Dermal fillers such as Juvederm  and Restylane or Perlane  are injectable gel forms of hyaluronic acid that act as fillers within the facial tissue to correct wrinkles and folds.

Pre-Treatment Instructions

• Do not use dermal fillers if you are pregnant or breastfeeding, are allergic to any of its ingredients, or suffer from any neurological disorders. Please inform your provider if you have any questions about this prior to the treatment.
• Inform your provider if you have a history of perioral herpes (cold sores) to receive advice on antiviral therapy prior to treatment.
• Avoid dental work (including standard teeth cleaning) at least two weeks prior to treatment and one month following treatment. Avoid oral surgery at least four weeks prior to treatment and one month following treatment.

Seven days before treatment (to prevent bruising):

• Avoid blood thinning over-the-counter medications such as Aspirin, NSAIDS such as Motrin, Ibuprofen, and Aleve. Also avoid herbal supplements, such as Garlic, Vitamin E, Ginkgo Biloba, St. John’s Wort, and Omega-3 (fish oil) capsules.
  Please note: If you have a cardiovascular history, check with your doctor prior to stopping the use of Aspirin.
• We also recommend Arnica products (topical and oral) for one to two weeks prior to your procedure to help with bruising. These can be found at any health food store or online. Do not use these products if you have kidney or liver problems.
• Avoid topical products such as Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, Alpha Hydroxy Acid, or any anti-aging products.
• Avoid waxing, bleaching, tweezing, or the use of hair removal cream on the area to be treated.
• Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid extra bruising.

On the day of treatment arrive at the office with a clean face. Please do not wear makeup. You may bring your own makeup to apply after your treatment.

You may experience a mild amount of tenderness or a stinging sensation following injection. To ensure a smooth and even correction, your provider may massage the area(s) to be treated, which may cause a temporary, minimal amount of redness to your skin. Immediately after treatment, the redness and swelling are normal. Bruising may also be visible. You may experience some tenderness at the treatment site(s) that can last a few hours or a few days. Depending upon the area(s) treated and product(s) used, you may feel ‘firmness’ or small lumps in the treated area(s) for one to two weeks after the treatment. Over time, the area(s)will soften and settle.

Post-Treatment Instructions

• Apply an ice pack to the area(s), as this helps reduce swelling and the potential for bruising. Once you have adequately cooled/iced the area(s) as instructed and any pinpoint bleeding from the injection site(s) has subsided, you may begin wearing makeup.
• Avoid massaging or excessive pressure on the treated area(s) for up to two to three days. When cleansing your face or applying makeup, use gentle fingertip pressure.
• Avoid exercise or strenuous activities for the remainder of the treatment days. You may take Tylenol/acetaminophen for discomfort. Wait a minimum of four weeks before receiving any skin care or laser treatments.