DERMAL FILLER
One of the most noticeable signs of aging is volume loss. Over time, volume can diminish in areas such as the under-eyes, cheeks, and lower face, leading to changes in facial balance and a tired or less youthful appearance.
Dermal fillers are designed to restore lost volume, soften lines, and enhance facial contours while maintaining a natural look. When placed strategically, fillers can improve facial harmony, address asymmetry, and support the structure of the face, helping you look refreshed rather than overdone.Treatment is fully customized based on your facial anatomy, goals, and areas of concern, with the focus always on subtle enhancement and natural-looking results.
WHO IS THIS TREATMENT FOR?
This treatment is for anyone looking to enhance a particular feature or is concerned with volume loss and overall facial imbalance in the cheeks, temples, under eyes, marionette lines, nasolabial folds, lips, chin, and/or jawline.
APPOINTMENT PREP
- Avoid alcohol and blood-thinning agents for 48–72 hours prior to treatment. This includes aspirin, ibuprofen (Advil, Motrin), naproxen, St. John’s Wort, oral vitamin E, fish oil, and other non-steroidal anti-inflammatory drugs (NSAIDs), as these may increase the risk of bruising or bleeding.
- If you take prescription blood thinners or anticoagulants (including warfarin/Coumadin, heparin, Lovenox/enoxaparin, clopidogrel/Plavix, or similar medications), please discuss this with your provider prior to treatment. You may or may not be a candidate for cosmetic dermal filler injections.
- If you are prone to cold sores (oral herpes simplex), take your prescribed antiviral medication (such as Valtrex/valacyclovir, Famvir/famciclovir, or acyclovir) as directed, beginning 24 hours prior to treatment. If you do not have a current prescription, notify your provider before your appointment.
- No dental work within 2 weeks before or 2 weeks after your procedure.
- You should be free of any recent illness, infection, or hospitalization at the time of treatment.
- No vaccinations, including flu or COVID vaccines, within 2 weeks before or 2 weeks after treatment.
- Avoid any injections, procedures, or surgeries in the area being treated for at least 2 weeks prior to your appointment.
- Stay well hydrated by drinking plenty of water in the days leading up to your treatment.
- Inform your provider of any allergies, autoimmune conditions, bleeding disorders, or medical conditions prior to injection.
- If you are pregnant or breastfeeding, dermal filler treatment is typically deferred. Please discuss risks and benefits with your provider before proceeding.
POST APPOINTMENT CARE
- Avoid travel for 48 hours following dermal filler treatment.
- Swelling and tenderness are normal after filler; severe or worsening pain is not. If you experience pain or discomfort, you may take acetaminophen (Tylenol) as needed. Avoid NSAIDs unless directed by your provider. Notify your provider if pain is significant or persistent.
- Bruising may occur. If bruising appears to rapidly expand, becomes increasingly painful, or the skin turns white, dusky, or gray, contact your provider immediately.
- Avoid strenuous exercise for 24–48 hours after treatment to reduce the risk of bruising and swelling.
- Do not touch, rub, or massage the treated area unless specifically instructed by your injector.
- Avoid alcohol and smoking for at least 24 hours, as both can increase swelling and bruising.
- Apply ice to the treated area for 10–15 minutes each hour, as needed, during the first 24 hours to help minimize swelling and bruising.
- Avoid facial treatments such as chemical peels, microneedling, or laser treatments for at least one week following injections.
- Avoid extreme heat or cold, including saunas, steam rooms, hot tubs, tanning beds, or prolonged sun exposure for at least one week after treatment.
- Do not apply makeup or skincare products to the treated area for 24 hours following injections, unless otherwise instructed.
- Contact your provider promptly if you experience severe swelling, increasing redness, fever, visual changes, skin color changes, or any symptoms that concern you.
- Your injector will check in with you during the healing process. Please reach out at any time with questions or concerns, we are here to support you
FREQUENTLY ASKED
How long do dermal fillers last?
The longevity of dermal fillers depends on the type of filler used, treatment area, and individual metabolism. Hyaluronic acid (HA) fillers typically last 6–18 months. Collagen-stimulating fillers (such as Sculptra®) may last up to two years or longer as they stimulate your body’s natural collagen production. Individual results vary, and maintenance treatments may be recommended to sustain results.
Is the procedure painful?
Most patients experience minimal discomfort. Many dermal fillers contain a built-in local anesthetic (such as lidocaine), and a topical numbing cream may be applied prior to treatment to enhance comfort. Patients generally describe the sensation as mild pressure or a brief pinch.
Are there any side effects or risks?
Common, temporary side effects include swelling, redness, bruising, and tenderness at the injection site. These typically resolve within a few days. Although rare, more serious risks such as infection, allergic reaction, or vascular complications can occur. Choosing an experienced, qualified provider and following pre- and post-care instructions significantly reduces risk.
What is the recovery time after dermal filler injections?
Most patients return to normal daily activities the same day. Mild swelling or bruising is common and can usually be concealed with makeup after the first 24 hours. Any residual swelling typically subsides within a few days.
Can dermal fillers be dissolved or reversed?
Yes. Hyaluronic acid–based fillers can be safely dissolved using an enzyme called hyaluronidase, allowing for adjustment or reversal if necessary. This provides an added layer of safety and flexibility.Non-hyaluronic fillers cannot be dissolved and require time to naturally metabolize.
