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Mid Face Filler – What to Expect from the Procedure and Results

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Mid face filler treatments have become increasingly popular for those seeking to restore lost volume and rejuvenate their facial appearance without surgery. As we age, the mid-face area – encompassing the cheeks, under-eye region, and nasolabial folds – tends to lose volume and elasticity, leading to a sunken or tired look.

Mid face fillers offer a non-invasive solution to address these concerns, providing immediate results with minimal downtime. Dermal fillers, typically made of hyaluronic acid or other biocompatible substances, are strategically injected into specific areas of the mid-face to restore volume, lift sagging skin, and smooth out wrinkles. This treatment can effectively enhance facial contours, create a more youthful curve, and improve overall facial harmony. The procedure is customized to each individual’s unique facial structure and aesthetic goals, ensuring natural-looking results.

Mid face filler treatments not only address visible signs of aging but also help to support the underlying facial structure, potentially slowing down the aging process. By restoring volume in key areas, these fillers can reduce the appearance of nasolabial folds, minimize under-eye hollows, and create a subtle lifting effect that radiates throughout the face. The versatility of mid face fillers allows for a range of outcomes, from subtle enhancements to more dramatic transformations, depending on the patient’s desires and the practitioner’s expertise.

The Mid Face Filler Treatment Process

The mid face filler treatment process involves several crucial steps, from initial consultation to the actual injection procedure. Understanding this process helps patients prepare for their treatment and ensures optimal results.

Consultation and Assessment

Evaluating Facial Structure and Volume Loss: This critical step involves a complete analysis of the patient’s facial anatomy and aging patterns. The practitioner carefully examines the patient’s facial structure, paying particular attention to the mid-face region. They assess the degree of volume loss, skin laxity, and the overall balance of facial features. This evaluation often includes observing the patient’s face in various expressions to understand how dynamic facial movements affect the areas of concern. Advanced imaging techniques, such as 3D facial mapping, may be used to provide a detailed analysis of facial contours and volume distribution. The practitioner also considers the patient’s bone structure, fat distribution, and skin quality, as these factors significantly influence the choice of filler and injection technique.

Discussing Patient Goals and Expectations: This crucial conversation helps align the patient’s desires with realistic treatment outcomes. The practitioner encourages patients to express their specific concerns and what they hope to achieve through mid face filler treatment. It’s important to discuss both short-term and long-term goals, as some fillers provide immediate results while others offer gradual improvement. The practitioner educates patients about the different types of fillers available, their characteristics, and expected longevity. They also explain potential limitations of the treatment and may suggest alternative or complementary procedures if necessary. This discussion helps manage expectations and ensures patients have a clear understanding of what mid face filler treatment can realistically achieve. It’s also an opportunity to address any concerns or questions the patient may have about the procedure, aftercare, and potential side effects.

Injection Techniques

Needle vs. Cannula Approach: The choice between using a needle or a cannula for mid face filler injections depends on various factors and can significantly impact the treatment outcome. Needles are traditionally used for precise, small-volume injections and are particularly effective for superficial treatments. They allow for exact placement of filler but may increase the risk of bruising and vascular complications. Cannulas, on the other hand, are blunt-tipped instruments that can navigate through tissue planes with less trauma. They are often preferred for larger volume injections in the mid-face area, as they can cover a broader area with fewer entry points, potentially reducing bruising and swelling. Cannulas also lower the risk of intravascular injection, a rare but serious complication. The choice often depends on the specific area being treated, the type of filler used, and the practitioner’s expertise and preference.

Injection Depth and Placement: The effectiveness of mid face filler treatments largely depends on the precise depth and placement of the injections. In the mid-face area, fillers are typically placed in the deep subcutaneous or supraperiosteal plane to achieve optimal lifting and volumizing effects. The exact depth varies depending on the specific area being treated and the type of filler used. For instance, when addressing the cheek area, injections are often placed directly on the bone to create a lifting effect that radiates outward. In contrast, more superficial injections may be used to address fine lines or to enhance skin quality. The placement of filler is equally crucial, with practitioners often using specific injection points and techniques to create a natural-looking contour. This may involve creating a series of small depots or using a fanning technique to distribute the filler evenly.

Anesthesia and Patient Comfort: Ensuring patient comfort during mid face filler treatments is very important for a positive experience and optimal results. Most modern dermal fillers contain lidocaine, a local anesthetic that helps minimize discomfort during and immediately after injection. For additional comfort, practitioners may apply topical numbing cream to the treatment area before the procedure. In some cases, particularly for more extensive treatments, dental nerve blocks may be used to numb specific areas of the face. Cold compresses or ice packs can also be applied before and after treatment to reduce discomfort and minimize swelling. Some practitioners use vibration devices or other distraction techniques to further enhance patient comfort during injections. It’s important to note that while these measures significantly reduce discomfort, patients may still experience some pressure or mild pain during the procedure.

Post-Treatment Care and Recovery

Immediate Side Effects and Downtime: Following mid face filler treatments, patients can expect some immediate side effects, which are typically mild and short-lived. Common reactions include redness, swelling, and bruising at the injection sites. These effects usually subside within a few days to a week. Patients may also experience tenderness or a feeling of fullness in the treated areas. In rare cases, more severe side effects such as asymmetry, lumps, or vascular occlusion may occur, requiring immediate medical attention. The downtime associated with mid face fillers is generally minimal, with most patients able to return to their normal activities immediately after treatment. However, strenuous exercise, excessive heat exposure, and alcohol consumption are typically advised against for 24-48 hours post-treatment to minimize swelling and bruising. Patients are often instructed to avoid touching or massaging the treated areas for a specified period to prevent displacement of the filler.

Long-Term Maintenance and Touch-Ups: To maintain the results of mid face filler treatments, patients typically require periodic touch-up sessions. The frequency of these maintenance treatments depends on several factors, including the type of filler used, the individual’s metabolism, and lifestyle factors. On average, hyaluronic acid fillers in the mid-face area may last 12-18 months, while some longer-lasting fillers like Sculptra or Radiesse can provide results for up to two years or more. As the effects of the filler gradually diminish, patients may notice a subtle return of volume loss or facial sagging. Regular follow-up appointments allow practitioners to assess the longevity of results and recommend appropriate timing for touch-ups. These maintenance sessions often require less product than the initial treatment, as they aim to preserve and enhance the existing results rather than starting from scratch. Consistent skincare and sun protection can help prolong the effects of mid face fillers between treatments.

Advantages and Disadvantages of Mid Face Filler

Mid face fillers offer numerous benefits but also come with certain drawbacks. Understanding these pros and cons is crucial for patients considering this treatment option and for practitioners in guiding their patients’ decisions.

Advantages

Non-Surgical and Minimally Invasive: Mid face filler treatments offer a significant advantage over traditional surgical procedures due to their non-surgical and minimally invasive nature. This approach eliminates the need for incisions, general anesthesia, and lengthy hospital stays associated with surgical facelifts. The procedure typically involves only a few small injection points, reducing the risk of complications and scarring. This minimally invasive technique allows for precise targeting of specific areas of volume loss or contouring needs without affecting surrounding tissues. The non-surgical nature of mid face fillers also means that patients can often see immediate results without the extended recovery period required after surgery. This makes it an attractive option for those seeking facial rejuvenation but are hesitant about undergoing more invasive procedures.

Customizable Results: One of the most significant advantages of mid face fillers is the high degree of customization they offer. Practitioners can adapt the treatment to each patient’s unique facial structure, aesthetic goals, and degree of volume loss. This customization extends to the choice of filler type, the amount used, and the specific injection techniques employed. Different fillers can be combined or layered to achieve optimal results, addressing various concerns simultaneously. The ability to adjust the amount of filler during the treatment allows for precise sculpting and contouring of the mid-face area. Moreover, if a patient is not entirely satisfied with the initial results, many fillers, particularly hyaluronic acid-based ones, can be modified or even dissolved, providing an additional level of control and customization.

Minimal Downtime and Quick Recovery: The minimal downtime associated with mid face filler treatments is a significant advantage for many patients. Unlike surgical procedures that may require weeks of recovery, most individuals can return to their daily activities immediately after receiving fillers. Any visible signs of the treatment, such as minor swelling or redness, typically subside within a few days. This quick recovery makes mid face fillers an attractive option for those with busy lifestyles or who cannot afford extended time away from work or social obligations. The speed of recovery also contributes to the discretion of the treatment, as there are no telltale signs of surgery. Patients can often schedule their treatment during a lunch break and return to work without obvious signs of having undergone a cosmetic procedure.

Disadvantages

Temporary Results Requiring Maintenance: One of the primary drawbacks of mid face fillers is the temporary nature of their results. Unlike surgical procedures that can provide more permanent changes, the effects of dermal fillers gradually diminish over time as the body naturally metabolizes the injected material. This requires periodic maintenance treatments to sustain the desired aesthetic outcome. The frequency of these touch-up sessions varies depending on the type of filler used, individual metabolism, and lifestyle factors, but typically range from 6 to 24 months. This ongoing need for maintenance can be both a financial and time commitment for patients. However, some view this temporariness as an advantage, allowing for adjustments as facial structure naturally changes with age or if aesthetic preferences evolve over time. Nonetheless, patients must be prepared for the long-term commitment required to maintain their results.

Potential Side Effects and Risks: While mid face filler treatments are generally safe, they do carry potential side effects and risks that patients should be aware of. Common side effects include temporary redness, swelling, bruising, and tenderness at the injection sites. These typically go away within a few days to a week. More serious complications, although rare, can include infection, allergic reactions, vascular occlusion (blockage of blood vessels), and tissue necrosis. The risk of vascular complications is particularly concerning in the mid-face area due to its rich blood supply. In extremely rare cases, blindness has been reported due to accidental injection into blood vessels connected to the eye. Lumps, asymmetry, or overcorrection may also occur, especially if the filler is not properly placed or if too much is used. To minimize these risks, it’s crucial to choose a qualified, experienced practitioner who understands facial anatomy and uses proper injection techniques.

Cost Considerations: The cost of mid face filler treatments can be a significant factor for many patients considering this procedure. Prices vary widely depending on the type of filler used, the amount required, the practitioner’s expertise, and the geographic location of the clinic. Generally, mid face filler treatments are more expensive than other facial filler procedures due to the larger volume of product often required and the skill needed for proper placement. While the initial cost may seem high, it’s important to consider the longevity of results when evaluating overall value. Some longer-lasting fillers may have a higher upfront cost but require less frequent treatments. Additionally, the cumulative cost of repeated treatments over time should be factored into the decision-making process. It’s worth noting that most insurance plans do not cover cosmetic filler treatments, making this an out-of-pocket expense for most patients. Some clinics offer financing options or package deals for multiple treatments, which can help make the cost more manageable.

Frequently Asked Questions

How long do mid face filler results typically last?

Results from mid face fillers can last anywhere from 6 to 24 months, depending on the type of filler used, individual metabolism, and lifestyle factors.

What is the ideal age to start getting mid face filler?

There is no specific ideal age to start getting mid face fillers; it depends on individual needs and the onset of volume loss or facial aging signs, typically between the ages of 30 and 50.

How often should I get face filler touch-ups?

Touch-ups are typically required every 12 to 18 months, but this can vary based on the type of filler used and individual factors. Consult your practitioner for a personalized touch-up schedule.

Conclusion

Mid face fillers offer a versatile and effective solution for those seeking to counteract the signs of aging and restore facial volume without undergoing surgery. With various types of fillers available, adapted treatments can address specific needs and goals. While there are some potential side effects and maintenance requirements, the benefits often outweigh the drawbacks, providing immediate and lasting improvements. By understanding the treatment process, advantages, and considerations, patients can make informed decisions to achieve natural and rejuvenated facial aesthetics.

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References:

Trévidic, P., Kaufman-Janette, J., Weinkle, S., Wu, R., Dhillon, B., Antunes, S., Macé, E., & Maffert, P. (2022). Injection Guidelines for Treating Midface Volume Deficiency With Hyaluronic Acid Fillers: The ATP Approach.

https://academic.oup.com/asj/article/42/8/920/6510088

Trinh, L. N., & Gupta, A. (2021). Hyaluronic Acid Fillers for Midface Augmentation: A Systematic Review.

https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0041-1724122

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.