Filler injections

In appropriate candidates, dermal fillers may be considered for a range of concerns, including:

• Moderate to severe facial wrinkles and folds
• Volume loss in the cheeks and temples
• Thinning or asymmetrical lips
• Under-eye hollows contributing to a tired appearance
• Jawline and chin definition
• Minor facial asymmetries
• Volume loss in the hands

The suitability of these applications varies by individual and will always be carefully assessed during your consultation with Dr. Bougrine.

Several categories of injectable fillers exist, each with different properties and applications. The most widely used contain hyaluronic acid, a substance naturally present in the skin, eyes, and joints, which attracts water and helps restore hydration and volume. Other options include calcium hydroxylapatite-based fillers, which provide both immediate volumizing effects and longer-term structural support. A separate but related category known as biostimulators — such as those based on poly-L-lactic acid — work differently by stimulating the body’s own collagen production over time for a gradual, progressive improvement in skin quality and firmness.

The most appropriate option for your situation will always be determined during a personalized consultation with Dr. Bougrine, based on a thorough assessment of your facial anatomy, skin quality, and individual goals.

No two faces are alike, and no two treatment plans should be either. At Aura Dermatologie, every treatment begins with a thorough consultation during which Dr. Bougrine will assess your facial anatomy, discuss your concerns and goals, and recommend a personalized approach. Small, precise amounts of filler are strategically placed to achieve a natural-looking result that enhances your features without overfilling. Where appropriate, dermal filler treatments may be combined with other procedures to achieve a balanced and harmonious outcome — this will always be discussed and agreed upon with you in advance.

If dermal fillers are not the right option for your situation, Dr. Bougrine will tell you honestly and guide you toward the most appropriate alternatives.

While both are injectable treatments, neuromodulators and dermal fillers work in fundamentally different ways. Neuromodulators temporarily reduce the activity of specific facial muscles to soften dynamic wrinkles — lines caused by repeated facial expressions such as frowning or squinting. Dermal fillers, on the other hand, physically restore volume to areas where it has been lost. Some patients may benefit from a combination of both approaches for a more complete rejuvenation — this will always be assessed individually during your consultation.

The effects of dermal fillers are generally visible immediately following treatment, though some temporary swelling may initially affect the appearance of results. Final results are best assessed once any swelling has fully resolved, typically within one to two weeks.

The duration of results varies from patient to patient and depends on numerous factors, including the type of filler used, the area treated, the patient’s age, skin quality, metabolism, and overall health. As a general indication, results in areas such as the lips may last approximately three to six months, while results in other facial areas may last nine to twelve months or longer. These are estimates only — individual results will vary and will be discussed in detail during your consultation.

As with any injectable treatment, dermal fillers carry potential risks and side effects that should be discussed openly before proceeding. These may include, but are not limited to:

• Temporary bruising, swelling, or redness at the injection site, which typically resolves within a few days
• The formation of small nodules or irregularities under the skin, which may require follow-up treatment
• Temporary asymmetry or uneven results
• Allergic or hypersensitivity reactions, though uncommon with hyaluronic acid-based products
• Temporary or, in rare cases, permanent changes in skin color or sensation in the treated area
• In rare cases, more serious complications may occur (ex, vascular occlusions)

At Aura Dermatologie, informed consent is always a priority. Dr. Bougrine will review all potential risks with you thoroughly during your consultation.

Dermal fillers are generally considered for healthy adults who are experiencing signs of facial aging that they find bothersome and who have realistic expectations about what injectable treatments can achieve. They may not be appropriate for everyone. Certain conditions may contraindicate treatment, including pregnancy, breastfeeding, active skin infections in or near the treatment area, and certain autoimmune or bleeding disorders. A thorough medical history will always be taken during your consultation to ensure that treatment is appropriate for you.

To help minimize the risk of bruising, it is generally recommended to avoid blood-thinning medications, certain supplements such as fish oil and vitamin E, and alcohol in the days leading up to your appointment. Dr. Bougrine will provide you with personalized preparation instructions during your consultation.

Protecting your skin from sun exposure with a broad-spectrum sunscreen, maintaining a consistent skincare routine, and attending follow-up consultations as recommended by Dr. Bougrine are all important factors in maintaining your results over time. Lifestyle factors such as hydration, nutrition, and avoiding smoking can also influence the longevity of your results.