Top 14 filler treatment techniques

Dermal fillers can be administered using different techniques depending on the treatment area and desired outcome. Each method has its own advantages and considerations. Below are 14 commonly used dermal filler techniques to help you better understand your options.

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, which may provide a smoother appearance.

• Advantages: Effective for fine lines, subtle results.

• Disadvantages: Risk of minor bruising and temporary swelling. May cause the Tyndall effect.

2. Fern Pattern

The fern pattern technique involves injecting filler in a pattern resembling a fern leaf. It is used for static wrinkles and may support improvements in skin texture and hydration. Developed by Dr Tom van Eijk.

• Advantages: May improve skin texture.

• Disadvantages: Requires a high level of skill to achieve balanced results.

3. Tipping Point Approach

This method focuses on creating a subtle lift by placing filler at key structural points of the face, such as the cheekbones and chin. Developed by Dr Helga van den Elzen.

• Advantages: Subtle lifting effect, natural-looking outcome.

• Disadvantages: Requires 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 to distribute filler evenly. It is often used for areas such as the cheeks and jawline.

• Advantages: Even distribution, suitable for larger areas.

• Disadvantages: May cause temporary discomfort due to the wider treatment area.

5. Microdroplet Technique

This technique involves injecting very small amounts of filler across multiple layers, allowing for precise control. It is often used for fine lines or subtle lip enhancement and with skin boosters.

• Advantages: Controlled and precise application.

• Disadvantages: Requires multiple injections, which may cause mild discomfort.

6. Linear Threading

Filler is injected in a straight line along a wrinkle or fold. This is commonly used for deeper lines such as nasolabial folds or marionette lines.

• Advantages: Effective for deeper lines.

• Disadvantages: May result in bruising along the injection line.

7. Cross-Hatching

Filler is placed in both horizontal and vertical lines to form a grid-like pattern. This technique supports even distribution and is suitable for areas with volume loss, such as the cheeks.

• Advantages: Useful for treating larger hollow areas.

• Disadvantages: More complex technique requiring experience.

8. MD Codes (7-Point Lift)

Developed by Dr Mauricio de Maio, MD Codes use standardised injection points across the face. The 7-point lift approach is designed to create a lifting effect without surgery.

• Advantages: Structured approach, natural-looking lift without surgery.

• Disadvantages: May require more product and be more costly.

9. Liquid Facelift

This approach combines multiple filler techniques to restore volume and support facial contours without surgery.

• Advantages: Minimal downtime, comprehensive facial rejuvenation.

• Disadvantages: Higher cost due to the use of multiple techniques and products.

10. Radiesse Hyperdilute

Radiesse is diluted before injection to allow for a more subtle volumising effect. It may also stimulate collagen and elastin production, supporting longer-term skin quality.

• Advantages: Longer-lasting effects, supports skin quality.

• Disadvantages: Multiple sessions may be required for optimal results.

11. BAP Technique

Often used with Profhilo, this method involves injecting at five specific points on each side of the face to promote even distribution and overall skin improvement.

• Advantages: Even distribution, supports skin quality.

• Disadvantages: Less suitable for immediate volume enhancement.

12. Lip Filler Techniques

Several approaches are used in lip enhancement:

Russian Technique – creates a more defined and structured appearance.

Keyhole Pout – enhances both shape and volume.

Cupid’s Bow – efines the natural lip contour.

Lip Tenting – provides a more subtle increase in volume (developed by Dr Tom van Eijk).

13. Lambros Technique

This technique involves injecting filler into deeper layers to support facial structure and replace volume loss associated with ageing. It is commonly used for the cheeks, chin, and jawline.

• Advantages: Enhances facial contours.

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

14. Hydrostretching

In this technique, filler is used to add volume while gently stretching the skin. It may be suitable for areas where the skin has become thinner or less firm, such as around the eyes or mouth.

• Advantages: Subtle lifting effect with a natural appearance.

• Disadvantages: Temporary results, requiring maintenance treatments.