Category
Hyaluronic acid, calcium hydroxylapatite and biostimulator-based filler treatments: face, lip, under-eye, cheek, jawline.
7 terms
Filler and volumising treatments cover the broad family of injectable procedures used to correct volume loss, restore anatomical balance and soften static wrinkles. The dominant product group is hyaluronic acid (HA) based fillers, which differ in particle size, gel firmness (G') and cross-linking technology (BDDE, VYCROSS, IPN-Like, NASHA) so that the same family can address soft lip enhancement, midface support and deep structural projection. Beyond HA, biostimulator fillers such as calcium hydroxylapatite (CaHA / Radiesse), poly-L-lactic acid (PLLA / Sculptra) and polycaprolactone (PCL / Ellansé) provide a hybrid effect: immediate volumisation combined with collagen and elastin neogenesis, which gives them a longer "indirect" durability. Selecting the correct filler requires standardised photo analysis, facial mapping, an MD Codes™-style anatomical plan, assessment of bony support and analysis of facial fat compartments. At Dr. Hamza Gemici’s clinic, fillers are planned through a "facial balancing" lens — upper, mid and lower face are kept in proportion rather than overloading a single region, preserving mimetic function and using the minimum product needed for a natural result. Planning of vascular safe corridors and a ready emergency hyaluronidase protocol are part of baseline practice. This category covers HA types, cannula vs needle technique, vascular complication management, the hyaluronidase enzyme antidote, lip flip, Russian Lips, liquid rhinoplasty, jawline contouring and chin projection. Product choice, tissue plane and exact volume can only be determined in an individual consultation.
Cheek filler; It is an aesthetic procedure that increases malar volume and projection, corrects facial sagging and provides a youthful mid-face appearance by injecting hyaluronic acid or biostimulator fillers into the malar area (under the cheekbone).
Chin filler; It is an aesthetic procedure that increases the lower profile projection, mandibular contour and chin definition by injecting hyaluronic acid and calcium hydroxyapatite fillers into the pogonion (the most anterior point of the chin tip), gnathion (the lowest point) and paramental areas.
Filler; They are biocompatible materials that are injected into selected areas of the face, restore volume loss, fill static lines and improve facial contour, and have varieties such as hyaluronic acid, calcium hydroxyapatite, poly-L-lactic acid and autologous oil.
Lip filler; It is an aesthetic injection treatment that uses hyaluronic acid-based fillers and is injected into the lip vermilion border, cupid's bow, labial tubercles and oral commisure areas, increasing lip volume, shape and definition.
An injection procedure for contouring the lower facial area that treats marionette lines extending from the corners of the mouth to the chin, creating a downward-turned mouth appearance, with a combination of depressor anguli oris (DAO) muscle inhibition and dermal fillers.
Nasolabial filler; It is a hyaluronic acid injection that provides medial cheek support for the treatment of the deep fold (nasolabial fold) extending from the corner of the mouth to the side of the nose. With the "Lift not fill" principle, it reduces the visibility of the fold by shifting the cheek tissue above the fold upwards rather than filler the fold.
Under-eye filler is an aesthetic injection procedure with a high risk profile in which a low volume (0.3-0.5 mL) of low-swelling hyaluronic acid fillers (Volbella, Restylane Vital, Belotero Balance) are injected via cannula into the supraperiosteal-preperiosteal plane in order to improve the infraorbital hollow (tear trough depression) and under-eye volume loss; Tyndall effect, vascular occlusion and periocular edema are critical complications.
An artificial appearance is rarely caused by the product itself; it is mostly a planning problem. Overloading a single region (typically lips or cheeks), mismatching product and tissue plane, or superficial placement without addressing underlying bone support tend to create unnatural results. Dr. Hamza Gemici plans fillers through facial mapping and proportion analysis; strengthening mid-face support, for example, often allows lips or perioral area to look natural with much less product. Conservative dosing spread across several sessions produces both more natural and safer outcomes. Avoiding "Russian Lips" or visibly overfilled looks, and matching product to anatomy, are the main safeguards against an artificial appearance.
The longevity of hyaluronic acid fillers depends on cross-linking density, gel firmness (G'), the region treated and patient metabolism — typically 6-24 months. Mobile zones (lips, perioral area) average 6-12 months; deeper structural areas such as the cheekbones, chin and jawline can hold 12-18 months; very stable supraperiosteal placements may last up to 24 months. Biostimulator fillers (CaHA, PLLA, PCL) provide direct volume plus collagen induction, with an indirect durability of around 18-24 months. The exact personal timeline depends on product choice and treated region; an annual review with optional touch-up is a common maintenance plan.
Post-filler oedema (swelling) and ecchymosis (bruising) are expected, transient reactions. In mucosa-adjacent regions such as lips, swelling peaks within 24-72 hours and substantially settles within 5-7 days; the final result is evaluated at day 14. Bruising can be minimised with cannula technique and careful injection but cannot be eliminated entirely; it typically fades within 5-10 days. To reduce swelling we recommend cold compresses in the first 48 hours, sleeping with the head elevated, avoiding salty / alcoholic / spicy foods and avoiding intense exercise. For important social events, scheduling treatment at least 14 days in advance gives time for swelling to resolve and the result to settle.
There are clear contraindications to filler treatment. Active skin infection at the injection site (including herpes simplex), pregnancy and breastfeeding, uncontrolled autoimmune disease, known allergy to product components, coagulopathy or untreated bleeding disorders and certain immunosuppressive regimens are absolute or relative contraindications. Treatment is also deferred for patients with recent dermal laser or peel procedures, planned dental surgery or implants, or unrealistic expectations and suspected body dysmorphic disorder. Adding HA filler to areas previously treated with permanent (non-resorbable) fillers requires especially careful planning. Determining candidacy remotely without a detailed history and examination is not safe practice.
Filler pricing depends on the type of product (HA / CaHA / PLLA / PCL), the brand, the number of millilitres used, the number of treated regions, physician experience, clinic standards and ancillary materials (cannulas, topical anaesthesia, cooling). Two patients treated in the same region but needing 1 ml vs 3 ml will naturally have different costs. Therefore the price range is personalised to region and anatomy. At our clinic the price is shared in writing alongside the treatment plan after consultation, once product type and quantity have been decided. "Flat-rate" filler campaigns should be approached with caution because correct treatment is product-and-dose specific, not campaign-driven.