Hyaluronic fillers – get to know them in detail! Discover how this natural substance can enhance, sculpt, and rejuvenate your facial appearance.

Have you noticed the widespread enthusiasm surrounding hyaluronic acid in the beauty industry? This ingredient can be found in numerous facial care products, including creams, serums, and tonics. While you may already be familiar with its presence, it’s time to elevate your skincare routine for exceptional results. To achieve optimal outcomes, consider the use of premium hyaluronic fillers administered by experienced doctors who possess the necessary expertise to skillfully inject them in targeted areas. By doing so, you can enjoy the benefits of a revitalized, enhanced, and radiant face, neck, and décolletage.

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What are hyaluronic acid fillers?

Hyaluronan (also known as hyaluronic acid or hyaluronic fillers) is a natural substance present in our bodies. Its primary characteristic is its ability to retain a significant amount of water. By doing so, it fills in wrinkles and restores the skin’s smoothness, firmness, and vitality. Hyaluronic fillers address the loss of volume and elasticity that appears as a result of the aging process. Additionally, they provide hydration to the skin, instantly giving the face a fresh and radiant appearance.
Hyaluronic acid plays a vital role in skin renewal and regeneration, which is why it is utilized in numerous rejuvenation procedures. Hyaluronan itself stimulates the production of collagen and elastin to some extent, which helps slow down skin aging in the long run. As it is an intrinsic component of our bodies, the organism recognizes hyaluronan as its own and accepts it as compatible, unlike other substances.
To learn more about hyaluronan, its applications in anti-aging medicine and cosmetics, refer to the comprehensive text – “Hyaluronan – Answers to All Your Questions!”

Hyaluronic fillers vs wrinkles

Absolutely yes!
Here is an explanation why. In youth, the face exhibits rounded contours, a well-defined lower jaw, and prominent cheekbones, creating the desired triangle of youth. However, as we age, various changes occur. There is a decrease in the volume of fat tissue, weakening of muscles and ligaments in the subcutaneous layers of the face, and a reduction in collagen, elastin, and hyaluronic acid within the skin itself. As a result, the skin becomes loose, dry, and thin.
The loss of fullness in the central part of the face leads to a diminished contour of the cheekbones and the appearance of sunken cheeks and dark circles. The lower jaw and chin lose their distinct definition, and the skin starts to sag, particularly in the lower area of the face. Over time, the youthful contours fade away, disrupting the natural proportions of the face and ultimately reducing its attractiveness.
Hyaluronic fillers play a vital role in restoring lost volume and filling in wrinkles. When injected into specific areas, they provide support to the muscles and ligaments, thereby restoring youthful contours and toning the face. Additionally, hyaluronic acid stimulates collagen production, revitalizing the skin’s hydration and restoring its natural radiance.

hyaluronic fillers

When is the right time for hyaluronic fillers?

The best thing about hyaluronic fillers is that you can start using them immediately when you notice the first wrinkles. Also, if you want to increase the volume of your lips, shape the cheekbones or the lower jaw, hyaluronic fillers can beautify the face even before the signs of aging appear.

Hyaluronic fillers are used for:

hyaluronic fillers wrinkle

What does the treatment look like?

The treatment begins with an examination by a doctor who will select the appropriate amount and type of filler and determine the places where it should be injected. After the examination, a local anesthetic cream is applied to make the treatment painless. The next step is to inject hyaluronic acid with extremely fine needles or a blunt cannula.
After the treatment, you are ready to return to your daily activities!

Aftercare

24 hours after the treatment, you should not use make-up and cosmetic products, you should also not exercise or engage in heavy physical activity. After that period, you continue with your usual facial care.
The treated area should not be massaged unless otherwise recommended by the doctor. In the next 2 weeks, active tanning, sauna or other aesthetic or cosmetic treatments are not recommended.
The treated area can be cooled, but for a short time and not by direct contact of ice with the skin, so as not to cause frostbite. If herpes simplex appears on your lips, mention it to your doctor so that the use of adequate products can avoid this infection.

hyaluronic fillers

How long do fillers last?

Thanks to the high-quality hyaluronic fillers we use, which completely blend with your tissue, the effects can last up to 24 months. The longevity of hyaluronic fillers primarily depends on the quality of the hyaluronic acid and the area.

  • Hyaluron applied to the lips lasts from 6-12 months.
  • In nasolabial wrinkles, chin, dark circles for about a year.
  • In the cheekbones, hyaluronan lasts up to 2 years.

The specified duration of hyaluronic fillers is approximate and depends on the patient’s age, metabolism, physical activity and other factors.

Hyaluronic Acid Lip Fillers

Your face and lips are unique, and any lip correction should not simply imitate someone else’s lips, as it would diminish the most important aspect – your uniqueness. In our practice, whether it’s enhancing volume, accentuating Cupid’s bow, or providing hydration to the lips, our treatment is tailored to your individual face. This approach ensures that your lips maintain their uniqueness and natural expression.
To achieve attractive lips, it’s crucial to have a deep understanding of the lip anatomy to strategically inject hyaluronic acid in areas that enhance the beauty and shape of your lips. Equally important is selecting an appropriate filler with the right density and firmness. For volume correction, we choose softer hyaluronic fillers that mimic the natural structure of the lips. However, when emphasizing contours or Cupid’s bow, we opt for a slightly firmer filler.

hyaluronic fillers lips
Hyaluronic fillers – before and after 1 ml of filler. The work of Dr. Miloš Živković.
Cheekbone augmentation

The contouring of the cheekbones and cheeks is considered one of the top hyaluronic filler treatments. Accentuated, high, and full cheekbones are often associated with a youthful and beautiful appearance. This procedure typically involves filling in the cheeks, which can lose volume and appear flat as we age, contributing to a tired-looking face. With just a few minutes of treatment, this procedure effectively restores lost volume to the face, resulting in a more youthful and attractive appearance.

Face “lifting”

One of the most popular applications of hyaluronic fillers in aesthetic procedures is for non-surgical facelifts. This procedure involves injecting hyaluronic acid into areas of the face where volume loss is most noticeable due to aging and where ligament support is needed.
As mentioned earlier, when hyaluronic fillers are applied correctly, they not only restore volume and contours to the face but also provide support to the muscles and ligaments, resulting in a lifted appearance.
However, it’s important to note that the effectiveness of fillers has its limitations, and not everyone is an ideal candidate for this treatment. Individuals with mild loss of facial fullness and mild skin sagging are more suitable candidates, as fillers can restore their contours and volume, giving a lifted and tightened appearance. On the other hand, individuals with significant skin sagging and excess fat tissue, especially in the lower part of the face, may not achieve the desired effect with hyaluronic fillers. In fact, in such cases, caution must be exercised to avoid overfilling, which can result in a “puffy” appearance.

hyaluronic fillers lifting
Correction of cheekbones, nasolabial folds, marionette wrinkles and chin with fillers. The work of Dr. Miloš Živković.
Forehead and temples fillers

To provide you with insight into the aging process and the rejuvenation procedure using hyaluronic fillers in the temple area, let’s introduce you to our patient Slađana (40+). Slađana sought our assistance due to her concerns about the loss of volume in her temples and cheekbones, the presence of wrinkles, and a loss of facial contours. After conducting a thorough examination, we developed a comprehensive plan that aimed not only to achieve a rejuvenated facial appearance but also to enhance Slađana’s attractiveness and femininity.
Following the procedure, we successfully restored the shape and fullness of her temples and cheekbones using hyaluronic fillers. Additionally, we achieved softer and more feminine contours, further enhancing her overall facial appearance.

hyaluronic fillers lifting
Correction of cheekbones, cheeks and temporal area with fillers. The work of Dr. Miloš Živković.
FULL FACE APPROACH

Introducing a modern anti-aging approach that takes a holistic view of your facial aesthetics! Our focus is on enhancing multiple areas of the face through a synergistic combination of various non-surgical procedures, resulting in a significantly more attractive and youthful appearance. To achieve optimal results, we frequently combine hyaluronic filler treatments with laser therapies, biorevitalization techniques, and other rejuvenation treatments for the skin and face. By utilizing this comprehensive approach, we aim to address various aspects of aging and rejuvenate your overall facial appearance.

  • pre i posle podmlađivanje
  • full face co2 laser hijaluron fileri 65+
  • hijaluronski fileri pre i posle full face
Filling Acne scars

Problematic, acne-prone skin is known to significantly undermine self-confidence, and even when this problem is solved with adequate treatments, acne scars can persist. Scars that are wide enough can be filled with hyaluronic fillers. According to our experience, the ideal combination of treatments for this problem includes the use of the CO laser, TCA peeling, and hyaluronic fillers.

HYALURONIC FILLERS –  FREQUENTLY ASKED QUESTIONS

There are many different types of dermal fillers, but the most popular and widely used are hyaluronic acid fillers. They are used for their safety, efficiency and easy application. Types of hyaluronic fillers differ in density-concentration, degree of cross-linking and formulation. These factors directly affect the duration of their results. Most hyaluronic fillers come with the added anesthetic ingredient lidocaine so that the need for additional topical anesthetic is reduced.

In our office, we use only tested, highest-quality products of hyaluronic fillers, such as JUVÉDERM fillers of the Vycross generation – Volux, Voluma, Volift, Volbella, Volite. They are characterized by maximum safety, natural effect and longevity. In addition to JUVÉDERM fillers, we sometimes choose Restylane, Teosyal and Belotero hyaluronic fillers. These brands also have USA FDA (The United States Food and Drug Administration) approval.

The amount of hyaluronan is individual and depends on the area being treated and the intensity of the changes being treated. The only sure way is an examination, where based on the changes caused by aging and the problems you want to correct, we make an individual plan. In order to give you a certain idea, we will list approximate amounts of hyaluronic fillers for the most common corrections.

  • For the correction of the cheekbones, the average amount for a visible effect is 1 ml of hyaluronic fillers per side, that is, 2 ml for both cheekbones.
  • When it comes to dark circles, the average amount for their correction is 2 ml fillers, one of which is applied to the area around the dark circles to give support to the dark circles, and one to the tear troughs.
  • For filling nasolabial folds, the amount of hyaluronic fillers varies between 1 – 2 ml.
  • For lip augmentation, the amount o is usually 0.5 – 1 ml.
  • For shaping  jawlineand chin, the amount required is usually 3 ml.

It’s not. The treatment with hyaluronic fillers begins by applying a local anesthetic in the form of a cream, and extremely thin needles or cannulas are used, thanks to which this treatment is minimally painful.

Hyaluronic acid is a natural substance, which is why hyaluronic treatment is extremely safe, and unwanted reactions are minimized. However, in order for the treatment to be truly safe, it is necessary to use registered and approved hyaluronic fillers. In a situation where there are many hyaluronic fillers on the market, many of which are of dubious quality, side effects can easily occur.
It is always safest to use hyaluronic fillers approved by the US Food and Drug Agency (FDA) that have undergone strict control and met high standards.

The best thing about this procedure is that the results are visible immediately after the treatment, which lasts about fifteen minutes! Already when the doctor gives you the mirror, you will be able to notice the difference, but the best aesthetic result is visible after two weeks, when the filler fits nicely into your body and starts to “work”.

Hyaluronic fillers do not disappear suddenly after the specified period of time, but gradually, which is why it is wise to plan a “touch-up” after a certain period of time.

Certain medications and supplements increase the chance of bruising. Therefore, it is advised that the patient should not take Aspirin, vitamin E, gingko and products based on omega 3 fatty acids ten days before the treatment. If this is not possible, the intervention can still be done, only that there is a higher probability of bruising. Avoiding alcohol and nonsteroidal anti-inflammatory drugs such as ibuprofen and diclofenac is also recommended.
To reduce swelling after the treatment, Arnica gel or tablets are recommended, as well as the use of cold compresses.
If necessary, you can apply concealer on your face, although make-up is prohibited on the day of the treatment.

We’ve all seen oversized faces, oversized cheekbones, unnatural hyaluronan movement during facial expressions and laughing, elongated chins and artificial looks, so we totally understand your fears! Exaggeration and an unnatural appearance are caused by injecting hyaluronic fillers not only in an excessive amount, but also in the wrong place. Beauty standards are changing due to the influence of social networks, the cosmetics industry, fashion and beauty. However, for the desired goal of treatment, we must first look at the natural features of your face and not allow the current and often fleeting trend to disturb our judgment.
For a good result, a detailed examination of the face first at rest and then in motion is necessary in order to understand what happens to the face during talking and laughing and to see how the treated area will behave during mimicry. During the examination, it is necessary to look at the whole face, mark the parts that do not require correction, the parts that require correction, as well as the parts where changes have occurred, but they are not too pronounced.

Hyaluronic fillers are contraindicated in severe disorders of somatic symptoms, acute conditions of chronic diseases, local inflammations, dermatological diseases in the injection area, problems with the functioning of the immune system, tendency to the formation of scars, infectious diseases and in pregnancy.

The cannula application technique and the needle technique have their advantages and disadvantages.

1. By applying hyaluronic fillers with a cannula, we reduce tissue damage, since we perform the procedure through only one injection. After the application of hyaluronic fillers by cannula, the probability of bruising and swelling is minimal, so there is no recovery period, which is why the cannula technique is the method of choice for delicate areas such as the dark circles.

2. The advantages of the needle are reflected in greater precision, but also a better lifting effect. Using a needle, it is possible to apply hyaluronic fillers directly to the bone, which maximizes the lifting effect. The disadvantage of the needle technique is the possibility of minor bruises.

MD codes (medical codes) are a technique of injecting hyaluronic fillers in which, based on the problem, we universally select points on the face to correct. For example, for the correction of nasolabial wrinkles or for the sagging of the central part of the face, this method requires corrections of the cheekbones, the front cheek, the part under the cheekbones, and the wrinkles themselves. However, what happens if the patient already has prominent cheekbones? You will conclude that this rule cannot be applied to everyone, because it most certainly leads to an unnatural appearance.

If we think about the above, we can conclude that even just 1 ml of hyaluronic acid applied to the wrong place can be too much. Imagine a situation that we often encounter in practice. The patient has pronounced nasolabial folds, loss of volume in the front part of the face and temporal (temporal) area, but excellent projection of the outer parts of the cheekbones. Correction of the cheekbones with only 1 ml of hyaluronic acid in that case can significantly worsen the appearance of the face and additionally highlight areas where volume is lacking. But, if we decide on the option to correct only the parts where there is a problem, in this case the front cheek, temples and wrinkles with 3 ml of hyaluronic, the patient will look completely natural and significantly younger.
Another problem that leads to an unnatural appearance is the attempt to solve the surgical problem with hyaluronic fillers. The essence is simple – if there is a significant drop in the face, excess skin and sagging of the subcutaneous tissue, the best result is obtained with surgical techniques. Excessive use of hyaluronic acid can mask the above-mentioned changes, but at the cost of an unnatural appearance, which is reflected in oversized cheekbones, swollen cheeks and an elongated chin, which we have all had the opportunity to see.

In the above situation, we have two options: opt for surgical intervention for optimal effect, or if for any reason you are not ready for surgery, then correct the changes with hyaluronic without overfilling the face and changing the anatomy. True, the changes caused by aging will still be visible, but mitigated with a preserved anatomy and natural appearance.

The appearance of lumps does not represent a serious complication, but still, attention should be paid to its appearance.
After the treatment, the area where the hyaluronic filler was applied is gently massaged to soften the lumps and distribute the material better. Sometimes a gentle massage at home may be recommended if lumps are felt after 48 hours of the procedure.
If the lumps do not disappear after 3-4 weeks (that’s how long it takes for the filler to “settle down”), consult a doctor who will remove them with massage or hyaluronidase.
Lumps that appear at the injection site are the result of poor injection technique and/or tissue sensitivity – the so-called nodules , and they usually disappear in 2-3 weeks.

It happens that patients come to us who have already done the procedure somewhere and are dissatisfied with the results, because they put too many hyaluronic fillers and instead of a rejuvenated and more beautiful appearance, they have a side effect. We solve this problem simply thanks to the enzyme hyaluronidase , which is used to remove hyaluronan, expertise and experience of our doctors.

The results of hyaluronidase, i.e. the removal of hyaluronic filler, are visible in 15 minutes to 24-48 hours.

Even after the fillers have disappeared, the skin treated with hyaluronic acid looks more beautiful and younger, because the hyaluronic acid over time stimulated the renewal of the skin, hydrated it and gave it support. You can stop using hyaluronic fillers at any time without any consequences, on the contrary, the skin will look better even after the complete resorption of the hyaluronic. That’s why hyaluronic acid is the number one treatment in antiaging medicine.

If the treated area is aggressively pressed and massaged, there is a possibility that the filler will move. Therefore, it is advised not to touch it, if you do not feel the appearance of lumps – then you can apply a gentle massage.
In any case, if the hyaluronic filler is correctly selected and injected, it does not migrate and does not “walk on the face” , unlike silicone and similar fillers, which are dangerous and prohibited in most countries.

In most cases, there is no problem if there were no complications in the previous treatment. You must tell your doctor when you had a previous treatment, which product was used and how much.

This question is often asked by friends, acquaintances and patients. What are the side effects and are hyaluronic fillers safe? Our answer is:

– If registered and verified products are used, and in our office JUVÉDERM, Restylane and other registered fillers are used, and if the treatment is performed by certified doctors, the treatment is completely safe.

For safe treatment and maximum results you need:

  1. trusted healthcare office
  2. trained, professional certified doctors
  3. registered fillers

Between implant and major dental procedures, it is necessary to pass 14 days after the procedure in order to be able to do the treatment with hyaluronic fillers.

If you have any other doubts and questions and you did not find the answer in the list, check the page of our website – Frequently Asked Questions.

hyaluronic fillers

Hyaluronic acid fillers-prices?

Hyaluronic fillers – additional questions?

If you have additional questions or want to schedule your consultation with our doctors, call us at 060/345-0304 or write to us at estetikabgd@gmail.com.