Fillers (Face-Lips-Neck-Hands)

The technical informations of fillers are written below after two articles



The naturalness is more beautifal than the beauty.
İt is the stuation of some beauty mixed and harmonised with some other components.

For example it is actually the charm of this combination obtained through these balances when we are affected
by something  very elegant when we look at someone who is not so much beautiful & handsome.

The balance of this mixture covers the beauty and makes it genious and real.
Even if  we increase the balance of the mixture at the favor of the beauty ,
the balance of the expression loses its characteristic and turns to be someone else.

Because of tihs reason its meanless that we consantrate our attantion only on Gold Ratio of beautyness

Whatever aesthetical treatments we do realise ( botox,fillers,thread lifting etc.) its essential to be taken in consideration
the anatomical entirety (theeth,bones,fats,retaining ligaments,texture of the skin,shape of the had and neck, body posture etc.)
This anatomical entirety is our first important referance for the Gold Ratio.
But at my opinion İt’s not enough to get the natural results.

The Gold Ratio is of course the divine secret  of the beauty and the world art history is full of the architectual masterpieces.
However the human face and its expression is not a constant static sculpture or a building  which almost newer gets old ,
hat we can solve agining problems  with only Gold Ratio.

So there must be at every age a different Gold Ratio
and we need the second important reference .

regarding all the anatomical entirety of the Gold Ratio which we mentioned above , we would also be obliged to add the ingredients of humanbeing ( expression,temperament,mimics,posture,characters,social-cultural position,the social rolles etc.)
and the most essential  subject is the moderate and reasonable aging condition .

Therefore we would be able to mention the naturalness of the aesthetical treatments which we can add to the beautyfication strategy.

Finally I would like to call this concept as Gold Naturalness .

Because our aim of reestablishing the beauty of an humanbeing is not to create a person with completely delated rememberance and characteristic


My main principle that I focus at all madical aesthetic treatments ;

to obtain the natural beauty / handsomeness without exageration.

I would only be able to mention the success of the prosedures when we reach a beauty / handsomeness
acording to the character,posture,temperament,social position and age .

It is meanless to try to beautify any part of the face or body being independent from those subjects mentioned above .

The first condition of the success is to be able to know the patient’s expectations from various sides.
İt’s also very important to say no when necessary.

According to this philosophy we can decide which aesthetical treatment should be made regarding the prosedure and technics
so we can start our voyage of natural beauty / handsomeness .

As all the treatments deal with 3D face expression , the individual artistic skills of the doctor, gives a certain advantage .
Joining the artistic skill with medical aesthetic discipline as a sculpture we can realise particular aproaches for each patient.
so that we can obtain natural results.
İf we deal with template applies it wont be any surprise to come across with the similar exprassions of the cheeks,lips,eyes,etc.
I would like to express my fully and sincere appreciation to my colleques whose aim is to optain natural beauty results and being succesfull at their treatments.

Dr.Yavuz TUNÇ

What are facial fillers

Facial fillers are synthetic or naturally occurring substances injected into the lines, folds, and tissues of the face to decrease the appearance of wrinkles and restore the facial fullness that decreases with age.

These injectables are also called dermal fillers, injectable implants, wrinkle fillers, and soft-tissue fillers. They’re used to erase smile lines, plump up cheeks and lips, and correct acne scars.

The vast majority of fillers are absorbable. Thus, they offer temporary results that last from months to a couple of years, depending on the product and the person.

Some fillers are marketed as permanent and can last up to several years.

According to the American Society of Plastic Surgeons,2.7million facial filler procedures were performed in 2017 alone.

Types of Facial Fillers

The market is abuzz with facial fillers.

While many facial fillers provide immediate results, says the American Academy of Dermatology (AAD), some of them will require several treatments over the course of weeks or months for optimal benefits, followed by occasional touch-ups.

Commonly used fillers include:

Hyaluronic acid (HA)

This gel-like substance is found naturally in the body. It’s used to “plump up” skin, adding volume to places like the cheeks and smoothing out wrinkles, especially around the eyes, lips, and forehead.

Because the body reabsorbs the hyaluronic acid gradually over time, results generally only last 6 to 12 months, reports the American Board of Cosmetic Surgery (ABCS). There have been some advances in the development of these dermal fillers, and these will typically last 12 months or longer.

Calcium hydroxylapatite (CaHA)

This filler uses calcium (in the form of microscopic particles) and adds it to a gel that is then injected. The gel is of a thicker consistency than HA, which makes it better suited for deep wrinkles, says the ABCS.

The results of CaHA tend to last about a year.

Poly-L-lactic acid

This biodegradable acid helps stimulate the skin’s own collagen production, instead of “filling” wrinkles. This gives firmness to the skin and reduces the appearance of wrinkles.

This filler is used to treat deep wrinkles and increase the volume where fat has been lost. It works gradually, but can provide results for at least two years, making it a semipermanent filler.

Polymethylmethacrylate (PMMA)

This filler consists of tiny balls (called microspheres) and collagen that plump up skin. It is known to have some issues, according to a journal article in Plastic and Aesthetic Research.

Although this type of filler is considered permanent, with results lasting five years, it’s usually not the first choice of doctors.

According to research published in Aesthetics, long-acting dermal fillers have higher rates of complications, such as infection and nodules.

Autologous fat injections (fat grafting)

This technique takes fat from parts of your body, such as the buttocks, and injects it into facial areas for filling.

This fat is typically removed from your body using liposuction, a procedure in which fat is vacuumed out of the body via a hollow tube inserted through incisions in the skin.

This procedure requires sedation, and you may need a week or two to recover. In most cases, fat grafting provides long-lasting results.

Side effects of facia fillers

Common side effects

According to the AAD, the following side effects — which tend to occur around the injection site — can be immediate, but usually clear within 7 to 14 days:

  • redness
  • swelling
  • pain
  • bruising
  • itching
  • rash

Rare side effects

While less common, you should be aware of the following side effects:

  • infection
  • leakage of the filler through the injection site
  • nodules around the injection site, which may need to be surgically removed
  • granulomas, a type of inflammatory reaction to the filler
  • movement of the filler from one area to another
  • injury to blood vessels
  • blindness, which occurs when the filler gets injected into an artery, blocking blood flow to the eyes
  • tissue death, again due to blocked blood flow

Safety Precautions

While facial fillers are generally safe, taking these steps can help ensure your safety:

  • Use a licensed, well-trained, and experienced medical professional (an experienced dermatologist or plastic surgeon) to inject the filler.
  • Have the procedure done in a medical setting, not in someone’s home or at a mall kiosk.
  • Ask the provider about their experience with the particular type of filler you have chosen. The more experience they have with the product, the better.
  • Don’t purchase fillers online. Only get them from a medical provider.
  • Fillers should be in unopened and properly labeled syringes. Inspect the syringe to make sure.
  • Make sure that the filler being used is FDA-approved for that purpose.
  • Be aware of the risks and potential side effects.
  • Read the filler ingredients and don’t have it injected if you know you have an allergy to any of the filler’s components (e.g., collagen).
  • Be sure to tell your doctor about all medications and supplements you take. Some may interact with the ingredients in the fillers or can affect your blood’s ability to clot.

Risk factors to be aware of

Don’t use fillers if:

  • your skin is inflamed for any reason (for example, if you have a rash, active acne, hives, etc.)
  • you’re allergic to any of the filler ingredients (read the label)
  • you have a bleeding disorder
  • you’re pregnant, breastfeeding, or under the age of 18 (safety hasn’t been studied in younger age groups)
  • Your skin is susceptible to scarring (e.g., you have a keloid or an overgrowth of scar tissue

Why does  volume loss matter?
Over time, your face changes in many ways. This is part of the normal aging process, but genetics and environmental factors also play a role.
You may notice a change in the appearance of your skin, typically in the form of deepening parentheses lines and wrinkles.
But what may be less obvious is age-related midface volume loss.
What are the signs of volume loss?
Your cheeks may flatten, and the skin may begin to sag.

What causes parentheses lines?
Parentheses lines are static lines that appear when your face is at rest. This happens over time as your skin loses some of the building blocks (hyaluronic acid and collagen) that give the skin its structure.

Can the lips lose volume?
Yes, over time, your lips may lose volume and thin. However, many people seek out lip augmentation because they naturally have thin lips and simply desire more fullne.


Wrinkles and lines aren’t the only signs of aging. Over time, the cheeks flatten, and the skin may begin to sag. This is caused by a natural loss of volume in the cheek area, or what the experts call age-related midface volume loss. The fillers is designed to add volume beneath the skin’s surface to lift and contour the cheek area.

Soften Parentheses
Lines & Wrinkles

The filler softens moderate to severe facial lines and wrinkles to create a smoother appearance.
Write your story without parentheses
Over time, your skin loses elasticity, which contributes to moderate to severe parentheses lines and wrinkles around the nose and mouth. While serums and creams work on the skin’s surface, the fillers add volume to smooth these lines and folds, to help give you the subtle, long-lasting results you want.

The fillers are an injectable gel that instantly smooths moderate to severe parentheses lines and wrinkles around your nose and mouth. Its effectiveness has been proven time and time again, delivering real results that last up to 1 year.
Fillers soften moderate to severe parentheses lines and wrinkles by adding volume to the lines and wrinkles around your nose and mouth to produce subtle and long-lasting results for up to 18 months.


Natural-looking lips that last
Some people simply have naturally thin lips and just want to achieve a fuller appearance. Other people have noticed their lips thinning over time and may also have seen vertical lip lines become more noticeable. Whatever your unique needs are when it comes to your lips, the hyaluronic acid collection may be able to help.

What is h.a ?
It’s made fom hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Each product  of fillers is made from a modified form of HA.

Where is ha used ?
Different formulations are approved to either lift cheeks, smooth parentheses lines, smooth vertical lip lines or plump the lips. The results are subtle and long lasting.
It softens moderate to severe parentheses lines and wrinkles by adding subtle volume around the nose and mouth
in adults over the age of 21.
We can add volume to the cheek area to correct age-related volume loss in adults over 21.
or it adds subtle volume to lips and softens the appearance of vertical lip lines.
Another one smooths moderate to severe parentheses lines and wrinkles around your nose and mouth.
or one of the more intense adds fullness and plumps lips as well as soothes and corrects moderate to severe parentheses lines in adults.

WHAT is treatment experience like ?
Your aesthetic healthcare provider will take your medical history and provide a facial analysis. Be prepared to discuss your aesthetic areas of concern. This is not a surgical treatment. Actual treatment with injectable gels can take 15 minutes to 60 minutes, depending on which area of your

Does it hurt ?
The injectable gels labeled with contain pain-reducing lidocaine to help manage pain or discomfort during the injection. You may also ask your aesthetic healthcare provider about a topical numbing cream or ice to help further minimize discomfort.

When will I see the results ?
You will see results immediately/instantly.

The Cost
The cost not only includes the price of the product, but more importantly, the skill and expertise of the specialist or healthcare professional who is administering your treatment. Look for someone who is licensed and trained and has experience treating patients with the fillers. Be wary of discount products or “cheap” treatments —if it sounds too good to be true, it probably is.
It is more important to find an experienced
specialist who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

Are there any reasons I shouldn’t receive hyaluronic acid gel fillers ?
Do not receive injectable gel fillers if you have a history of severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or the proteins (Gram-positive bacterial proteins) used to make hyaluronic acid (HA) in any injectable gel fillers.