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The Filler Injections is the method we use in the treatment of problems that occur due to the reduction of the primary building stones such as collagen and hyaluronic acid in human skin.

Injection of fillers has become one of the most prominent procedures of non-surgical plastic surgery. Fillers can be applied to almost every part of the body today. These substances can be applied alone to ensure fullness in problematic areas of the body.

Filler applications are non-surgical aesthetic procedures that can be used to remove deformations in almost every part of the body today. It is the application of injecting gel-like substances under the skin to give the required volume, to ensure the smoothness of the skin and to correct the facial contours.

Thanks to this treatment, which is frequently preferred by both men and women worldwide, people have a much younger and more aesthetic skin. Consequently, filler injection applications without a surgical procedure are preferred by more and more people day by day.

Loss of volume is the biggest reason for the appearance of ageing symptoms. This condition, which usually manifests itself in the nose and mouth area, causes the cheeks to collapse as the tissues become thinner. Thanks to dermal filling materials, wrinkles are corrected, and your face becomes fuller. Thus, the volume deficiencies are eliminated, giving the person a much younger look. 

Lip filling, cheek filling, cheekbone filling and chin Filling” are the most popular filler injection procedures. In particular, filling injection is generally used to

  • Remove the lines around the nose and mouth,
  • Add volume to the cheeks that have collapsed inwards,
  • To correct the face symmetry and to remove wrinkles in the chin.

In this application, which is usually performed under local anaesthesia, filling materials consist of natural and reliable substances. During this process, which takes an average of half an hour, no incision is required. Therefore, you will not experience the scar formation.

Effects that the Filler Injections Correct

Due to age and gravity effect, our body and face become old and deformed. Along with the loss of volume observed in both facial bones and soft tissues, ageing changes occur in the direction of gravity, especially in the subcutaneous fat tissues. Likewise, the lines formed as a result of the work of the facial muscles gradually deepen, and the damage caused by the sun rays becomes more evident.

In subcutaneous tissues, elasticity decreases due to the reduction of collagen and its structure.

The volume losses occurring in bones and subcutaneous adipose tissues collapse in the temples and cavity around the eyes. Moreover, the lines on the nose and the decrease in the clarity of the jawline become more apparent.

All these changes, which are observed in different ways in different areas, lead to disruption in the harmony. However, filler injections correct all these problems in a smooth way.

Filler injection applications are painless and the patient returns to the same day. Fillers are expelled from the body over time. This period is usually between 4-6 months and the optional application can be repeated.Apart from these substances, the patient can be injected with adipose tissue taken from his own body.

This procedure is performed under local anesthesia and under sterile conditions. 40-50% of the injected adipose tissue is lost and the rest is permanent. After 2 or 3 sessions, desired permanent fullness is obtained.

Target Places of Filler Injections

Filling injections are used to be applied mostly to plump the lips or to eliminate wrinkles due to ageing. However, in recent years, the applications to replace the volume losses have become more popular as the anatomical dynamics of the facial ageing are better understood. The procedures we use with filler injections are;

  • Elimination of the lines between the eyebrows
  • Correction of cheekbones
  • Shaping the nose
  • Shaping the lips
  • Removing lip corners
  • Correction of the jawline
  • Defining the chin corner
  • Enlarging small chin tips
  • Elimination of superficial lines in hundred different regions
  • Improving skin structure

Nose Filling

Nose aesthetic surgeries are among the most popular cosmetic surgical interventions today. Although there is generally no option other than surgery to eliminate very prominent aesthetic problems in the nose, hyaluronic acid-containing filling injections can be an alternative. Moreover, thanks to these fillers, it is possible to correct irregularities that occur after nasal aesthetic surgeries.

Since the nose is an immobile region, the permanence period of the fillings lasts longer than the applications in other parts of the face.

Facial Filler Injections

In order to achieve successful results in face filling applications, it is necessary to evaluate the current problems of the patients in a detailed manner. Moreover, it is crucial to understand the patients’ complaints and expectations.

Applications in some areas of the face can also affect adjacent anatomical areas. Increasing the volume in the mid-face region can reduce the problems in the adjacent tear groove area or the nasolabial folds near the nose. Besides, the volume increase in the cheekbones can reduce the sagging of the lower jawline. For this reason, it is better to evaluate the middle face area before filling.

During filling applications on the face, it is necessary to pay attention to the differences between male and female face shape in order not to give a feminine appearance to male patients and a masculine appearance to female patients. However, it is possible to provide these appearances on request.

Filling Materials

Although there are different materials used for face filling applications,  you can see the most preferred and safe materials below.

Hyaluronic Acid

Hyaluronic acid, which is also found in the structure of collagen in the skin, is produced in laboratory conditions, synthetically. The variety allows different Hyaluronic Acid forms to be used depending on the purpose of application and the characteristics of the application areas.

Hyaluronic acid forms, which have high water retention properties, are generally preferred in areas where they are applied to improve the quality of the skin by moistening the skin.

The most important advantages of Hyaluronic Acid fillers are that the operating room conditions and anaesthesia are not required for applications. Moreover, the fillers can always be available in the desired amount and content.

Since the body absorbs the applied Hyaluronic Acid over time, the effect obtained varies between 8 and 12 months, depending on the application area and the characteristics of the patient.

Fat Injection

Another material for filling applications is the patient’s own adipose tissue. In this application, the fat is obtained from the lower part of the skin in areas such as the legs, buttocks and belly. Then it is passed through various processes and injected into the areas with a volume loss.

The most important advantages of this method are that it can be taken in large quantities of fat, it is partially permanent in the areas where it is applied and increases the tissue quality in the application areas thanks to the stem cells it contains.

Fat injection can be a more economical solution, especially considering the cost of using a very high volume of hyaluronic acid in patients with advanced and widespread volume loss. The most important disadvantages of this technique are the necessity to perform it in operating room conditions as it requires a surgical procedure.

Calcium Hydroxylapatite

Calcium Hydroxylapatite, another frequently used filler, consists of microscopic spheres and is present as a suspension in a sodium carboxymethylcellulose gel. Fillings containing Calcium Hydroxylapatite can be applied deeply on the bone for skeletal support or superficially under the skin to improve skin quality.

The most important advantage of this filling material is that it stimulates collagen and elastin synthesis in the application area.

Complications of Filling Applications

You do not feel pain during filler injection applications. Although needle filling applications do not cause significant pain or discomfort in general, regional anaesthesia can be applied prior to injections to the lips, which are especially sensitive.

Some Hyaluronic Acid preparations contain local anaesthetic drugs. In the fillings made with these preparations, no pain is felt in the application area after the first injection.

For patients with low pain threshold, the cream can be used to anaesthetize the skin prior to the procedure. Giving stimulation to the skin with a device that vibrates near the processing area can also reduce the sensation of pain.

Some undesirable conditions, which we call complications, may occur during and after hyaluronic acid filling applications.

The most important of these are infection, late-stage tissue reactions called granuloma, asymmetry or swelling due to incorrect or excessive application.

As long as proper skin disinfection is considered before the procedure, the infection is infrequent and can be easily controlled with antibiotic treatments. Likewise, granuloma formation is extremely rare as long as quality filling materials are used.

While asymmetric applications can be easily corrected with additional filling applications, the problem can be corrected by injecting Hyaluronidase enzyme that dissolves Hyaluronic Acid in the application area in cases where more filling injection is required.

In order to avoid these complications, it is necessary to know the locations of the important vessels in the facial anatomy and the depths of the application areas.

FAQ

What is the permanence of the fillers?

The permanence of fillers ranges from 8 months to 2 years.

Would you recommend long-lasting fillers?

Some additives are used to increase the permanence of fillings. Besides, the body can react differently to substances that resist the destruction of the body for a long time. For this reason, we do not recommend very long-lasting fillers.

Do fillings cause allergies?

Fillers can show this effect in patients who are dependent on their content and sometimes have allergic structures. This was mostly seen in fillings containing old generations and collagen. Moreover, this is very rare in new generation fillings.