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Bio-remodeling injectable hyaluronic acid that spreads under the skin to stimulate collagen and elastin โ not a filler, not a volumiser, a quality-of-skin booster.
A highly concentrated, non-cross-linked hyaluronic acid is injected at five fixed subcutaneous points per side of the face ('BAP technique'). Because the HA isn't chemically cross-linked, it spreads through the dermal tissue over the following hours, where it hydrates at depth and triggers fibroblast activity. Over 4โ8 weeks, collagen I, collagen III, and elastin synthesis increase measurably. The result isn't volume โ it's improved skin firmness, elasticity, and texture.
Numbing cream applied for 20โ30 minutes pre-procedure. The injections themselves take ~10 minutes total (10 points). Mild stinging at each point. Immediately after: visible small bumps at each injection site (the HA hasn't spread yet) for 4โ24 hours, then they flatten. Mild bruising at injection sites possible. Day 2 onward: no visible marks. Results build from week 2, peak at week 6โ8. Standard protocol: 2 treatments 4 weeks apart, then maintenance every 6โ9 months.
Profhilo (IBSA Derma, Switzerland) is the landmark bio-remodelling injectable โ a stabilised, 100% pure hyaluronic acid at an unusually high concentration (64mg HA per 2ml syringe) that uses IBSA's proprietary NAHYCO thermal cross-linking rather than chemical cross-linkers. The result is an HA that spreads through the dermal layers after injection instead of staying localised like a filler, stimulating fibroblasts to produce new collagen and elastin over the following weeks. The technique โ developed by Italian cosmetic surgeons Alessandro Gennai and Tracey Sampogna โ uses five fixed injection points per side ('BAP points': Bio-Aesthetic Points) targeting the malar fat pad, pre-auricular zone, chin, and mandibular angle. Results appear progressively over 4โ8 weeks and last 6โ9 months before a refresh is indicated. Unlike fillers, Profhilo doesn't add volume or contour โ it improves skin quality: texture, firmness, elasticity, and that poorly-defined 'glow' that sun damage and ageing strip away. Particularly popular in the GLP-1-weight-loss / 'Ozempic face' era as a skin-quality restorer when filler would look overdone.
Pregnancy Safety
Avoid during pregnancy
This is not medical advice. Always consult your healthcare provider or dermatologist before trying new treatments, especially in-clinic procedures.
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2 initial treatments 4 weeks apart, then maintenance every 6โ9 months. Most people see results within visible skin-quality improvement from week 2, peak results at week 6โ8.
The pain level for Profhilo is mild. Downtime: Essentially none โ small bumps at injection sites flatten in 4โ24 hours, occasional mild bruising.
Profhilo should be avoided during pregnancy. Consult your healthcare provider about safer alternatives.
The main risks and side effects to be aware of: bruising at injection points; small palpable lumps for 24 hours post-injection; rare: Tyndall effect if injected too superficially. Always consult a qualified provider, especially for in-clinic procedures.
Profhilo is in the premium range. Typical cost: $500โ900 per session (typically 2 sessions in the initial course).