WHAT IS FILLING APPLICATION?
As we age, due to the collapse of the bone structure on the face and the decrease of fat and connective tissue due to the effect of gravity and bone resorption, volume loss occurs in our face. Wrinkles, sagging and folds begin to form on the skin. Especially sagging on the lower face makes the person look older than they are. However, these effects can be reversed with the development of fillings that are fully compatible with human connective tissue. Today, there are a wide variety of fillers according to the needs of the person and the area to be applied. These fillers act by giving volume to the injected area. It is also used to correct existing asymmetries. The desired effect can be increased proportionally to the filler.
What are the materials used in filling applications?
There are permanent, semi-permanent and temporary fillings available today. It has been shown that the synthetic materials in permanent fillings are not compatible with the human body and their use is not recommended today. The most widely used filler is FDA-approved, non-animal, compatible with human connective tissue and highly reliable ‘Hyaluronic acid’ fillers.
Hyaluronic acid is a polysaccharide found in human connective tissue and its main purpose is to create volume by holding water. The decrease in hyaluronic acid density in the skin with aging causes wrinkles and sagging in the skin. Since hyaluronic acid is a substance that is already in the human body, the desired area can be treated without experiencing any allergic reaction with the injection of fillers containing this substance.
Calcium hydroxyapatite (CaHA) and poly-L-lactic acid (PLLA) fillings are more concentrated fillings. Thanks to the ability to stimulate collagen production in that area after injection, they last longer than hyaluronic acid fillers. Similar to hyaluronic acid fillers, they do not cause any allergic reaction. They are fillings that are healthier to be applied gradually and require an average of three sessions of application in order to maximize the effect. After the application, the effect is more evident with the start of collagen production approximately 4-6 weeks after the application.
Which areas can be filled?
- The nasolabial groove extending between the lip and the nose,
- Crow’s feet around the eyes,
- In filling the under-eye groove,
- Reducing the barcode lines formed around the lip,
- Creating lip contour and volumizing the lip,
- Volumizing the cheek and mid-face area,
- In eyebrow lifting and reduction of age-related collapse in the temple area,
- Clarifying the chin line and reducing the appearance of small chin,
- In nasal deformities and nose tip lifting that do not require surgery,
- It is applied to provide moisture to the skin.
- It can also be applied to areas with tissue loss and/or asymmetry for any reason.
How long does the effect of the filler last?
Hyaluronic acid fillers are the most preferred fillers all over the world. Its effects usually vary between 6-18 months, depending on the amount of crosslinks and particle size it contains. CaHA (calcium hydroxyapatite) fillings can be effective for an average of 15 months, and PLLA (poly-L-lactic acid) fillings can be effective for an average of 2 years.
How is the filling application done?
In filling applications, the appropriate application is planned with the understanding of what the patient wants and the direction of the doctor according to the problems on the face. Since most new generation fillings contain local anesthetic, the procedure is usually less painful. However, in order to ensure the comfort of the patient, local anesthetic cream is applied approximately 20-30 minutes before the procedure. The procedure takes an average of 10-20 minutes, depending on the experience of the practicing physician, the application technique and the anatomy of the region to be applied. This period may be longer as the application area and amount increases. The effect of the procedure is noticeable immediately after the application. As a result of factors such as the water holding capacity of the filler and its settlement in the tissue, the maximum effect is observed after the 2nd week.
What should be considered after the filling application?
On the day of application,
Not going to the sauna or hammam,
Avoiding heavy sports
drinking plenty of water,
It is recommended that people who have lip augmentation do not consume very hot or very cold drinks and hard foods for 2-3 hours.
Apart from these, the patient can continue his daily activities.
LIP FILLER
Lips are one of the most important elements of facial beauty. Having beautiful and full lips provides self-confidence, complements the facial beauty and gives the person a separate charm. In some people, the lips are structurally thin. In some people, even if the lip structure is not normally thin, the lips become thinner after aging because they lose their old volume. At the same time, with aging, the appearance of the lips deteriorates as the bone tissue supporting the lip weakens. Some dental problems, especially tooth loss, also cause thinning in the shape of the lips. Habits, such as smoking, that cause the lips to pucker constantly, cause thin vertical lines to form around the lips. Lip corners shift downwards with age. All these mentioned changes cause deterioration in the appearance of the lips, causing the person to look older. All these changes can be corrected thanks to the application of lip augmentation.
Which Fillers Are Used for Lip Filling?
Fillers containing hyaluronic acid are used for lip augmentation. Hyaluronic acid fillers are compatible with the lips, so they can be easily shaped and quickly adapt to the texture. Since the lips are very mobile, the fillers melt faster than the fillers applied to other parts of the face. For this reason, the permanence of hyaluronic acid fillers applied to the lips is around 6 months on average.
How is Lip Filling Made?
Lips are very sensitive organs and procedures performed on this area are more painful than other areas. Therefore, anesthetic cream is applied before the filling application and waited for 15-20 minutes. At the same time, since the new generation fillers contain products with anesthetic effect, it is ensured that the procedure is done in a way that causes the least pain. Before the procedure, the photograph of the lips should be taken and the person should be asked what kind of change in the lip is desired. Filling applications to the lips can be done in different ways. The edges of the lips can be defined (contour application). Lip volume can be increased by filling the red fleshy part of the lips (giving volume to the lips). Filling can be applied to the drooping parts of the lip corners, and the corners of the lips can be shaped and thus the sad expression can be eliminated. Lip augmentation can be performed in one or two sessions depending on the lip structure of the person to give the desired shape.
What Should Be Considered After Lip Filling Application?
It is forbidden to eat or drink anything for at least 2 hours after the application of lip augmentation, it is forbidden to wear lipstick and kiss for at least 24 hours due to the risk of infection. Very hot and very cold foods and drinks are not recommended on the day of application, hard foods should not be consumed. Swelling occurs after lip augmentation, needle-induced bruising may occur. These effects regress within 2-3 days.
What are the Important Points in Lip Filling Application?
Good shape to the lips is important for the integrity of the face. Applying excessive filler to the lips can spoil the natural appearance. At the same time, excessive applications to the upper lip may cause the lip to protrude forward, the mustache area to swell, and the ‘duck lip’ appearance.
In lip augmentation applications, it is necessary to adjust the upper and lower lip thicknesses well. The ratio between the upper lip and the lower lip is around 1.6, that is, the lower lip is slightly thicker than the upper lip. This ratio should be paid attention to during the application.
MOISTURE FILLER
Our skin loses its moisture over time and weakens the collagen fibers that provide tension to the skin. These changes cause the skin to look dry, dull, pale, lifeless and old. Moisture fillers are products with special content consisting of hyaluronic acid, which is the most important substance that gives moisture to the skin, and amino acids and antioxidants that provide skin revitalization. With the application of moisture filler, it is aimed to create a bright, vitality and youthful appearance on the skin.
How to make a moisture filler?
Moisture filling is applied to the middle layer of the skin, called the dermis, in the form of small injections. The application should be repeated in 3-4 weeks. Although the effect of the moisture filling usually starts one week after the first session, a total of three sessions are required for the best results.
In Which Areas Can Moisture Filling Be Made?
Moisture filler can be applied to the entire face, neck, décolleté and upper part of the hands.
Are There Risks of Moisture Filling Application and What Should Be Done After Application?
There is no risk of moisture filling application. At the end of the application, redness and rarely bruises can be seen at the injection sites; however, these effects regress completely within 1-2 days. Moisture filling does not cause swelling on the skin as it does not have a volumizing effect. It does not change the facial structure and expression. Make-up should not be applied 24 hours a day on the day of the application to prevent infection of the needle entry sites.
UNDER EYE LIGHT FILLER
The under eye area is the first aging area on our face. The collapse of the under-eyes also makes the person look older and tired than they are. Unfortunately, the under-eye area is a poor area in terms of sebaceous glands, and even at an early age, dryness and wrinkles can be seen in this area. In addition, mimic movements and constant squinting due to visual disturbances cause wrinkles around the eyes even at an early age. With age, pitting and corrugation may occur in the under-eye area due to the thinning of the already low fat tissue in this area, the loosening and weakening of the muscle tissue and the connective tissue holding these structures. Under-eye light filling, on the other hand, is a type of filling that is used to correct these changes and has been developed only for the eye and contains hyaluronic acid, which gives moisture and volume to the skin, as well as peptides and antioxidants. The application of these substances under the eyes not only reduces the existing cupping, but also gives shine to the skin, reduces bruises and wrinkles.
How and to whom is the under-eye light filling applied, when is the effect seen?
Under-eye light filling is applied with the help of special blunt needles, which we call cannula, which do not harm the skin and minimize the risk of vascular congestion. Due to the special structure of the filler, unlike other fillers, the risk of causing puffiness and swelling under the eyes is very, very low. In addition, since special cannulas are used, pain is very low during injection and the risk of bleeding is low. The application can be done in a single session or divided into two sessions. The effect of revitalization under the eyes is also seen immediately after the application, and the feeling of brightness on the skin reaches its maximum level within 2 weeks with the work of the amino acids and antioxidants given. The permanence period of under-eye light filling varies between 12-18 months on average. Under-eye light filling can also be applied in patients with bruises due to cupping under the eyes, but if there is only bruising without cupping, applications such as mesotherapy, peeling, laser methods should be done first, and under-eye light filling should be considered at the last stage.
JAW FILLER & JAW LINE FILLER
Filling application to the chin area can be done for two purposes;
In some face types, the chin is very small and/or set backwards. This may be caused by the jawbone or tooth structure. Especially when the face is viewed from the profile, chin recession is observed more clearly. In such jaw structures, if the bone and tooth problem is not advanced, facial features can be corrected with jaw filling.
The chin includes the lower 1/3 of the face. This part shortens with aging and loses its volume. In such cases, the aesthetic proportions of the face change. Jaw filling can be done to correct the ratio of facial structures to each other and to improve the appearance of the face.
What Should Be Considered During Jaw Filling Application?
The purpose of chin filling is to provide volume and/or lengthen the chin by moving the chin forward. Different injection techniques are applied for both purposes. At the same time, since the chin structure of men and women is different from each other, chin filling should be planned in different ways for both genders. Men should have a more angular, wide chin structure and thus a more masculine appearance is obtained. In women, the chin is oval in shape and should be in softer lines. For this reason, since creating an angular and wide jaw structure in women will give a masculine appearance, the application should be made by paying attention to this situation.
What is Jawline Filling?
The jawline undergoes some changes with aging. The jawline of a young face is flatter and sharper. However, due to aging, the sagging of the facial fat tissue by gravity and the decrease in the connective tissue of the face, the jaw line deteriorates and its former sharpness is lost. Filling injections can be done to correct these changes in the jaw line.
Which fillings are applied in jaw and jawline filling applications?
Hyaluronic acid fillers can be applied to the chin and jawline area. In particular, hyaluronic acid fillers with high lifting properties should be used. Although the effect time of hyaluronic acid fillers applied to the chin and jawline varies from person to person, it is about 9-15 months on average. Calcium hydroxyapatite fillings, which are semi-permanent fillings, can also be applied to the jaw line. The duration of these fillings also varies from person to person, but the average is between 12-24 months.
CHEACH (APELIC-MIDDLE FACE) FILLING
The most important change seen with facial aging is volume loss, especially in the middle face. The cheeks in the middle part of the face have a plump appearance at a young age. Plump and protruding cheeks give the face more energetic air and provide a more feminine appearance. With age, especially after the age of 35, this plump appearance decreases due to loss of volume, and sagging is added to the table in advancing ages. Filling applications are applied to replace these volume losses and to prevent sagging.
When Should Cheek Filling Be Done?
Cheek fillings are a procedure that can be applied at any age. It can be applied to prevent sagging of this part by making the cheek more voluminous at young ages, and it can be applied to make the face look younger by replacing the lost volume in older ages.
Which Fillings Are Used in Cheek Filling?
Fillers containing hyaluronic acid are most commonly used as cheek fillers. Hyaluronic acid-containing fillers are effective for an average of 8-12 months, since the application on the cheek area is preferred. Calcium hydroxyapatite fillings called biostimulant can also be preferred in the cheek area. Since these fillings are semi-permanent fillings, their effect period is between 18-24 months on average.
How is Cheek Filling Applied?
Needles or cannulas with a blunt tip can be used when performing cheek filling. Both types of application are very comfortable and not painful. However, anesthetic creams can be used before the application.
What Should Be Considered After Cheek Filling?
There are some rules to be considered after the cheek filler application. Make-up should not be applied after the application. Sunbathing or solarium should be avoided. Massaging the treated areas should be avoided. Facial massage should not be done for one or two weeks, intense exercise should be avoided. It is necessary to avoid lying face down for one or two weeks.
When is the Effect of Cheek Filling Application Seen?
The result can be seen immediately after the cheek filler application. However, it may be necessary to wait 2 weeks for the full effect of the filler to be seen under the skin and, if necessary, to make additional applications at the end of this period.
TEMPORAL FILLING
Significant changes are seen in our face with aging. Losses occur in our skin and subcutaneous tissues. Weakening and thinning of muscle tissue, adipose tissue and bone structure under the skin are observed. One of these changes is seen in the temple area. In women at a young age, the temples are full and the faceIt makes a soft curve in the temple area. However, with aging, the fullness of the temples decreases and dimpling may occur. This situation both affects the face shape and causes drooping of the eyebrows. In men, it is normal to have a slight dimple in the temple area, there is no fullness in the female face.
When Does Pitting in the Temple Area Start and How Should It Be Treated?
Volume losses in the temple area usually begin in the 40s and increase with age. With the filling applications made to the temple area, the desired fullness is provided in this area and the eyebrows are prevented from falling.
How is the temple filling done? Which Fillings Are Used?
Hyaluronic acid fillers can be injected into the temple area. These fillers can be injected with a needle or cannula. The duration of the effect is between 12-18 months on average, depending on the skin structure of the person and the injected filler. Semi-permanent fillers can also be injected into the temple area. The permanence period of these fillings varies according to the skin structure of the person, but is about 18-24 months on average.
What Should Be Considered While Filling the Temple?
The point to be considered when applying filling to the temple area is the amount of filling given. If too much filling is applied, the volume in the temple area will increase a lot and the temple area will look excessively voluminous. In addition, it is not suitable for men to fill this area with an excessive amount of filling.