Aesthetic

Dermal Fillers (Hyaluronic Acid)

Volume restoration and facial contouring using Teosyal Deep Lines. Strategic placement restores structure, softens shadows, and enhances natural proportions — all mapped against your Golden Ratio analysis.

From €450

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What Is Treatment Name?

Dermal fillers are injectable treatments that use hyaluronic acid — a substance naturally present in your skin — to restore volume, enhance facial contours, and soften deep lines. At WunderLife in Bad Vilbel, near Frankfurt, Dr. med. Désirée Grawunder uses Teosyal® (manufactured by Teoxane Laboratories, Switzerland), a premium hyaluronic acid filler range selected for its natural feel and established clinical profile.

Every filler treatment at WunderLife is guided by 3D facial imaging and Golden Ratio analysis from your PRIME Profile. Rather than simply filling lines, Dr. Grawunder takes a structural approach — assessing how volume loss, bone resorption, and soft tissue changes contribute to the appearance of aging, then strategically placing filler to restore facial harmony and proportion.

Hyaluronic acid fillers are fully reversible using hyaluronidase enzyme, providing an additional layer of safety that distinguishes them from permanent filler options.

How Treatment Name Works

Assessment and Planning

Dr. Grawunder reviews your PRIME Profile data, including 3D facial imaging and Golden Ratio measurements. She identifies areas of volume loss and structural change, then creates a treatment plan that addresses the root causes rather than just surface symptoms. You discuss your goals and review the proposed approach together.

Preparation

The treatment area is cleansed and mapped with precise injection points. Teosyal® fillers contain integrated lidocaine for comfort during injection. Additional topical numbing is applied upon request. Ice may be used to minimize bruising risk at injection sites.

Injection

Dr. Grawunder uses a combination of needle and cannula techniques depending on the treatment area. Common areas include cheeks and midface, jawline and chin, nasolabial folds, marionette lines, lips, and under-eye hollows (tear troughs). Product is placed in small, controlled amounts with continuous assessment of symmetry and proportion.

Sculpting and Assessment

After placement, Dr. Grawunder gently moulds the filler and evaluates results from multiple angles. Minor adjustments are made as needed. The entire process takes 30-60 minutes depending on the number of areas treated.

Aftercare

You receive specific aftercare instructions including avoiding extreme heat, intense exercise, and alcohol for 24-48 hours. A follow-up appointment is scheduled at 2-4 weeks to assess the settled results and determine if any refinement is needed.

Is Treatment Name Right for You?

Dermal filler treatment at WunderLife may be appropriate for adults experiencing volume loss, facial asymmetry, or structural changes that affect facial harmony and proportion.

Common Concerns Addressed

Loss of cheek volume and midface flatness, deepening nasolabial folds (nose-to-mouth lines), marionette lines (mouth-to-chin lines), jawline definition and chin projection, thin or asymmetric lips, under-eye hollows (tear troughs), and temple hollowing. Dermal fillers may also be used to correct asymmetry or address volume changes following weight loss.

Age-Related Structural Changes

Facial aging involves more than surface wrinkles. Bone resorption, fat pad descent, and collagen loss create deeper structural changes. Dr. Grawunder uses 3D imaging to identify these underlying shifts and places filler at the structural level, producing results that look natural because they address the actual cause of change.

Who Should Not Receive This Treatment

Dermal fillers are not suitable for individuals who are pregnant or breastfeeding, those with active skin infections at the treatment site, patients with a history of severe allergic reactions or anaphylaxis, or individuals with autoimmune conditions that may affect healing. A thorough medical history review is conducted during your PRIME Profile consultation.

What to Expect

During Your Treatment

The treatment takes 30-60 minutes depending on the number of areas being addressed. Teosyal® fillers contain integrated lidocaine, so comfort increases as the treatment progresses. Most patients describe the sensation as mild pressure rather than pain. You are seated upright or semi-reclined throughout.

Immediately After

Swelling is normal and expected, particularly in the lip area. You will see immediate volume improvement, but the final result becomes apparent once swelling resolves. Small injection marks may be visible for a few hours. Ice packs are provided to manage initial swelling.

The First Week

Mild swelling typically peaks at 24-48 hours and subsides over the following 3-5 days. Bruising, if present, may take 5-7 days to fully resolve and can be concealed with makeup after 24 hours. Avoid extreme temperatures, alcohol, and blood-thinning supplements during this period.

Full Results

The filler settles into its final position at 2-4 weeks. At your follow-up appointment, Dr. Grawunder assesses the settled results and can add small amounts of product if refinement is needed. Depending on the product used and the treatment area, results typically last 9-18 months.

Medical Standards & Evidence

All dermal filler treatments at WunderLife are performed exclusively by Dr. med. Désirée Grawunder. Filler injection requires detailed knowledge of facial vascular anatomy, and WunderLife does not delegate this procedure to non-physician staff.

Product Safety

Teosyal® is manufactured by Teoxane Laboratories in Switzerland and is CE-marked for aesthetic use in the European Union. The hyaluronic acid used is biocompatible and biodegradable, meaning the body gradually absorbs it over time. WunderLife stocks hyaluronidase enzyme on-site, which can dissolve hyaluronic acid filler immediately if needed.

Possible Side Effects

Common side effects include temporary swelling, redness, tenderness, and bruising at injection sites. These are expected and typically resolve within days. Less common effects may include temporary asymmetry as swelling resolves unevenly, or small lumps that can be gently massaged. Rare but serious complications include vascular occlusion, which is why Dr. Grawunder uses cannula technique where appropriate and maintains emergency protocols and hyaluronidase access at all times.

Medical Oversight

Dr. Grawunder continuously monitors for signs of complications during and after injection. She uses aspiration technique and slow injection speed as standard safety measures. If any concern arises, hyaluronidase can be administered immediately to dissolve the product.

How This Treatment Fits Into PRIME

Dermal fillers sit within the Aesthetic pillar of the BAM Framework and are typically introduced during the Imagine, Repair, or Enhance phases of the PRIME Protocol.

Profile Phase

Your PRIME Profile provides the 3D facial mapping and Golden Ratio analysis that forms the foundation of any filler treatment plan. This data identifies precisely where volume has been lost and what structural restoration would best serve your facial proportions.

Imagine Phase

Dr. Grawunder uses your 3D model to show you projected outcomes before any treatment begins. This allows you to participate meaningfully in treatment planning and set realistic expectations for what filler can achieve.

Maintain and Enhance Phases

As hyaluronic acid is gradually absorbed by the body, your PRIME reviews track changes in volume and contour over time. Maintenance treatments can be planned proactively rather than reactively, and your filler protocol evolves as your facial structure naturally changes with age.

Common Questions About This Treatment

How long do dermal filler results last?

Results typically last 9-18 months depending on the product used, the treatment area, and individual metabolism. Lip fillers tend to be absorbed more quickly (6-12 months) than cheek or jawline fillers (12-18 months).

Can dermal fillers be reversed?

Yes. Hyaluronic acid fillers can be dissolved using an enzyme called hyaluronidase. This is one of the key safety advantages of hyaluronic acid over other filler types. WunderLife keeps hyaluronidase on-site at all times.

Will the filler look natural?

Yes, when placed correctly. Dr. Grawunder uses 3D imaging and Golden Ratio analysis to guide placement, ensuring results that restore natural proportions rather than creating an overdone appearance. The goal is always to look like a refreshed version of yourself.

How much filler will I need?

The amount varies based on your individual facial anatomy, the areas being treated, and your goals. Dr. Grawunder takes a conservative approach, often recommending staged treatments to build results gradually rather than placing large volumes at once.

Is there downtime?

Most patients experience mild swelling for 24-72 hours and can return to work and social activities the same day. Bruising, if present, may take 5-7 days to resolve. Makeup can be applied after 24 hours to conceal any marks.

What is the difference between fillers and neuromodulators?

Neuromodulators relax muscles to soften dynamic expression lines. Dermal fillers add volume to restore structure and smooth static lines. The two treatments address different concerns and are often used together as part of a comprehensive aesthetic protocol.

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Every treatment at WunderLife begins with understanding. Your PRIME Profile maps your biology, your goals, and your path forward.

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