area — Volbella injected sub-orbicularis or supraperiosteal to fill the hollow. This area requires precise technique to avoid the Tyndall effect (bluish discolouration) from superficial injection. Pre-treatment assessment is thorough — candidates with significant orbital fat herniation or excess skin are not good candidates for filler alone. *Hand backs (from 12,000 Kč):* HA injection into the dorsum of the hands to restore the volume that diminishes with age and reveals tendon and vessel prominence. Treated symmetrically in a single session. *Non-surgical rhinoplasty (from 9,500 Kč):* Filler placed strategically to camouflage a dorsal irregularity, raise a depressed dorsum, or create the illusion of a straighter profile. This is a temporary option — results last approximately 12 months — and is suitable for patients not yet ready for surgical rhinoplasty or those wishing to preview a structural change. **Results:** Most HA fillers at Brandeis Clinic last approximately 12 months (Voluma up to 18–24 months). Individual metabolism affects longevity. The filler is reversible at any time with hyaluronidase enzyme injection — a meaningful safety net that is not available for permanent fillers.