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FILLER APPLICATIONS

FILLERS 

 

What is Filler?

 

Fillers are substances that are produced chemically or in a way that can replace the structural substances in our body obtained from bacteria. In general, they contain hayluronic acid, which is one of the basic building blocks of subcutaneous tissue. Hyaluronic acid is a substance that provides support throughout the body, especially bone, cartilage and subcutaneous tissue. 

What is the purpose of FILLERS?

Dermal fillers are most commonly used in cosmetic surgery to support facial features, restore lost volume, and soften contours/lines.

Corrects volume loss: Reduces age-related hollowness in areas such as the inner cheeks/midface, temples, and around the lips.

Contour shaping: Can create more defined/harmonious lines in areas such as the cheekbone line, jawline, and around the tip of the nose.

Smoothing fine wrinkles: Especially expression lines and superficial contours can be made smoother with a filling effect.

Eliminating sunken areas: It can be used supportively in some areas, such as under-eye hollows (in suitable patients, with the right product/technique).

Lip fullness and lip contouring: Increasing lip volume and defining lip boundaries.

Correcting facial asymmetries: Can be used to balance differences between the left and right sides or to correct pronounced depressions.

Are you a suitable candidate for filler treatments? You can send a photo and ask your questions for a preliminary assessment.

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FILLERS USED IN COSMETIC SURGERY

In cosmetic surgery/aesthetic procedures, "fillers" are generally grouped into two main categories: short-to-medium-acting (the most common) and long-acting/biostimulant products. The most common types of fillers are:

Hyaluronic Acid (HA) Based Fillers

  • Cross-linked hyaluronic acid gels

  • It is commonly used for adding volume, contouring, lip augmentation, cheek/cheekbone enhancement, nasolabial folds, jawline correction, and treating certain scars/depressions.

  • Depending on their composition, the products are manufactured in different densities.

  • It is the most commonly used filler material.

Calcium Hydroxyapatite (CaHA)

  • It exists as microcrystals within a carrier gel.

  • Generally provides more pronounced volume support and long-lasting contour correction (e.g., in suitable patients such as those with mid-face/jawline issues).

Polylactic Acid (PLA) / Biostimulator Fillers

  • It targets collagen stimulation in multiple stages, rather than directly increasing volume.

  • It is generally used for tissue tightening over time and facial rejuvenation (e.g., cheeks/midface).

Polymethyl methacrylate (PMMA)

  • It contains implant-like microspheres that are considered to be more "near permanent".

  • Its use is more restricted and requires significant training/experience (incorrect application can be difficult to reverse).

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WHICH AREAS ARE FILLERS APPLIED TO?

Lip Filler (Lip Augmentation and Contouring)

Lip fillers reduce volume loss in the lips, providing a fuller and more balanced appearance. They also help to define the lip contour, adjusting the corners of the lips and the proportions of the upper and lower lips.

  • Balances lip volume.

  • Provides contour definition.

  • Reduces age-related thinning and fading.

For details, please visit our "Lip Filler" page.

Nasolabial Line Filler (Smile Line Filler)

Nasolabial lines can become more prominent with smiling and make the face look more tired. Fillers, when used with the right technique, can help soften the appearance of these lines.

  • It reduces the prominence of the smile line.

  • It makes the facial expression look more refreshed.

  • It supports contour balance.

Cheek and Cheekbone Augmentation (Mid-Face Rejuvenation)

The cheek and cheekbone area is one of the areas that most affects the perception of youthfulness on the face. Filler treatments can help the mid-face appear more balanced and "lifted," thus making the facial contour more harmonious.

  • It provides mid-face support and reduces sagging.

  • It helps the face look more balanced.

  • It can tighten the cheekbone line.

Under-Eye Filler (Volume Loss and Sagging Support)

Volume loss and hollowness in the under-eye area can create a tired appearance, regardless of facial expressions. Under-eye fillers, with proper patient assessment, can help to tighten hollowness and create a smoother facial appearance.

  • It helps to compensate for volume loss in the tear trough area.

  • Reduces the appearance of sunken areas.

  • It provides a fresher under-eye look.

It may not be suitable for every patient; careful evaluation should be performed, and it should only be applied to appropriate patients.

Jawline and Facial Contour Filler (V-Shape Contour Support)

Jawline and contour fillers are preferred for shaping and proportioning the lower part of the face. The aim is to make the jawline more prominent and enhance the overall facial appearance. When the procedure is planned individually, the facial features appear more harmonious.

  • It defines the jawline.

  • It balances facial proportions.

  • Provides a more defined look with contouring support.

⚠️ SAFE FILLER APPLICATIONS

We prefer licensed fillers: Products approved (licensed) by the Ministry of Health and the FDA should be preferred.

We do not use counterfeit/substantial products . Products with unknown batch numbers, expiration dates, and storage conditions should be avoided.

We check the product batch and expiration date: Pre-injection verification is required.

The product is opened and used individually : Fillers are available in 1 or 2 ml pre-filled syringes.

The injection should be administered by a qualified physician: Filler injections are a medical procedure and should be performed by specialist physicians who have received adequate training in this area.

Product-area compatibility is important: Not every filler is suitable for every area; the correct indication must be chosen.

We are questioning the patient's history: Allergies, autoimmune diseases, active infections, and a history of herpes should be investigated.

We perform the procedure under sterile conditions: Sterilization and hygiene standards must be followed prior to application.

Blood thinner use is monitored: Medications and supplements should be communicated in advance to plan the procedure.

Knowledge of surgical anatomy is important: anatomical knowledge is essential for assessing the risks of intravascular procedures.

We use the correct injection technique: applying the product to the intended layer is critical for safety.

Dosage and volume should be gradual: Excessive and rapid volume loading increases risks; proceed in a controlled manner.

We keep hyaluronidase on hand for complication management : There should be protocols and access for emergencies other than bruising/swelling.

We always perform a follow-up check after the procedure: a follow-up examination and, if necessary, a revision plan should be prepared.

Seek prompt medical attention in case of alarming signs : Severe pain, discoloration, spreading of the skin, or impaired vision should be reported without delay.

Dudak dolgusu Nasıl Uygulanır?

How is a filler injection performed? (Application process)

Examination and Personalized Planning

Filler treatment requires personalized planning. The first step involves evaluating facial proportions, skin type, any asymmetries, and the individual's expectations.

We plan which area will be treated, and with what type and amount of filler. This allows us to aim for a more natural-looking and balanced result.

  • Facial proportions and needs analysis are performed.

  • The desired appearance and realistic goals are determined.

  • An appropriate type and quantity of fill material will be determined, and a regional plan will be created.

Pre-Application Preparation

Before the procedure, medical history and current medication use are thoroughly reviewed to minimize risks.

  • Medical history and medication/supplement use are evaluated (blood thinners, herbal supplements).

  • The procedure may be postponed/the plan updated if necessary (cold sore, breastfeeding).

  • The area is cleaned and marked.

  • A local anesthetic may be applied to the treatment area.

Filler Application

  • The filler material, in pre-filled syringes opened specifically for each individual, is applied at the appropriate depth and dosage.

  • The procedure takes 20-30 minutes.

  • Very little pain is felt during the procedure.

  • The person can resume their work and social life after the procedure.

Post-dermal filler treatment care recommendations.

Mild swelling, redness, or bruising may occur after filler injections. These symptoms usually subside quickly in most patients. Following our recommendations will help speed up recovery from any potential side effects.

  • You can wash your face a few hours after the procedure.

  • Applying cold compresses on the first day can reduce swelling and tenderness.

  • Makeup can be done the next day.

  • Avoid extreme heat/sauna/hammam during the first 24–48 hours.

  • Avoid strenuous exercise for the first few days.

  • Do not apply pressure to the application area.

  • Swelling and bruising are usually temporary and subside within a few days.

  • Seek immediate evaluation if you experience unusually severe pain, significant discoloration, or impaired vision.

Expected Results and Duration After Filler Treatment

When will its effects be seen?

Some results from filler injections are noticeable immediately after the procedure; however, swelling and slight bruising can cause variations in appearance during the first few days. For most people, the true result usually becomes apparent within a few days as the swelling subsides.

  • A difference in contour may be visible in the first few hours.

  • The appearance may fluctuate in the first few days due to mild swelling/bruising.

  • A clearer picture usually emerges within a few days.

  • Results will typically be visible within 7-10 days, once the swelling has largely subsided.

How long does it last?

The duration of filler effects varies depending on factors such as the type of filler used, product concentration, the area of application, the individual's metabolism, and lifestyle. Generally, the effect of fillers lasts for a certain period and gradually diminishes over time.

  • The duration of the effect varies depending on the individual and the area treated.

  • In mobile areas such as the lips and nasolabial region, the effect lasts approximately 1 year.

  • In stable regions, it can last 12-18 months.

  • The filler's effect diminishes over time; a renewal plan is made based on follow-up examinations.

  • Follow-up appointments are important for the result to stabilize and for minor adjustments if needed.

  • Gradual approaches are preferable for a “natural and balanced” outcome.

Risks and Complications in Dermal Filler Applications

‼️ Which symptoms require immediate evaluation?

Filler injections are safe for most people; however, rare situations requiring urgent evaluation may arise. Symptoms such as severe and increasing pain after the procedure, noticeable changes in skin color (such as pallor/bruising), rapid spread of the treated area, or, very rarely, impaired vision should be taken seriously. In such cases, it is important to contact the clinic/doctor who performed the procedure or the nearest healthcare facility immediately.

  • Severe and progressively worsening pain

  • Paleness, dark discoloration, or noticeable bruising in the treated area.

  • Rapid spread of swelling or hardness

  • Blurred vision/double vision/light-related changes

  • Shortness of breath, widespread rash, rapid swelling around the lips and eyes (suspected allergy)

Precautions for unwanted effects

Dermal fillers are medical procedures, therefore it is safer for them to be administered by individuals who have received extensive specialized training in this field. Every procedure carries risks, but the probability of risk decreases when the procedure is performed by knowledgeable and experienced professionals. Steps to reduce the probability of risk include:

  • The procedure should be performed by a physician familiar with vascular anatomy.

  • The correct technique, the correct layering, and a controlled dose should be targeted.

  • Appropriate patient selection and risk assessment should be performed.

  • An emergency plan should be in place and information should be provided regarding the post-operative situation.

  • If suspicious symptoms appear, report it without delay.

FREQUENTLY ASKED QUESTIONS

When does the filler show its effects?

The first difference is often immediately visible; however, the appearance may fluctuate in the first few days due to swelling and possible bruising. The near-final result usually becomes apparent within 7-10 days.

How long does the effect of fillers last?

The duration of the effect varies depending on the type of filler used, the area to be treated, and the individual's metabolism. Therefore, the duration of the effect can differ from person to person.

Will my face look natural after fillers?

A natural result is achieved with the right product selection, appropriate layering/technique, and controlled dosage. We aim for a natural look by evaluating your facial proportions and expectations during the consultation.

Are fillers and Botox the same thing?

No. Botox is more effective on expression lines caused by muscle movements. Fillers, on the other hand, help reduce the appearance of lines and depressions by providing volume and contour support.

Can I go back to work the day after a filler treatment?

Most people can return to their daily lives with mild bruising/swelling; however, this varies depending on individual reaction and the area treated. If you wish, your doctor can help you plan your treatment process.

Filler Treatment current prices: 2026

Factors affecting pricing

The price of fillers may not be tied to a single price; prices vary:

  • The type of product used,

  • The area where it is applied,

  • Amount required (ml)

  • Difficulty of processing and targeted correction (goal of naturalness and symmetry)

  • Need for control/plan change

It varies depending on the individual. The chosen technique, the number of sessions, and the scope of follow-up appointments can also affect the total cost. The most accurate pricing will be determined after an examination.

For any questions regarding availability, quantity, or pricing for filler treatments, please contact us via our contact page or WhatsApp.

📞 Information and Appointments

The "same product, same dose" approach is not correct in filler applications. During the examination, facial proportions, skin structure, existing volume loss, expression style, and the patient's expectations are evaluated to create a personalized treatment plan.

📞 Muayene sonrası kişiye özel tedavi planı için randevusu alın: 📍 Kocaeli Estetik Cerrahi Kliniği – Dr. Nurgül Altuntaş 

CONTACT

WHATSAPP

+90 505 799 29 98

Phone number

+90 262 331 61 61

+90 505 799 2998
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HOSPITALS
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Gebze John Hopkins ASM
Atakent  Cihan Hospital

ADDRESS
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Izmit Korfez Mah.
Ankara Karayolu St. No:125

This site has been prepared by  Op.Dr.Nurgül Altuntaş for informational purposes. The information given here is not a substitute for a doctor's examination and cannot be used for prescription or treatment purposes.

Since treatment recommendations will vary from person to person, it is recommended that you consult your doctor to learn about the appropriate treatment.

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