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04/09/2025Highlights
- Dermal fillers are a treatment designed to restore lost volume in the face.
- The article explains which areas of the face it is used on.
- The treatment process clarifies what should and should not be expected.
- The process of planning the application is explained step by step.
What is Dermal Filler? End Volume Loss in Your Face
Although wrinkles are the first thing that comes to mind when we think of the traces of time on our face, the most obvious and often overlooked sign of the aging process is the loss of volume. Over the years, the loss of fullness of the cheeks, flattening of the cheekbones, tired hollows under the eyes and the loss of sharpness of the jawline can give the face a tired, sad and older expression.
What is Dermal Filler? End Volume Loss in Your Face
One of the most powerful and artistic tools of modern medical aesthetics dermal fillers applications offer non-surgical, safe and extremely natural solutions to this very problem. As Dr. Melis Ülger, Istanbul, Kadikoy’In my clinic in Istanbul, I would like to tell you all about this special treatment that restores the rested expression and volume of youth to your face.
Why Volume Loss Happens and How Does It Change the Face?
The secret to a youthful face is not only taut skin, but also healthy fat pads positioned in the right spots, a strong bone structure and essential building blocks such as collagen, elastin and hyaluronic acid that give the skin fullness. However, starting in your late 20s, the production of these valuable structures begins to slow down. The fat pads under the skin melt and are displaced downwards with the effect of gravity. This causes the form of the face known as the ’triangle of youth“ (the top is down and the base is on the cheeks) to invert. The result;
- Cheekbones and cheeks are flattened.
- Gaps and bruises under the eyes become prominent.
- The nasolabial lines from the edge of the nose to the corner of the mouth deepen.
- The jawline loses its clarity and sagging may begin in the jowl area.
Here you go dermal fillers applications aim to restore the balance and youthful contours of the face by replacing this lost volume with a scientific and artistic approach.
The Cornerstone of Dermal Fillers: Hyaluronic Acid
Although there are fillers with different ingredients in the market, the fillers that are accepted as the gold standard today and which we use safely in our clinic, hyaluronic acid (HA) based ones. Hyaluronic acid is actually a sugar molecule that occurs naturally in our body, especially in our skin, joints and eyes. Its most well-known feature is its capacity to hold up to 1000 times its own weight in water. Thanks to this feature, it keeps the skin moist, plump, supple and healthy.
Hyaluronic acid used in medical aesthetics is in the form of a transparent gel that is completely compatible with the body, produced by biotechnological methods in a laboratory environment. These gels are produced with different density and cross-linking technologies and designed specifically for the needs of different parts of the face. For example, a softer and more flexible filler is applied to a mobile area such as the lips, while a harder and denser filler is preferred for an area that needs to mimic the bone structure, such as the jawline.
One of the biggest advantages of hyaluronic acid fillers is that they are safe. Since it is a naturally occurring substance in the body, there is almost no risk of allergy and it can be dissolved and removed from the body at any time with an enzyme called “hyaluronidase”.
What are the Application Areas of Dermal Fillers?
Dermal fillers are versatile materials that can be used to add volume, correct contour and smooth fine lines in almost any area of the face.
- Cheek and Cheekbone: It replaces the loss of volume in the mid-face, giving the face an instant lifting and youthful expression.
- Under Eye (Light Filling): It fills the sunken area (tear trough) between the under-eye and cheek, eliminating the tired and shadowy appearance and giving a brighter expression.
- Lips It is used to volumize, contour, correct asymmetries and moisturize lips.
- Nasolabial Lines It softens the depth of the grooves known as “laugh lines”, which run from the wings of the nose to the corners of the mouth.
- Jaw and Jawline (Jawline): It is applied to make the chin more prominent, lengthen the chin tip and give the jawline a sharper, clearer contour.
- Temples It creates a more proportional and youthful face frame by filling the temporal area that collapses with age.
Hand Rejuvenation It reduces the loss of volume on the hands and reduces the veined and bony appearance.
Dermal Fillers and Botox: Why is it Important to Understand the Difference?
Understanding the difference between fillers and botox, the two most commonly confused treatments by our patients, is critical for the right treatment expectation.
- Botox, temporarily relaxes the muscles of the facial muscles dynamic wrinkles (crow's feet, forehead lines).
- Dermal Fillers is injected under the skin to replace the loss of volume and to restore the volume that is visible even at rest. static wrinkles and fills the gutters.
In a simple analogy; Botox prevents the paper from wrinkling further, while Filler fills the bottom of the already wrinkled paper and flattens it. Most of the time, for the best results, these two treatments are used together in different parts of the face for a holistic rejuvenation.
Treatment Process: Expectations and Realities
Dermal filler treatment is a comfortable and fast process.
- Consultation Before treatment, Kadikoy‘We will have a detailed consultation with you at our clinic in Istanbul, Turkey. We evaluate the anatomy of your face, listen to your aesthetic goals and create the most suitable treatment plan together.
- Implementation: Anesthetic cream is applied to the area to be treated, ensuring complete comfort. Then, with the help of very fine needles or cannulas (blunt needles), the filler is injected into strategic points. The procedure usually takes 20-30 minutes depending on the width of the area.
- The post: The results of the treatment are immediate. A slight redness, edema or rarely bruising may occur after the procedure, but these effects usually disappear spontaneously within a few days. The person can immediately return to social life.
Persistence: The permanence of the filler varies between 9 and 18 months depending on the density of the product used, the application area and the person's metabolic rate.
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Dermal Filler Philosophy at Dr. Melis Ülger Clinic
In our clinic, we see dermal filler application not only as an injection procedure, but as an art of facial sculpting. Our philosophy is not to create a “filled” or “inflated” face, but to restore the rested, fresher and more energetic state of your face years ago. For this purpose, we aim for the most effective results by taking into account the anatomy of the face, the play of light and shadow, with “few but concise” touches that will not distort your expression and naturalness. The reliability and quality of all the products we use is the basis of our commitment to patient health. In this regard, Organizations such as the American Society of Plastic Surgeons (ASPS) patient safety guidelines are also a guide for us.
If you are complaining about the loss of volume on your face and are looking for a reliable, natural and effective solution, we invite you Kadikoy‘I would like to invite you for a coffee in our clinic in Istanbul, Turkey and discuss your treatment options.
Contact Now for a Holistic Approach to Your Health
As Dr. Melis Ülger Clinic, we are at your side to individually determine the most appropriate glutathione treatment protocols to strengthen your immune system, detoxify your body and support regeneration at the cellular level. To make your skin more vibrant and radiant and to support your overall health you can make an appointment by contacting usyou can find answers to all your questions.
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Application
Filling Application
You can have this procedure done at Dr. Melis Ülger’s office in Kadıköy Caddebostan.
Frequently Asked Questions
When does volume loss begin?
Starting in the late 20s, the production of building blocks such as collagen, elastin, and hyaluronic acid begins to slow down. The fat pads beneath the skin dissolve and shift downward due to gravity.
How does volume loss change the face?
The cheekbones and cheeks become flatter, hollows and dark circles under the eyes become more pronounced, nasolabial folds deepen, the jawline loses its definition, and sagging may begin in the double chin area.
What is the "Youth Triangle"?
This is the shape of a youthful face, with its apex at the top and its base at the cheeks. As volume is lost, this shape inverts, and the lower part of the face appears heavier.
Which type of filling is considered the gold standard?
Hyaluronic acid (HA)-based fillers. HA is a sugar molecule found naturally in the skin, joints, and eyes, and it can hold up to 1,000 times its own weight in water.
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