Recommended guidelines from Dr. Pilest for obtaining the best results from your dermal filler and other injectable treatments
Dermal Filler Treatment Guidelines (Applies to all Injectables)
Dermal Filler injections (Restylane, Juvederm, Restylane Lyft, Rstylane Silk, Radiesse, Belotero, Sculptra, Bellafill – also PRP) carry the risk of bruising if you are taking certain supplements or medications.
To reduce this risk, please note the items on this list and discontinue at least 3 days (7 days if time allows) before your appointment for injections. Cannula injection techniques have dramatically reduced the incidence of bruising but you can further reduce bruising possibility by following these recommendations.
Medications to Discontinue 3 Days Before Treatment (7 days if time allows)
- Ibuprofen (Motrin, Advil, Aleve)
- St. John’s Wort
- Omega 3 fatty acids (Fish Oil)
- Vitamin E
- Ginkgo Biloba
**if you have been prescribed Aspirin or any prescription Blood Thinner, do not discontinue unless permitted by your prescribing physician. Cold Sores: If you have a history of cold sores, ask us about pre-care instructions.
Possible Side Effects
The intensity and duration of your side effects depends on the treatment aggressiveness and
your individual healing characteristics, but usually can last up to a week after treatment.
Swelling: You will notice most of the swelling the first morning after treatment, particularly
under the eyes. Swelling usually lasts two to three days. To minimize swelling:
Apply cold compresses to the treatment area for 10 minutes every hour
Sleep elevated the first night. Use several pillows for elevation
If you are a stomach sleeper, try to sleep on your back the first night
Take Arnica Montana and/or Bromelain supplements, which can be found at your local pharmacy or herbal supplement store. We also have Arnica in our office.
Lips: The initial swelling after treatment to the lips may last longer. Some patients experience swelling for up to a week and the lips can look somewhat ‘uneven’ during this time. After the swelling has subsided, you will be able to see your true results. It takes time for hyaluronic gels to balance with your skin’s own water content.
Redness: You may apply makeup immediately after treatment to minimize the redness.
Tenderness/Pain: You may take Advil or Tylenol if necessary.
After Treatment Skin Care
Avoid Excessive Sun and Heat: Until any initial swelling and redness has resolved. This includes aggressive exercise.
Avoid squeezing or massaging the treated areas for several hours after treatment, as this may subtly change the shape we are trying to achieve. If you were also treated with the injectable Sculptra Aesthetic, please disregard this and massage as you were instructed.
Sunscreen: Proper and frequent application of sunscreen is always important. The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor (SPF) of 30 or more. You should apply sunscreen 20 minutes before going outside, and again, immediately before. After that, reapply your sunscreen every 2 hours. If direct sun exposure is necessary, wear a hat and clothing that covers the treated area. Use this regimen during the healing period and always.
Feel free to call with any questions about this procedure guideline. (949) 727-3800
Dr. Nissan Pilest is a member of the distinguished Expert Injector collaboration and holds the Circle of Excellence in Soft Tissue Fillers through the American Society of Dermatologic Surgeons. Dr. Pilest performs all injections for dermal fillers and neuromodulators at Total Dermatology.
If you have any additional questions regrading our pre-treatment guidelines, please call our office at (949) 727-3800 today to schedule a consultation or fill out the form on this page and one of our trusted staff members will reach out to you promptly.