Lip Filler

dermal filler

pre-care

PLAN AHEAD

Bruising and swelling are common and can take up to two weeks to fully settle. Schedule your filler at least two weeks before a wedding, a photo session, or any

event where you want to look your best. Following these steps lowers your

chance of bruising and helps us give you the most accurate result.

ONE TO TWO WEEKS BEFORE

If it is safe for you, pause supplements that thin the blood: fish oil, vitamin E, ginkgo, ginseng, high-dose garlic, and turmeric. Avoid aspirin and NSAIDS such as ibuprofen and naproxen for about a week unless they are prescribed to you. Tylenol, or acetaminophen, is fine. Never stop a prescribed blood thinner — warfarin, apixaban, clopidogrel, or similar — without clearing it with the doctor who prescribed it. We can treat you safely either way. Space your appointment about two weeks from dental cleanings, dental procedures, and vaccinations. If you are prone to cold sores, ask us about starting an antiviral before your appointment.

TELL US BEFORE WE TREAT

A history of cold sores or fever blisters. Lip and perioral filler can trigger an outbreak, and we may prescribe an antiviral to start beforehand. Any active breakout, cold sore, rash, or infection at or near the treatment area. Autoimmune conditions, a history of severe allergies or anaphylaxis, or any previous reaction to filler. A tendency to form thick or raised scars. Every filler you have had before — what, where, and when — including anything placed at another practice. Recent or upcoming dental work, vaccines, or illness. If you are pregnant, breastfeeding, or trying to conceive. Filler is not recommended. All medications you take, including blood thinners, antibiotics, and immune-modulating medications.

THE DAY BEFORE

2 4 H o u r s

Skip alcohol. It thinks the blood and is one of the most common reasons patients bruse. Drink plenty of water and get a full night of sleep.

THE DAY OF

Arrive with clean skin and no makeup on the treatment area if you can. Eat a real meal and drink water beforehand. It lowers the chance of feeling lightheaded during treatment. Let us know if you are ill, running a fever, or fighting an infection. We will scheduce — treating during an active illness raises the risk of a delayed reaction. Plan a low-key evening. No strenuous exercise, heat, or alcohol afterward.

971-428-7254 A S T E R A E S T H E T I C S asteraesthetic.com

dermal filler

post-care

WHAT TO EXPECT

Swelling, tenderness, bruising, redness, firmness, or temporary asymmetry are normal. Swelling usually improves within 3-5 days; lips swell the most and can look uneven for up to two weeks. Small lumps may be felt for several weeks as the filler softens. Final results settle

around 4-6 weeks, and longevity is typically 6-18 months depending on product and area.

AS NEEDED Take Extra Strength Tylenol as directed for discomfort if it is safe for you. Do not combine it

with other acetaminophen-containing medications. Avoid aspirin and NSAIDs such as ibuprofen for the first 24 hours unless they are prescribed to you — never stop a prescribed

blood thinner on your own. Apply a clean, cool compress or ice for 10-15 minutes at a time

without pressing. Ensure a barrier between ice and skin, especially while numb.

FIRST 48 HOURS

Avoid firm pressure or unnecessary touching of the treated areas, and wash your hands first. Wait 24 hours before wearing makeup over the injection sites, and keep the skin clean. Avoid alcohol, strenuous exercise, excessive heat, saunas, steam rooms, and hot yoga. Avoid facials and facial massages. Sleep with your head slightly elevated the first night, and ensure a clean pillow case before bed the night of treatment. Ensure your provider is aware if you have a history of cold sores, take perscribed prophylactic antiviral treatment if indicated

DURING HEALING

Sleep face-up and limit pressure on the treated areas for at least 72 hours. Do not massage the filler unless your provider specifically instructs you to. Avoid facials, peels, lasers, and microneedling for two weeks. Avoid elective dental work and vaccines for two weeks before and after treatment. Protect the area from prolonged sun, tanning beds, and extreme cold until redness and swelling resolve, and wear SPF daily. Stay hydrated and reduce salt to aid in minimizing swelling as the filler settles. Allow 4-6 weeks before assessing your final result. If any questions or concerns are present at this time, ensure to schedule a follow up with your provider.

REACH OUT WITH ANY CONCERN

Most of what you feel in the first two weeks is ordinary healing. If something does not feel right to you, call or text us — there is no question too small, and we would much rather hear from you early.

Call us right away for pain that is increasing or severe, pale, blancing, or mottled skin, spreading redness, warmth, discharge, fever, or any change in your vision. If you cannot reach us, seek medical care. New lumps, firmness, or swelling that shows up weeks or months later — often after an illness, a vaccine, or dental work. This is well recognized and very treatable, so let us take a look. A cold sore developing after lip or perioral treatment. Anything that simply worries you, including how your result is settling. Checking in is never a bother.

AS TE R AE S TH E TICS asteraesthetic.com 971-428-7254