Are filler / hyaluronic acid injections painful?

With general filler / hyaluronic acid injection methods using ultra-fine needles, pain isn't severe. Our clinic uses special pain-conscious needles, allowing you to receive treatment with more peace of mind. Sometimes pain may occur after treatment. While cooling the area can help somewhat, please consult us immediately if pain persists, as we can prescribe pain medication.

What should I avoid after filler / hyaluronic acid injection?

For about a week after treatment, avoid massaging or applying pressure to the injection area. Also be careful with actions that strain the injection site. Additionally, avoid intense exercise, alcohol consumption, and prolonged exposure to direct sunlight or high temperatures.

When can I apply makeup after filler / hyaluronic acid injection?

It's possible from the day of treatment. You can wash your face and remove makeup as usual from the treatment day. However, to minimize strain on the injection site, we recommend avoiding the treated area when applying makeup.

What are common side effects after filler / hyaluronic acid injection?

During downtime after treatment, effects like swelling, redness, and bruising may occur. However, these symptoms usually settle within a few days, and bruising is typically mild enough to be covered with makeup.

When can I take baths or use saunas after filler / hyaluronic acid injection?

It's possible from the treatment day. However, since increased blood flow from warming the body can cause swelling, we recommend keeping it to light showers. Saunas should also be avoided for the same reason. If you must bathe on the treatment day, limit it to about 5 minutes in lukewarm water. From the next day, you can bathe as usual.

When can I exercise after filler / hyaluronic acid injection?

From the day after treatment. Avoid intense exercise that causes sweating on the treatment day as it can increase swelling and bruising in the treated area. However, activities like walking or housework are fine.

When can I visit the dentist after receiving filler / hyaluronic acid injection?

If the filler / hyaluronic acid injection was in the nasolabial folds or lips, it's better to avoid dental treatment for about 2 weeks after the procedure. If you have planned dental treatment after filler / hyaluronic acid injection, please consult both our clinic and your regular dentist.

Can I combine filler / hyaluronic acid injection with other aesthetic treatments?

After filler / hyaluronic acid injection, please wait about 2 weeks before receiving other treatments to avoid skin stress. Please consult us in advance if you plan to receive other treatments. However, you can receive other aesthetic treatments before filler / hyaluronic acid injection, such as HIFU, Dermapen, photo facial, peeling, or hair removal. However, for treatments that cause downtime with redness or swelling, it's better to wait about a week for symptoms to settle before injecting filler / hyaluronic acid injection.

Can I use beauty devices after receiving filler / hyaluronic acid injection?

Please avoid using beauty devices for about a week after filler / hyaluronic acid injection. Beauty devices that increase skin metabolism can cause filler / hyaluronic acid injection to be consumed faster, reducing longevity. Also, friction from beauty devices on injection sites can worsen redness and swelling. If you regularly use beauty devices, please check with your doctor about precautions after filler / hyaluronic acid injection.

FILLERS in Japan Tokyo | BIANCA in Tokyo, Japan

Point 1 : 01 Whole-face design tailored to your anatomy and aesthetic goals
Point 2 : 02 Careful selection of the filler type, treatment area, and injection volume
Point 3 : 03 A treatment time of approximately 10–15 minutes, with results visible shortly after treatment

Want to enhance the nose without surgery
Want to create a more defined chin and jawline
Want to restore volume to hollow temples or cheeks
Want a smoother, more balanced side profile
Want natural-looking tear troughs
Want to add soft, rounded volume to the forehead
Want to refine the shape or volume of the lips
Want to soften the appearance of nasolabial folds
Want to reduce the appearance of hollow upper eyelids
Want a personalized dermal filler treatment tailored to the whole face

Fillers are injectable treatments in which filler products are injected into areas of concern to soften the appearance of wrinkles, enhance facial features, and refine facial contours. By adding volume where needed and adjusting facial contours and proportions, fillers can naturally enhance the appearance of individual features and the overall face.
Changes are often noticeable immediately after treatment, and fillers can be used to achieve natural-looking results. Mild swelling, redness, tenderness, or bruising may occur after injection, and downtime varies depending on the treatment area and individual response.
Hyaluronic acid is a substance naturally found in the body and is commonly used in dermal filler products. Depending on the product used and the treatment area, the effects of hyaluronic acid fillers generally last approximately 6 months to 2 years.

BIANCA’s Omakase Filler approach begins with an assessment of the entire face rather than focusing only on one area of concern. Our doctors examine the relationship between the forehead, eyes, cheeks, nose, lips, chin, and facial contours to determine where subtle adjustments may create greater overall harmony. The treatment area, filler type, injection depth, volume, and technique are then selected according to the patient’s facial anatomy and desired result. By placing an appropriate amount of hyaluronic acid filler only where it is needed, we aim to refine individual features without making any one area appear isolated or overtreated.

The ideal outcome of dermal filler treatment differs from one patient to another. Some patients want to look naturally refreshed without appearing noticeably treated, while others wish to define the nose, chin, lips, or facial contours more clearly. At BIANCA CLINIC, the injection areas, filler product, volume, and placement are adjusted in detail according to the degree of change each patient prefers. Rather than applying one standard design, our doctors create a personalized plan that can range from subtle volume restoration to more visible facial refinement. The goal is to produce a result that feels intentional, balanced, and suited to the patient’s individual features.

Facial proportions, skin characteristics, muscle movement, signs of aging, and aesthetic preferences vary among individuals and may also differ across ethnic backgrounds. When planning dermal fillers for international patients, our doctors evaluate these factors together with previous filler treatments and other aesthetic procedures. This helps us select an injection design that respects the patient’s natural anatomy instead of applying a uniform aesthetic standard. Patients can explain whether they prefer subtle rejuvenation, facial contouring, or a more noticeable transformation during an English-language consultation. Follow-up support is also available in English, helping patients understand their treatment plan, aftercare instructions, and what to expect following the procedure.

Lift-up filler is designed to restore volume in areas such as the temples, cheeks, and base of the nose where age-related changes or facial structure have created hollowness or reduced support. Rather than simply filling a single depression, the treatment considers how these areas contribute to the structure and contours of the entire face. At BIANCA CLINIC, injection points and volume are selected according to each patient’s anatomy and pattern of volume loss. By placing an appropriate amount of hyaluronic acid filler only where support is needed, we aim to soften a tired or sagging impression while creating the refined, understated change that characterizes the BIANCA approach.

Customized filler is a personalized dermal filler treatment designed to refine facial balance rather than simply add volume to one feature. At BIANCA CLINIC, doctors with both anatomical knowledge and a strong sense of aesthetic design assess the patient’s bone structure, muscle movement, skin thickness, and desired result. The filler product, treatment area, injection depth, technique, and volume are then carefully controlled so that a refined shape can be created with as little filler as reasonably needed. From a rounded forehead and defined profile to balanced lips or eyes, the aim is to produce visible yet harmonious changes while preserving the patient’s natural character.

Forehead filler is designed to add gentle roundness to a forehead that appears flat, uneven, or hollow. A naturally curved forehead adds gentle, natural dimension while improving the transition from the brow area to the nose and temples. At BIANCA CLINIC, the forehead is not assessed in isolation. Our doctors examine the position of the brows, bone structure, temples, nasal bridge, and side profile before adjusting the injection depth and volume. The aim is to create a smooth, refined contour that complements the patient’s natural facial features without making the forehead appear overly full.

Nose filler can refine the nasal bridge, tip, or overall profile without surgery. Adjusting the height and line of the nose may enhance facial dimension and improve the balance of the side profile, including the relationship between the forehead, lips, and chin. At BIANCA CLINIC, the design is based on nasal anatomy, skin thickness, bone structure, and the proportions of surrounding features. Rather than simply creating a higher or sharper nose, an appropriate amount of filler is placed where needed to support a natural-looking line. The goal is a refined result that blends harmoniously with the entire face from both the front and side.

Chin filler can add natural length or forward projection to the chin, helping to balance the lower face and side profile. Refining the chin may make the mouth area appear less prominent and create a smoother transition into the jawline. At BIANCA CLINIC, the injection design is determined by examining the relationship between the chin, nose, lips, jawline, and overall facial proportions from the front, oblique, and side views. The aim is not to create an excessively pointed chin, but to add only the structure needed to harmonize with the patient’s anatomy. This can contribute to a cleaner, more refined facial contour and a naturally balanced E-line.

Ear filler is used to add subtle projection and definition to the outer ear, creating a more visible and balanced ear shape from the front. When the ears are gently brought forward, they may frame the face more clearly and influence the impression of the jawline and facial width. At BIANCA CLINIC, the design considers not only the angle and shape of the ears, but also the width of the face, cheeks, chin, temples, and overall facial proportions. The goal is not to make the ears stand out unnaturally, but to add soft structure that blends with the face and contributes to a refined, well-balanced appearance.

Cheek filler can restore volume to hollow areas caused by age-related changes, facial structure, or changes in body weight. Supporting the cheeks may soften a tired or sunken appearance and improve the way light and shadow fall across the face. At BIANCA CLINIC, treatment is not intended simply to make the cheeks fuller. Our doctors examine the relationship between the cheeks, temples, nasolabial folds, jawline, and facial contours before selecting the injection points. By adding an appropriate amount only where support is needed, we aim to create a smoother, more youthful facial line while avoiding an overly rounded or puffy appearance.

Décolletage filler can soften visible hollows, bony contours, or unevenness around the collarbones and upper chest. Adding carefully controlled volume may create a smoother transition from the neck to the chest and enhance the appearance of dresses or tops that expose the décolletage. Because this area is close to the face and neck, its contour can also influence the overall impression of the upper body. At BIANCA CLINIC, the injection range and volume are adjusted after assessing the collarbones, skin thickness, and the lines of the neck and chest. The aim is a smooth, elegant contour that follows the patient’s natural frame.

Tear trough filler can create soft volume beneath the eyes, enhancing the natural contour of the lower eyelid and adding a brighter, more expressive appearance. A carefully designed tear trough may also reduce the visual gap between the eyes and cheeks and help the midface appear more balanced. At BIANCA CLINIC, the doctor evaluates the eye shape, lower-eyelid thickness, movement when smiling, and distance between the eyes and cheeks before determining the placement and volume. The goal is not to create an exaggerated under-eye bulge, but to design a subtle contour that suits the patient’s expressions and preserves a natural appearance.

Lip filler can refine volume, outline, symmetry, and the balance between the upper and lower lips. Treatment may range from a design that adds natural dimension to a fuller or more glamorous appearance, depending on the patient’s preferences. At BIANCA CLINIC, the design considers the length of the philtrum, the relationship between the lips, nose, and chin, and how the mouth moves when speaking or smiling. Rather than simply increasing size, the injection points and volume are adjusted to complement the entire face. The aim is to enhance the patient’s individuality while creating a smooth, attractive lip shape that looks natural both at rest and in motion.

Temple filler can restore volume to hollow temples and create a smoother connection between the forehead, cheeks, and outer facial contour. Temple hollowing may make the cheekbones appear more prominent and can contribute to a tired, angular, or aged impression. At BIANCA CLINIC, the doctor assesses the temples together with the forehead, cheeks, jawline, and overall facial width. Filler is placed selectively to soften unwanted hollows without making the upper face appear wide or heavy. By refining the outer contour and reducing uneven shadows, the treatment aims to create a smoother, more youthful, and elegant facial outline.

Upper eyelid filler can restore subtle volume to hollow upper eyelids caused by anatomy or age-related changes. When upper-eyelid volume decreases, the eyes may appear sunken, tired, or older, and the eyelid crease may become more pronounced. At BIANCA CLINIC, this delicate area is assessed carefully by examining eyelid thickness, eye opening, brow position, crease shape, and left-right differences. Small amounts of filler are placed precisely to avoid making the eyelids appear heavy. The aim is to soften shadows, preserve the patient’s natural eye shape, and create a brighter, more refreshed expression that blends naturally with facial movement.

Nasolabial fold filler can soften the appearance of lines and shadows extending from the sides of the nose toward the corners of the mouth. These folds may become more visible not only because of the crease itself, but also due to cheek volume loss, facial structure, or movement during expression. At BIANCA CLINIC, the treatment plan considers the cheeks, base of the nose, mouth area, and surrounding tissues rather than simply filling the line. Filler is placed where structural support is needed so that the result remains natural during facial movement. The aim is to create a smoother, fresher-looking midface without overcorrecting the area.

Shoulder filler can add volume to hollow, angular, or downward-sloping areas and refine the line from the neck to the shoulders. A smoother shoulder contour may create a more elegant impression, particularly when wearing clothing that exposes the shoulders or collarbones. At BIANCA CLINIC, treatment is planned by examining the collarbones, décolletage, neck length, shoulder width, posture, and the silhouette from multiple angles. The goal is not to create excessive fullness, but to correct areas that appear uneven or lacking in volume. This can contribute to a more graceful, polished, and naturally balanced upper-body line.

Dermal fillers can be used as a standalone treatment or combined with other aesthetic procedures, depending on the concern and the degree of change desired. Filler alone may be suitable when the main goal is to restore volume or refine a specific feature. Combination treatment may be considered when concerns involve multiple factors, such as skin laxity, muscle activity, fat distribution, or skin texture. At BIANCA CLINIC, the treatment plan is selected after assessing the face as a whole rather than recommending additional procedures automatically.