Filler treatment cheekbones and jawline

What it is

Injectable gel that adds volume, shapes contours and can reduce wrinkles. NOT permanent.

Treatment protocol

Treatment areas and protocol:

LIPS:

• Usually 0.5-1 ml the first time

• Duration: 6-12 months

• Maintenance: Every 8-12 months

• Swelling: 3-7 days (can be 10-14 days)

CHEEKBONES:

• Usually 1-2 ml per side

• Duration: 12-18 months

• Maintenance: Every 12-18 months

JAW CONTOUR:

• Usually 1-3 ml total

• NOT for severe sagging skin

• Duration: 12-18 months

• Maintenance: Every 12-18 months

CHIN:

• Usually 1-3 ml

• Duration: 12-18 months

• Maintenance: Every 12-18 months

NASOLABIAL WRINKLES:

• Depth reduction (NOT complete removal)

• Usually 0.5-1 ml per side

• Duration: 9-12 months

• Maintenance: Every 9-12 months

TAREDAL (under his eyes):

• MOST DEMANDING AREA

• Requires black experienced injector

• Risk of clumping

• Usually 0.5-1 ml total

• Duration: 12-18 months

TEMPLES:

• Fuller face

• Usually 1-2 ml per side

• Duration: 12-18 months

NESE (non-surgical rhinoplasty):

• Performed ONLY by our ear, nose and throat doctor

• Can smooth out lumps, lifts the tip of the nose

• NOT for everyone

• High vascular risk - requires expertise

• Duration: 9-15 months

• Maintenance: Every 12-15 months

First year: Often 2-3 treatments to build up the effect

Procedure

1. Consultation and planning

2. Photography (for)

3. Cleaning and disinfection

4. Anesthetic cream (20-30 min) or local anaesthetic

5. Marking injection points

6. Injection with a spatula or needle

7. Massage for even distribution

8. Assessment and adjustment

9. Ice to reduce swelling

10. Total time: 30-60 minutes

Duration

30-60 minutes (including anesthesia)

Pain level

Moderate. Numbing cream or local anesthetic is used. Some discomfort during injection. Soreness afterward.

Downtime

IMPORTANT - Plan for downtime:

• Minimum: 3-5 days
• Average: 5-7 days
• Maximum: 10-14 days
• NOT for important events (at least 2 weeks margin)

What you can expect:

• Significant swelling (especially lips)
• Blisters (40-60%, lasts 3-14 days)
• About
• Asymmetry (normal in the first few days)

Healing time

Day by day:

Day 0: Significant swelling (30-50% more than final result), possible bruising, redness, tenderness

Day 1-3: MAXIMUM swelling (often day 2), asymmetry possible - DON'T PANIC! This is normal

Day 4-7: Swelling decreases significantly, more natural appearance

Day 8-14: Most of the swelling gone, final result visible

2-week check-up: Assessment and possible adjustment

Individual variation in swelling:

• Minimal (20-30%): 1-3 days
• Average (50-60%): 3-7 days
• Significant (10-20%): 7-14 days

Side effects

Very common:

• Swelling (3-14 days)
• Blisters (40-60%, lasts 3-14 days)
• About
• Asymmetry (first few days)

Common (20-40%):

• Clumping (massage away)
• Tyndall effect (blue color if too superficial)
• Product migration

Rare:

• Infection
• Granulomas (inflammatory reaction)
• Necrosis (extremely rare, BUT serious - tissue death)

Allergic reactions: Very rare

Aftercare

First 24-48 hours:

• Ice regularly (10 min per hour)
• Sleep with your head up high.
• Avoid heat (sauna, steam room, hot shower)
• No massage (unless instructed by therapist)
• No intense exercise
• No alcohol (increases swelling and bruising)
• No dental visits for 2 weeks (for lip fillers)

Week 1-2:

• Continue to avoid heat
• Brush your teeth gently (for lip fillers)
• No facials
• SPF 50+ if exposed to sun

After 2 weeks:

• Resume normal activities gradually
• Please contact us if you have any concerns.

Who is this suitable for?

Best suited for:

• Facial volume loss
• Want contouring
• Wrinkle reduction (not complete removal)
• Realistic expectations
• Willing to maintain
• Accepts swelling for 3-14 days

Who is this not suitable for?

NOT suitable for:

• Significant sagging skin (needs surgery)
• Active infection in the area
• Pregnancy/breastfeeding
• Autoimmune diseases (relative contraindication)
• Unrealistic expectations of permanent results
• Cannot accept swelling/downtime

Important information

CRITICAL REALISM:

• Gives volume, does NOT lift sagging skin
• Requires maintenance (6-18 months depending on area)
• First treatment often conservative
• Significant swelling in the first few days is NORMAL.
• Final results are only visible after 2 weeks.

Can be resolved immediately:

Hyaluronidase dissolves fillers immediately if:

• Dissatisfied with results
• Complications
• Wrong location

Contraindications

Absolute:

• Pregnancy and breastfeeding
• Active infection in the treatment area
• Allergy to hyaluronic acid or lidocaine
• Bleeding disorders (relative)

Relatives:

• Autoimmune diseases
• Blood-thinning medications (increased risk of bruising)
• Previous bad reaction
• Unrealistic expectations

Warning signs

Contact the clinic IMMEDIATELY for:

• Severe pain that increases (may indicate vascular occlusion)
• White skin color (sign of blood supply problems)
• Vision loss or changes (IMMEDIATE HELP!)
• Black spots (necrosis)
• Throbbing pain
• Pale skin in or around the treatment area

This is RARE, but SERIOUS and requires immediate treatment!

Individual variations

Duration varies with:

• Area (lips last shorter than cheekbones)
• Product type (different density and viscosity)
• Metabolism
• Lifestyle (smoking, stress reduces duration)
• Age (younger = faster degradation)

Swelling varies with:

• Area (lips swell the most)
• Individual factors
• Injection technique
• Quantity of product

Maintenance

Maintenance schedule:

• Lips: Every 6-12 months
• Nasolabial folds: Every 9-12 months
• Cheekbones/Jaw/Chin: Every 12-18 months
• Taredal: Every 12-18 months

First year: Often 2-3 treatments to build up the desired effect

No maintenance: Fillers gradually break down and the volume disappears completely