What are facial fillers?

Facial filler is the general name given to fillers applied to any anatomical part of the face. The most common filling material we use in facial filling is hyaluronic acid filling. The most preferred filler brands in our clinic are Restylane, Juvederm and Stylage. In addition to hyaluronic acid, I also use the Radiesse brand filler, which contains Ca hydroxylapatite. We use hyaluronic acid fillers for fine lines, volume and lifting purposes. The face is basically divided into 3 regions: upper, middle and lower.

To which areas can facial fillers be applied?

The most commonly applied areas are zygomatic, middle cheek, nasolabial, forehead and temple fillers. Apart from these fillers, you can take a look at our other articles on our website, which are prepared in detail about more specific areas such as nose, lips, under-eyes, jawline and hands.

What is zygomatic (cheek) filler?

Zygomatic (Cheek) filler is the filler applied to the cheek area. When you look at the faces of beautiful celebrities, models and many people you find beautiful and handsome, you generally like them. In fact, the zygomatic area, which is the main line of the middle face of many people you find beautiful or handsome, is prominent. The prominent cheekbone area symbolizes youth and beauty. The smoothness and fullness of this area gives the face a healthy, young and bright appearance. What we mean by the zygomatic area is the highest part of the cheek that connects the middle cheek and the front of the ear. While this area is much fuller in women, being overly full in men can lead to a feminine appearance. We can generally elevate the cheek area by injecting the bone with a needle from 3 different injection points along the zygomatic line. In suitable patients, the zygomatic area can also be highlighted with a cannula. Many techniques can be used in this area, such as fanning with filler, bolus injection on the bone, and sandiwich technique.

The zygomatic area and the area just below the zygomatic area are the main parts that move our face upwards. Over time, the ligaments in our face weaken, bone resorption develops, fatty tissue decreases and the supporting tissue becomes loose. As a result, sagging on the cheeks becomes evident. The most important point to correct this sagging in the cheeks is cheek filler.

The general principle for fillings is to first shape them and then take them into the protection program. While more ml of filler is required to give shape, less amount of filler is required to maintain the desired volume on the face. Weight loss, extreme sports and lifestyle are important in protecting the fillings.

Combining cheek filler with other necessary fillers provides better aesthetic results. Another procedure that is important in protecting fillings is mesotherapy. Mesotherapies, especially those containing hyaluronic acid, support the structure of the skin. Some mesotherapy products, such as Jalupro youth serum, contain amino acids in addition to uncross-linked hyaluronic acid. Other mesotherapy products we frequently use are Plinest Salmon DNA and Newest, which combines Salmon DNA and hyaluronic acid. Thanks to these mesotherapies, the effect of the fillers can be preserved. The product we call Pb serum, which is a mesotherapy product, contains lyase, a form of hyaluronidase. It is important to keep in mind that this product will melt the fillings.

It should not be forgotten that devices such as radiofrequency and focused ultrasound that heat the skin melt the fillings. In combinations with devices, the correct order should be first, the devices, and then the fillings.

More superficial applications such as Dermapen and skin care are effective on the epidermis and do not dissolve the fillers.

What is mid-cheek filler?

Middle cheek filler is the part that is under the eye when viewed from the front and supports the under-eye area on the cheek. The middle cheek may be structurally weak or may collapse due to excessive weight loss and age. Fillers are the best choice for those who complain of flattening and sagging in the middle cheek. Supporting the middle cheek also lifts the face and provides lifting. The nasolabial area is tightened and support is provided for the custody.

In people with under-eye bags and hollowness problems, the middle cheek should be evaluated before applying under-eye light filler to camouflage the bags and eliminate the darkness-bruising caused by the under-eye hollow. If there is no need for filler in the middle cheek, under-eye light filler can be applied directly. In people with a sunken and flat middle cheek, if under-eye light filler is applied without correcting this area, the bags under the eyes will become evident and a swollen appearance may occur.

What is nasolabial filling?

The nasolabial region is the area that connects the edge of the nose and the corner of the mouth symmetrically on both sides. This area deepens due to sagging on the face and gives the face an old, tired expression. In order to have a healthier, younger and smoother skin, filler can be applied to the deepening lines in the nasolabial area. I almost always apply this filler together with the filler application to the lifting points just below the zygomatic filler. Because the problem in this area is not actually the deepening of the nasolabial area alone. The problem in this area is that the cheek sags forward and downward, deepening the nasolabial area. The best approach is to first fill the lifting points, pull the face back, and then fill the nasolabial area.

What is forehead filler?

The forehead area tends to be structurally flatter in men and more convex in women. In some people, this area may become increasingly flat or even sunken. Muscle activity in the forehead also deepens the lines if there is not enough support in the bone and connective tissue underneath. Forehead filling is done for two purposes. Firstly, if the forehead is convex in shape, that is, it is hollow, it can be applied if a more convex forehead is desired. Forehead filler can be applied with a needle or cannula. Application by needle should be done carefully due to the high vascular structure. Although vascular damage is less in the application with a cannula, it may sometimes be difficult to advance the cannula in this area due to its shape. The correct application method should be chosen according to the patient. Forehead filler is also used to fill deep lines, which are more visible especially in men, and to fill the parts of the lines between the eyebrows extending to the forehead. If the lines have become static, that is, visible even when not making facial expressions, filling application is necessary in these areas.

What we call pillow line is the name given to the vertical parallel lines observed especially on the forehead. These are static lines that develop over time with the sleeping position and they benefit from filling, not botox application.

What is temple filler?

The temple area is the area that supports the upper face and is between the outer parts of the eyebrows and eyes and the scalp. The temple area loses volume genetically, due to age or as a result of weight loss. With the application of filler to the temple area, volume loss in this area is reduced and a more dynamic, youthful appearance is created on the face. Since the temple area is an area that supports the eyebrows, the outer part of the eyebrows lifts slightly. When applied in addition to botulinum toxin application in patients with low eyebrows, it makes the outer part of the eyebrow more slanted and raised, especially in young patients. Since the temple area is a region rich in vascular structures, the application requires care and mastery, even if it is done with a cannula.

To get more detailed information about fillers, you can take a look at other filler articles on our website. Contact us to make an appointment for a consultation regarding fillings.