Filler means hyaluronic acid injections: they restore volume, redraw a contour or fill a hollow: lips, under-eyes, cheekbones, face contour. In Marrakech, Dr Sara Zahid, a dermatologist in Guéliz, favours a gradual approach and micro-dosing, for a natural result that respects the anatomy of the face. The prior consultation assesses the bone structure, skin quality and volume loss specific to each face, in order to determine the area and amount of product really needed. A medical-grade product, injected with a technique suited to each area, limits the risk of overcorrection and irregularities.
Hydration, contour and volume, keeping the natural shape of the mouth.
Restoring support to the mid-face, where volume has been lost.
Softening the fold that runs from the nose to the mouth, without freezing the smile.
Balancing the profile and defining the jawline.
A global approach, area by area, so that the whole face stays harmonious.
Illustrative stock photos: they do not show patients of the clinic.
Filler is a gel of hyaluronic acid, a substance naturally present in the skin, which holds water. Injected in small amounts under the skin, it restores volume, redraws a contour or fills a hollow. It is absorbable: the body gradually eliminates it, which allows the result to evolve and, if needed, to be dissolved with an enzyme, hyaluronidase.
The most requested are the lips, nasolabial folds, cheekbones, chin, jawline, tear trough (hollow under-eyes) and temples. The nose can be touched up temporarily (see the medical rhinoplasty page). Each area is approached in terms of facial harmony: volume added at one point can change the whole, hence the value of a global, gradual plan.
Cheekbones, contour, chin, tear trough: a global protocol can be considered to harmonise the face. For the lips, we look for volume and hydration while respecting proportions. For hollow or pigmented dark circles, treating a tired look often combines filler, PRP and sometimes laser, depending on the diagnosis.
The session follows a consultation: examination of the face, discussion of expectations, choice of product and technique. An anaesthetic cream may be applied, and some products contain a local anaesthetic. Injections are made with a fine needle or a cannula, in small amounts, with regular reassessment. Afterwards, swelling, redness or small bruises are possible for a few days; return to activities is quick.
Duration varies with the product, area and person: from a few months to over a year. Very mobile areas (lips) tend to be absorbed faster than less mobile ones. The result is maintained with small touch-ups, without overcorrecting. The exact duration becomes clear over the touch-ups, as each person absorbs the product at their own pace.
The clinic has a Clarius L20 HD3 portable ultrasound. In certain vascular-risk areas (nose, glabella, folds, temples), it allows vessels to be located before injection and the technique to be adapted. It also helps locate a filler already injected, for example to understand a lump or asymmetry. The examination is painless, without radiation, and complements the clinical examination, depending on the indication.
Common effects are benign: swelling, redness, bruising, small irregularities that can be corrected. More rarely, an infection or a nodule. The most feared complication is occlusion of a vessel, rare, linked to injection in a high-risk vascular area (nose, glabella, folds): it requires knowing the anatomy, working in small doses and having hyaluronidase available. Filler is avoided during pregnancy and breastfeeding.
Hyaluronic acid is reversible: a lump, asymmetry or excessive volume can be corrected with a hyaluronidase injection, which dissolves the product. Before dissolving, ultrasound can help locate the filler. This management, including for fillers done elsewhere, is described on the filler dissolution page.
Successful fillers go unnoticed. For that: small quantities, areas chosen for harmony rather than volume, spaced touch-ups, and a look at the face in movement, not only at rest. Too much product, or product in the wrong place, gives a puffy or frozen look. If that has already happened, hyaluronic acid can be dissolved (see the filler dissolution page).
Report treatments that thin the blood and your history of herpes: for the lips, preventive treatment can be discussed. Avoid alcohol the night before and, after the session, intense heat (hammam, sauna), intense sport and massage of the area for 24 to 48 hours. Swelling is normal in the first days; sharp pain, white or purplish skin or visual disturbance require calling immediately.
Filler fills a volume or redraws a contour. Skinbooster hydrates the skin without changing volumes. Sculptra stimulates collagen production gradually. The three meet different needs and are often combined: the examination decides the order and dosage.
At the Skin & Aesthetic Clinic, in Guéliz, with Dr Sara Zahid, dermatologist, by appointment, in French, English or Arabic. A detailed quote is given before any procedure; there is no single displayed price.
Yes. This is what allows gradual evolution and, if needed, correction.
A full face protocol can be considered, but the decision depends on the assessment made at the consultation and the aim sought.
Volume is visible quickly, with a final result once the initial swelling has settled, over a few days.
Filler fills or restores volume (lips, under-eyes, cheekbones, contour), whereas Botox relaxes the muscles responsible for expression lines. The indications differ and are sometimes complementary. In both cases these are medical procedures reserved for a trained doctor, preceded by a consultation.
Yes. Hyaluronic acid is injected under the skin and suits all skin types. The choice of product and technique takes each skin into account, notably a tendency to marks after inflammation.
Depending on the indication and area, yes: the clinic's portable ultrasound (Clarius L20 HD3) allows vessels to be located and a product already injected to be found. It is not systematic; the examination is painless and without radiation.
An injection of hyaluronic acid, an absorbable gel that restores volume, redraws a contour or fills a hollow (lips, under-eyes, cheekbones, face contour).
Discomfort is moderate and brief: an anaesthetic cream may be applied, and some products contain a local anaesthetic.
From a few months to over a year depending on the product, area and person. Lips tend to be absorbed faster than less mobile areas.
Yes. Hyaluronic acid can be dissolved by a hyaluronidase injection, including for a filler done elsewhere, after examination.
Common effects are benign (swelling, redness, bruising). Rare complications, such as occlusion of a vessel, are prevented by knowledge of anatomy, micro-dosing and the possibility of dissolving the product. Risks are explained before the procedure.
There is no fixed age: the indication depends on the volume loss or contour to correct, assessed at the consultation.
No, as a precaution: fillers are postponed during pregnancy and breastfeeding.
The price is given by the clinic after the consultation, as it depends on the area and the amount needed. A detailed quote is given before any procedure; there is no single displayed price.
Small quantities, areas chosen for harmony, spaced touch-ups and assessment of the face in movement. If the result is too marked, hyaluronic acid can be dissolved.
Intense heat (hammam, sauna), intense sport and massage of the area for 24 to 48 hours. Temporary swelling is normal.
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