Facial Balance, Facial Filling

Through fillings we restore and correct those facial areas that have lost volume due to aging or scarring processes. Facial Shaping with fillings allows us to rejuvenate the face without surgery. The results and the number of sessions required to achieve the desired results will depend on the type of alteration and characteristics of the skin, age of the patient and the area to be treated. When filling wrinkles, attenuation is the goal, as it is often unadvisable to eliminate them completely.


What types of fillings do we use?

There are various fillings on the market although we recommend temporary fillings (absorbable) or autologous (the patient’s own).

  • Temporary such as hyaluronic acid derivatives (Restylane ®, Juvederm ®) or derivatives of calcium (Radiesse ®) or polylactic acid (Sculptra ®)
  • Permanent and autologous auto-grafts  such as fat and stem cells obtained from the patient

Where may they be used?

Facial fillings may be used in different areas:

  • Forehead wrinkles and frown
  • Temporal Area
  • Eyebrow tail
  • Periocular region and nasojugal lines
  • Cheeks
  • Labial wrinkles
  • Malar region
  • Puppet wrinkles

Very marked cases of nasal-labial folds or facial lip atrophy may require several sessions to achieve optimal results. Sometimes we suggest using combinations of different types of fillings for best results.

What are the main characteristics of each filling?

1) hyaluronic acid

What is it?

Restylane ® and Juvederm ® fillings are safe, composed of hyaluronic acid, which is a natural component of the skin, present in our body, so it is very safe and well tolerated. When using it, we replace the skin’s hyaluronic acid lost with age. The injection of these products restores volume and skin turgidity correcting lines and wrinkles.

How do they work?

The hyaluronic acid fillings allow us to reduce wrinkles and furrows to smooth facial contours and due to its water retention capacity they provide the skin with a healthy and natural appearance.

There are different presentations of hyaluronic acid depending on the  concentration and molecular size of the active ingredient. Depending on the type of correction to be carried out, the doctor will choose the most suitable product for each case.

We obtain immediate results with no recovery time.

It can be associated with other treatments such as botox.

How long does the effect last?

The effects are long term but not permanent, since the product degrades naturally. The duration of hyaluronic acid fillings depends on the anatomical location and the size of the molecule, it may vary from 9 to 18 months.

2) Microspheres of hydroxyapatite (Radiesse ®)

What is it?

It consists of a gel with suspended calcium hydroxyapatite microspheres, a natural component of bones, therefore it does not cause allergies.

After injection, the gel will gradually reabsorb while being replaced by collagen creating a smooth long-term correction.

How does it work?

These fillings, in addition to their effect of creating more volume, stimulate the production of collagen, softening the effects of aging with this double effect. It is especially suitable to restore volume loss.

We obtain immediate results with no recovery period.

It can be associated with other treatments such as botox and hyaluronic acid.

How long does the effect last?

The effect is immediate and the duration of such fillings is usually from 12 to 18 months. It is considered long-term, although the results vary depending on age, skin type, lifestyle and facial muscle activity.

3) Polylactic acid (Sculptra ®)

What is it?

It is a biocompatible and biodegradable synthetic product. Polylactic acid has been used for years in various fields of medicine, such as prosthetics and absorbable sutures.

How does it work?

The mechanism of action of Sculptra ® is not only based on its filling effect, but also in skin rejuvenation at the level of dermis with the progressive formation of new collagen.

It is a suitable treatment for the correction of grooves, volume loss and to combat sagging.

What does the treatment consist of?

It is injected under the surface of the skin, painlessly, in the area of fat loss. Sculptra ® induces the formation of new collagen naturally and gradually. You will notice improved appearance gradually from the first session.

Often several sessions (2 or 3) are required to obtain the desired aesthetic results.

After the treatment you may resume your normal routine immediately.

How long does the effect last?

The result is very stable and durable, it remains about 2 years. We recommend maintenance sessions to always keep the best aesthetic result. It is a product that can be associated with other treatments such as Botox, hyaluronic acid, Peeling … LINKS

4) Autologous fat and stem cells

What is it?

It consists of a “lipofilling” or filling with autologous fat and mesenchymal stem cells (obtained from the patient).

What does the treatment consist of?

Treatment is performed under local anaesthetic. Through a closely controlled low suction liposuction to avoid damaging the adiposities and stem cells, we obtain the graft. This graft is purified and can be used as filler to cover the defects of volume that we find as a result of aging, scars or burns as well as improving texture and hydration of the skin.

How long will the effect last?

It is usually a very permanent filling type with the appropriate technique . Being tissue from the same patient, it integrates perfectly and there is no risk of allergic reaction or rejection.

We look for facial harmony, being able to model progressive age changes in facial structural planes.

Both botulinum toxin and the fillings are treatments that can be associated with surgery (blepharoplasty, endoscopic facelift) LINK . All facial rejuvenation techniques complement each other in order to achieve the best results and greater facial periocular harmony. These are treatments that allow the patient to resume their everyday activities immediately.

If you feel that your look is tired, or you notice you have droopy eyelids or you just have a question about how to rejuvenate your eyes, remember that you can send us your details through our inquiry form on-line; the doctor will reply to you as quickly as possible.

If you prefer to make an appointment with Dr. Estrella Fernández in Palma de Mallorca, remember that the first informative consultation on aesthetics is free of charge.  Dr. Estrella Fernandez will make a thorough examination to determine the best technique to handle your particular case and will provide you with the necessary details and recommendations adapted to it.

Both the surgical and non-surgical techniques we apply are mildly invasive, painless, and provide a fast recovery. The results are spectacular, natural and permanent.

Tell us about your particular case

Fill out the attached form with your data. You can send us some photos, previous medical records or diagnostic testing if necessary.

The diagnosis we will send you will be an approach and will never replace a visit with a thorough examination, but may be useful as guidance for both patients and medical staff.


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