Dermal fillers are injectable gels that restore volume or structure. Hyaluronic acid (HA) fillers can be dissolved with hyaluronidase; biostimulators such as calcium hydroxylapatite (Radiesse) and polycaprolactone (Ellansé) cannot. Dr Sin Yong first separates true volume loss from tissue descent, then chooses the product, plane and amount for each area.
Also called: hyaluronic acid filler, 玻尿酸填充, ヒアルロン酸注入
- Dermal fillers are injectable gels that add volume or prompt collagen; hyaluronic acid can be dissolved, whereas Radiesse and Ellansé cannot.
- They suit true volume loss in the cheeks, midface, temples, jawline and similar areas.
- Suitability depends on whether the concern is volume loss or tissue descent, product choice, plane and amount.
- Fillers do not lift descended tissue or tighten skin, and adding them to descended tissue can add heaviness.
- Dr Sin Yong, an aesthetic physician, performs each treatment personally, with hyaluronidase available.
- Volume restoration: where filler replaces lost support, and where lifting fits
- Volume Restoration Protocol
- Are dermal fillers safe? Vascular occlusion and hyaluronidase
- Who it suits, who should wait, who is referred on
- What happens, step by step
- Aftercare
- Before you book
- What determines the fee
- Myths we hear in clinic
- Frequently Asked Questions
- Understanding Facial Volume Loss
- Avoiding the Pillow Face
- Every Zone Dr Sin Yong Addresses
- Dr Sin Yong explains
Facial volume restoration replaces lost support where fat and bone have thinned, most often in the cheeks, temples and jawline. The first step is telling true volume loss from tissue that has descended, because filler suits the first and lifting suits the second. Hyaluronic acid, calcium hydroxylapatite or polycaprolactone is chosen by area, placed conservatively to avoid an overfilled look.
Volume restoration: where filler replaces lost support, and where lifting fits
Volume loss is one of the three pillars of facial ageing. As facial fat compartments shrink and facial bones resorb, the support structure for the overlying skin is progressively reduced — creating hollowness, descent of the mid-face, and deepening of the nasolabial folds.
Replacing this lost volume with the appropriate filler, in the correct anatomical plane, restores structural support beneath the skin. Dr Sin Yong uses Radiesse and Ellanse as his preferred volume restoration fillers — both are collagen stimulators that trigger the body's own collagen and adipose regeneration over time, providing immediate volume while avoiding the migration and excessive puffiness associated with large HA volumes.
Crucially, Dr Sin Yong's approach integrates the VF Lift Volumising Protocol — a Volnewmer monopolar radiofrequency protocol that stimulates collagen and fat regeneration in hollow areas, most commonly the cheeks. By applying VF Lift or Time Freeze Laser first to lift descended tissue structurally, hollowness in deficient areas is reduced as tissue returns to its proper position. The aim is to use filler only for the deficit that remains once the tissue has been lifted, rather than to inflate descended tissue.
For gradual support rather than immediate filling, see collagen biostimulators.
Why restoring support comes before filling a crease is covered in smile lines and marionette lines.
