The procedure varies with the filler your injector will use, the part of the body to be treated, and your medical history. Here are some general guidelines about what you can expect: Most filler treatments take between 30-45 minutes and require one office visit. Before getting the injections, you may need an anesthetic applied to the skin, or a nerve block (an injection). This varies with the filler and area to be treated. Your injector will inject the filler into the area, often giving you several injections to produce the best results. You may feel a stinging or burning sensation as the filler is injected. But generally it's not necessarily painful.
While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:
-Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines)
-Enhance & restore volume to sunken cheeks or temples
-Diminish vertical lip lines
-Plump & enhance the lips Smooth out a chin crease
-Improve symmetry among facial features
Hyaluronic Acid (HA)
Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment.
Calcium Hydroxylapatite (CaHA)
Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are nearly microscopic and suspended in a smooth gel. The consistency of a CaHA filler is typically thicker than that of a hyaluronic acid filler and typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles.
Don’t worry if you’re unsure of which injectable or filler is right for you, that's exactly what we are here for! During your consultation or inital appointment, we discuss the pros and cons of each one and help make a custom treatment plan for you that caters to your own specific goals. This attention to detail ensures a more natural-looking outcome.
Pain tolerance varies from person to person, but most of our clients find that the treatment is more comfortable than expected! Depending on area being treated, clients are numbed using a topical cream that works before the injection, plus our products also contain lidocaine in them so you will begin to feel numb from that too. If you are still nervous, our injector also can also provide a stress ball or a vibrating tool to distract from the injections.
Many clients like to come in during their lunch break to have their injections and are able to return to their normal activities afterward. However, it is important that you are aware of a few possible side effects from injections, including:
Swelling and/or bruising
Bleeding at the site of the injections
Redness and tenderness at the injection sites
We do everything as injectors to help prevent and avoid bruising, including the application of ice packs and holding pressure post injection. Bruising is the most common side effect to any injection. It's a needle penetrating your skin so we usually recommend to always plan AS IF you will bruise. There are also things you can do prior to any injection that will help as well.
Here is a quick list you can refer to prior to treatment:
-One week prior to injections avoid the following medications/supplements: aspirin, NSAIDs (Ibuprofen, Aleve, Motrin etc.), St. John’s Wort, Vitamin E, Multivitamins, Krill Oil, Fish Oils, Flaxseed Oils, Omega-3, Gingko, Ginseng, Garlic and Glucosamine
-Eat FRESH pineapple, as it contains bromelain that has been known to decrease bruising. You can also take bromelain supplements 2 weeks prior to injections.
-Start taking Arnica tablets 5 days prior to injection. We do carry and sell Arnica here at the clinic.
-No alcohol consumption 2 days prior to injections
This also varies with the filler. Most fillers fill the skin, so they produce immediate — or close to immediate — results.
After receiving filler injections, some patients have minor, temporary side effects where they were injected. If you are experiencing significant pain and/or blanching (whitening) of the skin, contact us immediately.
Normal side effects:
-Tenderness Bruising (occasionally) either immediately or post treatment
-Lumpiness (swelling of injection site)
These side effects tend to clear within 7 to 14 days — if not earlier.
Rare side effects:
-Severe Pain - often immediate
-Paleness (blanching/whitening) of Treated Area
-Significant Stinging/Burning Sensation
Contact us immediately if these occur - if after hours contact via our facebook page.
You are required to attend your appointment with NO skin makeup up or remove it once you arrive. (Eye makeup is fine)
Major dental work cannot be preformed for at least 2 weeks prior to your dermal filler appointment and ALL dental work (including cleanings) must be avoided for 2 weeks after.
If you are anxious about your procedure, please talk to your healthcare professional who will preform your procedure. Our practitioners are high experienced and may have suggestions that will help.
Avoid Asprin, Ibuprofen, Advil, St. John’s Wort, oral Vitamin E, Ginko, garlic, and non-steroidal anti-inflammatory drugs (NSAIDS) in the 3 days prior to your treatment as they may promote the risk of bruising sand bleeding in the injections area.
If you are currently taking anti-coagulation medications (Warfarin, Coumadin, Heparin, Lovenox, Enoxaparin, Lepirudin, Refudan, Ticopidine Ticlid, Clopidogrel, Plavix, Tirofiban, Aggrasat, Eptifibatide, Intergrilin), discuss the use of these medicatons with your healthcsare provider prior to your treatment. You may not be a candidate for treatment with cosmetic dermal filler.
If you are prone to cold sores (oral herpes simplex), take your medications (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed 12 hour prior to your treatment.
The area can be gently washed with a cleanser and water.
Avoid vigorous facial treatments such as scrubs for 72 hours after the treatment.
Avoid touching the area and applying makeup for at least 12 hours after treatment to avoid introducing bacteria into the areas that were injected.
Avoid microdermabrasion or other skin treatments for 2 weeks after cosmetic dermal fillers.
Avoid prolonged exposure to direct sunlight or UV/tanning beds for 72 hours after procedure.
Avoid manipulation of the area following the injection unless specifically instructed by your healthcare practitioner. For pain/discomfort, use cool packs and over-the-counter analgesics (Acetaminophen, Tyenol).
If signs and symptoms of a complication develop, or if you develop a fever, unusual pain, extensive bruise, unusual swelling or warmth of the treated area please contact our office immediately.