We apply facial fillers, which we call dermal fillers, to compensate for volume losses and wrinkles. Since we only apply hyaluronic acid in our own practice, what is explained here will only refer to the products we prefer. With aging, the subcutaneous fat layer and some structural elements of the skin such as hyaluronic acid, elastic and collagen fibers decrease, resulting in wrinkles and sagging. Fillers are temporary, semi-permanent or permanent substances that are injected under the skin to remove these wrinkles, sagging, scars, and sometimes to give shape or volume to the tissue. How do fillers work?

Fillers injected under the skin correct wrinkles by filling under the wrinkles, remove sagging by giving volume to the face, and shape with fullness in areas with low volume. Although some fillers are temporary, they stimulate the production of new collagen in the skin during the time they are under the skin. We call these peptide (smart) fillings. Thus, since the skin is renewed, the applied area looks much better than the first state even after the filling material has melted. While the advantage of peptide fillings is that the permanent effects continue at 25%, it is a disadvantage that it can rarely cause subcutaneous lesions such as granuloma.

What are our clinical preferences?

In our clinic, we often use Revofil group peptide fillers, a product of Caragen company, but we also frequently use Juvederm and Teaosyal group fillers depending on the special preferences of the patients.

How is face filling done?

Fillers are injected in small amounts to the wrinkle line, to the area that is desired to be shaped and approved by your doctor, with the help of a fine needle or blunt tip cannulas. The filler injection takes about 5 minutes. The result is immediately noticeable.

What are the types of fillings?

Fillers used for aesthetic purposes can be classified as temporary, semi-permanent and permanent. Among the temporary fillers, the most widely used filler in the world is hyaluronic acid. The most commonly used materials among semi-permanent fillings are those containing calcium hydroxy apatite, polycaprolactone and polylactic acid. The permanence of these fillings varies between 1-4 years. Permanent fillings are not preferred because of their side effects.

What are the advantages of hyaluronic acid fillers?

Hyaluronic acid is a FDA-approved, non-animal, safe and natural product that adds volume to the area it is applied to. With the 100% pure form of hyaluronic acid in different concentrations, a better appearance, moisturizing, protection and revitalization of the face, neck, décolleté and hands can be achieved. Injecting hyaluronic acid into the skin supports the production of collagen, which is vital for youthful-looking skin. It has also been shown that hyaluronic acid in the skin acts as an antioxidant and fights harmful chemicals. The effect of the filler is seen immediately and continues for 4-18 months, depending on the concentration selected.

It is compatible with the body and no allergy testing is required before treatment. The substance injected under the skin with a fine needle can be applied with local anesthesia and the application takes less than 1 hour. After injection, CaHA particles act as a “scaffold” to stimulate and support the body’s own collagen formation. Over time, it is broken down into its components by the body and disappears in the body safely and naturally. Results may be 18 months or longer but are not permanent.

For what purpose on the face, which areas can be filled?

cheekbonesCorrecting the nasolabial grooves (lines from the edge of the nose to the corner of the mouth)
Removing the collapse and bruises under the eyes
Application to remove sagging on the face
Reducing sagging lines (Marionette) on the corners of the mouth
Clarifying the chin and jawline
Shaping and plumping lips
Eliminate wrinkles around the lips
shape the eyebrow
Removing minor deformities in the nose and lifting the tip of the nose
Reducing the lines between the eyebrows
Removing acne and scars

Is filling application painful?

Most people say that injections are performed without pain. The use of a local anesthetic effective cream before the application may help those with a low pain threshold. In our practice, we only apply local anesthesia infiltration with thin insulin needles in lip applications. In other filling applications, only anesthetizing with high lidocaine cream and using a cannula provides sufficient comfort.

How does the face look after the application?

Immediately after the application, slight redness and edema may occur at the injection sites, but they disappear completely within 15-20 minutes.

How long is the effect of filler treatment?

The permanence time of the fillers varies according to the filler used, the properties of the products, the application area and some personal characteristics. While this period is 8-10 months for the lips, it can last up to 18-24 months for the chin and cheekbones.

What are the side effects of filler application?

Temporary swelling, redness, bruising and tenderness may be observed in the application area. These side effects regress in a short time. Concealer can be applied to the bruises. Rarely, there is the possibility of fillings to cause granuloma and infection under the skin.

How long do filling applications affect work and social life?

Immediately after the filling application, the person can continue her daily activities and social life immediately.

What should be considered before and after filler injection?

It is recommended not to use pain relievers, aspirin, blood thinners 3 days before the procedure, and some other supportive drugs (green tea, gingko biloba, herbs such as garlic, ginseng, echinacea) 7 days before the procedure, as they may increase the risk of bruising that may occur during the application. Heavy sports, hard chewing movements, talking and laughing are not recommended for 4 hours following the application. Hard massage should not be applied to the treated area. You should protect this area against excessive heat (sauna, sunbathing) or extreme cold until the redness and swelling after the application are completely gone.

Can fillers be applied together with other aesthetic procedures?

Fillers with hyaluronic acid should not be applied after heating procedures, because procedures that heat the skin can shorten the life of the filler. Moreover, laser, radiofrequency, focused ultrasound, etc. for skin rejuvenation. Fillings made after the procedures both increase the effects of these procedures and provide a rapid improvement in sagging, wrinkle and scar treatments. Filling application can be done at the same time with other injection applications such as mesotherapy, PRP, botox.

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