Comprehensive rejuvenation of the entire face, improvement of its proportions, reconstruction of volume

Fillers – what are they?

Hyaluronic acid fillers are among the most commonly used products in aesthetic medicine with extremely versatile applications. They allow comprehensive rejuvenation of the entire face, improvement of its proportions, restoration of volume, e.g., in the tear trough and cheek area, lip augmentation, shallowing of wrinkles and deep furrows, facial contouring, and even a gentle so-called volumetric facelift. These properties are due to the remarkable water-binding property of hyaluronic acid. One molecule of HA is capable of increasing its volume 1000-fold and 1 g can bind up to 6 litres of water! This is what keeps young skin, which still naturally has high levels of hyaluronic acid, smooth, supple and well-hydrated.

Also, remember that fillers are medical products, and only doctors can perform treatments with them. At our clinic, we use high-quality, tested, and safe products with predictable and natural results. Dr Barbara Jerschina specialises in complex filler treatments, such as facial volumetry, and is also a trainer who trains other doctors in their administration techniques. She has top skills in this field and many years of experience.

In our clinic – in addition to a wide range of preparations based on hyaluronic acid of the best brands – we also use fillers with biostimulating effect, such as those based on polycaprolactone (Ellanse).

Get to know fillers better

Hyaluronic acid (HA) hyaluronic acidused in aesthetic medicine treatments is obtained through biotechnological processes, mainly using a strain of StreptococcusDuring the cross-linking process, it gains a gel form, making it possible to fill in wrinkles or tissue defects. Cross-linking involves chemically linking hyaluronic acid chains so that the resulting three-dimensional structure provides HA with greater resistance to the enzyme of hyaluronidase, which leads to its rapid breakdown in the skin. As a result, the effect of rejuvenation or improvement in appearance in many cases lasts up to 1.5-2 years (HA gradually undergoes natural biodegradation in tissues). Cross-linking also gives formulations the right viscosity, density, elasticity, and ability to lift tissues. Thanks to this technology, it is possible to create a variety of fillers that differ in consistency, HA concentration, viscoelasticity, and hardness. The choice of their type depends on the area they are to be administered to, the severity of the symptoms you wish to correct, and individual indications related, for example, to the anatomy and the way the skin ages. A lip filler has to have different properties than a standard volumetric filler, which aims to rebuild and support tissues that droop with age. It is also worth noting that hyaluronic acid is the only substance used in aesthetic medicine whose effects – in case of an undesirable result (e.g., too much volume) or complications – can be reversed by administering hyaluronidase, an enzyme that causes a rapid breakdown of HA.

Most often, fillers are administered to the facial area – usually to the middle and lower parts of the face (tear trough, zygomatic area, side parts of the face, jaw, chin, lips), less often to the upper parts (wrinkles on the forehead, brow area, reconstruction of temples that sink with age, depressions under the lower eyelid). Increasingly, hyaluronic acid is also being used in non-surgical rhinoplasty. It helps fill in fine lines and wrinkles on the neck and décolleté as well, and perfectly replenishes tissue defects on the back of the hand.

  • filling of wrinkles and furrows, primarily: nasolabial furrows, marionette lines, reduction of smoker's wrinkles, individual wrinkles,
  • volume restoration, primarily filling the tear trough or temples,
  • lip augmentation,
  • lip modelling (correction of their shape, size or asymmetry, lifting drooping corners),
  • modelling the face shape, jawline and zygomatic bones,
  • facial volumetry,
  • non-surgical rhinoplasty (leveling of small humps, lifting the tip of the nose, correction of asymmetry),
  • chin contouring, filling the deep mentolabial furrow,
  • eyebrow lift,
  • lifting the drooping mouth corners,
  • facial asymmetry,
  • reconstruction of tissue atrophy on the hands,
  • strengthening the jawline in men and emphasising masculine features,
  • supportively, fillers are also used to treat scars, especially atrophic acne scars.

The application of fillers is usually a one-time procedure, the effect of which lasts about 12-18 months, sometimes up to 2 years. If more fillers need to be administered (for advanced volumetric defects) or the improvement in appearance requires the complex application of several fillers to different areas (for example, for extensive volumetry), the procedure is usually performed in 2-3 stages, spaced every 4-6 weeks.

The great quality of hyaluronic acid fillers is that they give an immediate filling effect. You will be able to fully evaluate it when the post-surgical swelling and erythema go away and the hyaluronic acid binds well with the tissues – usually after 2-3 weeks. With fillers, you can count on:

  • reduction of wrinkles and deep furrows,
  • restoration of tissue defects in the mid-face, which not only age the face, but also give it a sad and tired look,
  • rejuvenation of the entire face shape, alignment of the jawline,
  • modelling of the nose, chin, temples, zygomatic area,
  • enlarging the lips, giving them a nice shape, lifting their corners,
  • a gentle lift of the entire face, elevating the tissues,
  • a more cheerful and younger looking face,
  • rejuvenation of the neck, décolleté, and hands.

It is also worth knowing that hyaluronic acid stimulates the production of collagen and elastin in the skin and also has a moisturising effect so it promotes the youthful appearance of the skin from the inside.

Duration of the procedure

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The duration of the treatment depends on the area and indications. It is usually 30-60 minutes. Add to this the time it takes for the anaesthetic cream applied earlier to take effect (min. 30 minutes).

Pain intensity

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Thanks to the use of local anaesthesia, the procedure is virtually painless.


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After the procedure, the skin may be slightly swollen and red, and bruises or small haematomas may appear. Usually, you will be able to return to daily activities the very next day – and conceal the visible marks with makeup (preferably mineral).

How is the procedure?

  • The first step is always a consultation and planning of the procedure. Dr Jerschina carefully analyses the indications while taking into account anatomical conditions and facial proportions – the idea is to make the result as natural and harmonious as possible.
  • If done with a cannula, in many cases, anaesthesia is unnecessary (the procedure done with a cannula is virtually painless, temporary discomfort is only caused by needle point incisions of tiny entry holes for the cannula). Adequate time for the anaesthetic cream to remain on the face (covered with film for occlusion) is very important if you want a truly comfortable and painless procedure. It takes a minimum of 30-40 minutes. Occasionally, conduction anaesthesia (so-called dental anaesthesia) is also used, especially in the mouth area.
  • The appropriate filler is administered with a needle or cannula. Precision of application and the ability to anticipate the end result are very important here. During administration, the doctor gently massages the product under the skin, modelling its positioning.
  • Finally, the face is washed with a disinfectant and the doctor applies a special post-treatment cream to the skin. You should not wash it off your face until the next day!

How to get ready for the procedure?

The procedure does not require special preparations, but it is worth following a few recommendations:

  • at least 7 days before the procedure, avoid taking anti-inflammatories that can reduce blood clotting (such as the popular Aspirin), as they can increase the risk of bruises and haematomas after the injection,
  • do not consume coffee or alcohol on the day of the procedure,
  • if you are prone to herpes, it is a good idea to use a protective drug with acyclovir for 3 days before the procedure (and 3-5 days thereafter),
  • 7-14 days before the procedure, increase your fluid intake (especially water).

“Fillers are the number one choice in aesthetic medicine. They allow a very comprehensive improvement and rejuvenation of the appearance, enable aesthetic corrections that, although often minor, restore harmonious proportions to the face and make the patient appear not only younger, but also more beautiful. All while keeping it natural!”

Dr Barbara Jerschina

Fillers – recommendations after the procedure

The procedure is performed with a thin needle or cannula inserted through small holes. Therefore, after the procedure, there may be mild swelling and redness of the skin, and sometimes small bruises or haematomas may appear. These symptoms should resolve spontaneously within 1-3 days. However, to avoid complications, it is important to follow some important recommendations during this time:

  • keep your skin (especially the injection sites) clean – don't touch the skin with your hands, don't wipe it with a used towel, avoid cuddling with pets, change the pillowcase you sleep on to a clean one, etc.
  • in the case of lip augmentation – do not kiss until the lips are healed,
  • from the day after the procedure, you can start using post-treatment creams that speed up the healing process of the skin,
  • protect the skin from the sun – at the injection sites, it is more sensitive to its effects, besides, UV rays accelerate the breakdown of hyaluronic acid,
  • avoid saunas and tanning beds for a minimum of 7 days,
  • avoid massaging your skin for 5-7 days, unless you get such a recommendation (with detailed instructions) from your doctor,
  • drink at least 1.5-2 litres of fluids, water a day – it is very important, because it will allow the hyaluronic acid to bind even more moisture in the skin and the results will be even better,
  • also try to reduce smoking, as it promotes faster breakdown of HA in tissues.

You will get the exact post-treatment recommendations at the clinic.

New to our offer!

MaiLi Fillers

To gama wypełniaczy kwasu hialuronowego z dodatkiem lidokainy (środka znieczulającego).

Wypełniacze MaiLi dzięki opatentowanej szwajcarskiej technologii mają zdolność nadawania objętości przy zastosowaniu mniejszej ilości preparatu. Dzięki gładkiej strukturze żelu i elastyczności naśladują ludzką tkankę i „podążają” za mimiką twarzy.

The range includes four different products, always individually selected by Dr Barbara Jerschina to suit the patient's needs and indications.

Wyrównuje drobne zmarszczki, przywraca objętość i wypełnia dolinę łez, pozwala uwypuklić i podkreślić kontur ust.  Nadaje twarzy świeży, wypoczęty wygląd.

Wygładza średnie i głębokie zmarszczki. Stosowany jest do korekcji fałd nosowo-wargowych, opadających kącików ust, linii marionetki. Nadaje objętość ustom.

Ma jeszcze silniejsze działanie wypełniające. Działa na głębokie zmarszczki i fałdy oraz umożliwia korektę konturu twarzy. Stworzony do zabiegów wolumetrii, konturowania policzków czy zapadniętych skroni, dla pacjentów z ubytkami tkanki spowodowanymi np. utratą wagi czy wiekiem.

it is the strongest product in the range, which is administered deeply to rebuild and reconstruct tissue defects in areas such as the jawline, chin, and cheekbones. 

MaiLi can also be used to treat scar tissue and facial volume loss due to lipoatrophy in HIV infection. 

Preparaty MaiLi zostały przebadane dermatologicznie, są certyfikowane i spełniają restrykcyjne normy produkcji. Ich producentem jest szwajcarska firma Sinclair Pharma.

The main indications for the procedure are:

  • wrinkles, loss of facial hydration and volume
  • flaccid and drooping cheeks, sagging cheeks
  • lip augmentation, lip contour improvement, smoker’s wrinkles
  • aesthetic correction: treatment of asymmetry, disproportion, for example, between the upper and lower lips
  • drooping mouth corners
  • tear trough
  • marionette wrinkles
  • correction of nasolabial folds
  • contouring and sculpting the face, e.g. giving a pronounced jawline, defining cheekbones

Call and make an appointment!

FAQ – frequently asked questions about fillers

Wypełniacze są jednym z najczęściej stosowanych produktów w medycynie estetycznej i stanowią doskonałe uzupełnienie wielu innych metod. W klinice Dr Barbara Jerschina stosujemy kompleksowe i całościowe podejście do wyglądu, co oznacza, że często przed podaniem wypełniaczy zalecamy zabiegi poprawiające jakość skóry – trzeba bowiem pamiętać, że np. samo powiększenie ust czy wypełnienie bruzd nosowo-wargowych nie przyniesie pożądanego efektu odmłodzenia, jeśli skóra będzie szara, zanieczyszczona, sucha i wiotka. Z tego powodu wypełniacze doskonale łączą się z zabiegami odświeżającymi, oczyszczającymi i kondycjonującymi skórę, często też uzupełniamy ich działanie toksyną botulinową. Jedynym ograniczeniem są zabiegi z wysoką energią, np. laserowe, których nie można wykonywać przez co najmniej 2 tygodnie po podaniu wypełniaczy, gdyż ciepło powoduje przyspieszony rozkład kwasu hialuronowego. Zapraszamy na konsultacje u dr Barbary Jerschiny, która specjalizuje się w indywidualnym planowaniu programów przeciwstarzeniowych.

The application of fillers requires the doctor to have a thorough knowledge of anatomy, administration techniques, and a sense of aesthetics and proportion. It is also very important to choose the right products – proven, tested, and safe. All of this has the effect of reducing the risk of serious complications that can occur after improperly administered fillers, such as granulomas, skin necrosis, and vascular complications. The patient needs to follow skin care recommendations at home as well – it is the lack of proper hygiene that is the most common cause of post-surgical infections. If you experience any worrisome symptoms, contact your doctor as soon as possible to implement treatment right away.

It all depends on the correct selection and application of fillers. Dr Barbara Jerschina specialises in filler treatments and has many years of experience in administering them, also to “demanding” patients who need advanced volumetric treatments with fillers of various types. The goal is always a natural and fresh rejuvenation effect, not to “remake” the patient and “pump her up” with fillers.

Fillers are medical products that are administered subcutaneously. Therefore, the procedures should only be performed by doctors. Remember that only the doctor has the right resources to help you in case of complications, and knows how to perform the procedure to reduce such risks. It is not only about appearance, but also your health!

Men’s skin ages in a slightly different way than women’s. The changes occur less rapidly, but the furrows and wrinkles are usually deeper and more stubborn in men. Fillers are a way not only to rejuvenate the skin but also to accentuate the jaw and temples, giving the face a more defined, masculine look – and more and more patients are opting for this treatment.

Most adverse effects are temporary and are related to the use of the needle – mainly swelling, redness, sometimes bruising and haematomas. Other complications include:

  • undesirable aesthetic effect, associated, for example, with the application of too much filler or its displacement,
  • translucence of the filler through the skin, especially under the eyes and into the tear trough – the so-called Tyndall effect,
  • allergic reaction – it can happen with products of unknown origin, contaminated with other substances, and there can also be a reaction to other ingredients added to hyaluronic acid,
  • lumps, unevenness – related to inferior product quality or incorrect qualification for the treatment and selection of a filler that is unsuitable for the area,
  • granulomas (due to the body’s reaction to a foreign body),
  • vascular complications due to the compression of vessels by inadequately administered fillers (the area most at risk is the eye area).

Remember, however, that a properly performed procedure carries very little risk of adverse effects and long-term complications, other than temporary ones resulting from the use of the needle and cannula. The procedure is performed by Dr Barbara Jerschina, after the patient has been properly qualified and all contraindications have been ruled out. We encourage you to visit us!

  • Pregnancy and breastfeeding
  • Inflammation of the skin at the treatment site
  • Active herpes
  • Cancer diseases
  • Unregulated autoimmune diseases
  • Advanced diabetes
  • Keloid scar tendencies
  • Disorders of blood coagulation, taking anticoagulants
  • Allergy to the ingredients of the preparation
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