Desire Beauty Spa

Desire Beauty Spa


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Dermal fillers

Who qualifies for dermal filler injections :

-Patients with skin aging to smooth static lines and wrinkles, specially in the lower two-thirds of the face, such as nasolabial folds and marionette lines.
-Patients who need facial contouring, such as lips and malar enhancement.
-It is important to set expectations: Dermal fillers will soften lines and wrinkles as opposed to erase them.
-Patients with excessive skin laxity and folds will require surgical intervention in order to achieve significant improvements.
-Patients with unrealistic expectations are not candidates.

Contraindications to dermal fillers

  • Pregnancy or breast feeding
  • Infection in the treatment area
  • Keloidal scar formation
  • Bleeding disorders eg: thrombocytopenia or anticoagulant use
  • Accutane use within the last 6 months
  • Impaired healing
  • Uncontrolled systemic condition
  • Previous anaphylactic reaction
  • Multiple severe allergies
  • Sensitivity or allergy to dermal filler products
  • Not for use in breast augmentation, or implantation into bone, tendon, ligament or muscle.
  • Laser treatment, chemical peeling, or any other procedure performed before treatment may result in an inflammatory reaction.
  • Unrealistic expectations



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
first dose.

**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.

Dermal fillers

Nasolabial folds and Marionette lines can be
treated with the following recommended fillers according to mild to severe aging traces

  • Belotero
  • Restylane/Restylane silk/Restylane Refyne/Restylane defyne
  • Versa
  • Juvederm ultra/Volbella/Ultra Plus/Vollure

What to expect during assessment before receiving dermal fillers

  • Pre-treatment pictures
  1. Anesthesia at sites being worked. Most patients tolerate procedure with topical numbing creams.
  2. Review Discuss and document asymmetries
  3. Discussion of type of dermal fillers to be used, estimated volume and cost for the patient.
  4. Discuss pre and post treatment instructions
  5. For the procedure, expect to be seated at 60- 90 degrees
  6. Area will be cleanse with alcohol and allow alcohol to dry
  • Follow -up Visit
  1. Effects will be noticeable immediately. Patient can show results in the mirror after half the face is treated or at the end of the treatment.
  2. The duration of the results depends upon several factors including the type of product and volume used, the patient’s metabolism and degree of movement in the treatment area.
  3. Additional treatments are recommended when the volume of dermal filler product diminishes but it is still palpable, before the area returns to its pretreatment appearance.
  4. Patients are usually assessed 4 weeks after treatment to evaluate results.

What to expect during assessment before receiving dermal fillers


Immediate use of ice can minimize bruise formation. Bruising can last 7-10 days


Edema will resolve in 1-3 days

Injection site pain:

Pain can be reduced using small-gauge needle, ice or anesthetics

Under or overcorrection

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.

Less Common Complications post dermal fillers:
Extensive Bruising:

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.

Filler Bumpiness and Overcorrection:

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.

Asymmetry or Undercorrection:

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.

Tissue Ischemia:

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.

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