Category
Traitements par acide hyaluronique, hydroxylapatite de calcium et biostimulateurs: visage, levres, cernes, joues, 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.
Comblement Cernes est un terme de medecine esthetique lie a fillers injectables, restauration de volume, contouring et produits biostimulants. Dans le glossaire du Dr Hamza Gemici, il est explique comme information patient sur les indications, la planification, la recuperation et la securite avant consultation.
Comblement Joues est un terme de medecine esthetique lie a fillers injectables, restauration de volume, contouring et produits biostimulants. Dans le glossaire du Dr Hamza Gemici, il est explique comme information patient sur les indications, la planification, la recuperation et la securite avant consultation.
Comblement Menton est un terme de medecine esthetique lie a fillers injectables, restauration de volume, contouring et produits biostimulants. Dans le glossaire du Dr Hamza Gemici, il est explique comme information patient sur les indications, la planification, la recuperation et la securite avant consultation.
Comblement Rides Marionnette est un terme de medecine esthetique lie a fillers injectables, restauration de volume, contouring et produits biostimulants. Dans le glossaire du Dr Hamza Gemici, il est explique comme information patient sur les indications, la planification, la recuperation et la securite avant consultation.
Comblement Rides Nasogeniennes est un terme de medecine esthetique lie a fillers injectables, restauration de volume, contouring et produits biostimulants. Dans le glossaire du Dr Hamza Gemici, il est explique comme information patient sur les indications, la planification, la recuperation et la securite avant consultation.
Filler dermique est un traitement injectable de soutien et de volume utilise pour les pertes de volume, les plis statiques et les contours du visage, avec un objectif clinique clair : restaurer le support tissulaire avec une correction progressive et mesuree. En pratique, la decision se prend apres examen medical, analyse anatomique et consultation personnalisee, car la securite, la dose, la profondeur et le calendrier varient selon la peau, les antecedents et les attentes du patient.
Filler des levres est un traitement injectable de soutien et de volume utilise pour le vermillon, l'arc de Cupidon, les commissures et la proportion des levres, avec un objectif clinique clair : ameliorer contour, hydratation et volume sans aspect surcharge. En pratique, la decision se prend apres examen medical, analyse anatomique et consultation personnalisee, car la securite, la dose, la profondeur et le calendrier varient selon la peau, les antecedents et les attentes du patient.
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.