Dermal fillers are injectable treatments used to restore facial volume, soften certain lines, and improve facial balance and proportions. Treatment should not simply focus on filling a visible line. A safe and appropriate plan requires a comprehensive assessment of each patient’s facial anatomy, tissue characteristics, and individual needs.
At the dermatology practice of Dr. Armin Müştak, each patient is carefully assessed before treatment. This evaluation includes facial structure, skin and tissue characteristics, existing asymmetries, medical history, current medications, previous treatments, and personal expectations.
For suitable patients, dermal fillers may be considered for areas such as:
Cheeks and the mid-face
Chin and jawline
Lips and the area around the mouth
Nasolabial folds, which run from the sides of the nose to the corners of the mouth
Temples
Selected under-eye hollows
Certain facial asymmetries
Volume loss on the backs of the hands
Not every area is suitable for filler treatment. Some regions—including the nose, forehead, area between the eyebrows, and around the eyes—require particular caution because of their complex and critical blood-vessel anatomy. The decision to treat these areas must therefore be based on a careful assessment of the patient’s individual anatomy and potential risks.
Hyaluronic acid is not the only material used in injectable filler treatments. Other products include calcium hydroxylapatite and poly-L-lactic acid, each with different properties and uses.
Not every product is suitable for every area or treatment goal. Factors such as the filler’s density, elasticity, tissue integration, and mechanism of action all influence product selection and injection technique.
In some situations, hyaluronic acid fillers can be reduced or dissolved with an enzyme called hyaluronidase. However, calcium hydroxylapatite and poly-L-lactic acid products cannot be dissolved in the same way. It is also important to understand that being dissolvable does not make a filler procedure risk-free or mean that every result can be easily reversed.
Before treatment, the face is assessed both at rest and during facial movement. The choice of product, amount to be used, treatment area, injection depth, and technique are planned individually.
Fillers may be injected with either a needle or a cannula. The length of the procedure depends on the number of areas being treated and the technique used. Topical numbing creams or local anaesthetic contained in the filler may help minimise discomfort, although the procedure cannot be guaranteed to be completely painless.
The duration of the results varies from person to person. It may be influenced by the type of product, the area treated, the patient’s metabolism, facial movements, and tissue characteristics.
The effects of hyaluronic acid fillers are often visible immediately after treatment. However, swelling may temporarily affect the appearance during the first few days, so the final result should be assessed only after the tissues have settled.
Biostimulatory products work differently, and their effects usually develop more gradually. The duration and final outcome of any filler treatment cannot be guaranteed to be the same for every patient.
Temporary redness, swelling, tenderness, discomfort, bruising, and mild asymmetry may occur after treatment. Less common complications include infection, nodules, prolonged swelling, migration of the product, and delayed inflammatory reactions.
A rare but serious complication may occur if filler is accidentally injected into a blood vessel or causes pressure on a vessel. This can reduce the blood supply to the surrounding tissue and result in skin damage. In extremely rare cases, visual impairment, loss of vision, or neurological complications have been reported.
Urgent medical assessment is required if unusually severe pain, whitening of the skin, grey or purple discolouration, or any change in vision develops during or after the procedure.
At Dr. Armin Müştak’s dermatology practice in Çankaya, Ankara, facial anatomy, tissue characteristics, and medical history are carefully assessed before any filler procedure.
A personalised treatment plan is then developed by discussing the most suitable products, possible alternatives, expected results, limitations, and potential risks.
Dermal filler treatments involve injections to restore lost volume, soften certain lines, and enhance facial contours. Hyaluronic acid is one of the most commonly used substances. Products with different properties, such as calcium hydroxylapatite and poly-L-lactic acid (PLLA), may also be used. Each product works differently and is suited to different treatment areas. The appropriate product is selected after a clinical assessment.
Appropriate filler products can be used to adjust volume or shape in areas such as the lips, cheeks, cheekbones, chin, and jawline. The same product and technique are not suitable for every area. To aim for a natural look, facial proportions, existing volume, and your expectations are assessed together. Treatment uses an amount suited to your needs and may be performed in stages when appropriate to avoid overfilling.
The volumizing effect of hyaluronic acid fillers is usually visible immediately, although swelling in the first few days can affect the appearance. Results are more accurately assessed once the swelling has subsided. With products that stimulate collagen production, such as PLLA, results develop over weeks to months. The duration varies depending on the product, treatment area, and individual factors. Hyaluronic acid fillers typically last for several months, and some products may last longer than a year. The exact duration cannot be guaranteed.
Hyaluronic acid fillers can be reduced or dissolved with an enzyme called hyaluronidase when appropriate. This procedure requires a medical assessment, carries risks such as allergic reactions, and may require more than one treatment. Calcium hydroxylapatite, PLLA, and permanent fillers cannot be dissolved using the same method. Before treatment, it is important to understand what the product contains and the limits of reversing its effects.
Hyaluronic acid fillers can be reduced or dissolved with an enzyme called hyaluronidase when clinically appropriate. This procedure requires a medical assessment, carries risks such as allergic reactions, and may require more than one session. Calcium hydroxylapatite, PLLA, and permanent fillers cannot be dissolved with hyaluronidase. Before treatment, it is important to understand what the product contains and the limits of reversing its effects.
Tell your physician about any previous filler treatments, allergies, history of cold sores, existing medical conditions, medications you take, and recent dental procedures. Do not stop taking blood thinners without your physician’s advice. Treatment may be postponed if you have an active infection. After treatment, avoid applying pressure to or massaging the treated area unless instructed by your physician, as some products may require specific massage techniques. When you can resume exercise, apply makeup, or undergo other treatments depends on the product used.
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