Building volume with fillers, procedure & costs, Hyaluron Cologne | FORUM Klinik
Subtly restore volume, refine contours, and smooth transitions – naturally dosed, precisely placed, and tailored to your facial harmony in Cologne.
Overview of the treatment
The most important facts
Treatment Duration: approx. 15–40 min. (depending on the area)
Anesthesia: none/cream/cooling (products often contain lidocaine)
Control/Fine-tuning: after 10–14 days
What hyaluronic acid can do for your face — and what it can't
Hyaluronic acid is a natural moisture retainer in the body that decreases with age. Injected as a filler, it can plump up wrinkles from below (such as the nasolabial fold), restore lost volume (cheeks, temples, tear troughs), and define contours (lips, chin, jawline). The result is immediately visible and lasts for many months depending on the product and area; hyaluronic acid is completely broken down by the body over time — and can be dissolved with an enzyme if necessary.
Honest about the limits: Hyaluronic acid is no replacement for a facelift. In the case of significant skin sagging, more volume only creates a heavier face — in such cases, we speak openly about the alternatives. And expression lines like the frown line respond better to medical wrinkle treatment; often, the combination of both procedures is the most harmonious path.
Overview of treatment zones
Nasolabial fold filler
The lines from the wings of the nose to the corners of the mouth are among the most common treatment requests. Analyzing the cause is key: this wrinkle is often caused by a loss of volume in the cheek above — so we treat where the cause lies, not just where the wrinkle is visible.
Lips — contour instead of volume at all costs
Whether it's fine definition of the lip contour, balancing asymmetries, or subtle volume enhancement: our standard is lips that fit your face. We reject exaggerated results — and we say so.
Cheeks, temples & midface
Sunken temples and flattened cheeks make the face look tired. Targeted volume replacement at the right support points refreshes the entire face — often more effectively than any individual wrinkle treatment.
Tear trough
The groove between the lower eyelid and the cheek makes dark circles under the eyes look deeper. Filler injections are demanding and belong in experienced medical hands; whether they are sensible for you or a lower eyelid lift would be the better answer will be clarified during the examination.
Chin & Jawline
A receding chin or a soft jawline can make the profile look unbalanced — here, the hyaluronic acid treatment works hand in hand with our contour spectrum. Learn more about chin augmentation.
Suitable if...
You want to compensate for volume loss (cheeks/upper lip area) or contour deficits (chin, jawline).
Hollow appearance/transitions (tear trough, nasolabial/marionette zone) are bothering you.
You desire a natural, measured result with short recovery.
Abstaining from smoking, sun protection, and realistic expectations are required.
Note: We primarily treat dynamically expressive wrinkles (forehead/glabella/crow's feet) with Botulinum – fillers complement volume/structure.
Our method: MD-Codes®
What is this?
MD Codes® are not a product, but a structured treatment methodology for hyaluronic fillers – developed by Dr. Mauricio de Maio. Based on defined injection points along anatomical lines, the face is planned according to proportions, support zones, and transitions. The goal is a natural, harmonious result – without "overfilling".
Why is the methodology so special?
Analysis instead of chance: third/fifth proportions, profile axes, skin thickness.
Priorities: first support (e.g., cheekbone/chin/jawline), then contour (edges/contours), lastly refinement (transitions like tear trough/lip fine structure).
Precise & dosed: small deposits in the correct plane/depth, often with a blunt cannula – for soft, planable contours.
Natural & proportional: volume where it supports – not simply "more".
Typical application areas
Cheek projection, chin/jawline, temples, tear trough, nasolabial/marionette zone, lip shape (red part/contour).
Process – Step by Step
Consultation
We discuss wishes and concerns, analyze proportions, facial expressions and skin, define area/target intensity and explain possibilities & limits – calmly and transparently.
Preparation
Photo documentation, marking while sitting, skin disinfection; depending on the area cooling/anesthetic cream. Instructions for behavior immediately after the treatment.
Treatment/Surgery
Targeted injections with needle or blunt cannula; slow deposits/linear technique, gentle shaping without pressure. Selection of the gel suitable for depth/region; immediate control in the mirror.
First aftercare
On the day of the treatment no massage, no sauna/intense sports (24 hours), head upright for a few hours; cooling if necessary. Control/fine-tuning after 10–14 days.
Healing process
After 24–48 hours, swelling and injection marks usually subside.
After 10–14 days, the result is calm and balanced – fine-tuning if necessary.
The effect typically lasts 6–18 months and diminishes gradually.
Risks & Safety
Temporarily, redness, swelling, bruising, and sensitivity are possible. Asymmetries/irregularities can usually be corrected (modeling/tweaking). Rarely, nodules/hardening, Tyndall effect (bluish tint from overly superficial injection), or infections may occur. Very rarely, vascular complications arise – we minimize the risk through anatomically safe planes, appropriate tool selection (cannula/needle), pressure-aware injection, and keep hyaluronidase on hand.
Important are sun protection, no pressure/rubbing on the day of treatment, and patience until the check-up. During pregnancy/breastfeeding, we do not treat. If warning signs occur (severe pain, paleness, vision problems), please contact us immediately – you have a clear emergency pathway.
Combinations & Alternatives (optional)
Botulinum for expression lines (forehead/glabella/crow's feet)
Skin Treatments (peelings/laser/medical skincare) for texture/glow
Autologous fat transfer for larger volumes (long-term)
Surgical options (brow lift/eyelid surgery/facelift) when structural lifting is required
How much does a hyaluronic acid treatment cost?
The costs depend on the zones treated and the amount of product required. You will receive your binding price after your personal analysis during the consultation — transparent, including an honest recommendation on which zones are truly worth treating and which are not.
