One of the methods used for the treatment of deep wrinkles due to aging and for face shaping is augmentation with filling materials known as skin fillers.
In this method, equivalents of the natural substances of the body are injected under the skin.
The most commonly used filler product is hyaluronic acid. Hyaluronic acid is a mucopolysaccharide, or natural sugar, and is found naturally in the human body just like in all living things.
Hyaluronic acid can hold a thousand times more water than its volume and can retain its shape for a long time at the site where it is injected, so it is an ideal and the most preferred filler material and is frequently used in cosmetics products.
This substance, which is already naturally found in the body, does not cause allergy, its chemical substance has no significant side effect and no risk (of course, a practitioner's possible mistake is a different story).
Filler injections are quite practical compared to procedures such as surgery. After light anesthesia with creams, it is applied in only 15-30 minutes.
It does not affect the person's social life and work, and can be done even during lunch breaks.
It does not need to wait to see the result, but after it is done it gets its ideal looks about 10 days after application.
There is no need for any special care after the procedure.
What are the application zones?
• Lines extending from the nose wings to the sides of the lips (nasolabial lines)
• The lines descending from the lip edges (marionette lines)
• Mimic lines on the lip (perioral lines)
• Deep acne and wound scars
• Lip augmentation and contouring
• Cheekbone and cheek augmentation
• Wrinkles around the eye
• Wrinkles on the forehead
Is the filler painful?
The pain of hyaluronic acid fillers such as Juvederm, Stylage, Teosyal, Variofill, Eleves, Perfecta, and Restylane is relatively mild and most of our patients define this sensation as a "mosquito bite".
If your pain threshold is low you can share it with your doctor and ask to keep the local anesthesia cream for a little longer or to be anesthetized locally with injection.
On the other hand, the following factors may affect the level of pain experienced:
- The area to be filled
- If the filler is hyaluronic based or oil-based (oil-based fillers may be painful)
- The pain threshold of the person
- The amount of filler applied
How is the filling performed?
Before the procedure, our patient is photographed from various angles with and without mimics. We keep these pictures to show them before and after the treatment. These pictures are definitely not shared with third parties or institutions.
To minimize pain local anesthetic cream is applied to the region to be filled. It takes about 30 minutes for the anesthetic cream to show its effect.
Our doctor checks our patient's face shape, muscle density, and skin type properties with a brief examination.
The injection and filler are removed from the box in front of the patient. If desired, the patient can take a copy of the barcode of the product or take a picture of the box (if the patient decides to proceed at another center in the future, he/she may show it to the doctor).
The filling material in the injector is injected under the skin. Depth varies depending on the area where the filling will be made.
Immediately after the procedure, the application area is massaged with antibiotic cream.
What is the duration of the procedure and how long does its effect last?
A single session takes 15-30 minutes on average. Hyaluronic acid is injected into the middle layer of the skin with a very fine needle.
Depending on the quality of the filler used and the skin structure of the person, the effect lasts for an average of 8-12 months. The effect of filler may last less in areas such as agile areas as the mouth and lips.
The more filler is injected the longer the effect will last. However, a good balance should be established between the quantity injected and the aesthetic appearance so that it looks natural. The effect of fillers lasts longer if the filling is applied regularly.
Does filler look natural?
Filler rarely looks unnatural if applied by an experienced dermatologist.
One thing that we want to draw attention to here is that some people move away from their natural appearance because they want to have very plump lips.
For a natural appearance, the lower lip should be thicker than the upper lip.
If the injecting doctor makes the upper lip thicker, it ruins the natural look.
On the other hand, the powerful effect of visual media makes quite a lot of people want to have lips and cheeks that look rather unnatural.
You may find some of our before and after results, below;
What are the filler types? Which brands do you use?
Different brands may have different effects on different parts of the face in filler procedures, so even the same brand can produce different types of fillers.
Hyaluronic acid-based fillers
Hyaluronic acid, a kind of sugar, exists naturally in all living things, and therefore in the human body. This substance has important tasks such as cell division, increasing the production of collagen in the skin and keeping it tight, providing deep elasticity, and increasing the lubrication of the joints.
The production of hyaluronic acid in the body starts decreasing after 30 years of age. As skin loses its elasticity, firmness, and vitality negative effects of aging become visible. In addition, hyaluronic acid production reduces, skin tone changes and wrinkles become noticeable.
Hyaluronic acid-based filler products are usually gel-based and soft.
European and American products that conform to international standards are Juvederm, Stylage, Teosyal, Variofill, Eleves, Perfecta and Restlay.
Calcium Hydroxyapatite based fillers
Just like hyaluronic acid, calcium hydroxyapatite is a substance naturally found in our bodies, especially in our bones.
Calcium fillers stay in the skin longer than hyaluronic acid fillers, so their effect lasts longer. It stays in the skin for about 12 months. It is very effective on deep wrinkles. It stimulates collagen production in the skin.
The most well-known examples of calcium-based filler products are Radiesse, Sculptura, and Neauvia of European and American origin, which conform to international standards.
Polylactic acid or caprolactone based fillers
It appeared relatively later than other filler products. The mode of action and the means of application differ compared to the hyaluronic acid-based fillers. The effect becomes visible in 2 weeks and can last up to 2 years. In this way, this filler is different from the others.
According to most dermatologists, it gives the best volume to the skin. The injection technique of Ellanse fillers, which are known as smart fillers in our country, is different from hyaluronic-based filler products, so we recommend having them done by specialists.
Which filler will be effective in different areas?
Nasolabial region: Teosyal Deeplines, Juvederm Volift, Restylane Lift, Stylage L, Ellanse M and L
Lips: Teosyal Kiss, Juvederm Ultra XC, Juvederm VOLBELLA XC, Restlane Silk, Stylage Lips
Under the eyes: Teosyal Redensity II
Forehead: Stylage S, Teosyal Global Action, Juvederm Volbella, Restylane Refyne, Ellanse S
Cheeks: Stylage XXL, Radiesse, Teosyal Ultimate, Juvederm Voluma, Restylane SubQ, Ellanse L
What celebrities have fillers done?
Today, we can say that many celebrities we see in local and foreign media have botox and fillers done.
Lindsay Lohan, Kendall Jenner, Britney Spears, Jessica Simpson, Christina Aguilera, Heidi Montag, Jenny McCarthy, Lori Loughlin, Molly Sims, Courteney Cox, Nicole Kidman, Madonna, Ellen Barkin, Meg Ryan, and Angelina Jolie
What is the best filler brand?
Generally, non-Chinese, European, and American origin products are of high quality, and many of them are FDA-approved. So there is no such thing as the best filler brand.
Every doctor prefers certain brands because he/she finds it comfortable to work with and gets better results. Also, different brands are used for different regions.
Can the filler be removed?
Correction should be considered before removing the filler. A specialist can correct the asymmetrical or unpleasant appearance created by overfills. If a person does not want to try correction the fillers are dissolved by injecting an enzyme called hyaluronidase. The hyaluronidase enzyme breaks down and removes the hyaluronic acid. This requires a highly experienced specialist.
What is the most frequent reason for using it filler dissolving procedure?
Although fillers have no significant side effects (such as infection, inflammation), the procedure can frequently result in facial disproportions when applied by inexperienced and especially unauthorized people because they can make serious mistakes and pay no attention to face anatomy.
This can only be reversed by dissolving, not removing the filler.
On the other hand, this enzyme may cause allergies in some people, so it must be done under the supervision of a doctor.
What rules should be observed after fillers?
Avoid drinking alcohol for 1 day and physical activities that will exhaust you. This can lead to bruising.
Avoid too hot and too cold environments (such as sunbathing, solarium, sauna, and winter sports activities) until the redness disappears.
If you see small lumps on your skin you can spread them by massaging as your doctor shows.
Applying sun cream or make-up on the filled areas does not cause any negative effect. However, make sure that the makeup you use is safe. Procedures like hair dyeing or eyebrow shaping should be avoided on the day of the operation.
Avoid infectious environments such as swimming pools or the sea for one day.
You can watch the stages of the some filler applications in the videos below.