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In-Depth Look at Facial Harmonization Procedures: Everything You Need to Know

Harmonização Facial


As a leading provider of facial harmonization treatments in Rio de Janeiro, Clínica De Pele Dr. Szerman offers patients the latest advancements in this non-surgical aesthetic procedure that aims to enhance facial symmetry and balance. Located in the heart of Rio, the clinic’s team of experienced dermatologists utilize the advanced MD CODES technique to carefully evaluate each patient’s unique facial features and create a customized treatment plan. By strategically injecting hyaluronic acid fillers at key points across the face, they are able to restore volume, smooth wrinkles, and enhance overall symmetry – all without the need for invasive surgery.

Patients in Rio de Janeiro seeking a more harmonious, youthful-looking appearance have trusted Clínica de Pele Dr. Szerman to deliver stunning, natural-looking results through their renowned facial harmonization services. Our team of experts has been at the forefront of skin care and rejuvenation since 1969.

What is Facial Harmonization?

Facial Harmonization Overview:

  • Facial harmonization is a non-surgical aesthetic procedure that aims to improve facial features by enhancing facial symmetry and balance.
  • It involves various treatments beyond just Botox, such as hyaluronic acid fillers, CO2 laser treatments, and biostimulators.
  • The goal is to create a more harmonious and natural-looking appearance by addressing factors like facial proportions, bone structure, and skin quality.

Recently, this non-invasive procedure has become immensely popular, and for good reason. The fact that it is a no-cut solution means that you can achieve your desired look without having to go under the knife. Whether you have a protruding chin that you want to contour or plump lips that you want to enhance, this procedure can help you achieve your goals. It can also help eliminate forehead wrinkles and refine your nose, giving you a more youthful and attractive appearance. In other words, you can treat several areas of your face without undergoing surgery.

It has had a lot of repercussions for quite some time. Many celebrities have sought out this procedure to enhance their facial features. Facial harmonization is all about identifying these proportions and making the necessary corrections and adjustments.

In short, there is a way to enhance the natural beauty of your face while minimizing the appearance of any details that may bother you. There are several different types of Facial Harmonization treatments available, including injectables like Botox and dermal fillers, as well as non-invasive procedures like laser therapy and chemical peels. Check it out.

Facial Harmonization – Dr. Szerman Explains:

procedimentos de Harmonizacao Facial 2
Facial Harmonization Procedures

Many people think that the face harmonization procedure consists solely of botulinum toxin fillings but this is not the case. While botulinum toxin fillings are certainly one aspect of the procedure, they are not the only one. There are other alternatives that can provide equally good results.

There is the use of hyaluronic acid, CO2 laser treatments, biostimulators, and so on. Aesthetic medicine, in fact, advances with the help of technology and thus offers new solutions with excellent results.

However, prior evaluation is required in order to identify the proportions of the face. It is important to choose a qualified and experienced provider for this procedure to ensure safe and effective results.

The specialist will use this to determine which areas of the face are out of balance and what needs to be done to restore balance.

This facial analysis will assist the specialist to create a personalized treatment plan. By taking into account factors such as facial symmetry, bone structure, and skin quality, the specialist can ensure that the final result is both natural-looking and aesthetically pleasing. In other words, a facial harmonization will be performed in a way that complements the patient’s individual beauty rather than detracting from it.

In addition to this technique, many people also turn to peeling and laser resurfacing, to improve the appearance of their skin. This produces a more natural and long-lasting effect.

Everything will be done in accordance with the patient’s wishes and objectives, but the specialist must determine what is necessary for each case and take the patient’s expectations into account.

Contact us today to schedule a consultation and learn more about how we can help you look and feel your best.

How it work?

Video in Portuguese

How it Works:

  • Facial harmonization uses the MD CODES technique, which utilizes hyaluronic acid dermal fillers to smooth wrinkles and fine lines, provide skin support, and restore volume/contour.
  • It starts with a comprehensive facial evaluation to determine the patient’s unique proportions and create a personalized treatment plan.
  • The procedure is typically done in-office in a minimally invasive manner.

Facial harmonization is performed using the MD CODES technique, which aims to smooth out wrinkles and fine lines while also providing support for sagging skin and restoring volume and contour to the face.

At the Clinica de Pele in Rio de Janeiro, we perform facial harmonization using hyaluronic acid filling, a natural substance found in our bodies and widely used to produce results that last a long time.

But, before using it, we perform a thorough facial evaluation to determine the proportions of the patient’s face and, as a result, perform the procedure ensuring that the unique facial features are preserved, with the goal of providing top-quality care and achieving the best possible outcome for each patient.

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Video in Portuguese

The MD CODES technique is a specialized approach to facial harmonization that aims to achieve a more balanced and natural-looking result. The key points about this technique are:

  1. Personalized Evaluation:
  • The process starts with a comprehensive facial analysis by the dermatologist.
  • They evaluate factors like facial symmetry, bone structure, and skin quality to determine the patient’s unique proportions and needs.
  1. Targeted Injections:
  • Based on the evaluation, the dermatologist uses hyaluronic acid dermal fillers in specific injection points, called the MD CODES.
  • These precise injection locations are mapped out to smoothen wrinkles, provide support, and restore volume where needed.
  1. Respect for Facial Features:
  • The goal is not to drastically alter the face, but to enhance the natural features in a harmonious way.
  • The treatments are customized to complement the patient’s inherent beauty and avoid an artificial or overdone appearance.
  1. Long-Lasting Results:
  • The hyaluronic acid fillers used stimulate the body’s own collagen production.
  • This helps extend the duration of the results, with effects typically lasting 2-4 years.
  1. Minimally Invasive Approach:
  • As a non-surgical procedure, facial harmonization with MD CODES involves little to no downtime.
  • Patients can resume normal activities shortly after the treatment.

This technique uses hyaluronic acid dermal fillers to harmonize facial features in a less invasive manner.

Facial harmonization is encouraged here, with the goal of defining your features and creating a more sculpted appearance while respecting the shape and characteristics of your face.

The procedure is then preceded by a consultation with a dermatologist to determine what the patient wants and needs, as well as to reinforce the precautions that must be taken before, during, and after the procedure.

Because it is a non-surgical procedure, it is usually performed in the clinic.

One thing to keep in mind is that this is a personalized procedure. Thus, different complementary techniques are used in each situation to achieve the desired final result, according to the patient’s needs.

This procedure also benefits your skin by moisturizing and contouring your face.

What Are The Key Benefits?


We have briefly addressed some applications of facial harmonization (also known as orofacial harmonization), and now we will look at other situations where it can help you achieve a more balanced and beautiful face.

Key Benefits:

  • Can address various facial concerns like dark circles, nose shape, forehead size, jowls, cheekbone definition, etc.
  • Helps restore volume and youthfulness lost due to aging.
  • Provides long-lasting results, with effects typically lasting 2-4 years.
  • Recovery is quick, with minimal downtime.

It is also possible to use this procedure to:

  • Reduce dark circles and puffiness around the eyes;
  • Change the shape of your nose;
  • Reduce or enlarge the forehead;
  • Reduce wrinkles and expression lines;
  • Reduce jowls (excess fat that accumulates below the chin);
  • Enlarge or reduce the cheekbones;
  • Make adjustments to the angle of the eyes and the eyelashes;
  • Correct the depression formed by the prominence of the malar and the jawbone (Jawbone Biomodeling);
  • Add volume and contour to the face, which aids in rejuvenation and overall skin health;
  • Define the jaw, among other things.

How MD CODES Work?

The key benefits of the MD CODES technique are the natural-looking results, the personalized approach, and the long-lasting improvements it can provide to the face. It allows patients to enhance their features without undergoing surgery.

The MD CODES technique uses specific injection points on the face to achieve facial harmonization. Here are some of the key injection sites:

  1. Temporal Region:
  • Injections in the temples help restore volume and lift the brow area.
  • This can open up the eyes and provide a more youthful, rested appearance.
  1. Malar (Cheek) Region:
  • Injections in the cheekbone area help restore volume and provide a lifted, more defined contour.
  • This can address age-related volume loss and sagging in the cheeks.
  1. Nasolabial Folds:
  • Targeting the nasolabial folds (smile lines) can soften their appearance and provide a smoother transition between the cheeks and mouth.
  1. Marionette Lines:
  • Injections along the marionette lines (from the corners of the mouth down to the chin) can help minimize the appearance of jowls.
  1. Chin and Jawline:
  • Strategically placed injections in the chin and along the jawline can help refine and contour these areas.
  • This creates a more defined, sculpted appearance to the lower face.
  1. Lips:
  • Fillers can be used to enhance lip volume and shape, creating fuller, more youthful-looking lips.

The MD CODES protocol maps out the precise injection points for each individual based on their unique facial anatomy and aesthetic goals. This targeted approach helps achieve a natural, harmonious outcome.

As time passes, the skin on the face loses volume and, as a result, loses youthfulness. However, malar fillings can be used to delay the effects of aging, and restore a more youthful appearance.

It is a fact that the aging process is unavoidable and natural. The face looks tired and droopy, the nasolabial folds (smile lines) are accentuated, and so on.

In short, facial fat is lost, leading to sagging skin and an off-putting remodeled face. But, yes, it is possible to restore the volume that has been lost in the cheekbone area.

Malar filling, which uses a biocompatible substance found naturally in the body, can be used to fight the effects of time and gravity on your skin.

This procedure is suitable for both men and women who want to restore lost cheekbone volume.

Book your appointment today and experience the many benefits of this amazing procedure for yourself!

What is Hyaluronic Acid?

Many people are already terrified of the word acid because they believe it is extremely dangerous. However, not all acids are harmful. Hyaluronic acid is a natural element found in almost all living organisms, including humans. 

This acid has the structure of a sugar molecule and is essential for our bodies because its primary function is to fix water in the skin, hydrating and lubricating body parts (such as joints). Hyaluronic acid is widely used in dermatology for filling and facial harmonization procedures.

What is the malar region?

The malar region extends across the top of the cheekbone. As we get older, we start to lose fat in this area due to wear and tear, which causes bone remodeling and repositioning of the facial fat.

Due to this, the face loses volume and takes on a “melted candle” appearance, where the skin appears to sag and droop. This volume loss usually begins around age 35 and continues throughout our lives.

Again, the loss of facial fat, can result in sagging skin and cause a hollowed-out look, which can make a person appear older than they actually are. In addition, as a result of the lack of adequate support in this region, it is common for the patient to notice his or her cheeks drooping and an enlargement of the nasolabial folds (smile lines).

Many patients report that the loss of volume in this region causes them to feel as if their face is melting. Fortunately, with the advancement of technology, there are treatments that are minimally invasive and provide excellent results, such as fillers.

What exactly is malar filling?

procedimentos de harmonizacao facial 31
Facial harmonization procedures at Clinica de Pele in Rio de Janeiro

Malar filling is one of the facial harmonization procedures that helps to restore volume and contour to the face, and is commonly performed on patients over the age of 35. Because, as previously stated, this is the age at which the first signs of facial fat loss emerge.

But, before proceeding, you should consult with a specialist to assess your situation. Only after this evaluation can the appropriate time and treatment plan be determined. Each case is distinct.

It is also important to note that the malar region is the first to show signs of aging. There is bone resorption, that is, a decrease in bone mass and bone density, as well as loss of facial soft tissue. All these factors combined can contribute to that tired look on your face.

For this procedure, the specialist uses hyaluronic acid, which, as previously stated, is a substance produced by both the human and animal bodies. As a result, the organism tolerates it well and there is a high likelihood of non-rejection.

This substance is essential for providing elasticity as well as softness to your skin.

Book your appointment today to learn about the many benefits of facial harmonization and clear up your doubts!

Before and after results of the use of MD codes and collagen for facial harmonization

Check out the before and after photos of facial harmonization below, as well as the results of the treatments we offer:

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Before and after facial harmonization procedures
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Before and after facial harmonization procedures
Harmonização FacialBefore and after facial harmonization procedures


Collagen Biostimulators

Among the most common facial harmonization procedures is the use of collagen biostimulators.

What are they?

Collagen biostimulators are substances that are injected into the skin to stimulate the body’s natural collagen production processes. These substances contain components that are similar to those found naturally in our skin. This is why they are referred to as biocompatible.

Furthermore, biostimulators are easily absorbed by the body. As a result, their effects are not harmful to one’s health. These biostimulators are often used in the medical field to promote healing and improve overall health.

How does the Collagen Biostimulator work?

Biostimulators are injected into specific layers of the skin using cannulas or micro-needles. Their action stimulates fibroblasts, which are the cells responsible for collagen production, resulting in increased skin support.

Collagen biostimulators can be applied to the face or other parts of the body, with the exception of the lips and eyes. Radiesse and Sculptra are two of the most commonly used collagen biostimulators today.

What is Radiesse?

Radiesse is a facial harmonization injectable substance made from calcium hydroxylapatite microspheres. When applied to the skin’s subcutaneous region, this substance stimulates collagen production. This increases skin elasticity and tone, resulting in a rejuvenating effect.

What is Sculptra?

Sculptra is another poly-L-lactic acid-based biostimulator. This substance, when injected, restructures the skin and underlying tissues. It prevents sagging and elasticity loss in this manner. Furthermore, Sculptra aids in the correction of thickness as well as the reshaping of the body and facial contours.

What is the difference between Radiesse and Sculptra?

Overall, there are a few differences between these two facial harmonization procedures. The composition is one of them.

Sculptra is made from poly-L-lactic acid, which causes a natural inflammatory response that stimulates collagen production. Radiesse is made from calcium hydroxylapatite microspheres that do not cause an inflammatory response.

Furthermore, when compared to Sculptra, the Radiesse injection can cause more discomfort in the patient. Another difference between these two biostimulators is the speed with which the results appear.

Radiesse tends to provide more immediate results, while Sculptra requires multiple treatments over several weeks or a month to achieve optimal results. But, it is important to note that neither biostimulator produces immediate results.

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The Benefits of Collagen Biostimulators Treatment

Treatment with collagen biostimulators has the potential to provide several benefits. Among the most important ones are:

  • Reduces fine lines/wrinkles
  • Reduces scarring
  • Improves the skin’s support, firmness and radiance
  • Reduces cellulite
  • Reduces sagging skin
  • Softens expression lines

The Applications of Collagen Biostimulators

Collagen biostimulators are one of the facial harmonization procedures recommended for those who want to treat sagging skin and define facial contours. This treatment also helps to improve the skin’s quality and thickness, as well as reduce cellulite, stretch marks, and scars.

This procedure is also recommended as a preventive measure for patients aged 25 and up.

Possible Contraindications

This is one of the facial harmonization procedures that is not recommended in the following situations:

  • Patients suffering from autoimmune diseases
  • The presence of inflammation or infection in the area to be treated
  • Women who are pregnant or breastfeeding
  • Patients suffering from collagen diseases

How long does the results of collagen biostimulator last?

This is one of the facial harmony procedures whose duration is determined by the body’s ability to produce collagen, depending on the individual’s metabolism and lifestyle factors. However, it is possible to see an improvement in skin quality in the first sessions.

Besides that, the results of this treatment normally last a long time, with maintenance only required every 18 months.

At what age should I begin using collagen biostimulators?

Collagen biostimulation procedures can generally be performed on anyone who is at least 18 years old; there is no upper age limit for this procedure. This procedure is used to treat loose skin and other common issues that develop in people over 60. In fact, it can even help people who are younger—between the ages of 20 and 25—prevent aging while still providing a lifting effect on the skin. 

Before and after collagen stimulation photos

Check out the results of a collagen biostimulator treatment below to see how effective it is for skin rejuvenation:

 Procedimentos de harmonização facial  antes e depois
Before and after facial harmonization procedures
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Before and after facial harmonization procedures

Treatment Statistics

Our skin contains 56% of our body’s hyaluronic acid. It works by filling the spaces between cells, keeping the skin smooth, elastic, and hydrated.

The facial filling technique can be used to restore this lost facial volume, improve contour, and correct asymmetries.


Listen to what patients who have undergone facial harmonization treatment at Clinica de Pele in Rio de Janeiro have to say about our procedures:

Do you have any questions about the Facial Harmonization procedures? Please contact us and we will gladly advise you on the best procedure for your specific situation.


How does hyaluronic work?

It works by returning the cheeks to their original shape by restoring volume to them. This treatment also improves skin moisture and radiance. It is a highly effective treatment.

Who is a good candidate for malar filling?

Patients with facial volume loss, which can result in a slimming or elongated face, are candidates for malar filling. But, these facial fillers are also recommended for people who want to undergo facial harmonization procedures, which have become one of the most sought-after aesthetic procedures in recent times.

What is the cost of malar filling?

The cost of malar filling can vary depending on a number of factors. The first is the location where the procedure is being carried out. Prices can vary greatly between regions and even between clinics within the same region. Another factor is the experience and qualifications of the practitioner, who will perform a clinical and aesthetic evaluation to determine the number of syringes to be used in each patient. More experienced practitioners may charge more for their services, but they may also be able to provide better results.

The type of filler used, as well as any additional fees for consultations or follow-up appointments, can all have an impact on the cost. It’s important to do your research and shop around to find a provider who offers high-quality services at a price that fits your budget. Ultimately, investing in malar filling can be a great way to enhance your appearance and boost your confidence, but it’s important to make sure you’re getting good value for your money.

Is MD CODES facial harmonization painful?

One of the most common concerns about facial harmonization is whether or not the procedure is painful. Patients generally tolerate the treatment well, but if this is not the case, a local anesthetic cream can be applied prior to the procedure to help alleviate any pain or discomfort. The patient will be more at ease as a result. This is how we work at our clinic.

How long do the treatment’s effects last?

The effects of this procedure are visible on the same day as the treatment. The average duration of the filler effect is two years. However, if you choose to have this procedure performed at the Clinica de Pele, you can expect it to last even longer – up to three or four years!

The technique and degree of cross-linking used will determine the longevity of hyaluronic acid fillers. This is because applying hyaluronic acid to the deep layers of the face stimulates the body’s production of the same substance, which contributes to prolong the effects of the treatment. This clinic is known for its high-quality procedures and attention to detail, ensuring that each patient receives the best possible care.

It is important to note that while hyaluronic acid fillers are a safe and effective option for restoring volume and reducing the appearance of wrinkles, they are not permanent solutions. Regular touch-up treatments may be necessary to maintain optimal results over time. As with any cosmetic procedure, it is essential to consult with a qualified provider who can assess your individual needs and recommend the most appropriate treatment plan for you. 

What is the recovery time after the procedure with MD CODES?

Because this is a non-surgical procedure, recovery is usually quite quick.

And, because we use the MD CODES technique, when performed by an experienced medical professional, the procedure usually has no side effects.

However, because needles are used, there may be swelling in the treated area, but this will not interfere with your daily activities – you will be able to resume your activities immediately after the procedure.

There are some patients who may experience some redness in the treated area, but this does not interfere with the healing process and the skin quickly recovers.

We advise the patient to avoid strenuous physical activity for a few days and excessive sun exposure, use sunscreen, avoid massaging the face, and so on. Otherwise, the product’s effectiveness will be compromised. This, and much more, is explained to the patient after the procedure.

Precautions and proper care for facial harmonization

We take pride in always keeping patients informed about the procedure and the process. And it is crucial that every practitioner who will perform this procedure does so as well.

It is advised to avoid any invasive procedures on the skin the day before the harmonization. This procedure should not be performed on pregnant women.

This is why it is vital to consult with a qualified doctor before beginning such a procedure.

How many sessions do I need to do?

Treatment plans typically recommend 1 to 3 sessions spaced one month apart, with annual maintenance sessions. However, this quantity can vary depending on the severity of the problem. Therefore, seeking professional advice from a dermatologist for an initial evaluation and, based on this evaluation, determining the number of sessions that are appropriate for your case is ideal.

How long does the collagen biostimulator last?

The interval between sessions is typically 30 days, and the results become more visible as the months pass, with the treatment reaching its peak efficacy around the fifth or seventh month. Maintenance sessions are required after 18 months of treatment.

What are the outcomes of biostimulator treatment?

Collagen biostimulators, in general, restore facial volume, reduce wrinkles and expression marks, and improve sagging skin texture wherever they are used. The effects are gradual and long-lasting because the body produces collagen for up to 6 months after treatment.

Contact us today to schedule a consultation and learn more about how we can help you look and feel your best.

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