Post-Surgery Instructions: Fillers Injections

Injection therapy to correct and prevent expression lines and treat other facial conditions is a non-invasive, in-office treatment. The following instructions are your obligations. Included are normal experiences and observations of treatment.

Following your treatment

Whether this is your first treatment with a soft tissue filler, or a subsequent treatment, follow these instructions precisely:

• Do not bend over or lay flat following treatment. This may increase any swelling you may experience. Sleep with your head elevated for the first few days following treatment.
• You may gently dab on concealing cosmetics, but do not rub or apply pressure to the treated area. In some cases, you may be instructed to massage the treatment area. In other cases, you will be instructed not to massage the area at all. Follow directions for massage explicitly. Call our office if you have any questions.
• Do not wear a hat, headband or any other garment or accessory that may put pressure on the treatment region in the first few hours after treatment.
• If your lips have been injected, avoid pursing your lips for the first few days after injection. This means sipping from a cup rather than a straw, and no pursing a cigarette.

The following are normal experiences that can occur following treatment:

• Tenderness or a mild bruising at the injection site.
• Swelling is most often due to anesthetic blocks, and will resolve within the first few days after injections.
• Asymmetry is possible: Opposite sides of your face, and different facial regions may react at different times to treatment. This is normal. If asymmetry is not corrected within 7-10 days following your injection, contact our office immediately; your dosage may need to be adjusted.
• If you develop any nodules, lumps or uneven appearance in the skin, please call our office immediately.

To alleviate any discomfort, and to reduce potential swelling you may gently, and without pressure, apply cool, not cold compresses to the treatment site.

• Crushed ice or ice packs must be wrapped in a towel before being applied to the skin.
• Do not apply ice or anything frozen directly to the skin. Apply cool compresses for no longer than 20-minute intervals.
• You may also take over the counter pain medication if you experience any discomfort such as acetaminophen or ibuprofen.

Follow-up treatment varies based on the injectable filler used in your treatment:

• Collagen based fillers
  This type of filler can achieve your results with one treatment. The results of treatment with collagen based fillers generally last 3-4 months. Swelling and bruising is less likely with this type of filler.
• Hyaluronic acid based fillers
  This type of filler can achieve your results with one treatment. These results of treatment with hyaluronic acid based fillers generally last 5 to 6 months. Swelling and bruising is common with this type of filler.
• Semi-permanent fillers
  Treatment varies depending on the filler used. You may require more than 2 to 3 or more initial treatments to achieve your results. This type of filler is the most common to require post-treatment massage. Swelling and bruising is common following injection with this category of fillers. Your results may last 12 months or more depending on the filler used.

Your follow-up office visit expect the following:

• To repeat treatment and achieve your initial results. The results of any injectable filler will need to be repeated as defined by the type of filler, if you wish to maintain your results.
• To review your results

Your facial appearance will change with age.
You may be concerned about additional signs of aging or changes in your appearance that result with age. Contact our office with any of your questions or concerns, at any time.

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