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Delayed allergic reaction to hyaluronic acid fillers treatment

Allergy Cure - Evansvill

Get rid of your Allergies by Board Certified Allergist -New Treatments Hyaluronsäure für die Haut und die Gelenke. Wird zur Behandlung von Arthrose verwendet. Verbessert die Hydratation, Geschmeidigkeit und Straffheit der Haut. Jetzt bestellen Delayed Inflammatory Reactions to Hyaluronic Acid Fillers: A Literature Review and Proposed Treatment Algorithm A consensus was reached and summarized to propose a clear, easy-to-follow, stepwise algorithm for the treatment of DIRs Hyaluronidase is enzymes that degrade HA, also being suggested for the treatment of HA filler-induced complications. However, hyaluronidase has been reported to be a potential cause of allergic responses in some anesthetic and ophthalmic literature. However, there are few reports of allergic reactions to hyaluronidase in cosmetic medicine The varied approach regarding the management of delayed type reactions to HA-based filler injections, reflected in our study, illustrates the existing ambivalence in the current literature regarding the management and therapy of late-onset complications

Objective: Even though injectable hyaluronic acid (HA)-based fillers are considered safe, rare complications, such as late-onset inflammatory reactions have been reported. Possible causes and effective treatments have not been formally described, so this work aims to discuss these and offer a formal protocol for treatment We present the first reported cases of delayed inflammatory reactions (DIR) to hyaluronic acid (HA) dermal fillers after exposure to the COVID-19 spike protein. DIR to HA is reported to occur in the different scenarios including: secondary to poor injection technique, following dental cleaning procedures, following bacterial/viral illness, and. Delayed hypersensitivity reaction to hyaluronic acid dermal filler post-COVID-19 viral infection To the Editor, Dermal fillers have been an effective therapy for people pursuing noninvasive facial rejuvenation.1 Hyaluronic acid (HA) soft tissue fill-ers specifically have become a popular device for an enhancement o To the Editor, Dermal fillers have been an effective therapy for people pursuing noninvasive facial rejuvenation. 1 Hyaluronic acid (HA) soft tissue fillers specifically have become a popular device for an enhancement of facial features over the last few years. 2 We are presenting a case of a 32-year-old woman treated at The Esthetic Clinics, Mumbai, in February 2020 for facial rejuvenation

Injuv Hyaluronic Acid - Hyaluronsäure für die Gelenk

  1. Late-onset inflammatory reactions to HA fillers may be self-limiting but are easily and rapidly treatable with oral steroids, and with hyaluronidase in the case of lumps. It is likely these reactions are due to a Type IV delayed hypersensitivity response. Delayed inflammation associated with HA fillers is nonbrand specific
  2. Sometimes a cold or underlying medical condition may stimulate the response.The treatment that I have had success with is injecting the hyaluronidase mixed with a low dose steroid. The enzyme dissolves the filler and the steroid helps to decrease your bodies immune response
  3. In the case of hyaluronic acid-based fillers, hyaluronidase should be injected all over the affected area, flooding the area with hyaluronidase, as soon as possible in a dose applicable to the product to be reversed, for example, 10-20 units per injection point. 26, 32 If a hydroxyapatite filler has been used, saline could be injected
  4. Delayed Inflammatory Reactions to Hyaluronic Acid Fillers: A Literature Review and Proposed Treatment Algorithm The plethora of approaches has led the authors to conduct a review regarding management and treatment of DIRs as well as establish therapeutic guidelines for this purpose.Materials and Methods: A review of the literature was.

A four-year retrospective study reported a 0.6- to 0.8-percent incidence of hypersensitivity reactions including nodules to hyaluronic acid dermal fillers.6 True foreign body granulomas are rare with an estimated incidence of between 0.01 and one percent. They can occur with all injectable dermal fillers and usually appear after a latent period of several months to years after treatment.3,4. Treatment of acute angioedema-like reactions to HA includes pressure and short courses of steroids and antihistamines. Delayed hypersensitivity reactions can be treated with interlesional and topical steroids, topical Tacrolimus ointment 0.1% BID, and short courses of oral steroids Dissolution of a filler by means of IL hyaluronidase may be postponed by 24 hours to 2 weeks after starting the antibiotic treatment, unless a more resistant HA (ie, Vycross) has been injected, in which case IL hyaluronidase must be given as early as possible. A dose of 30-300 units of IL hyaluronidase should be given per nodule Delayed-onset adverse reactions to hyaluronic acid (HA) fillers are uncommon but have received increased attention, particularly with regard to late-onset nodules. Globally, there is a need for comprehensive prevention and management strategies

DIRs following HA-based filler injections manifest as discolorations, painful nodules, abscesses, induration or tissue hardening and solid edema. 5,6 Late reactions are mostly defined as ones occurring 14 days to 1-year post-injection, whereas delayed complications are those that occur one year or longer after treatment. 4,7-1 Incidence of delayed inflammatory reactions to hyaluronic acid soft tissue fillers range between 0.3 and 4.25%. These reactions are mediated by T-lymphocytes and can be triggered by flu-like illnesses, including SARS-CoV-2 infection. Vaccination may also induce hypersensitivity There is a wide diversity of opinions regarding the management of delayed inflammatory reactions (DIRs) secondary to hyaluronic acid (HA)-based fillers. The plethora of approaches has led the authors to conduct a review regarding management and treatment of DIRs as well as establish therapeutic guidelines for this purpose Background: Delayed reactions after facial hyaluronic acid injection are relatively rare complications. Their cause may be infectious or immune-mediated in origin, and their outbreak can be triggered, for example, by an influenza-like illness nogenic reactions at the site of filler placement. Cases of SARS-CoV-2 are significant and pose a possible risk of inducing hypersensitivity. This case report is of a delayed- type hypersensitivity after hyaluronic acid dermal filler treatment of the nose and subsequent infection with SARS-CoV-2. Risk factors for the development of suc

Delayed Inflammatory Reactions to Hyaluronic Acid Fillers

Delayed allergic hypersensitivity to hyaluronidase during

Introduction: Hyaluronic acid (HA) fillers are used in the periocular area, along with many other locations, for both aesthetic rejuvenation and functional disorders. These fillers are effective and generally well-tolerated, but complications do arise on rare occasions. Fortunately, over 90% of adverse events from the use of HA fillers are mild and transient Some authors have postulated that all granulomatous reactions to fillers are in fact type IV (delayed-type) hypersensitivity reactions. 17 Evidence to support hyaluronic acid as antigen inducing delayed-type hypersensitivity reactions is very scarce, since most cases reported skin-tests were not performed Hyaluronic Acid (HA) fillers are the most common and popular agents used to treat a myriad of rejuvenation treatments; from filling in fine lines and wrinkles, to volume restoration in the face, neck, chest and hands. 1 HA fillers are often preferred because they are long lasting, less immunogenic and can be broken down by hyaluronidase. 1 Even in the most experienced of hands, complications. In the April 2021 edition of JAAD Case Reports, Munavalli et al 1 reported a case series of 4 patients in whom delayed inflammatory responses to dermal hyaluronic acid filler developed following COVID-19 vaccination. All the patients had the facial filler placed for >8 months prior to the vaccination and significant edema developed at the sites of the filler 24-48 hours after receiving the.

Management Patterns of Delayed Inflammatory Reactions to

D uring the last decade, skin filler agents have often been used for wrinkling treatment, soft tissue augmentation, and correction of atrophic scars as well as for the treatment of small cutaneous defects. 1 They can be classified into 2 main categories: biodegradable or resorbable (eg, bovine collagen and hyaluronic acid [HA]) and permanent or nonresorbable (eg, silicone). 2 The most suitable. CD44 glycoprotein has an affinity for binding free extracellular hyaluronic acid, especially low-molecular-weight hyaluronic acid,13, 14, 15 providing another possible nidus for inflammatory reaction targeted to the quiescent hyaluronic acid granuloma. Residual hyaluronic acid filler was present in the cases described above for 8 months or more Acid Hyaluronic jetzt günstig bestellen. Kostenlose Lieferung möglic Our bodies are loaded with hyaluronic acid, however the fillers have two components that are different from ours. They are made by small bacteria. Fragments of these are in the fillers(the same bacteria make our antibiotics and contain the same fragments). The cross linking is another part of the filler that may stimulate a response

Herein, we describe five cases treated by a variety of treatment modalities, all with delayed reactions to different brands of hyaluronic acid fillers. As there is currently no standardization of treatment options of adverse effects, these cases accentuate the debate regarding the approach to the individual patient and the possible need for pre. This case report is of a delayed‐type hypersensitivity after hyaluronic acid dermal filler treatment of the nose and subsequent infection with SARS‐CoV‐2. Risk factors for the development of such symptoms were identified as the presence of hyaluronic acid combined with flu‐like illness and repeated treatment of one area Delayed-onset reactions were noted in 8.7% of patients - all resolved within 2-3 months without treatment. No hypersensitivity reactions were reported during the clinical trial. Restylane ® has been used for the past several years by numerous injectors with very acceptable clinical results With the increasing popularity of dermal fillers, an awareness of potential adverse events (AEs) must be appreciated. Hyaluronic acid (HA) fillers have few long-term adverse effects, 1, 2 although delayed AEs (DAEs) have been reported. 3 Juvéderm Voluma (HA-V) (Allergan, Irvine, CA) is a 20-mg/mL, smooth, cohesive filler derived from bacterial fermentation of Streptococcus equi that was. The major contraindications to the use of a filler are as follows: active infection near the site of injection, a known allergy/hypersensitivity to the material or to the lidocaine mixed in the syringe of the filler (Zyderm, Zyplast, Cosmoderm, Cosmoplast and certain hyaluronic acid fillers and Artefill) and glabellar skin necrosis with.

Granulomatous reactions to hyaluronic acid fillers can be treated with hyaluronidase with the dosing of 150 U/mL. Once infection has been ruled out or quiescent, granulomas may respond to oral or intralesional steroids. If steroids are not enough, many patients will respond to the addition of 5-FU to the corticosteroids Brody HJ. Use of hyaluronidase in the treatment of granulomatous hyaluronic acid reactions or unwanted hyaluronic acid misplacement. Dermatol Surg. 2005;31: 893-897. Rauso R, Zerbinati N, Fragola R, Nicoletti GF, Tartaro G. Transvascular hydrolysis of hyaluronic acid filler with hyaluronidase: an ex vivo study. Dermatol Surg. 2020;00:1-4

hyaluronic acid skin fillers is low. Short duration local injection site reactions, consisting of swelling, pain, tenderness and bruising are seen in the vast majority of patients treated with injectable hyaluronic acid derivatives2. In the same study, delayed onset reactions, primarily redness which resolved without treatment within Hyaluronic acid (HA) fillers have been increasingly used for soft tissue augmentation and facial rejuvenation since 1996. 1 Nowadays they have also become favorite periorbital treatment for the tear trough deformity and periorbital hollow as a noninvasive procedure. 2 According to the American Society for Aesthetic Plastic Surgery statistics, 2.5 million procedures were performed using. filler reactions. They found a fourfold increase in the Oral angiotensin-converting enzyme inhibitors for treatment of delayed inflammatory reaction to dermal hyaluronic acid fillers following COVID-19 vaccination-a model for inhibition of angiotensin II-induced cutaneous inflammation.

Late-Onset Inflammatory Response to Hyaluronic Acid Dermal

COVID-19/SARS-CoV-2 virus spike protein-related delayed

Hyaluronic acid (HA) gel fillers have become increasingly popular because the correction achieved with HA lasts longer than the correction achieved with traditional collagen products. the other half were delayed reactions. Severe granulomatous allergic tissue reaction after hyaluronic acid injection in the treatment of facial lines and. Background: Injection of dermal fillers is one of the most commonly performed procedures in the cosmetic dermatology practice. As its usage is expanding, the possibility of complications will likely increase. Objective: To review and summarize the complications associated with hyaluronic acid injections, and to provide a guide to avoiding them and managing these complications if they do occur Answer: Hyaluronic Acid fillers (Juvederm and Restylane) can cause temporary puffiness around the eyes. Allergic reactions to hyaluronic fillers are rare. Hyaluronic acid fillers are what is called, hydrophilic. That means they absorb water from the surrounding tissue. Different people have different reactions Restylane is also used for lip augmentation in patients over the age of 21. Common side effects of Restylane include swelling, redness, bruising, tenderness, itching, or pain at the injection site. Dosing of Restylane depends on the area being treated and the severity of the wrinkles or folds. Restylane may interact with other drugs The author recommends that, contrary to currently accepted protocol, patients undergo skin testing before receiving injectable hyaluronic acid (HA) gel fillers. The risk of hypersensitivity to HA gel fillers, although low compared with bovine collagen, is a factor to consider

Delayed hypersensitivity reaction to hyaluronic acid

The ideal dermal filler should be safe - non allergenic, non immunogenic, non carcinogenic, non teratogenic and non migratory. All dermal fillers present in the market are able to provoke inflammatory reactions, including collagen, silicone, polylactic acid, polyacrylamide, hyaluronic acid (HA) and methacrylate. The true prevalence of this is. The discussion around the COVID-19 vaccines and fillers is related to reports of delayed inflammatory reactions that developed at sites of prior filler injections after receiving the COVID-19. Hyaluronidase has been suggested as a treatment for all cases of vascular compromise, regardless of filler employed, since it can reduce edema and potentially decrease vessel-occluding pressure. 3,37 It is important to be aware that hyaluronidase has been associated with rare immediate and delayed reactions, and prescribing guidelines should be.

What is clear thus far is that COVID-19 antibodies formed by the body in response to the COVID-19 vaccine do not fight or attack dermal fillers. Instead, the vaccine triggers a Type IV hypersensitivity reaction to the HA filler. Type IV hypersensitivity reactions are delayed allergic reactions to any foreign substance in the body 13. Sclafani AP, Fagien S. Treatment of injectable soft tissue filler complications. Dermatol Surg. 2009;35(2):1672-1680. 14. Kim DW, Yoon ES, Ji YH, et al. Vascular complications of hyaluronic acid fillers and the role of hyaluronidase in management. J Plast Reconstr Aesthet Surg. 2011;64(12): 1590-1595. 15 Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects Because hyaluronic acid fillers are made from substances similar to those found in the body, they are unlikely to cause an allergic reaction. But if you are allergic to lidocaine, tell your doctor. Hyaluronic acid, an ingredient found in many dermal fillers, retains moisture, so when the immune response triggers swelling, the area treated with hyaluronic acid is more likely to retain fluids. This may lead to more severe or longer-lasting inflammation

A thorough MEDLINE literature search of keywords, including abscess, abscess management/treatment, hyaluronic acid, dermal fillers, and soft tissue fillers, was completed to collect specific cases of abscesses secondary to soft tissue filler. Inclusion criteria involved papers published from 2010 to 2020 which focused on soft tissue fillers in. Blockage of a blood vessel by filler causing skin death or, much more rarely, blindness. Conditions that will mean you cannot have this treatment with dermal fillers. Within 3 weeks of Covid 19 vaccination; Active infection e.g. acne. Known allergy to Hyaluronic acid or BDDE. Pregnancy and breastfeeding, as there is no research data. Price of. Patients who undergo facial aesthetic procedures may be dissatisfied with treatment outcomes [1,2,3].They often focus on particular areas with which they are unhappy, such as the periorbital area or jowls, and ask the clinician providing treatment to specifically address those features [4,5,6,7,8].Even as patients believe that the objective of treatment with hyaluronic acid (HA) fillers is to. needles in treatment in the cheeks or midface. Hyaluronic acid (HA) - a polysaccharide (sugar) that is naturally in the body. It keeps skin moisturized and soft. HA fillers, including Restylane Lyft with Lidocaine, are a modified form of the HA that is naturally in your body. Hyaluronidase - a medicine used to breakdown HA in the area of. Retrospective review of delayed adverse events secondary to treatment with a smooth, cohesive 20-mg/mL hyaluronic acid filler in 4500 patients. Delayed swelling and nodule formation were the most common reactions and occurred a median of 4 months after treatment, with an increase in frequency between October and January..

Delayed Adverse Subcutaneous Reaction to a New Family of Hyaluronic Acid Dermal Fillers With Clinical, Ultrasound, and Histologic Correlation. Dermatol Surg. 2017;43(4):605-8. 9. Baeva LF, Lyle DB, Rios M, Langone JJ, Lightfoote MM. Different molecular weigh hyaluronic acid effects on human macrophage interleukin 1 ß production Additionally, immune-associated adverse events of filler placement, such as acute or delayed hypersensitivity reactions, are possible . Hyaluronidases The US FDA approved hyaluronidase as an adjuvant in multiple settings, including as a means to increase the dispersion and absorption of other injected drugs

Bacterial infections associated with injections are managed with appropriate antibiotics.10 Although treatment with hyaluronidase (for HA fillers) is an effective treatment, physical excision, expression, or drainage of the offending material remains the most definitive treatment of some adverse reactions to dermal fillers.[11,12 The area of concern should be massaged and aspirated. 3 Hyaluronidase can be injected if a hyaluronic acid filler was used. 2,3 Warm compresses and 2 percent nitroglycerin paste may be applied to assist in vasodilation. 2,3 Ice should be avoided. Oral prednisone is also a consideration if edema is thought to be compressing a vessel Dermal fillers can be composed of a variety of substances, some naturally occurring and some synthetic. One of the most common compounds used in dermal fillers is hyaluronic acid (HA). HA is a naturally occurring substance found in our skin, and it plays a major role in keeping skin hydrated and volumized The hyaluronic pen is a device that has a piston with a spring that provides a quick administration of hyaluronic acid into your skin. The microscopic hole it puts in your skin is how the Hyaluron pen administers the acid under the skin. The hyaluronic acid is absorbed and distributed under your skin better than if you were injected with a needle

What is the treatment protocol for late-onset inflammatory

Ciancio F, Tarico MS, Giudice G, Perrotta RE. Early hyaluronidase use in preventing skin necrosis after treatment with dermal fillers: Report of two cases. F1000Res. 2018;7:1388. Wu L, Liu X, Jian X, et al. Delayed allergic hypersensitivity to hyaluronidase during the treatment of granulomatous hyaluronic acid reactions Tear trough fillers may be an option if you're looking to reduce the deep creases under your eyes. The procedure involves injecting hyaluronic acid beneath your lower eyelids. Learn more about.

Commonly used fillers include: Hyaluronic acid (HA) This gel-like substance is found naturally in the body. It's used to plump up skin, adding volume to places like the cheeks and. The pseudosepsis treatment algorithm shows a stepwise approach to the treatment of pseudosepsis reactions to intraarticular hylan G-F 20 injection. The first step is diagnosis of the patient's condition, followed by differential diagnosis to rule out pseudogout and sepsis. Acute treatment includes rest, cold compresses, and analgesics

Dermal Fillers (Hyaluronic Acid) rarely occur but can include an immediate reaction causing swelling, and very rarely life threatening anaphylaxis. Delayed reactions They may require treatment and may leave permanent e˚ects on the appearance, sensation and function of the areas a˚ected. The chance of a reaction is reported to be 0.5%. Hyaluronic acid is a substance that is naturally present in the human body. It is found in the highest concentrations in fluids in the eyes and joints. The hyaluronic acid that is used as medicine. Dr Fiona Durban discusses avoidance, recognition and management of delayed onset nodules following hyaluronic acid filler treatment and shares a successful case study. As aesthetic practitioners, it is important to have the knowledge and skills required to manage the complications that may occur following the treatments we deliver

Current ASDS guidance 2 regarding dermal fillers and the vaccine are as follows: Dermal filler inflammatory events very seldom occur with both hyaluronic acid and non-hyaluronic acid fillers. Evidence suggests these reactions can be immunologically triggered by viral and bacterial illness, vaccinations (i.e., influenza vaccine) and dental. AB - We present the first reported cases of delayed inflammatory reactions (DIR) to hyaluronic acid (HA) dermal fillers after exposure to the COVID-19 spike protein. DIR to HA is reported to occur in the different scenarios including: secondary to poor injection technique, following dental cleaning procedures, following bacterial/viral illness.

Patient factors influencing dermal filler complications

Of those millions, only three individuals who received the Moderna vaccine and who also had received hyaluronic acid (HA)-based filler had a reaction. The reactions consisted of facial or lip. Rzany B, Bayerl C, Bodokh I, et al. An 18-Month Follow-up, Randomized Comparison of Effectiveness and Safety of Two Hyaluronic Acid Fillers for Treatment of Moderate Nasolabial Folds. Dermatol Surg 2017; 43:58. Ho D, Jagdeo J. Safety and Efficacy of a Volumizing Hyaluronic Acid Filler for Treatment of HIV-Associated Facial Lipoatrophy The type of filler used will dictate the size of the needle; generally needles used with hyaluronic acid products are smaller than those used for volumizers, and volumizers require deeper and more injections overall. The procedure will take about 30 minutes, depending on the product used and the size of the treated area Dermal Fillers (Hyaluronic Acid) rarely occur but can include an immediate reaction causing swelling, and very rarely life threatening anaphylaxis. Delayed reactions They may require treatment and may leave permanent e˚ects on the appearance, sensation and function of the areas a˚ected. T he chance of a reaction is reported to be 0.5%.

Restylane is a FDA-approved dermal filler made of a biodegradable, non-animal stabilized hyaluronic acid (NASHA). Hyaluronic acid is a natural substance found in all living organisms and provides volume and fullness to the skin. Restylane is a gel of hyaluronic acid generated by Streptococcus species of bacteria Cosmetic fillers, such as collagen, silicone, paraffin and hyaluronic acid; Medications, such as intralesional corticosteroids although delayed reactions have been reported up to 17 years after tattoo placement. Bovine collagen injections. Hypersensitivity reactions to bovine collagen result in induration and erythema in the area where the. HA filler substances clearly have the potential to induce delayed and prolonged inflammatory reactions, albeit at a much lower rate (0.4% in this study) than that reported for bovine collagen (3% to 4%). A prospective study is needed to determine whether skin testing before treatment with HA fillers would reduce the rate of treatment-site. - Pus formation, area of inflammation and immediate or delayed allergic reactions after hyaluronic acid and/or lidocaine injections have also been reported. Please see section 9 : SYMPTOMS OR SIGNS OF DEVICE OR TREATMENT MALFUNCTION for further information Botox, fillers and the COVID-19 vaccine: What you should know. By Melissa Pandika. March 10, 2021. Dermal filler injections can lend your face that smooth, sculpted look that so many of us covet.

Management of Delayed Onset Nodules - JCAD The Journal

JUVÉDERM ® is the world's leading hyaluronic acid or HA facial filler. HA binds to water in your skin which may smooth lines and wrinkles, add volume and enhance or define facial features. JUVÉDERM ® facial fillers have the ability to integrate with your own facial tissue to get natural-looking results.. Each JUVÉDERM ® facial filler is designed for a particular purpose, whether it's. Plastic and Reconstructive Surgery, Global Open (2020-04-01) . Global Approaches to the Prevention and Management of Delayed-onset Adverse Reactions with Hyaluronic Acid-based Fillers Purpose of review The use of dermal filler in the periocular area is increasing - both for functional and aesthetic indications. Hyaluronic acid fillers dominate the market; these treatments offer an alternative to some surgical procedures with the advantage of instant results, minimal healing time and low complication rates. However, success depends on judicious selection of patients. Hydrolyzes hyaluronic acid in connective tissue, which enhances connective tissue permeability For increasing the absorption and dispersion of other injected drugs, for hypodermoclysis rehydration, and for improving resorption of radiopaque agents in subcutaneous urography Hypersensitivity may occur; skin testing can be performe Filler migration away from the treatment area; Dermal Filler Cost by Type. Dermal fillers come in a variety of types that contain different materials ranging from natural substances (e.g., hyaluronic acid) to synthetics (e.g., polymethyl-methacrylate). Hyaluronic acid fillers. Hyaluronic acid (HA) is a natural compound that is abundant in the body

The FDA has only approved this treatment for people with osteoarthritis of the knee, but some people get it in other joints as well. There are different brands of hyaluronic acid that haven't been. Injectable filler (injectable cosmetic filler, injectable facial filler) is a soft tissue filler injected into the skin at different depths to help fill in facial wrinkles, provide facial volume, and augment facial features: restoring a smoother appearance.Most of these wrinkle fillers are temporary because they are eventually absorbed by the body. Most dermal fillers today consist of. Hyaluronic Acid Dermal Fillers. Hyaluronic acid is arguably best known for its use in dermal fillers. These are used to reduce the visibility of facial wrinkles, fine lines and other common signs of skin aging. Several popular dermal fillers contain hyaluronic acid, including those available under the brand names Juvederm®, Restylane. Synvisc is a chemically modified form of Hyaluronic acid. These treatments can also be referred to as viscosupplementation. A January 2019 study suggests that while PRP injections, cortisone injections, and hyaluronic acid injections are equally effective at relieving patient symptoms at three months. The difference in the treatment is the long. Hyaluronic Injections. Viscosupplementation, sometimes called gel injections, refers to injecting hyaluronic acid into the knee to decrease pain and improve joint movement. Brand names for hyaluronic acid injections include Synvisc-One, Orthovisc, Euflexxa, and Supartz. Hyaluronic acid used for injections is derived from the combs of chickens. 5