Dermal Fillers

How do I know if I'm able to book for dermal fillers?

You may complete a video or phone consultation first if you prefer to speak with one of our injectors prior to scheduling a procedure.  

Generally, we do not give Dermal Filler to patients: 

• With severe allergies that have caused anaphylaxis or history of multiple severe allergies 

• With a history of allergies to Gram-positive bacterial proteins or hyaluronic acid 

• Who are pregnant or breastfeeding 

We would recommend a phone consultation first if you have a history of:  

• Excessive scarring or pigmentation disorders 

• Immunosuppressive therapy used to decrease the body’s immune response 

• Use of blood thinners 

• Allergy to topical anesthetics (such as lidocaine) 

• History of herpes simplex (cold sores of the mouth) 

What can I expect before treatment?

We ask that you avoid medications that thin the blood, which can lead to bruising or bleeding ten days prior to your procedure. These medications include ibuprofen, aspirin, fish oil, and vitamin E. During the day of the procedure avoid activities which may increase blood flow to your face, this includes exercising and facials. The treatment time takes about 15-20 minutes.  

 You should plan your treatment date to avoid: 

• Dental work or cleaning for 2 weeks before and after the injection 

• Vaccinations that produce an immune response for 2 weeks before and after injection  

• Air travel for 24 hours post injection 

What can I expect during treatment?

We want you to be as comfortable as possible. Your injector will first numb your skin with a topical anesthetic which should take effect after five to ten minutes. You will feel a slight pinch as the injection begins, and as the filler is injected you may feel a slight sting. Periodically during the procedure, we will pause so that you can assess the appearance of your skin and provide feedback on volume and symmetry.  

What can I expect after treatment?

Afterwards, your injector will provide an ice pack to reduce post procedure swelling. The numbing medication will start to wear off after fifteen to thirty minutes. Commonly there will be mild bruising, swelling, firmness and tenderness at the treatment area that can last for a few hours or, at times, a couple of days.  

Plan to avoid: 

• Any rubbing or massage to treated areas remainder of the day 

• Strenuous exercise or activity for the remainder of the day 

• Drinking alcohol for a minimum of 12 hours as this may contribute to bruising 

• Extended UV exposure until redness has subsided and use of sunscreen is recommended  

• Laser treatments for a minimum of 6 weeks  

• Other skincare treatments for 1 week 

What are some risks involved with dermal filler treatments?

Significant side effects are rare, but depending on the severity and type, urgent intervention may be needed. Less severe events involve local or widespread allergic reaction that may require treatment with steroids and antihistamines for a short period of time. Post treatment infections are rare, but may require antibiotics. Lastly, a blockage in one of the facial vessels (vascular occlusion) would require immediate intervention with medication to dissolve the filler in the region. We take great precaution to limit the risk of this event and carry medication with us to eliminate the blockage should it occur.