Removing filler from areas such as the lips or facial contours is most often performed when the filler procedure was done incorrectly or the result is unsatisfactory. If the hyaluronic acid was injected too superficially, in excessive amounts, has migrated, or lumps are palpable, the filler should be removed as soon as possible.

Volumetry, or facial contouring, is an increasingly popular procedure among both women and men. It involves injecting hyaluronic acid into specific areas of the face, helping to restore its original shape.

Volumetry is recommended for those whose facial skin is losing the battle against aging, becoming saggy, developing deep lines, or showing the so-called “jowls” effect on the cheeks. It is also a solution for people with facial asymmetry or imperfections caused by tissue loss or rapid weight loss. The treatment targets areas that need enhancement (such as cheekbones, chin, or jawline) or filling (deficiencies, sunken cheeks).

The procedure itself is almost painless, with only a slight feeling of pressure due to the injection of hyaluronic acid, which is denser than the one used for wrinkle filling. The injection is performed with a thin needle or cannula, and minor bruising may occur at the injection sites. The results are visible almost immediately and last from 2 up to even 4.5 years!

Local fat reduction is a treatment for those seeking to slim the face or specific body areas. It is performed using the lipolysis technique, which involves injecting a chemical substance – phosphatidylcholine – under the skin. This substance penetrates the fat tissue, breaks down triglycerides, and leads to gradual reduction and natural elimination from the body. It is important to note that this treatment targets only selected areas that do not respond to diet and exercise, such as a double chin, “bat wings” on the arms, or fat around the knees. Lipolysis is not a substitute for weight loss through a healthy diet and exercise!

To achieve the desired effect, a series of 2 to 4 treatments is recommended. After the procedure, the skin is smooth, firm, and free of cellulite, which is an added benefit. The treatment is almost painless, non-invasive, and safe – the injected substance does not cause allergies or side effects. However, swelling may occur and lasts for about two days.

You can return to normal activities almost immediately after the procedure, and there is no need for bandages. A strong post-treatment massage and a light diet that does not burden the liver are recommended.

Contraindications for local fat reduction include obesity, pregnancy and breastfeeding, liver and kidney failure, and chronic infections.

Autologous treatments are an innovative way to improve the firmness of the skin on the face and décolletage. This technique uses stem cells obtained directly from the client’s blood.

The most commonly used technique is the platelet-rich fibrin (PRF) treatment. It is safe and does not cause allergies, as the material is derived from the client’s own blood. Therefore, there are no contraindications for people with autoimmune diseases. There are also no age restrictions – autologous treatments can be used for both older people to restore skin firmness and younger people who want to maintain their appearance for longer. PRF treatment is more effective than treatments using only plasma – it provides better and longer-lasting results.

The autologous procedure begins with drawing blood from the elbow crease, then preparing a solution that is injected under the skin with a fine needle. The pain is minimal, the injection mark is almost invisible, and the full effect is achieved after a few weeks. A series of 2 to 4 treatments is recommended for best results.

Contraindications include anemia and other blood disorders, cancer, liver disease, pregnancy, and breastfeeding. Before the procedure, it is recommended to stop taking aspirin and anticoagulants and avoid alcohol. After the procedure, avoid saunas, hot baths, alcohol, and intense physical activity. Before starting the treatment series, a blood test should be performed and sent by email or SMS a week before the appointment.

Poly-L-lactic acid is a powerful stimulator that encourages cells to produce collagen and elastin, which are responsible for skin firmness and tightness. It is used for facial contouring as well as for overall improvement of skin appearance and density—including the décolletage, breasts, and buttocks. It is the most potent agent among biostimulators, and since it naturally occurs in small amounts in our skin, it does not cause allergies. Therefore, it is both safe and effective.

Poly-L-lactic acid provides a very natural effect because it is not a typical filler; instead, it “forces” the skin to regenerate naturally. You could say it is a true elixir of youth, working from within the skin. A noticeable effect appears only after a few weeks, unlike fillers, which provide immediate results. Another difference is that the effect lasts on average twice as long as with hyaluronic acid treatments—up to two years or more, depending on individual conditions.

The action of poly-L-lactic acid differs from other biostimulators: when injected into the skin with a cannula, it causes a controlled inflammatory response, which triggers natural regeneration. During a single treatment, one to four ampoules can be administered.

WOW EFFECT! By combining PDLLA poly-L-lactic acid with HA hyaluronic acid, you get an effect that is visible immediately after the procedure.

The filling effect lasts until the process of new collagen and elastin production by poly-L-lactic acid becomes dominant.

What makes this product unique?

• Its ability to most strongly stimulate collagen production and restore a youthful appearance in a gradual and natural way.
• No need to massage the treated areas due to the round shape of PDLLA particles and their combination with non-crosslinked hyaluronic acid.

Tissue stimulators are products used in aesthetic medicine to help maintain a youthful and healthy appearance of the skin. After the treatment, the skin returns to its natural, healthy look, and the product is safely eliminated from the body, which is an additional advantage. Stimulators are recommended for people with dull, dry, and sagging skin, especially around the eyes, neck, or facial contours.

There are several products available on the market, differing only slightly in their characteristics; the choice of the right product is made by the practitioner.

The procedure itself involves injecting the product into the skin with a needle and is almost painless. The effect is very natural, although not immediately visible – the product “forces” the skin to regenerate naturally. Tissue stimulators complement a healthy lifestyle, and their effect depends on you – they will not work if you do not take care of your body in other ways, such as with a healthy diet, regular physical activity, and good sleep hygiene.

PDO/PLLA threads are an innovative technique used to improve skin firmness and tightness. Threads are especially recommended for people whose skin is loose, has lost elasticity, or shows signs of sagging. Threads not only provide an immediate lifting effect but also stimulate the skin for natural regeneration and biorevitalization. They can be used by both older and younger people with lax skin.

The procedure involves inserting threads into the selected skin area using a needle. Only a small puncture mark remains, and the threads are fully absorbable and do not cause irritation. The first effect is visible immediately, while the full result appears after about 2 weeks. We use only straight threads – twin or twist – designed to firm the skin. I do not recommend barbed threads. The materials used for the threads are: PDO (polydioxanone, used in surgery for absorbable sutures, fully absorbed within 3–6 months) and PLLA (poly-L-lactic acid, a natural skin stimulator). Both products are safe, well-studied, and popular among people with the first signs of skin laxity.

After the procedure, it is recommended to avoid tanning beds, saunas, and hot baths for a week. Thread treatments are an ideal part of combination therapies with procedures such as mesotherapy or tissue stimulators. This is a minimally invasive procedure, often confused with barbed threads due to concerns about unnatural results.