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Mechanical lift—about 90 % of the final look—shows instantly, then settles over the first week as hydration balances out. Ultrasound data list 78 % volume retention at six months and 52 % at twelve. Cheek and chin sites last longest because they face less enzyme activity, while lively perioral folds may need a nine-month polish. Without peptides, breakdown hinges on cross-link density and lifestyle: smokers and sun worshipers burn through HA roughly 20 % faster. A quarter-syringe refresh at month 10 usually restores cushion without full downtime. If you ever need to reverse, 10 IU hyaluronidase per 0.1 ml dissolves the gel in minutes.