{"id":141595,"date":"2026-02-05T10:13:58","date_gmt":"2026-02-05T10:13:58","guid":{"rendered":"https:\/\/kinamihealth.com\/?p=141595"},"modified":"2026-10-15T14:14:45","modified_gmt":"2026-10-15T14:14:45","slug":"techniques-injection-fillers-ah-bonnes-pratiques","status":"publish","type":"post","link":"https:\/\/new.kinamihealth.com\/ca-fr\/blog\/techniques-injection-fillers-ah-bonnes-pratiques\/","title":{"rendered":"Les bonnes pratiques des techniques d\u2019injection des fillers d\u2019AH"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Le succ\u00e8s d\u2019un traitement aux fillers d\u2019acide hyaluronique (AH) d\u00e9pend autant de la technique que du produit. Choisir le bon plan, le bon instrument, le bon volume et la bonne vitesse d\u2019injection pour chaque zone am\u00e9liore les r\u00e9sultats et r\u00e9duit le risque de complications. Ce guide r\u00e9sume les pratiques s\u00e9curitaires et efficaces \u00e0 l\u2019intention des cliniciens.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">L\u2019\u00e9valuation avant l\u2019injection<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"681\" src=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1-1024x681.jpg\" alt=\"\" class=\"wp-image-131733\" srcset=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1-1024x681.jpg 1024w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1-300x200.jpg 300w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1-768x511.jpg 768w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1-600x399.jpg 600w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1-64x43.jpg 64w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/high-angle-patient-filling-consent-document_23-2149941465-1.jpg 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recueillir les ant\u00e9c\u00e9dents m\u00e9dicaux complets: allergies (y compris \u00e0 la lidoca\u00efne), anticoagulants, maladies auto-immunes, ant\u00e9c\u00e9dents de feux sauvages, fillers ant\u00e9rieurs et leur type.<\/li>\n\n\n\n<li>Analyser le visage au repos et en mouvement, et prendre des photos standardis\u00e9es.<\/li>\n\n\n\n<li>\u00c9valuer la qualit\u00e9 de la peau, la perte de volume et le soutien osseux.<\/li>\n\n\n\n<li>Discuter des objectifs et \u00e9tablir des attentes r\u00e9alistes.<\/li>\n\n\n\n<li>Obtenir le consentement \u00e9clair\u00e9 et documenter le plan.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Les techniques d\u2019injection par zone<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Les pommettes et le menton:<\/strong> un gel ferme et coh\u00e9sif plac\u00e9 en profondeur, sur l\u2019os, \u00e0 l\u2019aiguille en petits bolus, ou dans le plan sous-cutan\u00e9 \u00e0 la canule.<\/li>\n\n\n\n<li><strong>La m\u00e2choire:<\/strong> un gel ferme en petits bolus le long de l\u2019os ou une technique lin\u00e9aire \u00e0 la canule.<\/li>\n\n\n\n<li><strong>La vall\u00e9e des larmes:<\/strong> un gel souple et peu hydrophile plac\u00e9 en profondeur en petites quantit\u00e9s, souvent \u00e0 la canule.<\/li>\n\n\n\n<li><strong>Les plis nasog\u00e9niens:<\/strong> un gel de fermet\u00e9 moyenne, en profondeur \u00e0 la base du pli et plus en surface le long de celui-ci, selon le produit.<\/li>\n\n\n\n<li><strong>Les l\u00e8vres:<\/strong> un gel souple, en r\u00e9trotra\u00e7age le long du contour et en petits d\u00e9p\u00f4ts dans le corps de la l\u00e8vre.<\/li>\n\n\n\n<li><strong>Les ridules:<\/strong> un gel tr\u00e8s souple ou un skinbooster, plac\u00e9 en surface en tr\u00e8s petites quantit\u00e9s.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Les produits des gammes <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/juvederm\/\">JUV\u00c9DERM\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/restylane\/\">RESTYLANE\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/belotero\/\">BELOTERO\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/teosyal\/\">TEOSYAL\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/revanesse\/\">REVANESSE\u00ae<\/a>, <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/stylage\/\">STYLAGE\u00ae<\/a> et <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/brand\/saypha\/\">SAYPHA\u00ae<\/a> sont con\u00e7us pour des profondeurs et des zones pr\u00e9cises; toujours suivre le mode d\u2019emploi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Les mesures de s\u00e9curit\u00e9 et la r\u00e9duction des risques<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ma\u00eetriser l\u2019anatomie vasculaire et les zones \u00e0 risque: glabelle, nez, r\u00e9gion nasog\u00e9nienne, tempes et vall\u00e9e des larmes.<\/li>\n\n\n\n<li>Injecter lentement, \u00e0 faible pression et en petits volumes.<\/li>\n\n\n\n<li>Garder l\u2019aiguille en mouvement ou utiliser une canule dans les zones \u00e0 risque \u00e9lev\u00e9.<\/li>\n\n\n\n<li>L\u2019aspiration peut faire partie de la routine, mais ne garantit pas \u00e0 elle seule la s\u00e9curit\u00e9.<\/li>\n\n\n\n<li>Observer la couleur de la peau et les r\u00e9actions du patient tout au long de l\u2019intervention.<\/li>\n\n\n\n<li>Garder de la hyaluronidase \u00e0 port\u00e9e de main et suivre un protocole d\u2019urgence \u00e9crit.<\/li>\n\n\n\n<li>Respecter une technique aseptique rigoureuse.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Notre article sur <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/blog\/complications-fillers-dermiques-signes\/\">les complications des fillers dermiques<\/a> d\u00e9crit les signes d\u2019alerte.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Associer les fillers d\u2019AH \u00e0 d\u2019autres traitements<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Les fillers d\u2019AH s\u2019associent bien aux neuromodulateurs, aux skinboosters et aux biostimulateurs. Planifier soigneusement la s\u00e9quence, respecter les d\u00e9lais et \u00e9viter de traiter la m\u00eame zone avec des appareils \u00e0 base d\u2019\u00e9nergie imm\u00e9diatement apr\u00e8s une injection. Consultez notre article sur <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/blog\/traitements-combines-fillers-ah-levres-pommettes-cernes\/\">les traitements combin\u00e9s<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Les soins et le suivi apr\u00e8s l\u2019injection<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1-1024x682.jpg\" alt=\"\" class=\"wp-image-131732\" srcset=\"https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1-1024x682.jpg 1024w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1-300x200.jpg 300w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1-768x512.jpg 768w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1-600x400.jpg 600w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1-64x43.jpg 64w, https:\/\/new.kinamihealth.com\/wp-content\/uploads\/2026\/02\/woman-home-applying-cream-mask_1303-24618-1.jpg 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Remettre des consignes \u00e9crites claires.<\/li>\n\n\n\n<li>Expliquer les r\u00e9actions normales et les signes d\u2019alerte, avec un moyen de joindre la clinique en dehors des heures d\u2019ouverture.<\/li>\n\n\n\n<li>Pr\u00e9voir un suivi apr\u00e8s deux \u00e0 quatre semaines.<\/li>\n\n\n\n<li>Consigner au dossier les produits, les lots, les volumes et les points d\u2019injection.<\/li>\n\n\n\n<li>D\u00e9clarer tout effet ind\u00e9sirable soup\u00e7onn\u00e9 \u00e0 Sant\u00e9 Canada par l\u2019interm\u00e9diaire du programme Canada Vigilance.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Au Canada, les personnes autoris\u00e9es \u00e0 injecter des fillers d\u00e9pendent de la province et de l\u2019ordre professionnel; chaque injecteur doit exercer dans son champ de pratique. Les cliniques trouveront tous les produits dans notre cat\u00e9gorie <a href=\"https:\/\/new.kinamihealth.com\/ca-fr\/product-category\/dermal-fillers\/hyaluronic-acid-fillers\/\">fillers \u00e0 l\u2019acide hyaluronique<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Glossaire<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bolus:<\/strong> un petit d\u00e9p\u00f4t de produit en un seul point.<\/li>\n\n\n\n<li><strong>R\u00e9trotra\u00e7age:<\/strong> d\u00e9p\u00f4t du produit en retirant l\u2019aiguille ou la canule.<\/li>\n\n\n\n<li><strong>\u00c9ventail:<\/strong> plusieurs passages lin\u00e9aires \u00e0 partir d\u2019un seul point d\u2019entr\u00e9e.<\/li>\n\n\n\n<li><strong>Canule:<\/strong> un instrument \u00e0 bout mousse qui limite les points d\u2019entr\u00e9e et peut r\u00e9duire le traumatisme.<\/li>\n\n\n\n<li><strong>Hyaluronidase:<\/strong> une enzyme qui dissout l\u2019AH.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Lipko-Godlewska, S., et al. (2021). Whole-face approach with hyaluronic acid fillers.&nbsp;<em>Clinical, Cosmetic and Investigational Dermatology<\/em>.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.dovepress.com\/whole-face-approach-with-hyaluronic-acid-fillers-peer-reviewed-fulltext-article-CCID\">https:\/\/www.dovepress.com\/whole-face-approach-with-hyaluronic-acid-fillers-peer-reviewed-fulltext-article-CCID<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.dovepress.com\/whole-face-approach-with-hyaluronic-acid-fillers-peer-reviewed-fulltext-article-CCID\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Colucci, L., et al. (2025). Hyaluronic acid filler usage and technique for the facial rejuvenation.&nbsp;<em>PMC<\/em>.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12037087\/\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12037087\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12037087\/\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Corduff, N., et al. (2022). Current practices in hyaluronic acid dermal filler treatment in Asia-Pacific.&nbsp;<em>Dovepress<\/em>.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.dovepress.com\/current-practices-in-hyaluronic-acid-dermal-filler-treatment-in-asia-p-peer-reviewed-fulltext-article-\">https:\/\/www.dovepress.com\/current-practices-in-hyaluronic-acid-dermal-filler-treatment-in-asia-p-peer-reviewed-fulltext-article-<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.dovepress.com\/current-practices-in-hyaluronic-acid-dermal-filler-treatment-in-asia-p-peer-reviewed-fulltext-article-CCID\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Tim Pearce. (2020, September 3). Injection techniques: Good practice for dermal fillers.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/drtimpearce.com\/2020\/09\/03\/injection-techniques-101-good-injection-techniques-for-dermal-fillers\/\">https:\/\/drtimpearce.com\/2020\/09\/03\/injection-techniques-101-good-injection-techniques-for-dermal-fillers\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/drtimpearce.com\/2020\/09\/03\/injection-techniques-101-good-injection-techniques-for-dermal-fillers\/\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Plastics Fella. (2025, April 20). Injectable fillers: Classification, indications, &amp; techniques.&nbsp;<a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.theplasticsfella.com\/fillers\/\">https:\/\/www.theplasticsfella.com\/fillers\/<\/a><a rel=\"noreferrer noopener\" target=\"_blank\" href=\"https:\/\/www.theplasticsfella.com\/fillers\/\"><\/a>\u200b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le succ\u00e8s d\u2019un traitement aux fillers d\u2019acide hyaluronique (AH) d\u00e9pend autant de la technique que du produit. Choisir le bon plan, le bon instrument, le bon volume et la bonne vitesse d\u2019injection pour chaque zone am\u00e9liore les r\u00e9sultats et r\u00e9duit le risque de complications. Ce guide r\u00e9sume les pratiques s\u00e9curitaires et efficaces \u00e0 l\u2019intention des [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":131734,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[6545],"tags":[],"class_list":["post-141595","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agents-de-comblement-dermique"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Techniques d\u2019injection des fillers d\u2019AH: bonnes pratiques | Kinami Health<\/title>\n<meta name=\"description\" content=\"Techniques d\u2019injection des fillers d\u2019AH: \u00e9valuation avant l\u2019injection, aiguille ou canule, techniques par zone, r\u00e9duction des risques et suivi pour les cliniciens.\" 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