Oviedo Dermal Fillers

Botox works by temporarily relaxing facial muscles that cause expression lines, such as frown lines or crow’s feet. Dermal fillers, on the other hand, work by physically adding volume beneath the skin to smooth lines and wrinkles, contour facial features, and restore lost volume.

Many patients choose to combine the two for a more comprehensive anti-aging solution.

Dermal fillers are incredibly versatile and can be used to enhance and restore volume in many areas, including:

• Lips (to correct thinning lips)
• Cheeks
• Jawline and chin
• Marionette lines
• Nasolabial folds (smile lines)
• Tear troughs (under eyes)
• Temples
• Hands
• Neck

Pre-Care Instructions:

• Medications: For one week before treatment, start taking Arnica to help prevent bruising. Please avoid the following medications: Aspirin, Advil, Motrin, Ibuprofen, Aleve, Naprosyn, Excedrin (all OTC pain pills except Tylenol), Vitamin E, Ginkgo Biloba, Omega-3 fatty acids (fish oils), cod liver oil, CoQ10, garlic, and ginger. If you are taking any blood-thinning medications as per doctor’s orders (such as Coumadin, Warfarin, Plavix, Lovenox), do not discontinue without first consulting the prescribing physician. Continuing to take these medications increases your risk of developing an injection-related hematoma (blood clot) which can leave a dark spot if it becomes entrapped in the filler implant. The dark spot may remain until the filler is naturally dissolved.
• Ice: To decrease bruising, you can apply ice to the face for about 10-30 minutes before injection.
• Travel: Do not schedule any social events for the next 3-7 days, as you may have bruising and/or swelling from your treatment.
• Before Your Appointment: Arrive for your appointment wearing no makeup, if possible. You will be able to apply makeup after your treatment, although we recommend waiting at least 24 hours.

Post-Care Instructions:

• Keep the treated areas clean and avoid applying makeup immediately after your treatment. If desired, light makeup can be used, but it’s recommended to wait at least 24 hours to minimize the risk of irritation or pustules. For best results, skip makeup or lipstick entirely until the following day.
• Ice: You may apply ice for 5 minutes every ½ hour if there is any pain or swelling. Any bruising will eventually resolve on its own, typically within one to two weeks.
• Bruising: If post-injection bruising is noticed, consider using Arnica, which has been shown to rapidly relieve and even prevent bruising.
• Sun Protection: As always, wear at least SPF 30 sunblock when appropriate and try to avoid exposure to intense, direct sunlight and heat (example: sun lamp, steam, sauna) for at least two to three days after your treatment.
• Medications: Do NOT take products that contain aspirin (or the medications listed in the pre-treatment) for the next 24 hours. These agents may increase bruising/bleeding at the injection site. Tylenol may be taken.
• Alcohol: Avoid alcohol intake beyond a single drink, glass of wine, or beer for approximately 24 hours after treatment. As always, tobacco and illicit drugs are discouraged.
• Healing: You may sleep with an extra pillow (if desired) to minimize swelling overnight. One side may heal faster than the other. You may have bumps or nodules of filler under the skin that can last 4-8 months after the injection. If they are particularly troublesome, you can massage them. We can also give a small injection to help dissolve them faster. Wait 2-3 weeks after your injection before having other procedures done in the same area (i.e. microdermabrasion, laser treatment, chemical peel, etc.).
• Unused Filler: If there is any leftover product, it must be used within 2 months of opening to avoid contamination.
• Follow-Up: Clinical studies show that having a follow-up treatment before the product has dissolved tends to enhance the lasting effect of skin fillers. Note that you can optionally schedule a follow-up visit to evaluate results after the initial swelling has dissipated. Typically, hyaluronic fillers can be reshaped for up to two weeks post-injection. Please notify us with any further concerns/questions.