Monalisa Hard Lidocaine (1x1ml)

Monalisa Hard acts as a mechanical support, physically displacing the deep dermal or subcutaneous space to smooth severe folds and create contour. While skin boosters focus on hydration, Monalisa Hard prioritizes "G-prime" or hardness, allowing it to hold its shape against the pressure of facial muscles. For patients requiring a total facial approach, it can be used alongside Revolax Deep in multi-layered protocols.

The formulation contains 24 mg/ml of monophasic cross-linked Sodium Hyaluronate and 0.3% Lidocaine hydrochloride. For patients requiring enhanced skin density alongside volume, combining this treatment with Jalupro HMW is often recommended by clinical experts.

The dosage is individualized based on the depth of the fold and the desired level of volumetric correction. For deep nasolabial folds or cheek augmentation, 1.0 ml per side is common. Practitioners should evaluate if 0.5 ml of filler is sufficient for minor touch-ups before utilizing the full syringe capacity. Precision placement in the deep dermis or supraperiosteal layer is essential to ensure long-lasting structural results.

Common reactions include temporary redness, swelling, and localized purple bruising at the deep injection sites. These effects typically resolve within 7 to 14 days. To uphold clinical safety, practitioners must have Liporase (Hyaluronidase) available in the clinic for immediate enzymatic dissolution in the event of an adverse aesthetic outcome or vascular concern.

Avoid alcohol for 24h before and 48h after the procedure. Alcohol acts as a vasodilator, which can increase blood flow to the deep injection sites, potentially worsening post-procedural edema and increasing the visibility of bruising.

Treatment is strictly contraindicated. No clinical safety data exists for high-density cross-linked HA fillers during pregnancy or breastfeeding. Practitioners must monitor for signs of vascular occlusion in all patients and prioritize safety by deferring elective injections until after the nursing period.