Dermal fillers, also known as soft tissue fillers are approved by the FDA for use in helping to create a smoother and/or fuller appearance in the face. Most common areas injected include nasolabial folds (these are the lines that extend from the sides of the nose to the edges of the mouth), cheeks, lips, chin, jaw line and back of the hands. Most dermal fillers are naturally absorbed over time. Patients may need to repeat the procedure after some time to maintain the desired effect. Results depend on the tissue structure, volume, and type of filler used.
As with any medical procedure, there are risks involved with the use of fillers. It is important to understand their limits and probable risks.
Any dermal filler can cause temporary side effects, permanent side effects, or both. Most side effects associated with dermal fillers, such as swelling and bruising, occur shortly after injection and many resolve in a few days to weeks. In some cases, side effects from a dermal filler injection may appear weeks, months, or years after injection.
The most concerning risk associated with the use of dermal fillers is unintentional injection into a blood vessel, leading to blocked blood vessels and poor blood supply to tissues. While the chances of this happening are low, if it does happen, the resulting complications can be serious and may be permanent. Complications reported include necrosis (death of tissue), vision abnormalities including blindness, and stroke. Another concerning risk but rare is infection and allergic reaction.
Schedule your injection at a time when minor swelling or bruising will not disrupt your social obligations. Each time you are treated, outcomes may vary.
To lessen the likelihood of bleeding or bruising, discontinue use of blood thinning products for 10 days prior to treatment, if approved by your primary care provider. This includes: aspirin, ibuprofen (Motrin or Advil), naproxen, Aleve, fish oil, St. John's Wort, flax, Vitamin E, Vitamin D, garlic, Ginkgo Biloba, ginseng, etc.
Alcohol is also to be avoided 24 hours pre- or post injectable treatment, as it is also a blood thinner.
Please notify your provider if you have any history of cold sores, as we may consider pre-medicating with an antiviral prescription prior to injections. Cancel your appointment if you have any open sores in the treatment area. It is important that you alert us of any medical conditions you may have and/or any prescribed medications you are taking prior to your treatment.
Any injection introduces the risk for infection. For this reason, the following is taken into consideration when proceeding with injections. We will delay treatment if you:
Swelling, bruising, tenderness, numbness, and areas of firm nodules may occur.
Cosmetic fillers are long lasting, but not permanent. Longevity depends on the areas treated and your body’s metabolism.
Do not apply anything to the skin immediately after the treatment except for cleansers. Avoid makeup for at least 24 hours. Do not massage, touch, or manipulate the injection site. Sanitize your phone before putting it to your face and try to talk on speakerphone as much as you can day of.
Avoid heavy exercise the day of your treatment.
Ice packs may be used to the treated area during the first 12 hours. Ice for 15 minutes on every hour.
Avoid dental work for at least 2 weeks after filler injections.
Avoid sleeping on your side or stomach for 24 hours post-treatment to prevent dispersing the product. We recommend you sleep elevated on your back and use pillows to stabilize yourself.
If experiencing swelling, sleep with head elevated for 2-3 days to decrease swelling.
You may take acetaminophen/Tylenol if you experience any mild tenderness or discomfort.
Wait a minimum of four weeks before receiving any skin care or laser treatments.
If you experience bruising, Arnica Montana natural supplement can be taken to help bruising to resolve at a faster rate.