Dermal Filler Patient Information

Dermal Fillers are injectable hyaluronic acid(HA) gels used to add volume and lift the skin to create a more youthful profile. Hyaluronic acid (HA) is a naturally occurring substance found in your skin. As we age, we lose hyaluronic acid causing our skin to lose structure and volume, contributing to the formation of wrinkles and folds. Our faces begin to look flat or sunken. Hyaluronic acid provides scaffolding for loose skin creating a transformation from hanging skin to tight uplifted skin. Hyaluronic acid instantly fills out moderate to severe wrinkles and folds.

Hyaluronic acid stimulates your own cells, to produce collagen resulting in a long-term affect; however, you may choose to have touch ups every year or two. Hyaluronic acid can be used in the temples, lower eyelids, mid-face, lower face, and hands. Lip filler is effective in the treatment of lip lines (the area just below the nose and above the upper lip) and creates lip fullness. Hyaluronic acid contains lidocaine, an anesthetic, to help minimize any discomfort in the treatment area.

You will see results immediately following your treatment.

What to expect

HA is injected in small amounts using a very fine needle. The most common side effects are redness, swelling, tenderness, firmness, itching, lumps/bumps, discoloration, and bruising at the injection site. As with all skin injection procedures, there is a risk of infection at the injection site.

Bruising can occur even if a person does not typically bruise. Some bruises are small and minimally noticeable, while others can be larger and very noticeable. Dermatology specialists try to avoid bruising from occurring, but it is possible that some bruising will be present post treatment. Some patients have found that Arnica Montana sublingual helps. Taking this prior to injection does not guarantee that there will not be any bruising.

An enzyme is available to dissolve hyaluronic acid, making it a good filler choice for patients who are nervous or new to dermal filler injections.

Pre Treatment Instructions

  1. Notify us if you have a history of herpes simplex (cold sores). You will be pre-treated with an anti-viral medication prior to treatment.
  2. Prior to treatment, it is preferable for you to refrain from using medications containing aspirin, blood thinners, vitamin E, NSAIDS and fish oil.
  3. Plan to sleep with your head elevated, to at least 50˚, the night of your treatment to minimize bruising and swelling.
  4. Refrain from exercise, or anything else that will increase your blood pressure for 24 hours after treatment to minimize bruising and swelling.
  5. It is advisable to plan injections at least two weeks prior to any events to allow healing and swelling to dissipate. Bruising is most likely going to be present after injection and can develop a few days post injection. (Even if you have never bruised from filler injection in the past.)
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