If you have a history of Herpes (cold sores) with an outbreaks more than 4 times a year it is recommended that you are pretreated with medication. This office recommends Valtrex 2GM the day before or the day of the treatment and then another 2GM’s 12 hours after the
**Please let us know that you need a prescription if you do not have this medication on hand.**
If you develop a cold / flu, cold sore, blemish, or rash, etc. in the area to be treated prior to your appointment, you must reschedule (we will not treat you). It is recommended, if you have a special event or vacation coming up, schedule your treatment at least 2 weeks in advance.
It is recommended you discontinue use of Aspirin, Motrin, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days to 1 week before and after treatment to minimize bruising and bleeding.
It is recommended that you avoid: Alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24-48 hours before and after your
treatment. (All of these factors may increase risk of bruising) It is recommended you discontinue Retin-A two (2-3) days before treatment to avoid increased redness and irritation.
Nasolabial folds and Marionette lines can be
treated with the following recommended fillers according to mild to severe aging traces
Immediate use of ice can minimize bruise formation. Bruising can last 7-10 days
Edema will resolve in 1-3 days
Pain can be reduced using small-gauge needle, ice or anesthetics
It is rare, but it can occur. Prolonged pain and erythema should be evaluated and treated.
Over the counter remedies that may help healing and reduce bruising are Arnica, Vitamin K, Vitamin C and Zink.
This can occur when dermal filler is injected in a large region, specially when fanning or cross-hatching is performed. The use of small gauge needle with gentle injection technique and avoidance of anti-inflammatory medications and other supplements with anticoagulant effects will help to avoid this complication.
Evident at the time of treatment or immediately after. It is usually caused by placement of filler too superficially or unevenly. This will resolves as as filler volume diminishes, unless it is really evident, then, Hyaluronidase can be used.
This complication results from unbalanced injection volumes or injecting too little dermal filler. You can see this with patients who show rapid swelling during treatment. Additional treatment may be necessary for correction.
It may occur with aggressive post-procedure massaging. Patients should avoid massaging the area after leaving the office.
These are delayed complications that present as tender nodules. They are more common with permanent or Semi-permanent fillers like Radiesse or Sculptra. Some granulomas resolve spontaneously, whereas others require intralesional steroid injection or excision.
This is a serious complication since can result in tissue necrosis. Compromised blood flow can results from overfilling tissue with dermal filler or injecting intravascular. Ischemia typically appears as a white blanching of the affected area.