Fillers can be applied in different ways depending on the desired result and the area being treated. Each technique has its own advantages and disadvantages. Below you’ll find 14 different filler techniques commonly used by aesthetic doctors, helping you make an informed decision.

1. Blanching

Blanching is a very superficial injection technique used to treat fine lines, such as smoker’s lines, wrinkles around the mouth, and crow’s feet. The filler is placed just beneath the skin, giving it a smoother appearance straight away.

  • Advantages: Effective for fine lines, subtle results.

  • Disadvantages: Risk of small bruises and mild swelling immediately afterwards. May cause the Tyndall effect.

2. Fern Pattern

The fern pattern technique involves injecting fillers in a shape that resembles a fern leaf. It’s ideal for static wrinkles and helps improve skin texture and hydration. The technique was developed by Dr Tom van Eijk.

  • Advantages: Improves skin texture.

  • Disadvantages: Requires skill to achieve symmetrical results.

3. Tipping Point Approach

This method focuses on subtly lifting the skin by strategically placing fillers at key “tipping points” of the face, such as the cheekbones and chin. Developed by Dr Helga van den Elzen.

  • Advantages: Subtle yet effective lift, natural-looking results.

  • Disadvantages: Needs precise placement by an experienced practitioner.

4. Fanning

With fanning, the needle enters at a single point and is moved in a fan-shaped pattern, distributing filler evenly. It is often used for the cheeks and jawline.

  • Advantages: Good distribution of volume, suitable for larger areas.

  • Disadvantages: May cause temporary discomfort due to the larger treatment zone

5. Microdroplet Technique

This involves injecting tiny amounts of filler in multiple layers. It allows for precise control and is particularly effective for fine lines or subtle lip enhancement. Commonly used with skin boosters.

  • Advantages: Highly controlled and accurate results.

  • Disadvantages: Requires more injections, which can cause some discomfort.

6. Linear Threading

Here, the filler is injected in a straight line along a wrinkle or fold. This technique is often used for deeper nasolabial folds or marionette lines.

  • Advantages: Very effective for deep wrinkles.

  • Disadvantages: May cause bruising along the injection line.

7. Cross-Hatching

Fillers are injected in both horizontal and vertical lines to form a grid pattern. This ensures even distribution and works well for hollow areas, such as the cheeks.

  • Advantages: Effective for areas with significant volume loss.

  • Disadvantages: More complex technique that requires experience.

8. MD Codes (7-Point Lift)

Developed by Brazilian plastic surgeon Dr Mauricio de Maio, MD Codes use a set of standardised injection points across the face. The 7-point lift is a specific approach designed to achieve a lifting effect without surgery.

  • Advantages: Natural-looking lift without invasive surgery.

  • Disadvantages: Can be more expensive due to complexity and the use of multiple syringes.

9. Liquid Facelift

This combines several filler techniques to give the entire face a lifted appearance. Instead of surgery, fillers are used to restore lost volume and smooth wrinkles.

  • Advantages: Minimal downtime, natural results.

  • Disadvantages: More costly than single filler treatments due to complexity.

10. Radiesse Hyperdilute

Radiesse is diluted with fluid before being injected, providing a more even and subtle increase in volume. It also stimulates the production of collagen and elastin, creating longer-lasting improvements.

  • Advantages: Long-lasting results, encourages skin rejuvenation.

  • Disadvantages: May require multiple sessions for the best outcome.

11. BAP Technique

Often used with Profhilo, this technique involves injecting the product at five key points on each side of the face. It ensures even distribution and improves skin quality overall.

  • Advantages: Subtle, even skin improvement.

  • Disadvantages: Less suitable for those seeking immediate volume restoration.

12. Lip Filler Techniques

There are several popular approaches to lip augmentation:

Russian Technique – Creates a more defined, “treated” look with noticeable volume.

Keyhole Pout – Adds both volume and shape to the upper and lower lips.

Cupid’s Bow – Enhances the natural shape of the cupid’s bow.

Lip Tenting – A more subtle enhancement of lip volume (developed by Dr Tom van Eijk).

13. Lambros’s Technique

This involves injecting filler into deeper layers of the skin to redefine bone structure and replace volume lost with age. It is often used for the cheeks, chin, and jawline.

  • Advantages: Improves overall facial contours.

  • Disadvantages: Should only be performed by highly experienced practitioners.

14. Hydrostretching

Here, filler is injected to both add volume and gently stretch the skin. It works well in areas where the skin has become thinner or looser, such as around the eyes or mouth.

  • Advantages: Lifting effect with a natural finish.

  • Disadvantages: Results are temporary and may require repeat treatments.

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