Filler Treatment in Zurich

A filler treatment is a minimally invasive injection in which biocompatible gels are injected into the skin or underlying tissue to restore volume, smooth wrinkles, reduce dark circles, or shape contours. The most commonly used products today are based on hyaluronic acid, often simply called hyaluronic acid – a naturally occurring sugar in the body that binds water and thus has an immediate plumping effect. There are also biostimulatory materials (e.g., calcium hydroxyapatite or poly-L-lactic acid), which provide less immediate volume but stimulate the body’s own collagen production and thus improve skin quality over weeks to months. Modern products are formulated for different layers of tissue and treatment goals, so the choice of the right product is based on the individual starting situation.

Fillers can achieve several effects at once:

• First, they restore lost volume in wrinkle treatment and injection – smoothing lines and lifting sunken areas.
• Second, especially hyaluronic acid fillers increase water retention in the skin, resulting in a fresher, plumper appearance immediately.
• Third, some fillers improve long-term skin structure by stimulating elastin and collagen production; this is reflected in finer skin texture and better firmness.
• Fourth, contours (e.g., chin, cheeks, jawline) can be subtly modeled without surgical intervention.
• Fifth, modern variants such as Skinboosters or Profhilo are specifically designed to improve skin quality (hydration, elasticity, microcirculation) without strong plumping, which is ideal if a more natural improvement of the skin surface is desired.

In my gynecological practice, the applications go beyond classic wrinkle injection and wrinkle treatment with fillers. In addition to typical areas such as volume build-up in facial areas (cheeks, lips, chin), improvement of the neck/décolleté, and optical rejuvenation of the hands, hyaluronic acid fillers can also be used in urogynecology and aesthetic intimate medicine for:

• Revitalization of the labia majora (large labia)
• Improving vaginal mucosal hydration
• Treating mild forms of stress incontinence through targeted support injections in the bladder neck or urethra

For some patients, these injections improve both the aesthetic appearance and functional complaints (e.g., dryness, friction pain, or mild urinary loss). In the practice, a tailored decision is made regarding which product and technique is appropriate for the individual application.

Cosmetic and functional application areas:

• Volume build-up in the face: cheeks, lips, chin
• Visually lighten and reduce dark circles
• Define jawline and sharpen contours
• Rejuvenate, strengthen, and firm skin structure
• Refresh neck and décolleté
• Rejuvenate hands
• Revitalization of the labia majora
• Improve vaginal mucosal hydration
• Treat mild stress incontinence via support injections in bladder neck/urethra area
• Alleviate functional complaints: dryness, friction pain, mild urinary leakage

For hyaluronic acid fillers, first effects are usually visible immediately: volume, wrinkle correction, dark circles, and a more hydrated skin structure are visible right after injection. For biostimulatory fillers or Skinboosters, the full effect gradually develops over weeks as new collagen is formed. The duration varies greatly depending on the product, treatment area, and individual factors: lips tend to have shorter effect due to movement (typically 6–12 months), more stable regions such as cheeks can show results lasting 12–24 months or longer. For vaginal applications, lasting improvements can be achieved for 9–12 months depending on the product used. Lifestyle, metabolism, and UV exposure additionally influence the duration.

Pain is generally mild and well-controlled: pre-treatment with numbing cream, products with lidocaine, and gentle technique (blunt cannulas) significantly reduce discomfort. Many patients report only brief pulling or pressure sensations. Post-treatment, slight swelling, redness, or minor bruising may occur but usually resolve within a few days. Significant downtime is not expected; daily activities are normally immediately possible. For vaginal procedures, similar precautions apply (e.g., abstaining from sexual intercourse for a short period).

Fillers are suitable for people who want to compensate for age- or hormone-related volume loss, smooth wrinkles, reduce dark circles, or define contours without surgery. Particularly beneficial for those who prefer natural, reversible results. Hyaluronic acid is a natural component of the skin and is gradually broken down over the following months. In gynecological applications, patients with complaints due to labial atrophy, vaginal dryness, or mild urogynecological issues benefit when conservative measures are insufficient.

Yes. Preventive measures reduce risks: avoid blood-thinning substances such as alcohol, certain painkillers, and thrombosis medications 24–72 hours before the appointment, if medically allowed. These measures reduce the risk of bruising after the treatment. If there is an active skin infection, acute herpes, or open wounds in the treatment area, the treatment must be postponed. Please inform us if you are pregnant, breastfeeding, or have autoimmune diseases. After injection, avoid intense heat such as sauna, steam bath, or direct sun exposure. Also avoid heavy exercise and direct manipulation of the treated area for several days. Specific pre- and post-care instructions will be provided individually at Eva Gyn Praxis.

Injection with fillers is considered very safe, yet it is a medical procedure with certain risks and exclusion criteria. The most common temporary side effects include mild swelling, redness, or small bruises at the injection site. These reactions are normal and usually resolve on their own within a few days. The procedure is not performed if there is an acute inflammation, infection, or herpes in the treatment area, known allergies to ingredients (e.g., lidocaine or certain product components), during pregnancy or breastfeeding, coagulation disorders, or active autoimmune disease. Intake of blood-thinning medications also contraindicates the procedure and increases the risk of bruising. Immediately after laser or peeling treatments, a healing period should be observed. For patients prone to keloids or with chronic skin conditions in the injection area, individual risk assessment is required. Thorough anamnesis and personal consultation at Eva Gyn Praxis ensures potential risks are carefully excluded.

Risks and contraindications at a glance:

• Blood coagulation disorder and intake of blood-thinning medications
• Tendency to form keloids
• Chronic skin conditions in the injection area
• Open wounds or fresh scars
• Irritated skin from sunburn or recent laser treatments
• Autoimmune disease or immunosuppression
• Skin infections or active herpes infection