The use of facial mimic muscles, which is inevitable, aging of the skin, external factors and many other factors cause wrinkles in the face area. Botox temporarily paralyzes the underlying mimic muscles for 4-6 months, allowing these wrinkles to be softened or eliminated. Serious side effects have not been reported to date. It can be used alone or combined with fillers or with facial aesthetic surgeries. Undesirable side effects such as eyelid drooping, asymmetrical facial appearance, etc., to be done in the right dose according to the localization of mimic muscles in expert hands. It provides side effects. The plastic surgeon decides and applies where to use botox and where to use filling material.


Wrinkles and lines that occur after our facial expressions that become apparent on our face with aging can be removed with Botox. Mimic muscles are paralyzed for a while. The contraction of the muscles is prevented, the effect is observed for 4-8 months. However, the duration of action varies from patient to patient.



The important point in Botolinium toxin (Botox® and Dysport®) applications is to eliminate the wrinkles that the patient does not want, while protecting the mimic movements and not creating a frozen face. After 2-3 weeks, I definitely make a control examination and make additional doses if necessary.

Fat Injection

In my opinion, fat injection is an application that is open in both aesthetic and reconstructive surgery and gives very satisfactory results even now. Because, although a certain amount of loss occurs in fat applications, the desired volume can be easily reached with repeated applications. The most important difference from hyaluronic acid derivative fillers is that our body’s own tissue does not treat it as a foreign and destroys it, and once this is placed adipose tissue is accepted, it remains there throughout the patient’s life. In fact, the patient expands his volume in this area as he loses weight, and acts in the opposite way when he loses weight.


Especially in aesthetic surgery, the heart shape on the face, which is the image of youth in the face area that loses its volume over time, leaving the cheekbones in the shape of a box instead of an image that taper to the plump chin tip. Here, the adipose tissue on the cheekbones has lost its volume or has been displaced downwards. There is a chance to provide a younger appearance to the patient with these fat injections in the woman who does not have much sagging in the skin tissue. It is also known that the injected fat has a rejuvenating effect on the skin.


The patient group I use most frequently in reconstructive surgery is the patients who underwent breast reconstruction. In these, the upper part of the breast may not become full despite the surgeries. Here, the desired aesthetic result can be achieved easily with a few fat injections made in this area.


This treatment method, of which I have given only a few examples above, can be used successfully and safely in many more aesthetic and reconstructive surgeries.


The filling method is one of the non-aesthetic applications that has recently gained popularity in our country. Wrinkles and deformations occur on our skin as a result of aging, the corrosive effect of the sun, exposure to chemicals, etc.


“Filling materials” are used to eliminate such complaints. They are also preferred because they are practical, painless, easy and fast applications. The most known types of filling materials are; they are temporary and permanent fillings.


How to Fill?

Filling materials are applied to the area where the patient is complaining and the discomfort is eliminated. Filling materials are numerous and diverse. They generally consist of substances found in the body or chemical substances that can replace these structural substances. Today, the most widely applied filler is hyaluronic acid (HA). Hyaluronic acid is a substance found in the human body. It makes the skin look plump, bright and taut.


How Long Is The Filling Lasting?

Its permanence varies from 6 to 12 months, but varies from person to person. An experienced plastic surgeon should be preferred in terms of application and material safety.


Benefits of hyaluronic acid application;

It reduces wrinkles.

Provides a lively and taut look.

It is a protein found in the human body.

It is a simple, practical and controlled application.

It delays aging.

It moisturizes the skin.

Possible side effects of the filling process;

Allergic reaction (rare)

Under Eye Light Filler

It contains hyaluronic acid, so the light filling spreads to the area where it is given and thanks to the vitamins and antioxidants it contains, it is also good for the under eye bruises.


With the under-eye light filling, the indentations between the cheeks and under the eyes are corrected and a more vigorous look is obtained. The application of this filling shows features compared to other filling applications. The filling is injected into the subcutaneous tissue just above the bone, it does not cause pain due to its local anesthetic. Because the needles cause bruising and swelling, under-eye filling should be done with a cannula. Since the tip of the cannula is blunt, it eliminates the bruising effect. It is noticed immediately after the application, it is checked after 2 weeks. Its permanence varies from patient to patient and it can be said that it has an average permanence of 1.5 years.


What is the temple filling, how long is it permanent? (şakak dolgusu nedir? Ne kadar kalıcıdır?)

Tissue losses that occur with aging can be completed with filling. Tissue losses in the forehead and temple area may show low eyebrow. We can achieve minimal eyebrow lift and vigorous looks by applying the filling towards the temple area. Its permanence is approximately 1 year.


Nasal Filling (burun dolgusu)

Nasal filling can help people who are not satisfied with the appearance of their nose, even temporarily, to achieve a more aesthetically acceptable appearance.


You can see the nose filling process in the video below;


Mesotherapy is defined as a method of intradermal (subdermal) or subdermal (intradermal) administration of mixtures of various herbal extracts, vitamins, minerals and amino acids, etc. with painless injections. It is a combination of the Greek words “mesos” meaning middle and “therapia” meaning treatment and means the treatment of the middle part of the skin. Dr. It was applied by Michel Pistor in 1952. It is assumed that these drug mixtures, the content of which is selected according to the purpose, reach the capillaries in the middle layer of the skin and show the expected effect.


As described by Pistor, “less volume, more time and right place” applications are among the most important principles of mesotherapy. Serial injections are made to points with a depth of 1-4 cm, not exceeding 4 mm deep under the skin, and the procedure is repeated weekly or monthly. The French Medical Academy recognized mesotherapy in 1983 and accepted it as a part of traditional medicine.


Aesthetic procedures of the face include many applications that improve the appearance of our face, from non-surgical applications to facial transplantation. As a doctor who has had a face transplant and has a good command of the anatomy of that region, I would like to say; Mesotherapy is a very beneficial non-surgical application for the skin layer of the face.


Mesotherapy is one of the suitable treatments for fine wrinkles and discoloration on your face caused by years of aging or as a result of sun and external factors.


Various applications under the skin with mesotherapy increase the brightness, quality and smoothness of the skin, while increasing the synthesis of collagen and elastin.


Therefore, mesotherapy is one of the non-surgical applications of facial aesthetics.




For Which Purposes Is Mesotherapy Used?


Among the aesthetic usage areas; regional slimming, cellulite treatment, scar revisions, hair loss, acne problems, skin rejuvenation, wrinkles removal, skin sonicity. After the injections, it is said that the fats on the subcutaneous and scarpa fascia will dissolve and be carried to the circulatory urinary system and eliminated.


Mesotherapy methods

Point Technique

Napaj Technique

Epidermic Technique

Mesotherapy with Mesagun

Mesotherapy with Dermoeller

Can be listed as.


What are the Possible Side Effects of Mesotherapy?

Allergic reactions

Vagal syndromes

Licheniod eruptions


can be counted.