Tiny amounts of hyaluronic acid are injected into your face through very fine needles. The treatments typically take less than 30 minutes, depending how many lines are treated. You can expect very little discomfort.

Assess.

First, your surgeon will listen to your desired results and then evaluate your facial appearance and skin tone, examining the areas of your face to be augmented with hyaluronic acid as a filler.

Map a strategy.

Next, the surgeon will mark strategic points on your face as guides to the appropriate injection sites for the filler as part of your wrinkle removal treatment.

Clean the area.

Your injection sites will be cleansed with an antibacterial agent. Then a topical anesthetic will be used to numb the area, particularly if you are sensitive to injections. But in some cases, the hyaluronic acid includes an anesthetic in the mixture.

Inject.

The actual injections will take just a few minutes total, and just seconds per site.

Clean up and ice.

The marks will be washed away and you will be offered an ice pack to reduce any minor and temporary discomfort. At this point you may apply makeup, but be careful not to apply pressure to the treated areas. Doing so may result in movement of the hyaluronic acid.

A special note about scars and deep lines. These areas will often require multiple injections to achieve your desired results. If a deeper injection is required, you'll be offered a local anesthetic to remain comfortable. Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.