Soft tissue Fillers
Have you ever looked in the mirror and given a tug here and a tug there to reverse the effects of aging? As part of the facial aging process, our collagen, hyaluronic acid, and normal fat pads all decrease over time. This process, combined with a loss in skin elasticity, causes volume loss in the face which leads to a change in facial shape as well as unwanted wrinkles.
Thanks to ever-evolving aesthetic technology we are able to provide a minimally-invasive answer for most of these issues leading to a younger looking, more enhanced version of yourself. We use hyaluronic acid based facial fillers (using the Restylane family and Juvederm product lines) in a strategic and customized fashion to turn back time, minimize imperfections and asymmetry, and add volume exactly where it is needed. The versatility of these product lines is unmatched and allows us to do a multitude of facial enhancements and rejuvenation.
These products come in many forms and can be utilized precisely to address specific problems from: fine to deeper lines around the mouth, replacement or enhancement of volume in cheeks, lips or hollowness under the eyes. We believe in natural, appropriate results but are not afraid to enhance volume when needed.
Come in for a complimentary consultation to discuss if soft tissue filler treatments are right for you!
FAQ/What You Need to Know BEFORE Your Appointment
Q: Can I exercise the day I get Botox/Dysport or Filler?
A: You can exercise before your appointment, however after you’ve been injected, we suggest waiting until the following day to resume your regular exercise regimen. However, your injector will provide you with more specific instructions based on how extensive your treatment is, if necessary.
Q: I’m getting married ! Can I try Botox/Dysport or Filler?
A: Yes .. but, we do not recommend trying any new treatments less than 3 months before your big event. Botox/Dysport will last approximately 3 months and filler can last 6-12 months depending on the area injected. If you’re interested in trying Botox/Dysport or filler for the first time, we suggest coming in at least 6 months before your big day to see if you like the results.
Q: Can I drink alcohol?
A: Consuming alcohol less than 12 hours before your appointment can increase your risk for bleeding and bruising. We suggest abstaining from alcohol the night before and for 24 hours after your treatment.
Q: I took Ibuprofen/Aleve/Naproxen/Aspirin, can I still be treated?
A: Yes … but, NSAIDs (non-steroidal anti-inflammatory drugs) can increase your risk of bleeding or bruising. If you take this type of medication chronically, please check with her primary care physician before stopping these medications abruptly. If you take them only as needed, please try to avoid taking these medications the day before and the day of your injection. Tylenol and Opioid analgesics (ie: Norco, Vicodin, Percocet) do NOT increase the risk of bleeding or bruising and can be continued.
**note: if you are on anticoagulants (ie: Coumadin, Lovenox, Pradaxa, etc) we require a complimentary consult with a Physician Assistant or Nurse Practitioner prior to proceeding with any treatment.
Q: What else I can do to decrease the risk of bruising or swelling before and after filler treatment?
A: In addition to following our medication recommendations and abstaining from alcohol (see above), if you take a fish oil supplement, that should be held 5 days prior to treatment. There is also a homeopathic supplement called Arnica Montana that may reduce the potential for bruising. It comes as a tablet or a cream and can be purchased at Whole Foods, GNC, or the Vitamin Shoppe.
Q: What should I avoid after I get Botox/Dysport or Filler?
A: We recommend you avoid lying down for 3 hours or applying direct pressure to your face for at least 8 hours following an injection. Please keep this in mind if you have an appointment in the evening. We also recommend you avoid receiving any facials, facial massage, or laser treatments to the face for 2 weeks following an injection. Doing so can potentially alter the results of your treatment.
Q: What will I look like immediately after treatment?
A: After Botox/Dysport, you will have small, red bumps at the injection sites that usually dissipate after 20-30 minutes. After filler, you will experience slightly more redness and swelling. You may also have small, but visible, needle marks. The redness, swelling, and possible bruising from filler will be the most noticeable in the first 48 hours, but will gradually improve over the next few days. You can return to work, run errands, etc the same day as your Botox/Dysport injection. Most people will want to have a day off following filler injections if they are concerned about the level of swelling, however this is not required and is based on your own level of comfort.
Q: I made my appointment a few days ago, but now I’m sick, should I still come in?
A: We suggest you be symptom-free for at least 7 days before coming in for your appointment. Having a compromised immune system can increase the risk of an adverse reaction to Botox/Dysport or Filler. If you are interested in filler treatments, we also recommend not having any dental procedures 30 days prior or 30 days following the injection.
Q: I’m pregnant or breastfeeding. Can I get Botox/Dysport or Filler?
A: It is not recommended that pregnant women or nursing mothers receive Botox/Dysport or soft tissue filler treatments. Animal reproduction studies have not been performed to determine if fillers could produce fetal harm. It is not known if fillers or its breakdown products can be excreted in human milk. If you are trying to get pregnant and/or undergoing fertility treatments, as a precaution we recommend waiting 2 weeks following any injection before trying to conceive.
Q: I get cold sores. Can I still get Botox/Dysport or Filler?
A: Yes … but, if you are getting an injection around your mouth and have an active sore, you will have to delay treatment. If you know you are prone to cold sores, please let your injector know. Our Physician Assistant will provide you with a prescription for Acyclovir and instructions prior to coming in for your appointment.
Q: I’m traveling/flying tonight/tomorrow. Can I still be treated?
A: Yes. Traveling will not affect your treatment outcome. However, it’s still important to know that you should not lay down for 3 hours after your treatment or apply direct pressure to your face for at least 8 hours. Also, if you’ve had filler, you will have some swelling, redness, and possible bruising. If any refining to your treatment is necessary, we suggest coming back 2-3 weeks after your initial treatment to ensure a more optimal result. Please keep this in mind when scheduling your initial treatment around your travel plans.
Q: I’m nervous. Can I bring a friend/family member to my appointment?
A: Yes … but your friend/family member should be mindful that you are undergoing a procedure. Our injectors want to ensure the focus of the appointment is on you and our attention will be on performing a safe injection. If your friend/family member has questions about the procedure, or is also interested in having an injection, please let the front desk know when scheduling so that the appropriate amount of time is designated for the appointment. It will be up to the discretion of each injector whether they are comfortable having an additional person in the room during the procedure.
Disclaimer: A full version of our post-care instruction sheet for both Botox/Dysport and Soft Tissue Filler are available upon request. Our injectors will also discuss post-care instructions and answer any questions at the time of your appointment. Please note, it is up to the discretion of the injector to determine if treatment is appropriate on the day of your appointment.