The materials used for filing lines and deep wrinkles on face caused by slacking, collapses due to aging (under eyes and on cheeks etc.) dip areas on skin (bruises, acne marks) and sometimes for contour fixing (like fat and lively lips) are called filling materials. These are the products produced from different chemical materials and distributed to market. However, because the injection of many materials into body may cause drawbacks, other than some reliable products (collagen, hyaluronic acid etc.) they are not preferred.

Can filling materials be used for contour fixing?

Yes. Filling materials can be used for setting lip curves and pogonion, increasing forehead convex, getting cheekbones plump.

How are filling materials classified?

Filling materials can be classified into two groups: the ones gained from the body (fat, tissue cocktail, and cartilage etc.) and foreign materials. Among foreign materials, silicon, stitching materials, filling materials with silicon bits, gelatin dust, beef collagen, hyaluronic acid can be counted.

Can all of these materials be used safely?

No. After liquid silicon injections, high allergic reactions and tissue deformations can be observed and it is known to penetrate into veins and cause death. It can cause damages and bruises on skin. Thus, silicon injections are not used anymore. After injections with silicon bits, an artificial outlook and under the skin abnormalities can be formed. Other synthetic filling materials may cause permanent tissue damage, deformation and skin color changes according to infection or allergic reaction it caused after injection.

Which filling materials can be used safely nowadays?

Beef collagen and hyaluronic acid are common and safe filling materials. However beef collagen is discharged out of body on the 3rd week because of an allergic response it creates. After such reactions, near tissues swell and such swelling makes wrinkles straighten for 1-2 months. Thus, after collagen is injected into body, it is discarded like a foreign tissue by being rejected by the body. Before its injection, allergy test should be taken. Its most important disadvantage is that it may cause serious allergic reactions on some people and after injection, they diminish completely after 2-3 months. In some cases when injections are made before allergy test, reactions, which have crucial threat for body, may occur with the response of the immune system. That is why, the usage of beef collagen has been limited.

What is hyaluronic acid filling material?

This filling material, which has a shape of opaque gel, is the biotechnological production of hyaluronic acid material found in body normally and return of it to the body like supply when it needs. Hyaluronic acid is a connective tissue element, which is found in connective tissues of all living things (plants, humans, animals), between collagen fibers and which has a polysaccharide structure making skin plump, lively and clear. The fact that hyaluronic acid diminishes in the skin structure is one of the most important reasons skin gets older and it makes skin pale, wrinkle and have thin lines. With the injection of this filling material to the skin, the brightness, plumpness and elasticity of the skin returns.

Which areas is this filling material applied?

Especially when used with botox injection, it can be used in frowning lines between eyebrows, goose foot deformities, nasolabial loops stretching from wings to mouth, thin wrinkles around the mouth, linings from mouth corners to the bottom, setting lip curves and making lips fat, cleavage area, neck and hand linings. With the injection of it into skin, where thin wrinkles and loops these areas straighten and get plump.

Where is hyaluronic acid implementation made? How long does it take?

Such injections, which can be applied in normal surgery conditions, does not generally require local anesthesia. After skin is cleared with alcohol or another antiseptic material, filling material is injected with needlepoint injectors in the way it can fill wrinkles. The procedure is applied in 15-20 minutes without any side effects other than mild swelling and rubor.

How often should this hyaluronic acid filling material be applied?

This filling material is discarded from body with slow absorption. This takes approximately 6 months. Normally, less filling material, which hyaluronic acid sends daily from is cleared from the body. Thus, it is a procedure requiring repetition once in 6 months. However, this period changes according to the area that is treated, the structure of the skin, anatomy and lifestyle.

What are the side effects of the procedure?

Because this is a material found naturally on body, allergic reactions are not observed. It is FDA approved and used widely in America. After the implementation, mild swelling and rubor can be seen. This swelling passes away after 48 hours. Possible disorders and areas requiring supply can be fixed with filling material injection after 15days.

In what cases hyaluronic filling material is not applied?

In pregnancy and lactation periods, implementation should be avoided as there is not enough information about the subject. When there are herpes infections around lips, injections should be delayed. In areas, where inflammation and allergic reactions are observed, injection should be avoided.

What it tissue cocktail?

Among the filling materials taken from and applied back to the patient, tissue cocktail has an important place. With this method, from patients, who had operations like face lifting, abdomen lifting, breast downsizing; subcutaneous bond and muscle tissues are taken and be detached into particles that can be filled into injectors and again for the removal of wrinkles it is applied into the skin.

What is its difference from fat injection?

Because under skin dermis tissue and bond tissues have much more collagen than fat tissues and their feedings are 90% after 6months (fading rate 10%), with tissue cocktail, long-term cosmetic results are gathered in face lifting operation.

Why is our tissue the best filling material?

Other filling materials, which are used for wrinkles, falling and slacking treatment (collagen, injected silicon, stitching materials etc.) may cause allergic reactions and infection risks are higher than fat and tissue cocktail. Also with some filling materials, unnatural and adverse results may occur. After fat injections, there are no allergic reactions. Infection risk is quite low. Thus surgeons and patients should prefer biological filling materials instead of expensive artificial filling materials, which can cause unwanted results like infection, abscess, and bruises.