The time has come. You have finally decided to book your aesthetic treatment and you are excited for the outcome. However, there is some things that you can do to ensure the outcome is the best it can be.
This article will cover how to prepare for your dermal filler appointment- Pre, on the day and post appointment at Dr Kara Cosmetic Clinic. This article covers how to prepare for hyaluronic acid and other non permanent dermal fillers such as AesPlla.
Please ensure that you have also read the latest guidance on aesthetic treatments and the COVID 19 vaccine.
Please familiarise yourself with the clinic’s policy.
How to prepare for dermal filler treatments
Pre Procedure advice
- If able to, please stop any medication 3 days prior that can increase your risk of bleeding e.g. Aspirin, fish oil, ibuprofen. Do not stop medication if recommended to do for a medical reason. Please discuss with Dr Kara who can provide advice.
- Avoid taking anti-inflammatories (such as aspirin, ibuprofen, naproxen) for 3 days prior to treatment (unless this has been prescribed by your doctor) as this increases the risk of bruising.
- Alcohol, fish oils, St. John’s Wort, Gingko Biloba and Vitamin E should also be avoided for 3 days prior to treatment to lessen the risk of bruising.
- If you are prone to bruising, taking arnica orally for a few days prior to treatment may lessen the risk.
- If you are unwell on the day of your appointment, contact the practitioner to reschedule.
- Avoid sunbeds and tanning for 1 week before and after treatment.
- Ensure your practitioner is informed if there are any changes in your medical history or medication taken before receiving any treatment.
- If you suffer from cold sores and are choosing to have lip filler, please ensure you start taking anti-viral tablets 2 days prior to the procedure ( seek guidance from Dr Kara if unsure).
- Avoid using ‘active skincare’ products e.g. Retinol, AHA/BHAs, for 3 days pre procedure.
- Avoid heavy exercise 24 hrs prior to your appointment.
- Avoid heavy alcohol consumption 24 hrs prior.
***If you wear glasses and are having nose filler/non surgical rhinoplasty, please ensure that your glasses do not sit on your nose in the midline or wear contact lens for 7 days minimum***
On the day advice
Arrive make up free if applicable.
Take paracetamol and a non drowsy antihistamine 1 hr prior to your appointment.
Please arrive on time for your procedure. Anymore than 5 mins late I may have to reschedule your appointment and your deposit could be effected. You will need to attend alone.
Message me upon arrival and I will come out to meet you. Do not knock on the door please.
What happens during your procedure
Consent and photos taken. The area will be numbed using a cream and then cleaned. Dermal filler contains a numbing agent to provide the client a comfortable experience. The treatment will take around 30-60 mins to complete. An aftercare sheet will be provided following the procedure.
Post procedure advice
It is advisable that you do not touch the area for a minimum of 6 hours, ideally 12 hrs.
Take regular paracetamol over the next 24 hrs and then as required after this. Avoid ibuprofen as can cause increased bleeding
Avoid heavy alcohol consumption for 24 hrs afterwards as minimises bruising
Do not apply make-up for approximately 24 hours.
Avoid heavy exercise 24 hrs post treatment.
Avoid restarting ‘active skincare’ products e.g. Retinol, AHA/BHAs, for 2 days post procedure.
Avoid facials/sun beds/chemical peels / laser resurfacing for 7 days.
Arnica tablets/gel can be used to help reduce bruising or the application of vitamin k oxide cream.
If you have had a local nerve infiltration injection please do not consume any hot or cold drinks until your sensation has returned to normal. You must also be careful when eating so that you do not risk biting your lip.
You are advised to avoid alcohol, vigorous exercise, sun bathing, and extremes of heat or cold for 14 days post treatment. These activities have been found to increase and prolong swelling. If necessary you can apply a cool compress to the area to reduce any discomfort or swelling. Swelling may worsen in the first 24 hours, and then should settle within the first few days. Cold packs can be helpful in reducing swelling. As a consequence of swelling, the product may feel harder or lumpy and you may notice some asymmetry. The final result may be judged at 2 weeks. You may be advised to massage the area by your practitioner.
Bruising may take a few days to appear, arnica can be helpful in clearing bruising. It is advisable to avoid aspirin and alcohol for 12-48 hours after treatment. Tenderness should settle as swelling goes down.
Athletes should be aware some ingredients in the product may show a positive in ‘anti-dope tests’
Please contact your practitioner if redness, tenderness, itching or swelling worsens after 3 days, rather than settling. Please do not hesitate to contact us if you have any concerns.
Dermal filler administration can result in anaphylaxis (a severe allergic reaction) which in itself is life threatening and requires immediate medical attention. Symptoms of a severe allergic reaction can include shortness of breath, wheezing, coughing, difficulty swallowing, swelling of the tongue, eyelids, lips, hoarseness of the voice, stomach pain, nausea or diarrhoea. If you have any of the above symptoms please report to your nearest Accident and Emergency Department or call 999 for an ambulance.
Common expected side effects
The above advice should help to minimise this but the following side effects can be expected to occur:
These side effects can last between 1-14 days. This means leave plenty of time for yourself to recover before any big events e.g. wedding, birthday. Your discomfort should be able to be managed with paracetamol alone. If not or any worsening symptoms, please contact the clinic immediately for advice, even if out of hours. You will be given an emergency number to contact in this instance.
If you are unsure about what has been explained in this article and want to ask questions please do not hesitate to contact myself as I am happy to help. Contact me now.
I am looking forward to seeing you
Dr Kara, Aesthetic GP doctor