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Dermal Fillers
What is Dermal Filler?
Injectable hyaluronic acid (HA) is a type of temporary dermal filler. Injectable HA is used to reduce the appearance of fine lines and wrinkles and enhance volume in areas of the face.
Dermal fillers can create structure, framework, and add volume to the cheeks, jawline and chin.
Softer dermal fillers can add volume to the lips or smooth hollow areas like the under eye area or nasolabial folds.
Who Is Filler Right For?
Dermal filler has a variety of uses and is an effective aesthetic treatment for all patients, regardless of age. Whether you’re looking to make your lips plumper, your cheek bones higher, your jawline sharper or fill out creases or wrinkles, there is a dermal filler that is right for you.
Our skilled injectors use dermal fillers to enhance your features and help you reach your aesthetic goals. Whether you’re after a dramatic change or a barely-there enhancement, our injectors work with you every step of the way to achieve the look you want.
Remember: Dermal filler does not look overdone and fake by default. Our injectors work hard to ensure they provide natural looking result.
PATIENT EDUCATION
Most dermal fillers are made from hyaluronic acid (HA), a naturally occurring complex sugar in your body that helps provide volume, structure, elasticity and moisture to your skin. HA is lost with age. Fillers are meant to replace volume to facial structures that have lost volume secondary to age and/or lifestyle. Adding volume to facial structures gives a more youthful-look to the face. Dermal fillers can be used in the tear troughs, nose, cheeks, lips, chin and jawline. Dermal fillers can also be used in the hands for hand restoration.
How does it work? HA filler is a smooth injectable gel. It is placed below the skin and often deep above the bone to fill space of volume loss. Doing this improves hollowing, folds and loose skin. Your body makes HA and is able to sustain it as well as break it down. HA filler is not permanent. Once the HA filler is placed it then fills with water from your body leaving a volume restored and natural look. Receiving HA filler also improves the moisture to your skin as HA holds 1,000 times its weight in water. Even better, the addition of new HA in your body encourages your body to increase collagen and elastin production which also improves overall skin integrity and quality.
FILLER PRE/POST CARE INSTRUCTIONS
Prior To Treatment
- Please schedule your appointment to allow for several days or more of potential swelling, tenderness, and bruising. Women who are pregnant or breastfeeding cannot be treated.
- Patients actively undergoing chemotherapy or radiation treatment cannot be treated. Patients must be in remission for 6 months to be treated.
- If you have recently used the medication Accutane, it is recommended to postpone treatment until at least 12 months after stopping the medication.
- Please inform your provider of any and all previous treatments, procedures or surgery medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems.
- If you have an active cold sore/fever blister, canker sore or shingles you will need to postpone treatment. If you are prone to developing cold sores/fever blisters or shingles, please contact us 1 week before treatment for recommendations.
- Dermal Fillers can not be done within 2 weeks of any major dental work, oral surgeries, or recent vaccine administration.
- Avoid Advil, Ibuprofen, Aleve, Aspirin, Motrin, Vitamin E, Fish Oil, St. John’s Wort, Garlic and other Non-Steroidal Anti-Inflammatory products 5-7 days prior to treatment. Doing this will help decrease your chance of bruising.
Do not stop taking any medications that have been prescribed to you without first discussing it with your prescribing provider. - Avoid drinking alcoholic beverages 48-72 hours before treatment to reduce risk of bruising.
- Another way to reduce the chance of bruising is to start taking an antihistamine (Claritin, Zyrtec, or Loratadine) for 3 days prior, Bromaline and Arnica tablets 7-10 days before treatment.
- Tylenol will not increase the chance of bruising and is preferred for the week prior to treatment. To help with possible discomfort, you may take Tylenol one hour prior to your scheduled appointment. Do not take more than 3000mg of Tylenol in a 24 hour period.
Post Treatment
- To reduce the risk of bruising, continue taking over the counter Arnica tablets. Take as directed on the bottle for 3-5 days or as long as bruising is present. You might have some redness and swelling that should resolve within several days.
- Bruising may occur, and may last up to 14 days. Cold compresses/ice may be used immediately after treatment to reduce swelling and for comfort.
- The use of Antihistamines will assist in reducing swelling. If you received dermal filler to your tear trough and/or lips continue take an antihistamine (Claritin, Zyrtec, or Loratadine) for 3 days post treatment to help reduce post-treatment swelling.
- Under-eyes can swell more than other areas. This swelling and bruising may last several days to weeks.
- Do not manipulate, push, or rub injection sites within the first 72 hours. Specifically for lip injections, begin gentle massage to lips on day 3 if lumps or bumps can be felt.
- Give these 4-6 weeks to fully heal as they may be a result of bruising or induration vs product.
- Exercise should be avoided within the first 24-72 hours as it may increase swelling and bruising.
- Call our office immediately if you notice blanching (whitening of the skin), experience intense pain or have any other concerns.
