Dermal Filler After Care
You will be amazed at how your lines instantly reduce and your face looks lighter and brighter, restoring your younger look
Alison has carried out thousands of dermal and lip filler treatments and has an honest and open approach which adds to the professional and exceptional customer care. This information acts as a thorough guide and should inform and answer any questions you may have about the treatment.
This information contains all of the good news and all of the bad news so that you can be confident that you are receiving the safest advice and best treatment. Please feel free to see all of Alison’s training certificates and qualifications.
What are dermal fillers?
Dermal fillers have been used for decades in improving the volume under the skin to lift wrinkles and smooth lines. Later, they have been developed to improve lip shape and plumpness, and also for skin boosting. All of the fillers which Alison uses are top brand, approved pharmacy supplied. Most are made from cross-linked pure hyaluronic acid. This means that they are non permanent but long lasting and contain a sterile gel form of natural hyaluronic acid. This gel lifts and hydrates the skin bringing about an instant smoothing effect and restoring a younger look. The gel remains under the skin for 4 – 12 months depending on depth and product. Hyaluronic is so good for your skin – to have it underneath really boosts your skin as it boosts your collagen.
The exception is a filler called Radiesse – made from calcium hydroxyapatite, a non dissolvable filler but a fabulous long lasting filler which causes extra collagenesis giving the skin strength and radiance as a bonus! Radiesse has been a very long standing filler and is excellent for jaw lines as it is strong and lasts for 12-18 months.
What is Hyaluronic Acid?
Hyaluronic acid is a naturally occurring sugar chain molecule found in all skin and soft tissues throughout the body, identical across species.
Dermal fillers are manufactured, usually through fermentation and cross linking with proteins to produce a clear, sterile gel for injection into the skin.In the UK, there are over 160 brands on the market due in some part to weak regulation. Not all hyaluronic acids are the same, each brand has a range of ‘tissue tailored’ products designed for specific results. One size does not fit all. At this clinic we use only tried and tested brands. If you have a particular brand you prefer, please discuss with Alison.
Used to Treat
- To correct or enhance facial contours; cheeks, temples, jawline, nose, chin.
- To define, correct or enhance lips
- To soften and correct facial wrinkles or folds
- To restore lost volume in hands to reduce the appearance of veins and tendons
- To improve the tone, texture and hydration of the skin,
Does it Hurt?
Most leading brands also contain a local anaesthetic and we will apply topical anaesthetic cream, or ice, prior to treatment to numb the skin. Treatment need not be painful.
All make up will need to be removed prior to treatment, so please come ‘fresh faced’ if possible. Alcohol, aspirin, Ibuprofen, blood thinners and a range of dietary supplements including; St. Johns Wort, fish oils, Gingko Biloba, Vitamins C and E- may all contribute to bruising and are best avoided 24 hours before treatment. If you are prescribed blood thinners (anti-coagulants), please continue on these and treatment will need to be assessed on individual merits to ensure safety.
Treatment cannot be administered if there is an active skin infection, including acne or cold sores or if you are unwell- including colds, coughs, sore throats, viral illnesses or other illnesses. Please contact the clinic to discuss any illness or new medicines prior to attending.
What happens at a consultation?
You will have a personal confidential consultation before any treatment. This discussion includes what you would like for your concerned area, any expectations, side effects and the whole treatment process. Also included will be a health history and check to ensure a safe treatment. After the health check and consent has been accepted and signed, the facial treatment only takes about 15 minutes and includes a series of tiny injections. Some treatments only require a single injection – ask Alison about Cannula treatments. Throughout, you will be able to talk and ask Alison questions about the treatment. It is sometimes uncomfortable rather than painful and Alison can numb or cool the skin before which helps with reducing this sensation.
Most people are able to continue with normal activities with immediate improvement in their appearance. Some will have some redness, pin prick marks, possibly swelling- particularly in the lips. Possibly bruising. Any swelling and bruising may be more apparent the few days following treatment.
After your treatment
- Do not touch the injection areas as you may introduce bacteria and cause infection
- Do not massage the treated areas and try to lie on your back during the night after your treatment. You may experience some tenderness, swelling and redness for a few days after treatment
- Avoid make up for 12 hours
- Avoid alcohol for 24 hours (increases swelling and bruising risk)
- Do not expose yourself to extreme movements, exercise or temperatures
- Avoid sun beds and saunas for 2 weeks
With lip treatments, swelling may be increased the next morning and they may appear uneven. This will subside through the day
- If you experience any adverse effects, contact Alison and your GP as necessary
Swelling may worsen in the first 24 hours, and then should settle within the first few days. Cold packs can be helpful in reducing swelling. As a consequence of swelling, the product may feel harder or lumpy and you may notice some asymmetry. The final result may be judged at 2 weeks when you are invited to a review appointment if you choose.
Bruising may take a few days to appear; Arnica can be helpful in clearing bruising. It is advisable to avoid aspirin and alcohol for 12-48 hours before and after treatment. Tenderness should settle as swelling goes down.
Athletes should be aware some ingredients in the product may show a positive in ‘anti-dope tests’
Please contact Alison if redness, tenderness, itching or swelling worsens after 3 days, rather than settling.
Please do not hesitate to contact if you have any concerns.
Severe Allergy: Hyaluronic Acid administration can result in anaphylaxis (a severe allergic reaction) which in itself is life threatening and requires immediate medical attention. Symptoms of a severe allergic reaction can include shortness of breath, wheezing, coughing, difficulty swallowing, swelling of the tongue, eyelids, lips, hoarseness of the voice, stomach pain, nausea or diarrhoea. If you have any of the above symptoms please report to your nearest Accident and Emergency Department or call 999 for an ambulance.
Possible Side Effects & Risks
The dermal fillers used at Alison Taylor Medical Cosmetics are all hyaluronic based and contain lidocaine (a local anaesthetic agent). They can be dissolved. You may experience some temporary side effects following your treatment. Please inform Alison if you have any side effects or if you have a sensitivity to hyaluronic acid or lidocaine. You must complete a health questionnaire prior to treatment.
Common side effects (approx. 1 – 5 out of 10 people):
Redness, swelling, pain, itching and tenderness at site of injection. These are usually mild to moderate and pass within a few days of treatment. Swelling can appear days after treatment and then subside, Bruising – can be mild to severe depending on area treated. This cannot be predicted although Alison will know of vessels in the site of injection, they cannot always be avoided.
Less common: Small lumps or irregularities at injection site. These can be temporary from the injection but if the product has been injected superficially, they may last for months.
Very uncommon side effects: Inflammatory reactions where redness, swelling affects surrounding tissue. This can occur a few days or a few weeks after treatment. They are generally light to moderate in severity and pass within two weeks.
In very rare cases, prolonged induration, infection or granulomas / inflammation. Occasionally, a greyish blue colouring can be seen in area of treatment. This can occur weeks after treatment and last several months but will subside over time. Scabbing and sloughing can result in superficial scarring. There have been cases of permanent vision loss following dermal filler treatments where the filler has blocked an artery or vessel supplying the eye. Blood vessel occlusion (blockage) by dermal filler can cause tissue death (including lip) if not treated immediately – hence the need to only be treated by someone medically trained.
If the side effects become more serious, please contact Alison and / or your GP.
IMPORTANT : PLEASE NOTE:
Some trigger incidents which may cause a temporary inflammation (which can be severe) even months after treatment with dermal fillers include:
- Excessive alcohol
- Excessive UV exposure (Holidays, sun beds etc)
- Excessive heat
- Insect bites anywhere on body
- Viral infection
- Immune system stress
The nature of dermal fillers is that it can act as a foreign body tests the body’s immune system. If you become stressed or suffer any of the above, it can cause the body to react quite dramatically, mimicking an allergic reaction.
Increased swelling, heat and redness in the facial area
Should this occur, please contact Alison. Do not panic, as it will resolve and Alison is medically trained to manage such complications.