Dermal Filler - Op. Dr. Barış Çin

Dermal Filler

Facial fillers are substances that temporarily soften wrinkles when injected into your skin. As the name suggests these substances fill or in other words give volume to the area. Increased volume may augment your lip, enchance your cheeks or reduce your glabellar wrinkles. Injection of a facial filler is generally performed as an outpatient procedure. It is done under local anesthesia. The procedure takes about 20-60 minutes.  

You might have mild discomfort, bruising and swelling for up to a week. After the swelling goes down, you might need a touch-up injection for best results. How long the effect lasts depends on factors such as the type of wrinkle and filler used. Average hyaluronic acid fillers last about 12 months. But this may vary according to enzymes and metabolism of your body. 

Why it's done

If you feel you have a sad or tired appearance in your face, or tiny wrinkles you may consider dermal fillers. It may also be considered if the fat pad on your face lose volume which makes you look older than your age. Other indications of this treatment may be:    

  • Lip augmentation  
  • Treatment of perioral wrinkles around your lips.  
  • Reducing deep lines such as nasolabial line, and deep wrinkles such as glabellar wrinkles.  
  • Filling the grooves and depressions under the eyes or cheeks. (tear trough) 
  • Depressed scar tissue  
  • Wrinkles on the hand dorsum. 
  • To increase eyebrow prominence

Types of facial fillers

Facial fillers include:

  • Hyaluronic acid (Restylane, Juvederm, others). This natural component of the skin's connective tissue is the most common filler used for wrinkles. The results typically last about eight months to 14 months.
  • Calcium hydroxylapatite (Radiesse). This filler is used to contour the jaw line, restore volume in the cheeks, and treat deeper wrinkles and skin folds. The results last up to one year when used for contouring and three years when used to fill wrinkles. This filler is similar to bone mineral.
  • Fat grafting. Fat is removed from the lower abdomen or inner thigh using liposuction and then injected through small incisions into your cheek, temple, lips or forehead. The effects might be permanent. But achieving the desired results usually requires more than one session of injections, as well as overfilling the site to compensate for the body's reabsorption of the fat. Usually 40-50% of fat is viable in the first session. This may decrease in smokers and chronic diseases that decrease tissue oxygenation.
  • Permanent soft tissue filler (Artefill). This filler is used to smooth deep wrinkles around the mouth. The body can't absorb this type of filler, so it doesn't require reinjection. We don't recomment this permanent soft tissue filler as a first-time facial filler treatment.  
  • Poly-L-lactic acid (Sculptra). This product like the previous ones is used to restore facial volume lost due to aging or illness. Two or three injections are usually required. The effects last up to two years.


Aim of filler injection is not to change the facial expression or change the general appearance of the face. On the contrary goal of this treatment is to reduce the deformities and aging face's volume loss to achieve original youthful apearance (anti-aging, rejuvenation). So when the patients look at the mirror, they see themselves as a younger version of themselves. Contrary to popular belief they don't swell, look weird, loose their facial expression, or look like someone else's face.  

Another goal of the facial filler treatmen is to restore the youthful ratio's of the face, restoring the harmony and achieving youthful triange and reconstruction of the ovale face shape. This leads to beautifucation and youthfulness.  

Dolgu uygulamasının ardından, genellikle çevredekiler yüzde olumlu ve güzel bir değişim fark ederler, yüzün gençleştiğini, bakışların canlandığını ifade ederler, ancak ne yapıldığını anlayamazlar. Dolgu uygulamasıyla tam da hedeflenen, küçük dokunuşlarla bu değişimi yakalamaktır.   

Tabiki tüm bu hedeflere uygun sağlık ve hijyen koşullarına sahip muayenehane yada klinik ortamında, sadece bu konuda eğitimli ve yeterli tecrübesi olan hekimler tarafından doğru tekniklerle yapılan, doğru noktalara, doğru plana, doğru miktarda, uygun dolgu tipinin kullanıldığı güvenli dolgu uygulamalarıyla ulaşılır.


As with any operation, injecting facial filler for wrinkles has risks, including:

  • Allergic reaction at the injection site or throughout the body
  • Bleeding or bruising at the injection site
  • Infection
  • Irregularities in the surface, contours and firmness of the skin
  • Rarely, damage to blood vessels

Facial fillers generally aren't used for people whose immune systems are suppressed or who take blood-thinning medications (anticoagulants).

During the surgery

1-Hastadan iyi bir anamnez alınmalı, kontraendikasyonlar belirlenmelidir.
2-Cilt temiz ve makyajsız olmalıdır.
3-Peeling yapılmış, nemli bir cilt tercih edilmeli. Kuru ciltte dolgu kalıp gibi kalabilir, yayılması zaman alabilir.Nemi sağlamak için cildin kuruluğuna göre öncelikle mezoterapi tercih edilmelidir.
4-Bir seansta max. 4 enjektör filler uygulanabilir.
5-Gereken seans sayısı yaşa, genetik faktörlere,cilt tipine,cinsiyete,hormonal durumlara,menopoza,yaşam biçimine göre değişiklik gösterir.
6-Seans aralıkları 2-3 hafta olmalıdır. İşlem sonuçlandığında 3-6 ay kalıcılığı vardır.

After the surgery

1-Ödem,şişlikler,nodül tarzı şişlikler,hematom,kızarıklık,bazen kaşıntı ve dokununca acı hissi.
Tüm bunlar uygulamayı takiben 2-7 gün de geçer.
2-Hasta uygulama yapılan yerlere kesinlikle dokunmamalı,ovuşturmamalıdır.
Dolgu kayabilir.Oluşabilecek sert kitleler,bol su içimi ile kendi kendine dokuya yayılır.
3-Kişide “hyalüronidaz”enzimi çoksa,3-6 aydan çabuk eski haline dönebilir.
4-Bu işlemler geri dönen işlemlerdir. Kalıcı yada daha uzun süreli işlemlerden farkı; tamamen işlem öncesi haline dönebilmesidir.Dokuda herhangi kalıcı bir değişiklik ya da hasar yapmaz
5-Uygulama sonrası hemen makyaj yapılabilir, normal hayata dönülebilir.

Dermal Fİller

Frequently Asked Questions 

What are the benefits of fillers?

One of the biggest benefits of fillers is skin rejuvenation - lines and wrinkles can be filled out and the face can be sculpted with a little help from dermal fillers. There’s even a treatment called the liquid facelift which uses fillers to give the face a firmer, youthful look as an alternative to a surgical facelift.

What are fillers made of?

The most common types of dermal fillers are made from hyaluronic acid, including the popular brands Juvéderm and Restylane. Hyaluronic acid is often favoured over other filler substances because it can be dissolved (with an enzyme called hyaluronidase) if anything goes wrong with the treatment or if the client doesn’t like the results.

Another plus of hyaluronic acid is that it's a naturally-occurring molecule found in the skin, which means it’s a safe material that’s well-received by the body.

How long does filler treatment take?

The treatment time will depend on the area being injected and how much filler is needed. But, generally, dermal filler treatments are quick, taking less than 15 minutes. For more intensive filler treatments - like the liquid facelift - the procedure can take about 30 minutes to an hour.

If a numbing cream is used, you’ll have to wait roughly 20 minutes for it to kick in before the treatment begins.

Are there any side effects of fillers?

The dermal filler side effects are pretty minimal and usually disappear soon after the treatment - they typically last a few days. They include things like swelling, redness and minor bleeding near the injection points. You might also experience some bruising, but applying an arnica cream to the area can help keep this at bay.

If any of these symptoms persist, contact your practitioner for advice.

What’s the recovery time of fillers?

There’s no downtime following a filler treatment, so you’ll be able to resume your plans as usual. And any side effects you encounter should clear up within a few days of your treatment.

But, you might want to clear your calendar of important events until any signs of redness, swelling and bruising have disappeared.

Are dermal fillers painful?

Your practitioner will likely apply a topical numbing cream to the target area to help reduce pain as much as possible. Lots of modern fillers also contain lidocaine, which will continue to numb the area with each injection.

Some areas of the face will be more sensitive than others - like the lips and nose - but, talk to your practitioner about pain management options if you’re concerned.

Are dermal fillers safe?

Because there are lots of important arteries in areas of the face which are often treated with fillers, the treatment is medium-risk. But, the risks of dermal fillers are significantly lowered if you choose a medically qualified practitioner for the procedure who has the right training, lots of experience and the appropriate qualifications.

It’s also really important that you chat with your practitioner about your medical history, conditions you might have or any medications you’re taking beforehand to ensure nothing will impact the safety of the treatment.

How can I prepare for fillers?

A week prior to your treatment, avoid taking aspirin, ibuprofen, vitamin E and fish oil supplements as these may increase bleeding and bruising. However, if you are taking any prescribed medicines, including aspirin, do not stop taking them. Instead, chat with your practitioner or GP first.

Avoiding alcohol for at least one day before your treatment is also recommended.

Is there anything I should avoid after fillers?

Try not to touch the treated areas immediately after your anti-ageing treatment as this can lead to infection or interfere with the placement of filler. Exercise, alcohol and heat should be avoided for the first couple of days after the treatment and you should wait 1-2 weeks before having any other aesthetic treatments.

How long do dermal fillers last?

When hyaluronic acid-based dermal fillers are used, results typically last for 6-18 months. But, their exact longevity will vary from person to person as it depends on how quickly each individual metabolises the filler.

For non-hyaluronic acid fillers, results can last for years.

And there are the answers to the most frequently asked questions about fillers. For more info, check out our dermal filler treatment guide and browse our 8 considerations before getting dermal fillers to make sure you're super prepared!

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