Description
Aliaxin SV Superior Volume Hyaluronic Acid Filler (2 Syringes) – Structural Volume Without Lidocaine: A Complete 22-Section Guide

Quick answer:
Aliaxin SV (Superior Volume) by IBSA, Switzerland, is a highly cross-linked, monophasic hyaluronic acid filler at 25 mg/ml, of non-animal origin, from the Aliaxin Volution range with Hydrolift Action. It is designed to restore volume in the cheekbones, midface, chin and other areas that need structure. It contains no lidocaine, so the doctor plans numbing separately. The box holds 2 prefilled syringes with needles; the volume per syringe is printed on the pack. It is a professional medical device injected only by a qualified doctor in a clinic, never self-injected, and results vary.
Urgent safety warning: vascular occlusion
Deep volume areas such as the cheeks and chin contain important blood vessels. If the skin turns pale or white, looks mottled or dusky, or you feel severe or increasing pain, or notice any change in vision during or after treatment, treat it as an emergency: alert the injecting doctor at once or go to an emergency department. Very rarely this can lead to skin necrosis, vision loss or stroke. Hyaluronidase, given by the doctor, can dissolve hyaluronic acid fillers.
Key Facts About Aliaxin SV
| Name | IBSA Aliaxin SV Superior Volume Hyaluronic Acid Filler (2 syringes) |
| Manufacturer | IBSA (Switzerland), Aliaxin Volution range with Hydrolift Action |
| Composition | Cross-linked hyaluronic acid 25 mg/ml, non-animal origin, highly cross-linked, monophasic |
| Lidocaine | None; the doctor may use separate anaesthesia |
| Pack | 2 prefilled syringes of sterile injectable gel with needles supplied |
| Volume per syringe | Printed on the pack (commonly listed as 1 to 1.1 ml) |
| Placement | Deep (subcutaneous or supraperiosteal), decided by the doctor |
| Amount | Decided by the doctor; no fixed dose |
| Duration | No fixed figure on the pack; varies with area and person |
| Expiry | Printed on the pack |
Short description: A dense, lidocaine-free hyaluronic acid volumiser that doctors use to rebuild support in the cheekbones, midface and chin, giving the face back some of the structure it loses with age.
On this page
- Introduction
- What is it?
- How a high-volume gel works
- Advantages
- Illustrative situations
- Who may suit it
- Who should not have it
- How is it used?
- Planning the session
- Results timeline
- Mistakes to avoid
- Myths and facts
- Side effects
- Medicines and supplements
- Warnings
- Assessment before treatment
- Combining with other treatments
- Filler comparison
- When to call the doctor
- NSL expert tip
- FAQ
- Conclusion
Introduction to Aliaxin SV
With age, the face does not only wrinkle; it also loses support. Fat pads in the cheeks thin and shift, bone gradually remodels, and the midface can look flatter while folds lower down deepen. Filling each fold separately often misses the cause. Aliaxin SV takes the other approach: a dense gel placed deep to restore structure where volume has been lost.
This page explains what Aliaxin SV contains, why it has no lidocaine, who it may suit, and what to expect before and after a session. For the wider picture, see our overview of the main types of dermal fillers. This is educational content; only the doctor who examines you can decide whether this product fits your face.
What Is Aliaxin SV?
Aliaxin SV, short for Superior Volume, is a sterile injectable gel of cross-linked hyaluronic acid at 25 mg/ml. The hyaluronic acid is of non-animal origin, highly cross-linked and monophasic, meaning it forms one uniform gel rather than particles suspended in a liquid. It belongs to the Aliaxin “Volution” range by IBSA, a Swiss company, which describes the range as having a Hydrolift Action.
The box contains 2 prefilled single-use syringes with needles supplied. The exact volume per syringe is printed on the pack and is commonly listed as 1 to 1.1 ml. Aliaxin SV contains no lidocaine. It is a professional medical device sold for clinics and doctors.
How a High-Volume Gel Like Aliaxin SV Works
The higher the cross-linking, the firmer and more cohesive a hyaluronic acid gel tends to be, and the better it can hold shape under the weight of the overlying tissue. That is why highly cross-linked gels are chosen for structural work rather than fine lines.
The doctor places Aliaxin SV deep, under the skin or close to the bone, where it acts as support for the tissues above, similar to restoring a scaffold. Hyaluronic acid also binds water. Over time the body gradually breaks the gel down, which is why results are not permanent.
Advantages of Aliaxin SV
- Aliaxin SV is a dense, highly cross-linked gel designed for structural volume.
- Can restore volume in the cheekbones and midface and add projection to the chin.
- Hyaluronic acid of non-animal origin.
- No lidocaine in the gel, which may matter for people who cannot have lidocaine, after the doctor checks.
- As a hyaluronic acid product, it can be dissolved with hyaluronidase by the doctor if needed.
- Two syringes in one box, which the doctor uses according to the treatment plan.
Aliaxin SV in Practice: Illustrative Situations
These are simplified examples of clinical reasoning, not promises.
A woman in her mid-fifties whose cheeks look flatter and whose face looks tired: her nasolabial folds bother her, but on examination the main change is lost midface support. The doctor may consider restoring cheek volume with a volumiser such as Aliaxin SV first, then reassess the folds.
A man in his thirties with a short, receding chin: he wants a more balanced profile. A dense gel placed deep may add chin projection; the doctor explains what filler can and cannot change compared with surgery.
A patient who reacted badly to a local anaesthetic in the past: a lidocaine-free product may be relevant, but the doctor must first clarify what the reaction was and plan comfort measures carefully.
Who May Suit Aliaxin SV
- Adults with volume loss in the cheekbones or midface.
- Adults wanting more chin projection or structural support in other areas the doctor judges suitable.
- People who need or prefer a filler without lidocaine, after a doctor’s review.
- Only after an in-person assessment by a qualified doctor.
It is not the right choice for fine lines or delicate areas, where lighter gels are used.
Who Should Not Have Aliaxin SV
- A history of severe allergies or anaphylaxis.
- Allergy to hyaluronic acid or any ingredient of the product.
- Active skin infection, inflammation or acne at the area.
- Bleeding disorders.
- Pregnancy and breastfeeding: not studied, so avoid.
- Under 18, or under the age stated on the label.
- Autoimmune disease or a history of keloids: the doctor must assess first.
- A recent laser treatment or peel at the area.
How Is Aliaxin SV Used?
Aliaxin SV is injected only by a qualified, trained doctor, such as a dermatologist or plastic surgeon, in a clinic. It is never self-injected, and it is not meant for home use. A session usually includes:
- Consultation: medical history, medicines, allergies and previous fillers, a facial assessment and an honest talk about realistic goals.
- Comfort plan: since the gel has no lidocaine, the doctor decides on separate anaesthesia, such as a numbing cream or local anaesthetic, if appropriate for you.
- Injection by the doctor: the doctor chooses the amount, depth and technique for your face. There is no fixed dose.
- Aftercare: for about 24 to 48 hours avoid makeup, heavy exercise, saunas, alcohol and pressing or massaging the area, unless the doctor advises otherwise.
- Follow-up: a review visit lets the doctor check symmetry and decide whether a touch-up is needed.
Planning the Session
Deep volume treatments can cause swelling and tenderness that last several days, and bruising can take up to about two weeks to fade. Plan the session well before an important event, and avoid dental treatment or facial procedures close to it unless the doctor agrees. If you take supplements that increase bruising, ask the doctor before the visit; never stop a prescribed blood thinner yourself.
Aliaxin SV Results Timeline
- Same day: added volume is visible, together with swelling.
- First week: swelling and tenderness gradually settle; chewing or smiling may feel slightly sore at first.
- About 2 weeks: the face has settled enough to judge the result and discuss any touch-up.
- Months: the gel is gradually broken down. The pack does not state a fixed duration, and how long Aliaxin SV lasts varies with the area and the person.
Results vary and are not guaranteed. Read more about how long do fillers last.
Mistakes to Avoid
- Using a dense volumiser like Aliaxin SV for fine lines or thin skin, where it is not designed to go.
- Assuming no lidocaine means more pain is unavoidable; ask the doctor about the comfort plan.
- Treating each fold separately instead of asking whether lost support is the cause.
- Booking an injector who is not a qualified doctor, or buying syringes to inject at home.
- Judging symmetry while the face is still swollen.
Myths and Facts
Myth: more volume always looks younger. Fact: overfilling can look heavy and unnatural; the aim is to restore support, not to add as much as possible.
Myth: a filler without lidocaine cannot be comfortable. Fact: the doctor can use separate numbing methods when suitable.
Myth: Aliaxin SV is permanent. Fact: hyaluronic acid is gradually broken down; duration varies.
Side Effects of Aliaxin SV
Most effects are temporary and settle within days to about 1 to 2 weeks:
- Swelling, redness and tenderness.
- Bruising.
- Lumps or a feeling of firmness.
- Itching at the injection site.
Rare but serious effects include injection into a blood vessel, infection, delayed nodules or granulomas, and allergic reactions. More detail is in our article on possible dermal filler side effects.
Medicines and Supplements Before Aliaxin SV
- Blood thinners (anticoagulants and antiplatelets) increase the risk of bruising and bleeding. Tell the doctor; only the prescribing doctor can decide on any change.
- Aspirin and NSAIDs such as ibuprofen or diclofenac may increase bruising.
- Omega-3 and vitamin E supplements may also increase bruising.
- Anaesthetics: Aliaxin SV itself contains no lidocaine, but if the doctor uses a separate local anaesthetic, tell them about any allergy to lidocaine or other amide anaesthetics.
Warnings
- Vascular occlusion: blanching, mottling, severe pain or vision changes are an emergency. Contact the injector immediately or go to an emergency department.
- Professional use only: injected by a qualified doctor in a clinic, never self-injected.
- Single use: never re-use or share a syringe.
- Store as stated on the label; do not freeze.
- No guaranteed result; touch-ups may be needed.
Assessment Before Treatment
Healthy adults usually do not need blood tests before Aliaxin SV, but a careful assessment is essential: allergies, medicines and supplements, bleeding tendency, autoimmune conditions, previous fillers or permanent implants in the same area, and recent dental or facial procedures. Photos at rest and from the side help the doctor plan and later compare results.
Combining Aliaxin SV With Other Treatments
- Lighter hyaluronic acid gels, chosen by the doctor, for remaining lines after structure is restored.
- Skin-quality treatments for thin or crepey skin, since a volumiser does not change skin texture.
- Collagen-stimulating injectables such as Sculptra or Radiesse, which some doctors use in different plans.
- Daily sun protection and good skincare.
Aliaxin SV Compared With Other Fillers
| Product | Type | Concentration | Lidocaine | Typical use |
|---|---|---|---|---|
| Juvederm Voluma | Cross-linked HA filler (VYCROSS) for deep volume | 20 mg/ml | Yes, 0.3% | Cheek and midface volume, chin and jawline projection, temple hollows |
| Juvederm Ultra 4 | Cross-linked HA filler (HYLACROSS) | 24 mg/ml | Yes, 0.3% | Deep folds such as nasolabial and marionette lines, lip volume |
| Teosyal RHA 2 | Resilient HA filler (RHA) for moving areas | 23 mg/ml | Yes, 0.3% | Moderate dynamic lines around the mouth, smoker lines, nasolabial folds, subtle lip enhancement |
| Aliaxin SV | Highly cross-linked HA filler of non-animal origin | 25 mg/ml | No | Structural volume for cheekbones, midface and chin |
| Croma PolyPhil | Polynucleotide skin booster, not a volumising filler | 20 mg/ml (40 mg per 2 ml) | Not listed in the composition | Skin firmness, elasticity, hydration and fine crepey lines of face, neck, decollete and hands |
Aliaxin SV and Juvederm Voluma are both deep volumisers; one practical difference is that Aliaxin SV has no lidocaine. The lighter gels and the skin booster in this table serve different purposes.
When to Call the Doctor
- At once: pale, white or mottled skin, severe or increasing pain, or any vision change.
- Increasing redness, heat, pus or fever, which may signal infection.
- Swelling of the face, lips or throat, or difficulty breathing: emergency.
- Hard lumps or swelling that appear weeks or months later.
- Asymmetry or swelling that does not settle after about two weeks.
NSL Expert Tip
From the No Style Like pharmacy team: before Aliaxin SV, ask your doctor two things. First, “is my problem lost support or a surface line?”, because a volumiser only helps the first. Second, “what is the comfort plan?”, because this gel has no lidocaine. A good doctor answers both clearly, explains the vascular warning signs and books a review after about two weeks.
Aliaxin SV FAQ
Does Aliaxin SV contain lidocaine?
No. The doctor may use separate anaesthesia if appropriate.
Which areas is it used for?
It is designed for structural volume: cheekbones, midface, chin and other areas needing support.
How much is in each syringe?
The volume is printed on the pack; it is commonly listed as 1 to 1.1 ml. The box has 2 syringes.
How long does it last?
The pack does not state a fixed figure; duration varies with area and person.
Can I inject it myself?
No. Only a qualified doctor injects it, in a clinic.
Can it be dissolved?
Yes, hyaluronic acid fillers can be dissolved by the doctor with hyaluronidase.
What is the expiry date?
The expiry date is printed on the pack.
Aliaxin SV: Conclusion
Aliaxin SV is a 25 mg/ml highly cross-linked hyaluronic acid filler of non-animal origin, designed to restore structural volume in the cheekbones, midface and chin, and it contains no lidocaine. A qualified doctor injects it after an assessment, results vary, and blanching, severe pain or vision change after treatment is an emergency. Doctors and clinics can order it from No Style Like Pharmacy with delivery across Egypt.
Reviewed by the No Style Like Pharmacy content team. This information is for educational purposes only.
This is a prescription medical device for professional use; follow the instructions for use and your doctor’s advice. This content does not replace medical advice. Learn more at FDA – Dermal fillers (soft tissue fillers).









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