How Does It Work?

After Care Advice

What are dermal fillers?
Dermal fillers are made of various kinds of natural, man-made and synthetic materials that have been developed for injection into the skin. They can be permanent or non-permanent. Collagen was the first dermal filler, but now the leading dermal fillers used by most UK practitioners are Hyaluronic acid based products such as Juvederm.
Hyaluronic acid is a natural substance found inside the human body. It's key properties are to keep the skin hydrated whilst adding plumpness. It naturally breaks down in the body during metabolism and is then replaced. However as we get older and our metabolism slows down, replacement of Hyaluronic Acid is less often which results in less hydrated skin and less volume in the skin. In these cases Dermal Fillers can be used to bring back this lost plumpness and also add volume in areas that have always lacked it.

Risks of dermal filler
• Bleeding after the needle has been inserted into the skin, mild bruising, tenderness, redness and swelling.
• Allergic reaction. These symptoms could include redness, swelling and itching that has not gone after 2 weeks. Severe allergic reactions are very rare but needs to be made aware of. Symptoms may include airway occlusion and anaphylaxis.
• If you have a history of cold sores, or fever blisters in the treated area, filler injections may cause them to break out again.
• You may experience lumpiness in and around the injection site and feel the filler product beneath your skin when you touch your face. This normally subsides over time but not always.
Who should not have Dermal Filler
• Skin injections should be avoided in areas where the skin is swollen, open or where infections are present – e.g. active acne. This will reduce the risk of infection at the injection site after the treatment.
• If you have had an allergic reaction to a dermal filler in the past
• Pregnant or breast feeding woman
• If you have any disease affecting your immune system
• You must be 18 years or older and have full capacity to make the decision to have it.

Directly after the dermal filler treatment the injected area will be bruised, swollen and itchy. These are all normal effects caused by the injection and they normally subside after a few days to a week. The treated area (especially the lips) will seem uneven for up to two weeks due to the swelling and so the final result will NOT be seen until at least 2 weeks after the treatment.
What to do after your treatment
· Iced water soaks or ice packs can help to reduce swelling (although this is generally not required);
· Use paracetamol for pain relief if required after treatment, NOT Ibuprofen or any other blood thinning agents such as aspirin as this will cause excessive bruising.
· Arnica tablets are recommended a few days before and a few days after treatment as there is some evidence that this can reduce bruising. The Gel will be given to you on the treatment day and should be used to massage the treated area to help even out the product under the skin, this will be explained to you after your treatment.
· Bruising, swelling and itching should go down after a few days, but if you continue to experience very painful swelling and bruising, or if any blistering occurs after the 2 week healing period you should contact R.L.J Aesthetics.
· If you experience any delayed reactions such as lumpy redness, extreme pain, puss or any signs of infection occurring any time after treatment, you should contact us immediately, and we will assess you and decide if you need further medical advice.
· NO touching the injected area for six hours after treatment
· Wash the injected area very gently with water only for 2 days to avoid infection
· No make up and creams except arnica gel over the injected area for 2 days to avoid infection. Then only light make up and a gentle cleanser until all the swelling and redness has gone.
· No sunbeds for 2 weeks. And try and avoid direct sun light for a few days after the treatment. Avoid exposure to extreme heat. Wear sun screen at all times.
· Avoid exercising and alcohol for 24 hours after the treatment as they can cause bleeding and increased bruising
· Avoid smoking for 24 hours after treatment if having lip fillers to help prevent infection, burning and miss shaping the filler.