Hyaluronic acid dermal fillers in Belgrade

Are you noticing the first fine lines on your face, are your dark circles becoming more pronounced, and are your cheeks losing their firmness? You might be considering a subtle lip augmentation or a gentle enhancement of your cheekbones. Hyaluronic acid fillers can offer solutions for these changes, as well as for improving the overall quality and freshness of your skin. We perform treatments at our clinic in central Belgrade, with a plan tailored to your facial anatomy.

 

Prices of hyaluronic acid fillers

The price depends on the amount of product (the number of millilitres) and the area being treated. A smaller amount is sufficient for a subtle correction, whereas more product is required in cases of pronounced volume loss. The doctor determines the treatment plan and amount during the consultation.

Quantity / treatmentPrice
Hyaluron filler 1 ml£30.000
Hyaluronidase filler 1.5 ml41.000 RSD
Hyaluronic acid filler 2 ml50.000 RSD
3 ml and more24.000 RSD per millilitre
Lips – Juvederm Smile (0.55 ml)17.500 RSD
Lips – Belotero (0.6 ml)17.500 RSD
Lips – Teosyal Kiss (0.7 ml)24.000 RSD
Removal of hyaluronan with hyaluronidase17.500 RSD

Prices are in dinars. Payment by card in instalments is also available.

Hyaluronic fillers at a glance

What it treatsLoss of volume, wrinkles, dark circles, lips and facial contours
AnaesthesiaAnaesthetic cream; certain preparations also contain a local anaesthetic
Duration of treatment15 to 30 minutes, depending on the area
ResultVisible immediately, final after the swelling subsides
Duration of resultsDepends on the area: lips 6 to 12 months, cheekbones up to two years
Amount of productDetermined after a consultation and analysis of facial proportions

What are hyaluronic fillers?

Hyaluronic acid fillers are medical preparations based on hyaluronic acid used to fill in wrinkles, restore lost volume and subtly shape facial contours. In aesthetic medicine, they are used for rejuvenation and the harmonisation of facial features, following a prior assessment of indications and risks. Hyaluronic acid is a natural substance that already exists in our bodies. It is a polysaccharide present in the skin, connective tissue, joints and eyes, whose primary role is binding water. It is precisely thanks to this ability that the skin remains hydrated, elastic, firm and smooth – which are key characteristics of a youthful appearance. Alongside hydration, hyaluronic acid plays a part in preserving skin structure, stimulates collagen and elastin synthesis, and supports tissue regeneration. Over the years, its natural quantity decreases, leading to a loss of volume, the appearance of wrinkles and skin sagging. Hyaluronic acid fillers make up for this loss – precisely, in a controlled manner and tailored to each patient's anatomy.

Facial fillers – where hyaluronic acid fillers are used

Hyaluronic fillers are used when the face loses volume or when a specific area needs precise correction. They are most commonly applied for:

Apart from the face, they are also applied to the neck, décolletage and hands.

Fillers do not resolve every wrinkle. Wrinkles caused by muscle movement (on the forehead, between the eyebrows, around the eyes) usually require a different treatment, and filler is then used only as a complement.

The lips are one of the most requested areas. Dermal fillers are used to correct volume, contour, asymmetry and downturned corners of the mouth, with an emphasis on proportion to the rest of the face.

How much filler goes in the lips – 0.5 ml or 1 ml, how the recovery goes and how long the result lasts is explained on the lip fillers page.

Nasolabial folds (lines from the nose to the corners of the mouth) and marionette lines (lines from the corners of the mouth to the chin) develop due to volume loss and tissue sagging with age. These changes often give the face a tired or sad expression.

Hyaluronic acid fillers are used to soften them, restore tissue support and freshen up facial expression. A modern approach involves natural correction – without exaggerated “filling”, but rather by preserving facial expressions and character.

The effect is visible immediately, and the result is a softer, more rested and rejuvenated appearance.

Volume loss in the under-eye area creates a shadow and the appearance of chronic fatigue. A precisely placed filler can soften the depression, reduce the shadow and refresh the look, but the shadow under the eye is not always caused by volume loss.

Which type of dark circles you have and which treatment works for them is explained on our page about removal of dark circles under the eyes.

Restoring volume to the cheekbones raises the midface and gives a subtle lifting effect. This is one of the key anti-ageing areas as it influences overall facial harmony.

Cheek filler often indirectly softens nasolabial folds as well.

To see what cheekbone correction looks like in practice, take a look at our case study of cheek and chin filler rejuvenation.

Used for:

  • jawline contouring
  • profile enhancement
  • chin projection
  • balancing facial proportions

In women they give a more elegant facial contour, and in men a more prominent and defined jawline. When, alongside the loss of contour, there is also tissue sagging, the filler is combined with other methods — we wrote about this in our article about tightening of the lower third of the face.

The chin and jawline contouring plan is shown in our case study on facial contouring with fillers.

They can also be used for fine lines around the lips (so-called “smoker's lines”), most commonly in combination with expression line treatments, as well as for refreshing the skin around the mouth and cheeks.

Hollow temples give the face a tired and gaunt appearance, and are often overlooked as the cause. Filler placed deep into this area restores the smooth line from the forehead to the cheekbones. In a clinical trial, about three-quarters of patients still showed improvement after one year.

On the neck, filler is used for horizontal lines that are visible even when the neck is at rest. It is applied in a very thin layer and in small amounts. In a review of studies, about half of patients needed a top-up within a year. Other neck and décolletage treatments are described on our page about neck and décolletage rejuvenation.

As we age, the skin on our hands becomes thinner, making tendons and veins more visible. A filler restores some of the lost volume to the back of the hand. The treatment is usually performed using a cannula, and the swelling subsides within a few days.

When veins and tendons are accompanied by blemishes or dry skin, the filler is combined with other treatments. Read more about this on our page about hand rejuvenation.

The hyaluronic acid filler gradually breaks down in the tissue, so the treatment is repeated after a certain time. How long the result lasts depends primarily on the area:

AreaApproximate duration
Lips6 to 12 months
Nasolabial foldsup to a year
Cheekbones and middle third of the face12 to 24 months
Chin and jawlineabout a year
Templesabout a year
Dark circlesup to a year, in some cases longer

What affects the duration:

  • Mobility of the area. In the lips, which are constantly moving, filler breaks down faster than in the cheekbones.
  • Type of product. Thicker and more strongly cross-linked fillers last longer.
  • Amount and depth of application.
  • Sun and heat. UV radiation and heat accelerate the breakdown of hyaluronic acid. Therefore, for the first two weeks after the treatment, saunas and radiofrequency treatments on the same area should be avoided.

Following a detailed examination and analysis of facial proportions, the areas to be treated and the amount of product required for a natural and balanced result are determined.

Prior to the application itself, the skin is thoroughly cleansed and disinfected, and then an anaesthetic cream is applied to make the treatment as comfortable as possible. Most modern fillers also contain a local anaesthetic in their composition, which further reduces discomfort during the procedure.

The hyaluronic acid filler is then applied into the appropriate layer of the skin or, in certain areas, directly on the bone – depending on the aim of the treatment and the desired effect.

The treatment itself lasts on average from 15 to 30 minutes, depending on the area being treated. Following the application, a gentle massage of the treated zone is performed in order to evenly distribute the filler and ensure a smooth, natural look without any bumps.

The result is visible immediately, while the final effect is assessed after any swelling subsides in the coming days.

Hyaluronic acid fillers before and after

In the case studies, you can see how we treated the cheekbones, chin and other areas of the face. Alongside the photographs, we explain what changes the patient wanted and what the treatment plan looked like. The result depends on the initial anatomy, the amount of product and the treatment plan. We wrote in more detail about what the planning looks like and what is realistically achievable in our case study of facial contouring, and more photographs can be found in the article about rejuvenation with fillers.

Result

Visible immediately, final after the swelling subsides

Duration of treatment

15 to 30 minutes, depending on the area

Duration of results

In the lips for 6 to 12 months, in the cheekbones for up to two years

Have a question?

Answers to frequently asked questions

An anaesthetic cream is applied prior to the treatment, and most fillers also contain a local anaesthetic. The injections are generally felt as a brief stinging sensation or pressure. The lips are more sensitive than the cheekbones or chin.

Hyaluronic acid fillers are considered safe when administered by a doctor who knows facial anatomy. The most common reactions are temporary swelling, bruising and tenderness. Serious complications are rare, and the advantage of hyaluronic acid fillers is that they can be dissolved with an enzyme.

There is no exact answer to this question. Essentially, it all depends on what you want to achieve, as well as the individual needs of the patient, facial proportions and skin quality. Therefore, a plan is created for each procedure and treatment according to the patient's needs.

However, we know this is something you want to know, so here is a rough idea of how much hyaluronic acid is needed for the most common treatments.

  • Lip enhancement most commonly requires the injection of 0.5 to 1ml of hyaluronic acid;
  • Filling the nasolabial folds takes 1 to 2 ml;
  • Cheekbone correction requires approximately 1ml per side of the face;
  • When it comes to removing dark circles under the eyes, this usually requires around 2 ml of hyaluronic acid;
  • If you want to shape your chin and lower jawline, that is the lower third of the face, then around 3ml of hyaluronic acid fillers will be necessary;
  • To correct the area around the temples, the so-called temporal region, between 1 and 2 ml is required;
  • The increasingly popular 8-point lift with hyaluronic acid will require around 4ml of hyaluronic acid.

Please note that these are only approximate quantities and the doctor will only be able to determine how much filler needs to be injected after examining and assessing your face.

The result is visible immediately after the treatment. Swelling and minor bruising may be present in the first few days, so the final appearance is assessed after about two weeks.

During the examination, the doctor observes the entire face: how it looks at rest, while you speak, and when you smile. Based on this, they suggest which area it makes sense to treat first.

It is important that you also have realistic expectations. The shape of lips or cheekbones that looks nice on another person may not suit your proportions. The goal is a natural look, without an exaggerated effect.

We recommend planning your injectable treatment at least two weeks before an important event. If a series of treatments is required, the plan should start earlier to allow enough time for the full effect to develop.

Fillers are considered when you notice volume loss, hollows or asymmetry that bothers you. At the consultation, the doctor assesses whether filler is the right choice or whether another treatment would be a better solution.

We use fillers from manufacturers with a long history of clinical use: Juvederm (Volite, Volift, Volux, Volbella), Teosyal, Restylane, Belotero and Maili. All have a CE mark for use in Europe, and most are also approved by the US FDA. The product is chosen according to the area: softer for the lips and fine lines, firmer for the cheekbones and jawline.

For patients who need both volume and an improvement in skin quality, we also use the hybrid product HArmonyCa, which combines hyaluronic acid with a collagen stimulator.

Application with a fine needle enables exceptional precision, particularly when defining contours and achieving a lifting effect. With this technique, it is also possible to place the filler deeper, including application onto the bone, which provides stronger support and a more pronounced lifting effect. Mild bruising and swelling may occur, which are transient and subside over the following days.

Application with a cannula involves a smaller number of punctures – often just one entry point, through which micro-deposits of filler are distributed using the cannula. The advantage of this technique is a lower risk of bruising and injury to blood vessels, as well as a quicker recovery. This method is particularly suitable for larger and more sensitive areas.

The choice of technique depends on the area, the patient's anatomy and the treatment goal – and in practice, both methods are often combined to achieve the best result.

Follow the instructions you receive for the treated area. Do not press or massage the injection sites without a doctor's recommendation. At your treatment, you will also receive specific guidelines for makeup, exercise and skincare.

We know you may be wondering whether complications can occur with hyaluronic acid fillers. This happens very rarely, provided that you have entrusted your face to professionals at a reputable medical facility.

However, in certain cases it is possible that one of the following situations may occur.

Hyaluronic acid lumps

It might sound frightening, but this is not a serious complication. Lumps most often result from improper injection technique. As we have mentioned, after applying the filler, the doctor will gently massage the treated area, precisely in order to prevent the appearance of lumps. Hyaluronic acid needs some time to fully blend with the tissue, but if you notice lumps even after three weeks, the doctor will expertly remove them. This is done by massage or by dissolving the filler with an enzyme called hyaluronidase.

Too much filler

Sometimes patients come to us who have previously had filler applied elsewhere and are not satisfied with the appearance. In such cases, the excess is broken down using the enzyme hyaluronidase. The effect can be seen within a few hours to two days.

Filler migration

This will happen very rarely, but it is possible for the filler to migrate if you press on or vigorously massage the treated part of the face after the treatment. Therefore, it is important that you do not do this.

When you should see a doctor immediately

A rare but serious complication is the blockage of a blood vessel by a filler. The signs are severe pain, pale or dark blue skin at the treatment site, and visual disturbances. If you notice these during or after the treatment, contact a doctor immediately. The doctor then administers hyaluronidase, according to the protocol for such cases.

The most common reactions are temporary swelling, bruising and tenderness of the treated area. With cannula application, bruising is less frequent than with a needle. An allergic reaction to the product occurs very rarely.

No. The safety of fillers during pregnancy and breastfeeding has not been established, so the treatment is postponed until breastfeeding is finished.

Hyaluronic acid is naturally found in the skin and binds water. In creams and serums, it acts on the surface. A filler is a gel made of cross-linked hyaluronic acid, which is injected into or beneath the skin and retains its shape for months. Non-cross-linked hyaluronic acid is used in skin boosters and biorevitalisation, for hydration without adding volume.

Yes. Fillers vary in density and elasticity. A softer gel is chosen for the lips, and a firmer one, which provides support, for the cheekbones and jawline. That is why different types of products are often used on the same person, each for its specific area.

Yes. Hyaluronic filler is broken down by the enzyme hyaluronidase. It is used when the result is uneven, when the filler has migrated or in case of complications.

Hyaluronic acid filler treatments are performed at Imedic poliklinika, Kneza Miloša 23, 2nd floor, Belgrade. The location is right in the city centre, just a few minutes' walk from Slavija and Nikola Pašić Square.

We are open every day, Monday to Sunday, from 9 am to 9 pm. Treatments are scheduled after a consultation, during which the area to be treated and the amount of product required are assessed.

Hyaluronic fillers are considered safe in modern aesthetic medicine, but there are clearly defined situations in which their application is not recommended or must be postponed. Absolute contraindications include active skin or systemic infections, herpes in the treatment area, malignant disease, coagulation disorders, known hypersensitivity to the ingredients of the preparation, as well as pregnancy and the breastfeeding period. The treatment is also not performed in cases of autoimmune diseases in the active phase, due to the increased risk of adverse immunological reactions.

Relative contraindications involve conditions that require additional assessment and caution, such as inflammatory skin conditions (acne, dermatitis, active rosacea), therapy with medications that affect blood clotting, a tendency to form keloid scars, and recent dental or aesthetic procedures in the same area. Therefore, prior to any application of hyaluronic acid fillers, a detailed medical history and individual assessment are necessary in order to carry out the treatment safely and with optimal results.

Book a hyaluronic acid filler treatment in Belgrade

Imedic poliklinika is located at Kneza Miloša 23, 2nd floor, Belgrade. Opening hours: Monday–Sunday, 9:00–21:00.

Appointments can be booked by phone: 064 237 0707. If you contact us from abroad, we are also available via Viber and WhatsApp on the same number.

Picture of Autor: Dr Ivica Jeremić

Author: Dr Ivica Jeremić

PhD in Medical Sciences (Molecular Medicine and Immunology), rheumatology subspecialist, dermatology resident.

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