Filler injection is a non-surgical medical cosmetic procedure that is used to improve the shape, and is used to inflate the cheeks and lips, especially the loose tissues that extend on the borders of the smile line, in addition to inflating many other areas in the body using various fillers chosen by the treating physician according to the situation and injected into the targeted areas. .

  • What is a natural filler?

Natural fillers have two types, collagen and hyaluronic acid.

Collagen-based fillers are among the first dermatologists used to fill in surface lines and wrinkles, and the collagen fillers used today are human collagen, so there is no need for skin testing and there is no potential for allergic reactions.
Hyaluronic acid (HA) is a natural polysaccharide that bonds and stabilizes to form a filler, HA fillers are the most widely used, because they are safe, versatile, and last longer than collagen fillers, and can be used to fill in lines and wrinkles, add volume to the face, and plump lips.


  • permanent face filler

Natural fat is the ideal permanent filler for the face, and it is taken from specific areas of the body to be placed in other areas that need filling.

Fat from the lower body (buttocks) can be removed and treated, and then injected into the cheeks, lower eyelids, and around the lips.

This technique used for fat injection often results in long-term swelling, and the amount of fat that remains in the treated area depends on each area, so little remains around the mouth due to the great muscle activity of this area.

Fat injections often need to be repeated several times, and in general, fat is injected during facelift surgery.

Also, "Artefil" can be used and consists of smooth, round microscopic granules surrounded by collagen.

Initially, it is injected into the deepest layers of the skin, and over time the collagen surrounding the beads or Artevil granules is replaced by the recipient's natural collagen.

This technique is usually used to treat frown lines, as well as cheek and lip folds, and upper lip lines, and it is forbidden to inject it into the lips.

One study showed that long-term results and results seemed better after five years than in the three months to the first year after the injection

  • temporary face filler

With most fillers, results are usually temporary, depending on their type. So that it lasts from a few months to about a year.

For best results, additional treatment sessions (retouch) are recommended. Filler injections are required as a series of small injections under the surface of the skin and the amount injected depends on the depth and size of the wrinkles.

"Restylane" and "Juvederm" are the most popular temporary fillers and last between 6 to 12 months.

  • Therapeutic uses of fillers

The U.S. Food and Drug Administration has approved dermal fillers for adults over the age of 21 for specific uses:

Absorbable (temporary) fillers are approved for moderate to severe facial wrinkles and skin folds, such as nasolabial folds (lines extending from the sides of the nose to the edges of the mouth) and perioral lines (small wrinkles in the skin around the mouth and lip).
Enlargement of the lips, cheeks, chin and the back of the hand.
Non-absorbable (permanent) fillers are only approved for nasolabial folds and cheek acne scars.
Restoration and correction of signs of loss of facial fat (lipodystrophy) in people with human immunodeficiency virus (HIV).
Correcting defects in body texture such as wrinkles and acne scars.
Unapproved uses for dermal fillers
The FDA recommends against using dermal fillers or other injectable fillers for body sculpting and enhancement for:

Increased breast size (breast augmentation)
Increase the size of the buttocks
Increased fullness of the feet
Injections into bones, muscles, ligaments, or tendons.
Inject the amaranth (the area between the eyebrows), the nose, the area around the orbits (around the eyes), the forehead or the neck.
Injectable silicone is not approved for any cosmetic procedure including contouring or enhancing the face and body and silicone injections can lead to long-term pain, inflammation and serious injuries, such as scarring, permanent disfigurement, embolism (blockage of blood vessels), stroke and death.