I currently work at my own private practice in Nişantaşı, Istanbul.
Dermal fillers are gel-like substances injected into areas that have lost volume or need reshaping. This page explains the types of filler, how fillers differ from Botox, the treatment steps, how long results last, risks, cost factors and what to check when choosing a doctor.
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I currently work at my own private practice in Nişantaşı, Istanbul.
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Dermal fillers are substances injected into areas of the skin with volume loss, lines or shape differences. The aim is to restore lost volume, soften folds or define the contours of an area. The procedure is not surgery. No incision is made and general anaesthesia is not needed.
Fillers are used on the lips, chin, cheeks, under-eye hollows, nose and, less often, the hands and other body areas.
Fillers are grouped as temporary, long-acting or permanent, depending on how long they stay in the body. Hyaluronic acid is the substance used most often on the face. It is a molecule found naturally in the skin that holds water. In filler products it is cross-linked into a gel, which helps it last longer in the body.
| Filler | Structure | Duration (usually) | Good to know |
|---|---|---|---|
| Hyaluronic acid | Gel form of a molecule found naturally in the body | 6 to 18 months, depending on product and area | Can be dissolved with hyaluronidase |
| Calcium hydroxylapatite | Microscopic mineral particles in a gel | About 12 to 18 months | Cannot be dissolved; not advised for lips |
| Poly-L-lactic acid | Biodegradable synthetic that stimulates collagen | Builds over months, can last up to 2 years | Needs several sessions |
| Fat injection | Your own fat tissue | The part that takes can last long; absorption varies | Requires liposuction |
| Permanent synthetics | Non-degradable substances such as PMMA or liquid silicone | Permanent | Hardness, lumps and granulomas can appear years later; hard to remove |
The main advantage of hyaluronic acid is that a doctor can dissolve it with hyaluronidase if the result is unwanted or a complication develops.
Fillers and Botox are two separate treatments for different problems. Filler replaces missing volume, while Botox temporarily relaxes a muscle. Botox is a medicine containing botulinum toxin. It is used for lines caused by facial expressions, such as forehead lines, frown lines and crow's feet. Its effect usually lasts 3 to 6 months.
Filler suits volume loss, deep folds and lines visible when the face is at rest. The two can be planned together for different areas of the same face.
A filler treatment starts with an examination and is usually completed in the same visit. It generally takes 15 to 45 minutes, depending on the area.
Fillers can be used in healthy adults with volume loss or a shape difference in a specific area. Realistic expectations are part of being a good candidate. Fillers do not stop ageing and cannot lift sagging skin on their own.
Treatment is usually postponed or not performed in these situations:
The final decision on suitability is made by the doctor after an examination.
Hyaluronic acid filler usually lasts 6 to 18 months. It tends to wear off faster in areas that move a lot, such as the lips. Deeper treatments in the chin and cheeks may last longer. Product density, the amount used and your metabolism also affect duration.
Recovery is quick for most people. Redness, swelling and bruising usually ease within a few days, sometimes a week or two. Many people return to work the same day. Doctors usually advise avoiding hard exercise, saunas and alcohol for a day or two, and not pressing on or trying to reshape the filler yourself.
The risks range from common mild effects to rare but serious complications. Knowing them helps you recognise warning signs early.
If you have sudden severe pain, skin blanching, discolouration or a change in vision during or after treatment, contact a doctor without waiting. With hyaluronic acid, early treatment can dissolve the filler.
The cost depends on the product and the amount used. Other factors include:
You can see the current price range in the pricing section of this page. The exact fee is set after an examination.
Filler is a medical procedure and should be performed by a doctor. In Turkey it is mostly done by dermatologists, specialists in plastic, reconstructive and aesthetic surgery, and doctors trained in medical aesthetics. You can check:
You can compare doctors who perform filler treatments on DoktorNo by specialty and city.
The information on this page is for general information only and is not medical advice. The suitable method for you can only be determined by a physician examination.