About the procedure
Hyaluronic acid fillers are used for lip volume, the lines beside the nose (nasolabial folds), the cheeks and the jawline. Because it is a substance naturally found in the body, it is well tolerated and can be dissolved if necessary.
A measured approach is essential; the aim is to emphasize the face's own lines.
Filler planning looks at the face as a whole; rather than adding too much volume to a single area, the preference is to establish balance with small amounts. Product choice varies by area: a soft hyaluronic acid is used for the lips, and a denser one for the jawline and cheekbones. The treatment is performed only by a physician, with attention to vascular anatomy and a slow injection technique; although the result is visible immediately, the final shape is evaluated after the swelling subsides.
- ✓Administered by a physician
- ✓Reversible
- ✓Immediate result
Suitability
Who is it suitable for?
May be suitable
- ✓People with thin lips or whose lip border has become less defined with age.
- ✓Patients with more pronounced nasolabial folds and marionette lines who do not want surgery.
- ✓Those with volume loss in the cheekbones and temples who feel their face looks hollow.
- ✓Those with a receding chin or an undefined jawline who want nonsurgical contouring.
- ✓Suitable patients who want to temporarily correct small irregularities after rhinoplasty.
Should be postponed or is not suitable
- —Those who are pregnant or breastfeeding; the treatment is postponed because safety data are insufficient.
- —Those with an active cold sore, acne, or infection in the treatment area; treatment waits until the area has healed.
- —Those taking blood thinners and those with bleeding disorders; the medication schedule is not changed without consulting the treating physician.
- —Those who have previously had a permanent filler (silicone, etc.) in the same area; combining it with hyaluronic acid carries a risk of reaction.
The final decision on suitability is made after a physician examination and tests.
Process
How does it proceed, step by step?
- 01
Initial consultation
Facial proportions, skin thickness, and expectations are discussed; how much product is needed in which area is planned within the context of the whole face.
- 02
Preparation
Cold sore history, allergies, medications, and blood thinner use are reviewed; avoiding aspirin-like medications and alcohol for a week before the procedure reduces bruising.
- 03
Procedure day
The area is cleansed and numbing cream is applied; the filler is delivered in small amounts with a needle or cannula, with attention to the course of the blood vessels.
- 04
Shaping
The product is gently distributed with the fingers, both sides are compared for symmetry, and a small correction is made if needed.
- 05
Check
You are given a number to call immediately if there is skin discoloration or severe pain in the first hours; a photo check is done after 2 weeks.
- 06
Return and follow-up
Longevity depends on the area treated and the product; the need for a touch-up is decided together at follow-up consultations.
Recovery
Recovery timeline
Day 1
Noticeable swelling in the lips and mild swelling in other areas; tiny bruises may appear at the needle points. Makeup can be applied after a few hours.
Days 3–5
Swelling largely subsides; small firm areas that can be felt in the lips begin to soften.
Week 1
Sauna, steam baths, intense exercise, and massaging the area are avoided; bruises continue to fade.
Week 2
The product has settled into the tissue and the shape is established; symmetry and volume are evaluated at the follow-up appointment, and a small correction is made if needed.
Months 6–12
The product is gradually absorbed; the decrease is seen earlier in mobile areas such as the lips and later in the chin and cheekbones.
Timeframes are averages; they vary by person and by the scope of the procedure.
Results
Before / After
Before and after examples of Fillers are shared during the consultation.
We show our patients' photos only within the scope of their written consent and in one-on-one consultations; we respect the wishes of patients who prefer not to be published on the open internet. Let us send you results from cases similar to yours together with the physician's assessment.
Let us be open
Risks and points to consider
Every medical procedure carries risks. The points below are the main known issues for this procedure; a risk assessment specific to you is made during the consultation.
- Swelling, bruising, and temporary tenderness; especially noticeable in the lips and usually resolving within a week.
- Vascular occlusion, a rare but important risk; if sudden whitening, discoloration, or severe pain of the skin occurs, the product is dissolved urgently with the enzyme hyaluronidase, which is why treatment by a physician and early reporting are essential.
- Asymmetry or small lumps that can be felt; most can be corrected with massage or a small amount of hyaluronidase.
- A cold sore flare-up after lip treatment in those with a history of cold sores; preventive medication is planned if needed.
- Rarely, a delayed inflammatory reaction or nodule; treated under a physician's follow-up.