Dermal Fillers

It can be. However, we use prescription numbing cream to help with being uncomfortable. If intolerable we will always stop.

We will not treat you if any of these apply to you:

• Existing excessive or undissolved filler

• Are pregnant or nursing

• Received the flu shot (or any other vaccinations) within the last 2 weeks

• Had dental cleaning or dental work within the last 2 weeks or scheduled within 2 weeks following cosmetic injections.

• Have any active skin infections

• Have an active flare of an autoimmune disease

• Have any active bacterial, viral, body or blood infections

• Have active Herpes Simplex (cold sores) contraindicated especially for perioral or lip injections

• Are currently using a steroid or other immunosuppressive treatments within 2 weeks of cosmetic injections, (e.g., Remicade for RA, Methotrexate, etc.)

• Have been on antibiotic treatment for any reason within 2 weeks of cosmetic injection (acne medications will be excluded)

• Have any current or recent (within 2 weeks) upper respiratory infections or sinus infections

Some of these are contraindications to treatment and others are considerations. Either way, please talk with your provider before treatment.

• Have had a recent COVID-19 Vaccination. It is recommended to wait 2 weeks either before or after your vaccine(s).

• Have a known significant allergy to bee/wasp venom (anaphylaxis)

• Have had any previous adverse events to products (nodules, granulomas, biofilms, allergic reaction, inflammation, vascular complications, skin discoloration, scarring, malar edema, nonantibody-mediated (delayed) edema

• Have an autoimmune disease (particularly those pertaining to collagen/skin disorders)

• Are currently using Coumadin or Warfarin.

1. Stop any medications that increase the chances of bleeding- Plavix, Aspirin, Ibuprofen (Motrin, ALeve, Advil), Excedrin, Naproxen, Vitamin E, Fish Oil, Krill Oil, Ginseng, St. John’s Wort, Ginkgo Biloba 2 weeks prior - unless instructed not to by a prescribing physician.

2. Eat fresh pineapple the week before and week after injections (cannot be canned or frozen) to reduce bruising.

3. Consider taking the herbal supplement Arnica Montana, starting 2 days before treatment for a total of 5 days to reduce bruising

4. Avoid alcohol 24 hours before treatment

• Swelling (lasting 24-48 hours on average)

• Redness (lasting 24-48 hours on average)

• Bruising (lasting 5-21 days on average depending on each persons unique healing time, medications they are taking, etc)

• Tenderness/pain at the injection sites (lasting 1-5 days on average)

The number of syringes needed varies on the area being treated and the desired outcome. The best way to know how many syringes are needed is to book a consultation to discuss your goals and assess your skin condition.

• Ice treatment area. Do NOT massage

• Avoid alcohol 24 hours after injections

• Icing frequently after injections for the first 12-24 hours

• Can resume normal skincare routine

• You may take Tylenol if in pain, NO Aspirin/Ibuprofen as it may increase chances of bruising

• Avoid exercise for rest of day

This is different for every person as everyone metabolizes the product differently, but you can expect 9-12 months in most cases.

• Please avoid any sexual acts that require the area treated

• Over manipulating the area, especially for the first 3 days. To avoid pressure while you sleep, try to sleep on your back.

• Alcohol for 24 hours

• Avoid sunlight or excessive heat