Facial fillers

Anesthesia No
Duration 10 - 30 min.
Hospitalization Outpatient
Postoperative needs Inflammatories
Results Immediate
More information
Rellenos faciales
Facial fillers

Facial fillers are substances that work as injectable skin implants and are used to give volume,enhance the facial appearance, while mitigating the signs produced by the passage of time.

On this page we will talk exclusively about synthetic fillers and not about the fat that is explained on the facial lipofilling.

The areas that can be treated with fillers in the face and neck region are:

  • pterygoid fossa (temple)
  • frown lines (frown)
  • wrinkles in the periocular region, in which we include dark circles and crow’s feet
  • cheekbone
  • filler cheek
  • filler nasolabial folds filler
  • nose as a rhinomodeling
  • marionette lines
  • lip corners
  • philtrum
  • vermilion of the lips for lip augmentation
  • contour of the lips
  • mandibular line
  • ear lobes
  • chin
  • horizontal lines of the neck
Types of facial fillers

Fillers are classified according to their duration as temporary or permanent.

Permanent fillings have fallen into disuse, mainly due to the long-term complications they produce, such as granulomas, which can lead to deformities that are very difficult to solve in some cases.

Therefore, we use resorbable-type fillers fundamentally because the degree of safety they offer is high. The disadvantage of this type of fillers is that they disappear with the passage of time, but at the same time this reduces the complications derived from their permanence in our body.

1. Hyaluronic acid fillers

The fillers we use are derived from hyaluronic acid and calcium hydroxyapatite. Both have a high degree of safety and we use them differently depending on the areas to be treated.

Derivatives Hyaluronic acid have the peculiarity of being less dense products and therefore more suitable for the treatment of delicate tissues such as the lip mucosa or very superficial wrinkles.

We do not recommend the use of hyaluronic acid for the periocular area. The periocular area has extremely thin skin and hyaluronic acid injected with so little protection can produce the so-called Tyndall effect, which appears as an unwanted bluish color. John Tyndall (1820-1893) was an Irish physicist who described the light scattering phenomenon that bears his name. The phenomenon that occurs when sunlight passes through the windows and you can see the suspended dust that is in your room. Each of the dust particles reflects light and produces this phenomenon.

Hyaluronic acid comes in different densities to treat according to which areas, so very superficial areas require a less dense hyaluronic acid and deeper areas require a more dense one.

Hyaluronic acid filler application areas:

  • Filler forlip augmentation Hyaluronic acid has a capacity for hydration and collagen genesis that favors the increase in lip volume.
  • Filler to attenuate perioral wrinkles and between the eyebrows fundamentally.

2. Filled with Radiesse®️

This filler has gained wide acceptance in the last 10 years for its comparative effectiveness against hyaluronic acid in deeper areas.

Calcium hydroxyapatite, originally developed under the trade name of Radiesse®️. from the German laboratory Merz.

In our experience of the last 15 years we can consider it as a highly safe and effective filler.

Filler application areas using Radiesse®️:

We usefor facial regions:

  • Expression wrinkles of the nasolabial folds
  • Regions of the cheeks, cheek augmentation or cheekbone augmentation.
  • Correction of dark circles in the periorbital region

It has a relatively long-lasting volume effect despite being reabsorbable, which can last up to 7 months to different degrees, and has a high collagen production capacity.

Application of facial fillers according to the area

The procedure for the injection of the fillers varies depending on the area we treat.

Filler using hyaluronic acid

Lip augmentation usually requires a nerve block to facilitate the injection and do it in a comfortable way for the patient. Topical anesthetic creams in the perioral region have a very limited use since, although they can eliminate superficial discomfort, they leave the deep region where the filler is deposited orphaned and can become very annoying.

Facial fillers, either by hyaluronic acid and/or Radiesse

These treatments usually have a very low rate of complications. Some bruising may be seen after the injection that will disappear over time. Likewise, a temporary swelling can occur during the first 24-48 hours and some irregularities that tend to disappear in the first 10 to 15 days, the time necessary for its homogeneous integration in the injected area.

Facial fillers are commonly combined with other treatments. They can also be combined with laser treatments.

Treatments are performed locally and on an outpatient basis.

The price of each treatment is given after the consultation with Dr. García Ceballos and depends on the characteristics and specific needs of each patient.

During the consultation you will be able to see before and after photos of cases similar to yours.

If you are travelling or consulting us from anywhere in Spain, the UK or Europe you can request your consultation online via Skype.

It is advisable to seek the advice of a specialist in reconstructive and aesthetic plastic surgery for this type of treatment.

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Frequently asked questions

A facial filler is a medical procedure by which a filling substance is introduced into the facial tissues in order to increase volume and improve appearance.

Different types of products are used to perform the facial filler point. All the products we use are reabsorbable, that is, they disappear over time. The only permanent filler that we use is autologous fat, although we do not consider facial lipofilling within the section. We usually use hyaluronic acid and calcium hydroxyapatite. Each of these fillers has a specific indication which will be explained by the plastic surgeon during your consultation.

Facial fillers have a limited duration of around 6 months.

It can be somewhat annoying although it is perfectly tolerable for those cases in which the level we use analgesia techniques during the procedure.

Although infrequent some may appear, they usually tend to disappear over the next 10 days.

You can return to work immediately even on the same day that the treatment is performed.

The price of a facial filler will depend on the type of product to be used and the number of vials used during the treatment. This will be revealed during the course of your consultation with the plastic surgeon.

Nasal fold wrinkles can be concealed using natural-type synthetic fillers as well as performing a facelift procedure.

Frown lines can be concealed by using botulinum toxin. If the wrinkles are very deep, the use of botulinum toxin with hyaluronic acid can be combined.

If we talk about crow’s feet, these can be effectively concealed by using botulinum toxin.

Lower eyelid wrinkles are not treatable with botulinum toxin and for them we can use chelating agents in the form of a cream or combined with the laser at a low dose.