When you are a first-time filler patient it can get quite nerve-racking, however if the proper precautions are taken, it is very likely that everything will go as smooth as possible! There are various types of fillers for the whole face and it is absolutely normal to be undecisive about which one is the right choice for you. The thickness of the molecule will reveal how smooth it will look and the thicker it is, the more likely that you will want that for thicker fills or lifts such as cheeks, jawline, and chin. Sometimes we need a softer and smoother product for areas such as the lips, the smile lines, and the under eyes. While some people may want a subtle correction to the lips, others may want a more visible enlargement of the upper and bottom lip and may opt for a thicker filler, and that is totally up to the patient! Hyaluronic acid is completely dissolvable, so not to worry too much about regretting your decision to use filler.
A lot of patients call and ask beforehand about anything they should avoid doing before their appointment. The most common thing that any provider will tell you is to avoid alcohol to prevent bruising for up to 24 hours before and after your botox or filler treatment. Patients should also avoid any blood thinners or supplements such as aspirin, aleve, motrin, fish oil, and vitamin E one week before their injections. We also suggest avoiding topical products such as Retinol 2 days prior to injections. These are all great ways to avoid any bruising and swelling, however it is not guaranteed that you won’t have any of the aforementioned. If you want extra precaution, we recommend taking Arnica to lessen any bruising as well.
Here is where it gets exciting. You get to look at yourself in the mirror and describe anything that you don’t like about your face and that you would like to correct. A lot of the times patients trust their provider to pick a filler, and so the provider being as experienced as they are, they may already have in mind what they think would work best for the patient. Other times the patients have already purchased something and know exactly what they want, which is great too! I like to inform patients exactly what they’re getting because there seems to be a lot of providers out there who for example say they will do your “cheek filler” and don’t necessarily explain the brand or the name of the filler. We like to explain to patients exactly what it is they’re getting so that they know for future reference and are more educated about what they are putting in their bodies. We oftentimes get patients that have no clue about what they’ve been getting but want the same thing from us, unfortunately we cannot tell just by looking at the patient.
After you have disclosed your medical history, the fun part begins. The provider will begin sanitizing the area that they will be injecting and getting you prepped for your filler. We provide optional numbing cream, and the actual filler has numbing agents that go in as soon as you feel your first poke. We don’t necessarily say it’s painless because pain tolerance varies from person to person, but we like to keep it as pain-free as possible always providing comfort and ice as needed. There are many patients who don’t feel a thing, others say it is uncomfortable, and of course there will always be patients who are sensitive and will say that it can be painful.
Fillers are sold as individual syringes, ranging from 0.5cc to 1.5cc of fluid per syringe, with most common syringes being 1.0cc. It's a very small amount of product, and a little goes a long way. However, depending on your age, skin, your desired results and a number of other factors, you may need or want to purchase more than one syringe.
Your injector will treat the area as agreed in your consultation and as prescribed by the medical practitioner. One syringe can be applied with a single "poke," but more often even a single syringe may require several pokes to obtain an even application.
Light bleeding can occur during injection. This is normal…after all we are puncturing the skin. Mild swelling and bruising are common side-effects and are completely normal as well and should subside anywhere from a few hours to two weeks at most. Most swelling will go away within a day or two.
Ice packs and topical Arnica are both natural ways to reduce bruising. Acetaminophen (Tylenol®) is recommended to reduce pain. Patients should avoid scratching, massaging, or picking around the injection site. Until the swelling and redness have resolved, avoid intense heat such as sunbathing, saunas, hot tubs, or hot wax. Wait at least 24 hours to resume any facial treatments or microneedling. After two weeks any swelling or bruising should have resolved, and you should be already enjoying your new face!