What is Facial Filling Procedure?
Aesthetic Filling; is a procedure that involves the injection of the filling material into the skin or under the skin, by means of a special injector or cannula.
In What Cases is the Filling Procedure Used?
It is used with intent to;
- Reduce the wrinkles on the forehead, between the two eyebrows, and around the eyes and lips;
- Fill the groove extending from the side of the nostril to the corner of the mouth;
- Fill the groove extending downward from the corner of the mouth;
- Fill the grooves that develop on both sides of the tip of the chin;
- Give a fuller appearance to the forehead, cheekbones, chin, cheeks and under-eye areas;
- Thicken the lips; and
- Fill dents caused by acne and scars.
How does Filling Procedure Act?
Principally, a filling material shows its effect by providing a volume increase in the injection area, and by lifting the overlying skin in such a way as to stretch it. Thus, the level difference between collapsed or concave areas and their surrounding areas decreases, and when light strikes them, they cause less shadows compared to shadows before the application. Depending on the nature of the filling material, it has also some other effects such as water retention, and stimulation of collagen synthesis.
What is Ready-to-use Filling Material?
They are filling materials ready-to-use in injectors, prepared from synthetic or biological sources under sterile conditions. Their storage conditions and shelf lives vary. Attention must be paid to ensure that the filling material is a well-known brand approved by internationally prestigious authorities such as FDA. Its expiry date should definitely be controlled. Ready-to-use filling materials may be temporary or permanent.
What is Ready-to-use Temporary Filling Material?
They are ready-to-use temporary filling materials, which get broken down, get absorbed, and lose their volumetric effect slowly, after injected into the body. The absorption period of filling materials varies depending on the molecular structure and amount of the filling material, as well as its injection site in the face. This period is usually 6-12 months.
The most frequently used temporary filling materials include hyaluronic acid, calcium hydroxyapatite, poly-L lactic acid, and collagen. Temporary filling materials, which are currently in use differ from each other, in terms of molecular structure, antigenic effect, time of absorption in the body, and the changes that they cause in the skin and soft tissue cells.
What are the Advantages of Ready-to-use Temporary Filling Material?
Its effect is temporary. If you are not sure about how the filling application will aesthetically change your face (especially the lip area), and whether you will like the result, it would be wise to first choose the temporary filler method. If you are not satisfied with the result, you have the chance to return to your previous state because the filler will lose its effect after a certain period of time. On the other hand, if you are satisfied with the result, you can switch to a permanent filling method more easily at the next step.
Filling material is ready-to-use in injectors. It does not require any special process or additional time for preparation.
Operating room is not required for its application.
It can be repeated at any time.
When applied in such a small volume of 1-5 ml, it can be more economical compared to fat injection.
What are the Disadvantages of Ready-to-use Temporary Filling Material?
Its effect is temporary. If you are satisfied with the filling procedure, it needs to be repeated for the sustainability of the aesthetic result obtained; and this means the need for additional time and cost.
Some temporary filling materials may not be fully absorbed in their application areas; and as a result, foreign matter reactions and relevant irregularities may occur..
When the filling procedure is needed be performed for such a big volume of 5-15 ml, its cost may be higher than that of fat injection.
What is the Best Ready-to-Use Temporary Filling Material?
An ideal filing material should not cause foreign matter reaction in the body, should have a soft consistency, should remain in its application area without being absorbed for a long time, should be absorbed homogeneously when absorbed, should stimulate self-renewal capacities of cells in addition its volume enhancing effect, and should be budget friendly. But at present, there is no such ideal filling material that has all these properties. The ideal filling material varies depending on the features that you or your doctor prioritizes. For example, if you want a minimum risk of complication, you need to choose a filling material accordingly, and if you want the filling material to remain unabsorbed for a long time, you need to choose another filling material.
What is Ready-to-use Permanent Filling Material?
They are filling materials that cannot be absorbed by the body in the application area, and remain there for life. When considering the fact that the soft tissue and skin of the facial area change position and get thinner in the course of time, it is seen that the inconsistency of a permanent filling material with such chances may lead to aesthetic problems, in the long term, which are difficult to treat.
How long does filling procedure take?
It takes 15-30 minutes on average.
Is the Filling Procedure Painful?
A painless filling procedure is carried out by applying anesthetic cream and cold compresses to the area of operation, and if necessary, by numbing with local anesthesia the nerve that perceives the sensations in the application area.
Do Swelling and Bruising Occur after Filling Procedure?
If the procedure is carried out properly, and if you do not have a tendency to bleeding (such as bleedings caused by aspirin use) it does not cause any significant bruising.
A swelling occurs to certain extent, depending on the application area (especially in the lips), and subsides within 1-2 days. Cold compresses after the application reduce the formation of swelling.
Can I Continue my Job After the Filling Procedure?
You can continue your job and all your social activities.
My Personal Approach to the Filling Procedure:
I primarily prefer the procedure involving the use of ready-to-use temporary filling materials, if the filling procedure will be performed in an office environment, if a filling material in such a small amount of 1-5 ml is required, and if the patient is anxious about whether she/he will like the aesthetic result. I most often use filling materials that contain hyaluronic acid.
If a filling procedure having such a big volume of 5-15 ml is required, if a permanent result is desired, or if the patient is already having a cosmetic surgery for another reason, I definitely prefer injecting the fat taken from the patient’s own body, during the same session.
For getting information about filling, please fill out the contact form.
Prof. Dr. Cengiz Açıkel, Aesthetic Plastic Surgery Specialist, Filling
Frequently Asked Questions About Filling
Do Pain, Swelling, and Bruising Occur after Facial Filling?