Dermal Fillers

Dermal Fillers 11

Dermal or facial fillers are substances injected into the face to fill wrinkles and lines and plump the lost volume and smoothness.

Facial filler injection is among men’s and women’s most common cosmetic procedures worldwide. However, it is not a permanent procedure, and the treatment needs to be repeated when its results fade.

Where are dermal fillers injected? 

Several types of facial fillers are designed to treat facial aging signs. Depending on the kind of filler used,

it may:

  • Filling in the thin lips.
  • Enhance the fullness of shallow areas on the face.
  • Decrease wrinkles under the eyes.
  • Fill facial scars.
  • Fill facial wrinkles, especially the lower face wrinkles, such as creases around the mouth and cheeks.

What are the types of dermal fillers? 

There are several types of facial fillers, including:

Calcium Hydroxylapatite (CaHA) 


Calcium hydroxylapatite is a natural material found in human bones and is a mineral-like composition.

It is biosynthetically produced, which means that no animal products are used. So, the risk of allergy is low, and there is no need for skin testing. This filler produces a very natural outcome, and complications are rare.

It lasts for 12 months when used for facial contouring and three years when used to fill creases.

The Doctors recommend Calcium hydroxylapatite to:

  • Average-to-intense wrinkles such as nasolabial folds, frown lines, and marionette lines.
  • Enhance the fullness of the facial contours, such as cheeks and lips.

Hyaluronic Acid (HA) 

(Restylane, Juvéde, rm, Captique, Elevess, Hylaform, and others)

Hyaluronic Acid (HA) 

Hyaluronic acid is a natural material already found in the body, which helps keep skin hydrated and plump.

HA filler is one of the most common fillers used for wrinkles. However, its results are temporary, lasting six to twelve months before gradually absorbing the body’s particles.

HA fillers are injected with lidocaine to minimize discomfort during and after the procedure.

The doctors recommend HA filler to: 

  • Treat some facial scars like acne scars.
  • Fill smile lines that run between the side of the nose and mouth angles.
  • Fill forehead lines.
  • Filling the lines between the eyebrows.
  • Fill lines around the mouth.

Poly-L-lactic Acid 


Polylactic acid is a synthetic filler injected into the face, stimulating the skin to rebuild the natural collagen. For this reason, it is known as a stimulator.

This dermal filler works well with deeper facial wrinkles. The specialists advise two or three sessions, which last up to two years.

The main difference between this substance and other dermal fillers is that this type doesn’t give immediate results.

Still, it stimulates your skin’s collagen production, which appears gradually over a few months.

The doctors recommend this type of facial filler to: 

  • Fill in Laughing lines.
  • Enhance the fullness of the thin lips.
  • Treat deep nasolabial lines.

Polymethyl-methacrylate microspheres (PMMA) 


Polymethylmethacrylate (PMMA) is a synthetic material used in medicine for a long time. 

Although It is considered a semi-permanent filler type, several injections are required to create the desired volume, which can take up to three months to get the expected results. 

The doctors recommend PMMA to:

  • Fill moderate-to-severe wrinkles.
  • Treat furrows and folds such as nasolabial folds. 
  • Fill the thin lips.

Read Also: Chin Implant Vs. Filler

Fat injection 

Fat grafting is the only type of facial filler requiring surgery, but the results can last many years.

It is carried out by removing fat from a specific part of the patient’s body using liposuction. Then, the extracted fat will be purified and injected into the same patient’s face.

Facial fat grafting helps restore volume to the lips, cheeks, lower eyelids, and other areas. 

Fat injection requires expert training to perform safely and achieve stunning results. Therefore, it should be performed by an experienced, highly skilled cosmetic surgeon.

At HayatMed clinic, our dermatologists have considerable skills in achieving the most natural results with facial fillers. Book your free consultation to determine which filler injection is right for you.  

What are the risks of facial filler injections?

fillers for wrinkles

Dermal fillers are relatively safe. However, there are some side effects of filler injection,


  • Infection.
  • Skin rash.
  • Bleeding, swelling, bruising, or redness.
  • Allergic reaction.
  • Asymmetry of facial appearance.
  • Death of skin cells because of losing the blood flow to the area.

Your plastic surgeon must know the appropriate type and proper injection to achieve your desired result and avoid undesirable outcomes. 

At HayatMed, we have the best surgeon in Turkey’s Cosmetic Facial Fillers field. They can help you to achieve stunning results and avoid medical mistakes.

What should you expect during the consultation for filler injections? 

During the consultation, you need to discuss with your surgeon your:

  • Goals.
  • Medical condition. 
  • Allergies against any medications
  • I used medications.

Furthermore, it would be best to inform your surgeon about past treatments with fillers, Botox, laser, or other facial procedures.

While your surgeon will:

  • Evaluate your health status.
  • Explain your available options.
  • Examine your face.
  • Discuss likely results of using dermal filler injections, risks, and complications.

You must understand all aspects of the facial filler procedure by asking all the questions that help you feel comfortable before undergoing the treatment.

What should you expect during the treatment? 

Face filler is a non-surgical procedure and is typically performed in outpatient clinics. 

Before starting the treatment, the assistants will clean your face and give a topical anesthetic to numb the area and minimize discomfort during and after your surgery.

Then, your surgeon will inject a specific amount of filler under the skin.
Depending on the filler type and the treated areas, you will often notice outcomes immediately after the injections.

You will probably experience mild bruising, swelling, or redness. No worries; these are temporary and should fade over the few days following treatment.

You can return to your daily routine activities right after the injections. Still, your doctor will often ask you to take the following day off from any strenuous activity.

If you are undergoing facial fat injections:
Fat grafting is a surgical procedure.

Usually, we use this procedure as general or local anesthesia. Your surgeon will extract the fat from the patient’s donor area during the procedure. First, the removed fat will be purified; then, the surgeon will inject the fat into the targeted area of the same patient.

The recovery time may take up to two weeks. Then, you will be able to go back to your daily activities. During your consultation, your surgeon will explain what to expect with the process and recovery.

How Long do facial filler results last? 

The effect of facial filler injections will last depending on the type of dermal filler used and where it’s injected. Some fillers can last six to twelve months, while others can last up to five years.

Most filler types contain hyaluronic acid, which helps the skin to produce collagen and elastin and absorb water, which helps it look more hydrated, firmer, and brighter.  

The thicker the hyaluronic acid gel and the more deeply injected, the longer it will last. 

How much do dermal fillers cost?

Face filler cost varies depending on the provider performing the injection, the clinic’s geographic location, the type of filler chosen, and the required quantity.

The best way to get an exact estimate is to meet your plastic doctor to check your condition. They will determine the appropriate type and quantity of filler for you and the expected price.

When choosing a surgeon for wrinkles filler injections, keep in mind that the doctor’s experience and your ease with them are just as valuable as the procedure price.

Recently, Istanbul has become one of the best destinations for people who intend to undergo cosmetic procedures. You can get specific medical services from experienced doctors besides the moderate prices. 

With HayatMed, for medical services, you can get both high experiences in cosmetic procedures and competitive costs simultaneously.

Contact us now and get the exact price of dermal fillers according to your condition. Click here for more information about Botox Injection for Wrinkles, or return to the Injectables Category.

About the author

Picture of Zeyna Aslan

Zeyna Aslan

Zeyna Aslan brings over 13 years of expertise to the HayatMed Clinic Blog. With a passion for healthcare communication, Zeyna has crafted insightful articles that demystify complex medical topics, empowering readers to make informed decisions about their well-being.
Her wealth of experience ensures that each blog post is a reliable source of knowledge, fostering a deeper understanding of health and medical advancements.

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