DERMAL FILLERS

Dermal fillers typically contain lidocaine, an anesthetic that may help minimize discomfort during the procedure. Some patients may experience a mild pinching sensation during the injections. To further reduce any potential discomfort, a topical numbing agent can also be applied before the procedure. Individual experiences with pain or discomfort can vary.

Dermal fillers usually require minimal downtime, but this can vary from person to person. Common side effects include redness, bruising, swelling, tenderness, or itching around the injection sites, which typically resolve within a few days. To allow time for healing, it’s advisable to avoid scheduling important events for a few days post-treatment.

Results from dermal filler treatments are generally visible immediately and may continue to improve over 2-3 weeks as the filler integrates with your skin. Depending on the type of filler used & the area treated, results can last from 6 to 24 months. Individual results will vary, & follow-up treatments may be needed to maintain desired outcomes.

Common side effects of dermal fillers include redness, swelling, bruising, & tenderness at the injection sites. These symptoms are usually mild and tend to subside within a few days. In rare cases, more serious side effects like infection, filler migration, or vascular complications may occur. It is important to consult with your practitioner for a thorough understanding of all potential risks & to determine if dermal fillers are suitable for you.

1 Week Before:

• Avoid blood-thinning medications (if medically safe to do so): Aspirin, Ibuprofen (Advil, Motrin),

  Naproxen (Aleve), Fish oil,

  Vitamin E,

  Ginkgo biloba,

  St. John’s Wort

• If you’re on prescription blood thinners, check with your doctor before stopping anything.

2–3 Days Before:

• Stop alcohol & limit caffeine intake — both can increase bruising risk.

• Stay well-hydrated — HA loves water, so healthy hydration helps you get the most from your results.

• Consider taking Arnica montana (an herbal supplement) to help prevent bruising. Some people start this a couple of days before & continue afterward.

Day Before:

• Get a good night’s sleep.

• Avoid salty foods — they can contribute to swelling.

• Wash your face well & keep your skin clean & makeup-free if possible.

Day of Your Appointment:

• Arrive with a clean face – no makeup, lotions, or oils if possible.

• Wear comfortable clothes – especially if you'll be lying back in the chair.

• Eat a small meal before your appointment to prevent feeling lightheaded.

• You can apply ice before coming in if you tend to bruise easily.

• Bring any questions or concerns – your provider will go over everything with you, but it’s always good to come prepared.

Immediately After Treatment (First 24–48 Hours):

• Expect mild swelling, redness, or bruising – this is normal & typically subsides within a few days.

• Apply a cold compress or ice pack gently (wrapped in a cloth) for 10–15 minutes at a time to reduce swelling & discomfort.

• Keep your head elevated for a few hours post-treatment & try to sleep on your back the first night if possible.

• Avoid touching, pressing, or massaging the area – unless your injector specifically advised otherwise.

• You can take acetaminophen (Tylenol) if you experience mild soreness (avoid NSAIDs like ibuprofen or aspirin unless prescribed).

Avoid for 24–48 Hours

• Strenuous exercise – working out increases blood flow, which can worsen swelling or bruising.

• Alcohol & caffeine – they can dilate blood vessels & increase bruising.

• Excessive heat – like saunas, steam rooms, hot tubs, or very hot showers.

• Makeup – ideally, avoid for the first 12 hours; if necessary, use clean brushes & gentle, non-comedogenic products.

• Facial treatments – no facials, chemical peels, microneedling, or lasers for 1–2 weeks unless your provider says otherwise.

In the Days Following (2–7 Days)

• Minor lumps or bumps may appear – this is usually swelling & will go down. If they persist longer than a week or feel firm, contact your provider.

• Continue to stay hydrated — HA attracts water, so drinking plenty of fluids helps your skin look plump and fresh.

• Some bruising may appear deeper or darker before it fades — using Arnica gel or oral Arnica montana can help speed this up.

• Results will continue to improve over several days as swelling settles & the filler integrates with your tissue.

When to Contact Your Provider:

Call your injector right away if you experience:

• Increasing pain or swelling after 48 hours

• Discoloration (especially white, blue, or dusky skin) near or around the injection site

• Severe asymmetry

• Fever, chills, or signs of infection

• Lumps that feel hard or painful weeks later