About Fillers
JUVEDERM family of fillers (JUVEDERM ULTRA, JUVEDERM ULTRA PLUS, JUVEDERM VOLUMA and
JUVEDERM VOLLURE), Restylane family of fillers ( Restylane, Restylane Lyft, Restylane Silk, Restylane
Refyne, and Restylane Defyne), filler treatments, also known as injectable cosmetic dermal fillers.
Dermal fillers do not affect muscle activity. Instead, these injectable products enhance appearance by
adding volume. Volume loss occurs in the aging face. Volume loss can be as responsible for an aged
appearance as skin laxity. In fact, soft tissue volume loss contributes to skin laxity. Rather than routinely
tightening loose and wrinkled skin, adding volume often avoids, or at least postpones, the need for more
invasive procedures. With a variety of fillers to choose from, our experienced staff can soften facial folds
and wrinkles, augment the lips and cheeks, enhance facial contours, and even improve scars.
During the treatment, a professional will inject soft tissue fillers with very small needles or with a blunt-
ended microcannula. We offer local topical anesthetic cream to minimize discomfort during the
injections. Following the procedure, bruising is infrequent and any swelling is temporary. Depending on
the specific filler(s) employed, results may appear immediately or gradually become more noticeable
over the course of a few days. We recommend avoiding strenuous exercise and any blood thinners just
after treatment, but patients may return to normal daily life activities directly.
Pre-Treatment Instructions
Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood
and increase the risk of bruising)
Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before
treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s
Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood
thinning effect and can increase the risk of bruising and swelling after injections.
Schedule your Dermal Filler appointment at least 2 weeks prior to a special event which you may be
attending, such as a wedding or a vacation. Final results from the Dermal Filler injections might take
approximately 4 to 7 days to appear. Also bruising and swelling may be apparent in that time period.
Discontinue Retin-A 2 days before and 2 days after treatment.
Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on
the area.
If you have a history of cold sores please let your provider know, they may put you on an anti-viral
medication prior to treatment.
Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the
chances of lightheadedness during your treatment.
You are not a candidate if you are pregnant or breastfeeding.
Post-Treatment Instructions
Avoid significant movement or massage of the treated area. Unless instructed by the provider.
Avoid strenuous exercise for 24 hours.
Avoid extensive sun or heat for 72 hours.
Avoid consuming excess amounts of alcohol or salts to avoid excess swelling.
If you have swelling you may apply a cool compress for 15 minutes each hour.
Use Tylenol for discomfort.
Try to sleep face up and slightly elevated if you experience swelling.
Take Arnica to help the bruising and swelling, start at least 2 days prior to injections.
Which Areas can be Treated?
Dermal filler treatments are used to smooth away facial lines and wrinkles, create fuller lips and shape
facial contours, such as cheeks and chin, and revitalize the skin.
The most common areas treated are:
- Cheeks
- Nasolabial folds (lines between the nose and corner of the mouth)
- Marionette lines (from the corner of the mouth downwards)
- Lips (Enhance the shape, definition, and volume of lips)
- Hands fillers
- Acne Scars