Midface (Mid-Cheek) Filler in Bursa
What is midface (mid-cheek) filler?
The midface is the front of the cheek between the under-eye area and the corner of the mouth, extending from the side of the nose toward the cheekbone. This area is also called the "mid-cheek"; midface filler and mid-cheek filler are two names for the same treatment. In youth, the front of the cheek looks full thanks to the fat pads under the skin and bone support. With age this fat tissue thins and shifts downward; a visible transition line may form between the under-eye area and the cheek, the lines running from the side of the nose to the corner of the mouth may deepen, and the face may look tired.
Midface filler is the injection of a product containing hyaluronic acid (HA) into this front cheek area, mostly at a deep level close to the bone. The aim is to restore lost support and soften the transition between the under-eye area, the cheek and the area around the mouth. The product is broken down by the body over time and can be dissolved with the enzyme hyaluronidase if needed. Our practice does not use products claimed to remain in the body for years or products of unknown content.
How it differs from cheekbone and under-eye filler
Cheekbone filler targets the bony prominence in the outer and upper part of the cheek; mid-cheek filler addresses volume loss further in, in the front of the cheek near the side of the nose. Under-eye filler is applied directly to the groove under the eye. Part of the hollowness under the eye may actually result from reduced support in the front of the cheek; in this case, supporting the midface first may allow less product to be given under the eye. Which area is addressed, and in what order, is determined by facial analysis.
Who is it suitable for, and who should not have it?
It is considered for adults with volume loss in the front of the cheek, a visible transition line between the under-eye area and the cheek, or a complaint of a tired appearance, who are in good general health and have realistic expectations. In marked skin laxity, filler alone may not be enough. The treatment is not performed, or is postponed, in the following situations:
- Pregnancy and breastfeeding,
- Active infection, inflamed acne, cold sores or an open wound in the treatment area,
- Known allergy to hyaluronic acid or to the local anesthetic (lidocaine) in the product,
- A previous filler of unknown content, or one that remains in the body for a long time, in the same area (assessment is needed first),
- An uncontrolled autoimmune disease or a serious bleeding disorder,
- Prominent under-eye bags or frequently recurring facial swelling (the cause is assessed first).
Blood thinners or medicines such as aspirin can increase the tendency to bruise; tell the physician about all the medicines you use. Do not stop your medication on your own.
How is it done?
First, the face is examined from the front, the side and at an oblique angle, in a seated and upright position; the front of the cheek, the cheekbone, the under-eye area and the area around the mouth are assessed together. Your medical history and medications are asked about; photographs may be taken for the medical record if needed (not published). The injection points are marked and the skin is cleaned with an antiseptic.
The product is mostly given with a fine needle at a deep level close to the bone, or with a blunt-tipped cannula, in small amounts. The two sides are compared as the treatment proceeds and the area is shaped. The procedure usually takes 15–30 minutes. Following the principle of small, gradual applications, a touch-up is planned at the check-up 2–4 weeks later if needed.
When does the effect start, and how long does it last?
The effect is visible immediately; the final appearance is assessed once swelling has settled, usually within 2 weeks. With products given at a deep level in the midface, the effect usually lasts 12–18 months. The duration varies with the product, the amount and the person's metabolism; the product is broken down by the body over time.
Possible side effects
The most common are swelling, tenderness, redness and bruising; they usually resolve within a few days to 1 week. Swelling lasting a few days may occur near the under-eye area. Less often, asymmetry, a small palpable lump (nodule), prolonged swelling, infection or a delayed inflammatory reaction may occur.
Rare but serious risk: vascular occlusion. The midface contains vessels that emerge below the eye and run along the side of the nose; some of these vessels connect with the vessels around the eye. If filler enters a vessel or presses on it, blood flow can be disrupted. If you notice skin blanching, a net-like purplish discoloration, increasing pain or blistering during treatment or in the following hours, call the practice without delay. Blurred vision, loss of vision or eye pain is an emergency; go to the nearest emergency department. When recognized early, it is treated with the enzyme hyaluronidase.
Aftercare
- For the first 24 hours, do not press on or massage the area; leave makeup until the next day.
- For the first 2 days, avoid strenuous exercise, sauna, Turkish bath and very hot environments.
- Try to sleep on your back with your head slightly raised for the first nights; reducing salty foods may ease swelling.
- For a few days, make sure your glasses do not press on the cheek.
- Do not have a facial massage or a device-based skin treatment within two weeks.
- If you have increasing pain, discoloration or any complaint related to your vision, call the practice immediately; the check-up is usually 2 weeks later.
Midface filler in Bursa
At our private practice in Nilüfer, mid-cheek filler is planned together with the cheekbone and under-eye area, assessing the face as a whole. The aim is not to noticeably enlarge the cheeks but to soften a tired appearance by restoring lost support. You can see the dermal fillers page for all areas and the liquid facelift page for the treatment in which several areas are planned together.
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
Are midface filler and mid-cheek filler the same?
Yes. The front cheek area between the under-eye area and the corner of the mouth is called both the "midface" and the "mid-cheek"; the two names describe the same treatment.
How does mid-cheek filler differ from cheekbone filler?
Cheekbone filler targets the cheekbone prominence in the outer and upper part of the cheek. Mid-cheek filler addresses volume loss further in, in the front of the cheek near the side of the nose. In many people both areas are assessed together.
Does midface filler affect under-eye hollowness?
If part of the under-eye hollowness results from reduced support in the front of the cheek, supporting the midface can soften the transition between the under-eye area and the cheek. Dark circles or under-eye bags, however, have different causes and do not always change with filler.
Does mid-cheek filler affect smile lines?
Volume loss in the front of the cheek can also play a role in the deepening of the lines running from the side of the nose to the corner of the mouth. Supporting the midface may indirectly soften the appearance of these lines in some people; the effect is not the same for everyone.
How long does the effect of midface filler last?
With products applied at a deep level, the effect usually lasts 12–18 months. The duration varies with the product, the amount and the person's metabolism; the product is broken down by the body over time and can be dissolved with hyaluronidase if needed.
How much does midface filler cost?
The fee varies with 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 write to us on WhatsApp.
Where is midface filler done in Bursa?
Midface (mid-cheek) filler consultations and treatments take place in the procedure room of Op. Dr. Hakan Sağer's private practice in İhsaniye, Nilüfer (Bulvar 224). Opening hours are Monday–Saturday 08:00–19:30; to make 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.