Aesthetic medicine · Cape Town
Facial Balancing Filler
Restoring structure and facial balance
From R4 00090–120 min
What it is
Facial balancing fillers are hyaluronic acid gels used to replace the structural volume the face loses over time. As the deep fat pads and bone recede, the mid-face flattens, the jawline softens and folds around the mouth deepen. Filler restores support at the point where it has actually been lost.
The approach here is structural rather than cosmetic patching. Treating the cause — a deflated cheek, an under-projected chin — usually delivers a better outcome than filling the fold that the deflation created.
Who it’s for
Patients noticing flattening through the cheeks, deepening nasolabial folds or marionette lines, a softening jawline, or hollowing at the temples.
It also suits younger patients seeking better facial balance — a more defined chin or jawline — rather than age-related correction.
The benefits
- Restores lost volume in the cheeks, temples and mid-face
- Defines the jawline and improves chin projection
- Softens nasolabial folds and marionette lines by treating the cause
- Improves overall facial balance and proportion
- Immediate, natural-looking structural support
- Reversible — hyaluronic acid fillers can be dissolved
Treatment Areas
Facial balancing works across the whole face rather than one feature at a time, restoring support where it has actually been lost.
- Cheeks
- Temples
- Chin
- Under eye
- Jawline
What to expect
The process
Every appointment follows the same considered sequence, so you always know what is coming next.
Step 1
Full-face consultation
Dr Allison assesses the whole face rather than the single area that bothers you, because volume loss in one region routinely shows up as a problem in another. You'll be shown exactly where support has been lost and what treating it would achieve.
Step 2
Cleanse, numb and map
Skin is thoroughly cleansed and topical anaesthetic applied. Injection points and depths are mapped against your anatomy, with particular care around the vascular danger zones of the face.
Step 3
Treatment
Filler is placed using a needle or blunt-tipped cannula depending on the area, with a cannula preferred where it reduces bruising and vascular risk. You'll be sat up throughout to check symmetry in a natural position.
Step 4
Aftercare
Mild swelling and tenderness are normal for two to three days.
Step 5
Two-week review
Once swelling has fully resolved, the result is reviewed and any refinement made. Larger structural corrections are often best staged across two appointments rather than completed in one sitting.
Downtime & aftercare
What to plan for
- Downtime
- 1 day
- Results visible in
- Immediate, settled at 2 weeks
- Results last
- 9–18 months
You are welcome to contact the practice at any point if something doesn’t look or feel as expected. Individual responses vary — what to expect for your skin is discussed at your consultation.
Pricing
| Treatment | Duration | From |
|---|---|---|
| 1 ml package | 90–120 min | R4 000 |
| 2 ml package | 90–120 min | R7 000 |
| 3 ml package | 90–120 min | R10 500 |
| Dissolving (hyaluronidase) | 60 min | R1 750 per session |
Prices are a guide and start from the amounts shown. Final pricing depends on the product and quantity your treatment plan calls for, and is confirmed at your consultation before anything goes ahead.
Good to know
Frequently asked questions
The questions patients ask most often about facial balancing filler. If yours isn't here, ask us on WhatsApp — we're happy to answer before you book.
The fillers used here are hyaluronic acid gels — a sugar molecule your body already produces to hold water in the skin. Different areas call for different gel densities, from soft and flexible to firm and structural.
The gel is placed at a specific depth, often against bone, to replace lost structural support and lift the tissue above it. Correcting the underlying deflation is what softens the fold, rather than filling the fold directly.
Topical anaesthetic is applied first and the fillers contain lidocaine. Where a cannula is used, there is a single entry point and the rest is felt as pressure. Most patients find it far more comfortable than anticipated.
It depends entirely on how much volume has been lost. One millilitre is roughly a fifth of a teaspoon, so meaningful structural work often needs two or more. Dr Allison will give you an honest figure and is happy to stage treatment across visits.
The structural change is visible immediately, though swelling can exaggerate it for the first few days. The settled result is what you see at two weeks.
Nine to eighteen months depending on the product, the area and how mobile it is. Firmer fillers placed deep against bone in the cheeks or chin generally outlast softer products in mobile areas.
In trained medical hands it has a strong safety record, but it is a medical procedure with real risks — including vascular occlusion, which is why it should only ever be performed by a practitioner who understands facial anatomy and keeps hyaluronidase on site. Every risk is discussed at consultation.
Expect two to three days of swelling and the possibility of bruising, particularly around the mouth and under the eyes. Allow two weeks before an important event.
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Ready when you are
Considering facial balancing filler?
Book a consultation and we'll talk it through properly — what it can realistically achieve for you, what it will cost, and whether it's the right treatment at all.