Dermal Fillers
What are dermal fillers?
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.
Preparation for Dermal Fillers
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:
- Have had any infection, cold, virus, or flu in the past 30 days.
- Have had any dental procedures in the past 2 weeks or are anticipating dental procedures or cleanings in the next 2 weeks.
- Have had a surgical procedure in the past 30 days or are anticipating a surgery or procedure.
- Have had any immunizations in the past 2 weeks or if you’re anticipating immunizations.
- Have had any tattooing or permanent makeup within the past 30 days.
- Take any immunosuppressive/injectable medications
- Additional contraindications: Pregnancy, breastfeeding, allergies to components of dermal fillers including lidocaine, open sores in areas to be treated.
Post Injection Care
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.