Fillers for the face – all about the procedure and choice of medications

Cosmetology does not stand still and offers more and more gentle methods to combat imperfections. Fillers are one of these effective remedies. These are injectable preparations, similar in structure to gel, for parenteral administration under the skin.

They were first used by the German doctor Neuber in the 19th century, based on the patient’s fat and introduced into the areas of the face that needed to be corrected and given volume. The result exceeded all expectations, thus contour modeling has become very popular. And it is still actively used today, replacing plastic surgery.

Of course, since the 19th century, methods of injecting plastics have been refined and improved. What are fillers now?

Fillers are injectable implants that are inserted into various areas of the face and body to restore youth and correct aesthetic deficiencies.

The main purpose of fillers for the face:

  • Eliminate age-related changes.
  • Increase or change the shape of your face and body.

What can I do with fillers?

Fillers for the face are also called “beauty injections”. The procedure is performed in salons by qualified dermatologists. Basically fillers correct:

  • Wrinkles.
  • Cheekbones, nose, and chin.
  • Face shape.
  • The volume of the lips.
  • The lobe on the ear.
  • Scars of a postoperative or traumatic nature.

You can also correct the result of the previous procedure, if the doctor made a mistake with the amount of gel injected subcutaneously, which led to facial asymmetry.

Mostly the zones are fixed:

  • Nasolabial fold.
  • Forehead.
  • Lips.
  • The area around the eyes and mouth.
  • Cheekbones.

The procedure requires an individual approach to any area of the skin and body. Since the location of nerve endings and the number of vessels are different. For example, injections for the lips and forehead differ in both the number and method of injecting fillers. After all, the lips belong to a zone that has a special sensitivity, unlike the forehead.

“Beauty shots” are popular among women 35+. The result is visible almost immediately and will please from 6 months to 2 years.

What to expect from fillers:

  • The skin becomes more elastic and smooth.
  • There is a rejuvenating effect.
  • All kinds of wrinkles disappear.
  • The shape of the face acquires clear symmetrical borders.
  • The shape of the cheekbones, chin and nose becomes more voluminous.
  • The lips acquire the desired size.
  • The nasolabial furrow becomes minimally noticeable.

To introduce the fillers should be in the area that requires correction. Before such a procedure, a specialist’s consultation is mandatory.


Like any cosmetic procedure, dermal fillers have contraindications. They can be classified as temporary and permanent.

Permanent contraindications to fillers for the face are a standard set:

  • Allergies, possible drug rejection.
  • Tendency to keloid scars.
  • Cancer disease.
  • Diabetes.
  • Hemophilia.
  • The presence of silicone in the area where the procedure is planned.

Temporary contraindications:

  • Pregnancy.
  • Lactation.
  • The period of menstruation.
  • Previously performed peeling procedures (laser resurfacing, chemical peeling, etc.)
  • Exacerbations of a chronic disease.
  • Active phase of a virus, fungus, or bacterium.

Classification of drugs

Modern injection materials are divided into two groups:

  • Natural materials based on natural polymers. Such injections resolve over time and require repeated administration.
  • Biosynthetic materials.
  • Permanent synthetic materials.

Consider each group separately.

Synthetic fillers

In the composition of fillers, the main component is high-grade silicone, which is not removed from the body naturally.

Advantages of a synthetic filler:

  • Low cost.
  • Duration of the result.

Cons of a silicone filler:

  • A lot of side effects, including an allergic reaction.
  • It does not dissolve and is not released independently from the body. In case of an unsuccessful procedure, surgical intervention is required.
  • It can move from one site to another.

This type of fillers was invented back in the 70s, the main components were silicone and paraffin. Today fillers with this composition are practically not used, because they negatively affect the body.

Biosynthetic fillers

These are fillers that are similar in composition to the composition of the skin.

Advantages of the filler:

  • Does not cause allergic reactions.
  • It is absorbed and easily excreted from the body.

Disadvantages of the filler:

  • The effect persists for a short time.
  • Slowly dissolves, which constantly leads to clogged blood vessels and puffiness of the face.
  • It is possible to move the gel under the skin.

Popular brands of fillers made of biosynthetic materials:

  • Artecoll. In the composition of the drug, the main component is collagen. It is actively used to eliminate wrinkles on the face, increase the volume of the lips and correct flaws on the body and face.
  • Radiesse. It is made of calcium hydroxyapatite.
  • Elance. It consists of carboxymethylcellulose. When neocollagenesis is stimulated, the tissues increase in volume.

Biocompatible (biodegradable) fillers

This type of fillers is the most used, because the effect can last for a long time. Also, the drug has the ability to quickly dissolve, thereby not causing any allergic reactions. There are 5 main fillers, which are the main components of fillers.

Hyaluronic acid

Restylane company filler

Photos from the site

Hyaluronic acid fillers are very popular. They are safe, easy to use and do not cause side effects from the filler. The result lasts for 24 months, then you need a second procedure.

Before injecting fillers, it is not necessary to check the patient for allergic reactions. During the procedure, the doctor inserts a needle under the skin and fills the area with acid.

Dermatologists use such companies of fillers as Restylane or Juviderm. They contain natural components and attract liquid, which contributes to the restoration of water balance.


Thanks to this component, the skin becomes elastic. It is added to creams and masks, but to achieve maximum effect, injections of collagen are required. Apply to the areas of nasolabial folds, forehead, lips and eyelids.

Another positive property of collagen is its rapid absorption under the skin. Therefore, during the initial injection, the maximum amount of substance is introduced.

There are 2 types of collagen:

  • Human. The composition is 100 % natural. It is based on subcutaneous fat, which is taken from another part of the human body.
  • Collagen, which is extracted from the tissues of cattle. Before the introduction of such an injection, the patient must undergo an Allergy test.

Popular drugs based on collagen are considered Collost, Zyderm, Evolans. Such fillers last for 6 months.

The calcium hydroxyapatite

Calcium is an important element of human bone tissue. Injections on this basis consist of 80% gel and 20% calcium hydroxyapatite. After the procedure, the body begins to work on new connective tissue and after 2 months, a stable structure of these components is formed.

The advantage of this type of fillers is the absence of migration of the element under the skin. The effect can last up to 2 years. The main representative is a drug from Radiesse.

Polymethylmethacrylate microspheres

They also contain collagen in the composition. This filler works for 10 years, but can cause allergic reactions. Since the main component is bovine collagen.

Enter the drug slowly and in small doses. Indications for use – deep wrinkles. The most popular filler of this category is considered-Artefill. However, today in cosmetology, this type is practically not used.

Poly-L-lactic acid

It is a polymer compatible with the human body. The procedure using this component should be performed several times. The effect lasts for 2 years. The main purpose of such fillers for the face is to increase the volume of cheekbones and chin. They are also suitable for the treatment of scars and scarring on the skin.

A popular preparation based on Poly-L-lactic acid is Sculptra.

The world organization of the FDA acts as the controlling body that oversees the production and release of all types of fillers. Determines the level of safety and quality of the filler.

How to prepare

Before the procedure, you need certain rules that will help you easily transfer subcutaneous injections:

  • Consult with specialists, namely a dermatologist and a General practitioner.
  • Stop taking medications that reduce blood clotting within 5 days. Aspirin, too.
  • Abstain from alcohol.
  • Do not use the sauna, steam room, or Solarium.
  • Before the procedure, do not engage in heavy physical activity.
  • To avoid severe bruising, start taking a homeopathic Arnica-based medication a few days in advance.

If you are concerned about any chronic diseases or feel unstable, it is better to talk to your doctor again and postpone the procedure.

Stages of the procedure

Consider how the procedure is performed:

  1. Doctor’s consultation and identification of contraindications.
  2. Anesthesia. The specialist makes an injection with an analgesic in the selected area or analgesics it with a cream. Waits 20-30 minutes for the anesthesia to take effect. If an injection was made, the time is reduced by 2 times.
  3. The intended area is treated 2 times with an antiseptic agent. Before the patient is opened, a sterile disposable package with a filler is inserted inside or subcutaneously. This depends on the technique and the area that needs correction.
  4. At the end of the procedure, a special cream is applied, a light massage is performed, so that the gel is distributed evenly, and cooling packages are applied.

The duration of the procedure depends on the qualification of the dermatologist and the amount of correction. It usually takes from 15 minutes to an hour.

Recovery period

The result after the procedure will be visible almost immediately. However, after leaving the cosmetologist’s office, do not:

  • Use the pool.
  • It is exposed to the sun for a long time, under UV rays.
  • Go to the sauna or Solarium.
  • Drink alcoholic beverages.
  • Take medications that interfere with skin clotting.
  • Engage in heavy physical labor.
  • To touch your face and do massage.
  • To use cosmetics. You can only use those medications that your doctor has prescribed.
  • Actively use facial expressions.
  • Drink a lot of liquid and eat too salty food.

I’ll have to go on a low-calorie diet for a few days. With painful sensations, you can take an analgesic. Periodically apply ice to the areas of the face where the fillers are placed. Arnica-based medications will help with edema. The area where fillers were introduced requires careful and careful treatment.

What result should I expect?

results of applying the filler

Photos from the site

As mentioned above, the result from fillers can be observed almost immediately. After the injection, the patient may experience swelling and slight bruising. These effects of injections will pass within a week. From this moment on, you can admire the result, which will last from 6 months to 2 years.

Factors that affect the duration of the effect:

  • The level of metabolism in the body.
  • Depth of drug administration.
  • The composition of the gel.
  • The amount of medication administered.
  • The individual characteristics of the skin.

For example, if you use fillers to increase the volume of your lips, the result will last up to 2 years. A filler for facial wrinkles requires a repeat of the procedure after 6-8 months.

Repeat the procedure after complete resorption of the material, on average in 10-12 months. A huge role is played by a person’s lifestyle, habits and health. Thus, in chronic diseases, fillers dissolve faster. Another factor is the density of the introduced material.

Complications and ways to eliminate them

Sometimes after the procedure, you can get the wrong effect, which was expected. There is a possibility of complications. In cosmetology, they are usually divided into short-term and long-term.

Short-term complications of facial fillers:

  • Puncture sites react painfully to touch.
  • The skin turns red and itchy.
  • Bruises.
  • Puncture sites become inflamed due to bacteria.
  • An asymmetry appears.

Within 10 days, they are completed independently. If not – they can be easily corrected by a specialist.

For example, the appearance of bruises is almost impossible to avoid. You can reduce them and affect the healing rate. To do this, before the procedure, you must follow the rules described above.

Asymmetry can only be corrected by a cosmetologist. After studying the situation, it will either add fillers to this area, or neutralize the previously introduced substance.

If there is no result after 10 days, it is necessary to repeat the procedure, possibly using a different brand of drug.

Long-term complications of facial fillers:

  • The accumulation of the drug in one area and painting it in white color.
  • Allergy.
  • Nodule formation.
  • Ptosis of tissues, due to an incorrectly calculated amount of filler.
  • Development of vascular embolism (if the doctor got a needle in the vessel).
  • The movement of the drug under the skin.

If at least one of these complications develops, you should urgently consult your doctor.

The cost of fillers for the face

Prices for injectable contour plastics depend on the manufacturer of fillers, as well as on the salon and specialist. The best fillers are considered to be Swiss and French brands of drugs. On average, the cost varies from 12,000 to 30,000 rubles. This is not a “ceiling”, there are drugs with a much higher price.

Prices for facial fillers of different brands

  • ArteFill, Artekoll from 56 000 RUB.;
  • Sculptra from 30,000 rubles.;
  • Evolution from 28,000 rubles.;
  • Perlane from 22,000 rubles.;
  • Cosmoderm from 17,000 rubles.;
  • Princesses from 13,000 rubles.;
  • Style from 14,000 rubles.

Is there an alternative?

In addition to fillers, mesotherapy procedures and Botox injections come into the fight against age-related changes. What is the difference between them?

In cosmetology, mesotherapy is used as a remedy for problem skin, acne. The composition of the preparations used contains only natural components that allow you to achieve a rejuvenating and nutritious effect, but no more.

Preparations of fillers are used to eliminate asymmetry, give volume and correct the skin. Basically, the procedure is carried out in a course. The composition can be either synthetic or natural. The natural composition is based on subcutaneous fat. This is the most popular and safe dermal filler.

Botox injections have been known for a long time, but they do not differ in their safety. Botox contains a component called botoxin, which can cause intoxication of the body.

Unlike mesotherapy and filling, the result of Botox injections is immediately noticeable, but it is not safe for the body.

Fillers, or “beauty injections” – this is a procedure that is increasingly gaining popularity among women. This contouring helps to combat skin aging and gives volume to those parts of the body that need it. There is no one filler drug that would be a universal remedy for everything. Therefore, cosmetologists choose the brand and method of use, focusing on the needs and problems of the patient.

Dermal fillers have both positive and negative sides. However, the effect of fillers is obvious, and cosmetology does not stand still, improving the composition and making them as effective and safe as possible.

Useful video about fillers

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