Dermal Fillers (Juvederm/Restylane)

Pre Care

  • This treatment is not recommended if you have an important event within 3 or 4 weeks of injection due to potential for bruising and swelling.

  • Bruising in the area injected is normal and expected, especially if treated around the eyes. Bruising usually lasts one week but can last up to several weeks. Eating 2 kiwi fruit and/or taking or using Arnica may help decrease the amount of bruising.

  • For best results, you may begin taking oral Arnica tablets starting up to two days before your treatment.

  • If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence. Please check with our medical staff about medications that may minimize a recurrence.

  • One week prior to your next treatment with Restlyane/Juvéderm, avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort and high doses of Vitamin E supplements. These agents may increase bruising and bleeding at the injection site.

  • Discontinue Retin-A two (2) days before and two (2) days after treatment

  • If you are to receive lip injections and are a person who suffers from cold sores/fever blisters/oral herpes simplex breakouts, it is advised to take 500mg of Valtrex per day beginning two days before your treatment.

Post Care

  • Immediately after the treatment, the most commonly reported side effects were temporary redness and swelling at the injection site. These effects typically resolve within two to three days. Cold compresses may be used immediately after treatment to reduce swelling. If the inconvenience continues beyond two to three days or if other reactions occur, please contact our office.

  • Avoid the following for up to 1 week pre and post injection: Aspirin, NSAIDS (Ibuprofen), Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids. Tylenol is fine.

  • Do not touch, rub, or manipulate areas for the first 24 hours following treatment.

  • Lumps in the injected area are normal and typically dissipate over the next several months. These lumps may be gently massaged if your clinician has instructed you to do so.

  • Continue to ice or use cool compresses without pressing on the injected areas for the first 48 hours as recommended by your practitioner.

  • Sleep with head elevated for the first 1-2 nights depending on level of swelling and bruising.

  • Avoid exercise and alcohol for six hours post-treatment

  • It is best to avoid make-up for the first 12-24 hours.

  • Bruising in the area injected is normal and expected, especially if treated around the eyes. Bruising usually lasts one week but can last up to several weeks. Eating 2 kiwi fruit and/or taking or using Arnica may help decrease the amount of bruising.

  • Do not apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

  • Perform a test spot prior to using these products by applying a small amount to the treated area, if there is any irritation, remove product and perform another spot test in 24-48 hours. Resume products when there is no sense of irritation.

  • Until the initial redness and swelling have resolved, avoid intense heat (sunbathing) or extreme cold for the first 2 weeks to avoid further inflammation to the area.

  • Touch-ups may be done in 1-2 weeks if needed, but waiting 6 to 8 weeks is recommended.

  • Avoid touching the treated area within six hours following treatment. After that, the area can be gently washed with soap and water.

  • If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence. Please check with our medical staff about medications that may minimize a recurrence.

  • Evidence shows that having a follow-up treatment before the product has fully dissipated will enhance the lasting effect. Please be sure to consult with our nurse about recommendations for touch-up or follow-up treatments.

  • One week prior to your next treatment with Restlyane/Juvéderm, avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort and high doses of Vitamin E supplements. These agents may increase bruising and bleeding at the injection site.

  • Avoid laser, IPL or skin tightening treatments of the area for at least 2-3 weeks, especially treatments that create heat in the dermis. Radio Frequency skin tightening treatments such as Exilis or eMatrix that treat deeper levels of dermal tissue are not recommended in the injected area post treatment for six months.