Cosmetic Dermal Filler—Before and After Care

Pre-and Post- Treatment of the Skin: Enhancing your results
For most patients, the benefits of dermal fillers can be enhanced by using a medical-grade skincare system, such as Lira. Products containing Vitamin-C can strengthen the skin and improve laxity and texture. Additionally, use of Retinol Cream helps rebuild cells in the skin’s epidermis (or top layer). Over time, it can strengthen skin, improving firmness and resiliency.
Cosmetic Dermal Filler Before Care:
  • For one week before treatment, please avoid the following medications that may increase the risk of bleeding and/or bruising: Aspirin, Advil, Motrin, Ibuprofen, Aleve, Naprosyn, Excedrin (all OTC pain pills except Tylenol), Vit. E, Vit.A (RetinA, Renova, Tretinoin, Tazorac, Differin, Triluma), Gingko Biloba, Omega-3 fatty acids, cod liver oil, CoQ10, garlic and ginger.
  • If you are taking any blood-thinning medications as per doctor’s orders (such as Coumadin, Warfarin, Plavix, Lovenox),do not discontinue without first consulting the prescribing physician. If you continue to take these medications the chances of developing an injection-related hematoma (blood clot) which can leave a dark spot if it becomes entrapped in the filler implant is higher. The dark spot may remain until the filler is naturally dissolved.
  • Do not drink any alcohol 24-48 hours before treatment as this may also increase the risk of bleeding and/or bruising.
  • Do not schedule any social events for the next 3-7 days as you may have bruising and/or swelling lasting this long or longer. You can cover up bruising with makeup.
  • Arrive for your appointment wearing no makeup if possible. You will be able to apply makeup after your treatment although we recommend waiting at least 24 hrs.
Cosmetic Dermal Filler After Care:
Within First Hour after dermal filler treatment:
  • Immediately after the treatment, there may be redness, bruising, swelling, tenderness, and/or itching near the injection site. This is normal and generally disappears within a few hours to a few days.

Within Six Hours of the Treatment:

  • Avoid drinking alcohol or strenuous exercise, which may result in additional bruising. Until the swelling and redness have resolved, do not expose the area to intense heat, such a sunbathing, tanning, saunas, hot tubs, or hot wax. Also avoid extreme cold, such as skiing or hiking outdoors.
  • Ice Packs can be applied periodically to reduce swelling. You may also take pain medications, such as acetaminophen (Tylenol) or Ibuprofen (Advil, Motrin, etc.). However, taking Ibuprofen or aspirin may exacerbate bruising, as they have blood thinning properties.
  • To help alleviate bruising, we also recommend the topical application of Arnica, a natural ointment commonly used to reduce bruising. You can find Arnica in the natural foods section of your grocery store, or at local pharmacies. We will also apply some for you while in the office.
  • Minimize movement of the treated area. However, if there is a visible bump, you can massage the area. The product will soften into the skin naturally within a few days.
  • Sunscreen and makeup can be applied, and the area can be gently washed with a gentle cleanser to avoid additional skin irritation.