Dermal Fillers in Bursa
What is a dermal filler?
A dermal filler adds volume by placing a gel-like product under the skin or on the bone. Today, the most commonly used fillers are those containing hyaluronic acid (HA). Hyaluronic acid is found naturally in the skin and joints and retains water; in filler products it is cross-linked so that it stays in the tissue longer. The effect is visible immediately after the procedure; over the following months the body gradually breaks the product down.
Products differ in density and elasticity. Softer, more fluid products are preferred in thin and mobile areas such as the lips and under-eye area, and denser products in areas that need support, such as the cheekbones, chin and jawline. Which product is placed at which depth and in what amount is determined at the examination according to the area and the person's facial structure.
Can hyaluronic acid filler be dissolved?
An important feature of hyaluronic acid filler is that it can be dissolved with an enzyme called hyaluronidase in case of an undesired appearance, asymmetry or a complication such as vascular occlusion. For this reason, only hyaluronic acid products are used at our practice; products claimed to remain in the body for years or products of unknown content are not used. The enzyme also has its own risks, such as allergy; the decision to use it is made at the examination.
Fillers by area
The anatomy, the product used, the duration of the effect and the possible risks differ for each area. For this reason, separate pages have been prepared for each area:
- Lip filler: a subtle correction of lip volume, border and symmetry.
- Liquid facelift: non-surgical facial support in which several areas are planned together.
- Nose filler: non-surgical shaping of a small hump or irregularities on the nasal bridge.
- Under-eye light filler: treatment of under-eye hollows and shadows with a low-density product.
- Chin filler: support for the tip of the chin and profile balance.
- Cheekbone filler: support for volume loss over the cheekbones.
- Temple filler: softening hollowness at the temples.
- Mid-face (mid-cheek) filler: support for hollowness in the front and inner part of the cheek.
- Jawline filler: defining the line from below the ear to the tip of the chin.
The nasolabial folds and the lines at the corners of the mouth can also be evaluated. These lines are often caused by volume loss in the mid-face; in that case the support areas are planned before the line itself.
Who is it suitable for, and who should not have it?
It is considered for adults who have volume loss or differences in proportions, are in good general health and have realistic expectations. Situations in which the procedure is not performed or is postponed:
- Pregnancy and breastfeeding,
- An active infection, cold sore or inflamed acne in the treatment area,
- Known allergy to hyaluronic acid or lidocaine,
- Uncontrolled autoimmune disease, a bleeding disorder,
- Previous filler of unknown content in the same area (evaluation is required first),
- Unrealistic expectations, or a structure in which filler cannot achieve the expected change (e.g. marked skin sagging).
People taking blood thinners have a greater tendency to bruise; all medications must be mentioned at the examination. Do not stop your medication on your own.
How is it done?
Facial proportions are examined at rest and in motion, the person's expectations are discussed and a treatment plan is made. The area is cleaned; most products contain a local anesthetic (lidocaine), and a numbing cream can be applied in addition if needed. The product is placed slowly and in small amounts with a fine needle or a blunt-tipped cannula, taking the blood vessel structure into account. Depending on the area, the procedure takes 15–45 minutes; the person returns to daily life the same day.
When does the effect begin, and how long does it last?
The result is visible immediately after the procedure; however, the final appearance is evaluated once the swelling has subsided, usually within 2 weeks. The duration varies with the product, the area and the person's metabolism: it is reported as usually 6–12 months for the lips, 12–18 months for the cheekbones, chin and jawline, and around 9–12 months for the under-eye area. The effect is temporary; the product is broken down by the body over time.
Possible side effects and risks
Common effects are redness, swelling, tenderness and bruising; they usually resolve within a few days, and swelling of the lips may last a few days longer. Less commonly, firmness or small lumps (nodules), asymmetry, a bluish appearance or puffiness under the eyes, infection and a delayed inflammatory reaction may occur.
A rare but serious risk is the product entering a blood vessel or compressing a vessel from outside (vascular occlusion). This can lead to skin discoloration, severe pain and tissue damage, and very rarely to loss of vision. The risk is higher around the nose, between the eyebrows, under the eyes and around the nasolabial folds. For this reason, fillers should only be performed by a physician who knows facial anatomy, and hyaluronidase should be available on site. If blanching of the skin, a net-like purplish discoloration, increasing severe pain or visual disturbance occurs after the procedure, contact the practice immediately; if you cannot reach us, go to the nearest emergency department.
What to pay attention to after the procedure
- For the first 24 hours, do not massage or press on the area, and do not apply makeup.
- Avoid saunas, Turkish baths, intense exercise and very hot environments for 48 hours.
- Cold compresses can be applied intermittently on the first day for swelling.
- If you are planning dental treatment, discuss having it done before the filler or 2 weeks after.
- Come for a check-up after 2 weeks.
Dermal fillers in Bursa
At our practice in Nilüfer, dermal filler treatment is planned after a facial analysis and a discussion of expectations, following the principle of small, gradual applications. You can see the Botox page for expression lines, the lifting injections and mesotherapy pages for skin quality, and the HIFU page for device-based treatments aimed at skin firmness.
Treatments are performed by a physician holding a medical aesthetics certificate approved by the Turkish Ministry of Health. Op. Dr. Hakan Sağer is an Obstetrician & Gynecologist.
This content is for information purposes only; a physician's examination is required for diagnosis and treatment.
Frequently asked questions
How long does lip filler last?
Because the lips are a mobile area, the effect of hyaluronic acid lip filler usually lasts 6–12 months. The duration varies with the product, the amount applied and the person's metabolism. The effect is temporary; the product is broken down by the body over time. Details are explained on the lip filler page.
Does the effect of filler fade over time?
Yes. Hyaluronic acid fillers are temporary; depending on the product and the area, they are broken down by the body over a period ranging from a few months to 1.5 years. At our practice, products claimed to remain in the body for a long time or products of unknown content are not used; late complications are harder to manage with such products.
Can filler be dissolved?
Yes, hyaluronic acid fillers can be dissolved with the enzyme hyaluronidase. This enzyme is used in the event of a complication such as asymmetry, an undesired appearance or vascular occlusion. The enzyme also has its own risks, such as allergy; the decision to use it is made at the examination.
Can under-eye filler be done for everyone?
No. The under-eye area is thin and delicate. If there are marked under-eye bags, frequent puffiness or very thin skin, filler may not be suitable, and the risk of bruising, puffiness or a bluish appearance increases. Suitability is determined at the examination by assessing the structure of the area. Details are explained on the under-eye light filler page.
How much swelling is there after filler?
Swelling and tenderness usually subside within 2–3 days; on the lips they may last a few days longer. If bruising occurs, it usually clears within 1 week. The final appearance is evaluated once the swelling has completely subsided, in about 2 weeks.
What are the risks of fillers?
Common effects are swelling, bruising and tenderness. Less commonly, nodules, asymmetry, infection or a delayed reaction may occur. A rare but serious risk is vascular occlusion; if there is blanching of the skin, a net-like purplish discoloration, increasing pain or visual disturbance, a physician should be contacted immediately.
What is the fee for dermal fillers?
The fee depends on the area to be treated, the amount of product to be used and the plan determined at the examination. For this reason, no figures are given on the website; the fee is determined after the examination. For information, you can call 0 (539) 463 09 72 or send a message on WhatsApp.
Where in Bursa are dermal fillers performed?
Dermal filler evaluation and application take place in the procedure room of Op. Dr. Hakan Sağer's private practice in the İhsaniye neighborhood of Nilüfer (Bulvar 224). Consultation hours are Monday–Saturday 08:00–19:30; to book an appointment, you can call 0 (539) 463 09 72.
Op. Dr. Hakan Sağer is an Obstetrician & Gynecologist. He completed his specialty training at the University of Health Sciences (SBÜ) Bursa Yüksek İhtisas Training and Research Hospital; since 2024 he has been seeing patients for pregnancy follow-up, gynecological conditions and aesthetic gynecology at his private practice in Nilüfer, Bursa. The articles on this website are for informational purposes.
This website is for information only and is not advertising. Its content does not replace an examination by a physician. The information on this page is not personal medical advice; the decision on any procedure is made together with the doctor after an examination.