Pre/Post Treatment Instructions for Dermal Fillers

Pre-Treatment Considerations:

-Schedule your injection at a time when minor swelling or bruising will not disrupt your social obligations. Each time you are treated, outcomes may vary.

-To lessen the likelihood of bleeding or bruising, discontinue use of blood thinning products for 10 days prior to treatment, if approved by your primary care provider. This includes: aspirin, ibuprofen (Motrin or Advil), naproxen, Aleve, fish oil, St. John’s Wort, flax, Vitamin E, Vitamin D, garlic, Ginkgo Biloba, ginseng, etc. Alcohol is also to be avoided 24 hours

-Please notify your provider if you have any history of cold sores, as we will consider pre-medicating with an antiviral prescription prior to injections. It is recommended that you are pretreated with medication prior to the injection treatments around or near the oral area. The medication will need to be initiated 3 days prior to your treatment

-It is important that you alert us of any medical conditions you may have and/or any prescribed medications you are taking prior to your treatment.

-Any injection introduces the risk for infection. For this reason, the following is taken into consideration when proceeding with injections. We will delay injectables if you:

-Have had any infection, cold, virus, or flu in the past 30 days.

-Have had a surgical procedure in the past 30 days or are anticipating a surgery or procedure.

-Take any immunosuppressive/injectable medications (ex: Biologics such as Humira, Skyrizi, Stelara, Enbrel, Taltz, Cosentyx, Tremfya).

-It is recommended that you wait at least 2 weeks to have dermal filler treatments performed if you have previously had cosmetic treatments with laser, ultrasound, peels, facials, or microdermabrasion.

-Avoid heavy exercise on the day of your treatment. Additional contraindications: Pregnancy, breastfeeding, allergies to components of dermal fillers, open sores in areas to be treated

Post-treatment instructions and information

-Swelling, bruising, tenderness, numbness, and areas of firm nodules may occur.

-Cosmetic fillers are long-lasting, but not permanent. Longevity depends on the areas treated and your body’s metabolism.

-DO NOT APPLY ANYTHING TO THE SKIN UNTIL THE DAY AFTER TREATMENT: No cleanser, moisturizer, or makeup!

-DO NOT massage, touch, or manipulate the injection site.• Ice packs may be used in the treated area during the first 12 hours. Ice for 15 minutes every hour.

-Avoid dental work for 30 days after filler injections.

-Avoid sleeping on your side or stomach for 24 hours post-treatment to prevent dispersing the product. We recommend you sleep elevated on your back and use pillows to stabilize yourself.

-If experiencing swelling, sleep with your head elevated for 2-3 days to decrease swelling.

-You may take acetaminophen/Tylenol if you experience any mild tenderness or discomfort.

-Wait for a minimum of four weeks (or as directed by your provider) before receiving any skincare or laser treatments.

-For most patients, the benefits of dermal fillers can be enhanced by using a medical-grade skincare system. Please contact your provider or a member of the staff for product recommendations.

-If you experience bruising, Arnica Montana natural supplement can be taken to help to bruise resolve at a faster rate; take 5 tablets three times per day (this can be started 1 week prior to injections).

If you experience any of the following symptoms, contact our office immediately:

-dusky or white discoloration of injected areas, mottling or unusual bruising, severe or increasing pain, redness, increased warmth or coolness to touch, severe swelling, itching, blisters, difficulty swallowing or smiling, fever, or chills. If you notice the onset of any of these symptoms, call our office immediately at 352- 279-9506 to speak with a provider. If you are unable to reach any provider please seek emergency evaluation as there is a risk for vascular compromise and or occlusion, if failed to treat promptly it can result in tissue death/necrosis. After hours, you will be connected with a medical provider through our answering services. Other disclosures that are relevant and of significant importance are those that are listed on the product brands themselves.