Hyaluronic acid (filler): filling with a cannula after local anesthesia
Lipofilling (fat transfer): fat removal (often inner knee or abdomen) under local anesthesia (no pain with an appropriate anesthesia), decantation and specific preparation of the fat (purified fat, rich in stem cells) and then reinjection by the same technique as hyaluronic acid.

Results :

Time to final results:
Hyaluronic acid: immediate
Lipofilling: 4-7 days after a period of swelling and hematoma for the filling property of the fat and 2-3 months to see the rejuvenation induced by the stem cells contained in the fat

Longevity results:
Hyaluronic acid: 3-12 months
Lipofilling: 5-10 years

Before injection:

Stop smoking 1 month before lipofilling
Do not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.
Take Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
Contraindications hyaluronic acid: autoimmune diseases, pregnancy, breastfeeding.

Procedure :

Pain: the pain during the intervention will be almost non-existent, with an adapted anesthesia
Duration of the procedure: 30 minutes for hyaluronic acid, 60 minutes for lipofilling
Anesthesia: local
Location: office for hyaluronic acid, operating room for lipofilling
Ambulatory (without hospitalization)

After Injection:

Post-operative pain: 1/10 often responding to Dafalgan

Social eviction:

Hyaluronic acid: no (discrete swelling for 24-48h)
Lipofilling: discrete swelling and hematoma for 4-7 days
Suture removal: no sutures
Return to work: immediate
Return to sport: 2-3 days


Hyaluronic acid
Control by Dr Lucas 2 weeks, 3 months
Desinfection with Merfen disinfection for 7 days.
Do not compress the fat injection area (risk of losing the fat) for 3 weeks.
Shower from day 1: for 10 days, do not rub too hard, dry with clean cloth and dab.
Stop smoking permanently to prevent fat resorption.
Lyman 50,000 IU cream twice a day on fat collection areas.
Dr. Lucas control 2 days, 1 week, 3 weeks, 3 months.


– Infection, hematoma, asymmetry, under or overcorrection.

Alternatives and operations that can be combined :

Skin texture of the hands can also be improved with specific hand peels, CO2 laser or PRP injections