Fern Technique Filler: Dermal Fillers with Natural Results

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

The Fern Pattern Technique is a revolutionary approach to dermal fillers, developed by Dr. Tom van Eijk, that offers a more natural and longer-lasting correction for dynamic facial lines.

By injecting a hyaluronic acid-based filler in a fern leaf pattern into the dermis, this method not only fills wrinkles but also stiffens the skin, enhancing its firmness and stimulating collagen production. With international acclaim, this technique uses less product and provides a subtler enhancement, making it a cost-effective and appealing option for those seeking to smooth and firm aging skin without an unnatural appearance.

What is the Fern Pattern Technique?

The Fern Pattern Technique is a sophisticated method of using dermal fillers to achieve a natural-looking skin enhancement.

Definition and Description

The Fern Pattern Technique is a specialized method of injecting dermal fillers, specifically non-animal stabilized hyaluronic acid (NASHA), into the skin. Unlike traditional methods that simply fill under wrinkles, this technique involves injecting the filler in a unique fern leaf pattern, targeting the appropriate skin layer. The result is not just a filling effect but a strategic reinforcement of the skin’s structure. This approach leads to a more natural contour of the face, smoothing out dynamic lines and folds that become more pronounced with facial expressions. The technique also promotes the skin’s natural collagen production, leading to improvements that can last for years, particularly with repeated treatments.

How the Fern Pattern Technique Works

The Fern Pattern Technique is a meticulous process that involves precise injection patterns and skin reinforcement for lasting results.

Injection Pattern and Placement

The Fern-Shaped Pattern: The cornerstone of the Fern Pattern Technique is its distinctive injection pattern, which mimics the branching structure of a fern leaf. This pattern is meticulously created by injecting small amounts of filler in a series of lines that branch out from a central point. The technique is designed to distribute the filler evenly, allowing for a subtle lift and a natural-looking skin reinforcement. By following this natural design, the technique avoids the stiffness and unnatural appearance that can result from more traditional, linear injection methods. The fern-shaped pattern works with the skin’s natural lines and contours, enhancing the overall texture and appearance in a way that is harmonious with the patient’s facial dynamics.

Targeting the Appropriate Skin Layer: Precision in targeting the correct skin layer is crucial for the success of the Fern Pattern Technique. The filler is injected into the dermis, the thick layer of living tissue below the epidermis. This placement is essential for two reasons: it ensures that the filler provides the necessary support to the skin’s structure and it allows for the stimulation of collagen production. By targeting the dermis, the technique takes advantage of the skin’s natural healing and rejuvenation processes, leading to results that are not only immediately visible but also improve over time. The strategic placement of the filler also minimizes the risk of migration and ensures that the enhancements remain stable and consistent with facial movements.

Stimulating Natural Collagen Production Over Time: The long-term benefits of the Fern Pattern Technique are largely due to its ability to stimulate the body’s natural collagen production. Collagen is a key protein that provides structure and elasticity to the skin. As the injected hyaluronic acid integrates with the dermal tissue, it triggers a response that encourages the skin cells to produce more collagen. Over time, this increased collagen production helps to strengthen the dermal matrix, further enhancing skin firmness and elasticity. The result is a gradual and sustained improvement in skin quality, with the initial pattern of firmness created by the technique being enhanced and eventually replaced by a naturally rejuvenated skin texture.

Benefits of the Fern Pattern Technique

The Fern Pattern Technique offers a suite of advantages, from natural-looking results to cost savings.

More Natural and Longer-Lasting Results

Achieving Skin Smoothing and Firming: The Fern Pattern Technique excels in providing a smoother and firmer skin texture. By injecting the filler in a pattern that mimics natural growth structures, it supports the skin’s existing framework, leading to a more organic enhancement. The technique’s ability to evenly distribute the filler across a wider area allows for a subtle yet effective lift, smoothing out the skin’s surface. This approach avoids the overfilled look that can occur with traditional methods, ensuring that the skin retains its natural movement and resilience. The firming effect is not just superficial; it is rooted in the skin’s deeper layers, providing a solid foundation for lasting skin health and appearance.

Using Less Dermal Filler Product

Cost-Effectiveness for Patients: The Fern Pattern Technique is not only innovative in its approach to facial rejuvenation but also in its economic efficiency. By utilizing a precise injection pattern, the technique requires less filler material to achieve desirable results. This efficiency translates into cost savings for patients, who can enjoy the benefits of a high-quality cosmetic procedure without the financial burden typically associated with extensive filler use. Moreover, the long-lasting effects of the technique mean fewer touch-ups and maintenance treatments, further contributing to its cost-effectiveness. Patients can thus invest in their appearance with the assurance that they are receiving a treatment that is both financially sensible and aesthetically rewarding.

Frequently Asked Questions

Is the Fern Pattern Technique suitable for all skin types?

Yes, the technique is suitable for all skin types, but a consultation with a qualified practitioner is essential to address individual concerns.

Can the Fern Pattern Technique be combined with other aesthetic treatments?

Yes, it can be combined with other treatments such as Botox or laser therapy for comprehensive results.

How does the cost of the Fern Pattern Technique compare to other dermal filler treatments?

The cost may be comparable or slightly higher, but the longer-lasting results can offer better value over time.

How soon after treatment can I expect to see visible improvements in my skin?

Visible improvements can be seen immediately after treatment, with further enhancements as collagen production increases.

Can the Fern Pattern Technique be used for areas other than the face, such as the hands or neck?

While primarily used for the face, the technique may be adapted for other areas like the hands or neck.

How does the Fern Pattern Technique differ from traditional dermal filler injections?

It focuses on skin reinforcement and collagen stimulation rather than just filling wrinkles, offering more natural results.

Can the Fern Pattern Technique help prevent the formation of new wrinkles or lines?

Yes, by reinforcing the skin's structure and stimulating collagen, it can help slow the development of new wrinkles.


The Fern Pattern Technique represents a significant advancement in dermal filler treatments, offering a unique approach that prioritizes natural-looking results and long-term skin health. By addressing dynamic facial lines, stimulating collagen production, and reinforcing the skin's structure, this technique provides patients with a safe, effective, and lasting solution to combat the signs of aging. With its compatibility with other aesthetic treatments and suitability for various skin types and conditions, the Fern Pattern Technique stands out as a versatile and reliable option for those seeking to enhance their natural beauty.

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van Eijk, T., & Braun, M. (2007). A novel method to inject hyaluronic acid: the Fern Pattern Technique.

Noh, S., Lee, S. J., & Roh, M. R. (2010). Risk of postinflammatory hyperpigmentation with Fern pattern technique in injecting hyaluronic acid gel.

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.