treatment Aftercare

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Immediately after your dermal filler treatment, you may notice a few of the following:

  • Swelling
  • Bruising
  • Red needle puncture marks
  • Asymmetry
  • Tenderness
  • Itching in the area

These issues are common immediately after dermal filler injections and should resolve over the next few days to weeks. Your final result will be seen at about 4 weeks after treatment, and you can be evaluated again to see if further treatments are required to achieve desired results.

Important to do: Drink plenty of water and keep your skin hydrated (moisturize heavily and apply lip balm on lips)

Things to avoid:

  • Do not expose the area to intense heat for 72 hours (i.e. hot yoga, heated exercise, sauna, sunbathing, tanning).
  • Avoid pressure on the treated areas for 7 days (i.e. sleep on your back if possible, avoid sleeping on your side or stomach, prop up pillows for head elevation).
  • Delay strenuous exercise for 24-48 hours.
  • No alcohol consumption for 24 hours.
  • No salty or spicy food for 24 hours.
  • Avoid blood thinners for 72 hours, unless prescribed (i.e. aspirin, ibuprofen)
  • Do not use AHA, Retinols/Vitamin C therapy or oil based make-up for 24 hours.
  • Avoid facials, facial waxing, Glycolic or AHA peels, IPL, laser or energy based treatments and microdermabrasion for two weeks after treatment. Please check with your healthcare provider before undergoing other facial treatments within this time frame.


Pain is usually mild and sometimes moderate after filler injections. Some areas can be quite painful, like the chin and the lips. If indicated, tylenol may be used to help reduce pain.


For redness, welts, and itching – any over the counter topical or oral antihistamine (such as benadryl, zyrtec, claritin, etc.) may be helpful to treat these symptoms.


Apply a cool compress for 10 minutes every hour on the day of treatment (do not directly apply ice on your skin). A cool compress applied regularly for the first 24 hours after treatment may help reduce swelling. Some patients use arnica tablets before and after treatment to reduce swelling.


Most people have minimal to no bruising and can resume normal activity the following day. Bruising may occur and can last up to 7- 10 days. Apply ice to reduce pain, swelling and bruising. It is important to understand bruising will not affect the final result of the filler. It just takes time for the bruise to resolve. Patients on aspirin, fish oil or other drugs associated with increased bleeding may find their risk increased. For the treatment of bruising, there are over the counter treatments available, including arnica or DerMend cream.


Avoid touching, picking, or applying pressure for 6 hours after treatment. Massage of the filler areas may or may not be advised by your injector. Gentle massage may be used once the pain and tenderness has resolved and if advised by your injector.


This may sound scary but is not uncommon! Over the course of 1-2 weeks post treatment, lumps or bumps may appear and usually resolve on their own. Most lumps are due to swelling or bruising, and they usually resolve spontaneously. If you feel lumpy spots develop 24 hours after treatment, gently massage the area with minimal pressure for about two minutes.


There is a small risk that dermal filler treatments may induce an outbreak of facial cold sores in patients with a known or unknown medical history of the virus that causes cold sores. For a known history of cold sores, specific medications may need to be prescribed by your doctor and should be taken prior to and following the treatment in order to suppress reactivation of an infection from this virus.


Routine re-evaluation of the results of dermal filler should be performed at 4 weeks post procedure. Emergencies, such as infection or vascular occlusions, should be reviewed immediately.

An evaluation prior to 4 weeks is often not useful, as swelling is often still present. Results cannot be assessed until swelling has fully resolved. This is particularly important with regards to evaluation of facial symmetry.


Retreatment should occur at any time between 3-6 months after your first treatment. Once peak filler has been achieved (and after maintenance injections), you can space out your dermal filler treatments annually or as you see fit in optimizing your results.


In very rare occasions, complications can include vascular occlusion and infection. Vascular occlusions mostly occur immediately during treatment. Your injector will provide expedited treatment and/or referral to reverse the complication. The area may appear discolored or skin can begin to develop a fishnet stocking appearance.  After an occlusion develops, the skin may develop small blisters. If you notice any of these abnormalities noted above, please call SKM and/or 911 immediately.

Early infections may occur a few days after treatment. An infection typically presents as inflammation, redness, tenderness, warmth, or with nodules or pus-like discharge. If you notice any of these abnormalities noted above, please call SKM immediately.


Expectations are important to discuss with your injector prior to any treatment! Every patient is unique and there may be a possibility of poor or inadequate response with hyaluronic acid products. Keep in mind that additional treatments may be necessary. As mentioned, treatment with dermal fillers provides temporary smoothing out of facial folds and wrinkles, adds volume to the lips, cheeks, and chin, and contours facial features. Fillers provide temporary effects, but fillers cannot reverse or permanently stop the natural course of aging.

Thank you for choosing us for your aesthetic needs. We are excited to have you join the SKM family!


Botulinum toxin (Botox®, Dysport®, Xeomin@, Daxxify®) works by relaxing muscles. It may take up to 2 weeks for you to see the expected results. Efficacy and duration varies for each person. Do not worry if you don’t notice a reduction of wrinkles in the first few days after treatment. Be patient and let the medication do its thing! It's worth it - we promise!


“Frown, Raise, Frown, Raise” 30x and/or move your facial muscles over the next 4 hours, as this helps the muscle pick up the treatment to improve its effect.

Immediately after your treatment, you may notice a few of the following:

  • Small raised, red bumps at the injection site: these should disappear within 30-45 minutes
  • Slight pain or discomfort
  • Possible bruising
  • Slight headache, which can last 2-3 days. You can take tylenol to help relieve symptoms. Please avoid using blood thinners, such as aspirin, ibuprofen, motrin, aleve, etc.


  • Avoid lying down flat for 4 hours after your treatment. Preferably, sleep with pillows propped up and your head elevated for 2-3 days.
  • Delay strenuous exercise and excessive sweating for 24 hours after treatment
  • Avoid skin care products that have high amounts of acid on the injected areas for 24 hours.
  • Do not touch, rub, or massage your face for 4 hours after you have been treated.
  • Limit alcohol consumption for 48 hours.
  • Avoid blood thinners for 72 hours, unless prescribed (i.e. aspirin, ibuprofen)
  • Delay sun and heat exposure for 72 hours following treatment. This includes hot showers, tanning beds, hot yoga, hot tubs, and saunas.

Thank you for trusting us with your aesthetic needs. We are excited to have you join the SKM family!


  • Apply pressure to the injection site for 2 minutes after IV or injection has been removed to avoid bleeding.
  • Keep Band-Aid in place for up to 1 hour.
  • Cold packs and elevating your arm can be used for any bruising at the site.
  • Cold packs can also be used for pain relief and to decrease any swelling at the site.
  • If swelling occurs, it should be significantly reduced in 24 hours.
  • For any pain or discomfort, you can take over the counter tylenol or motrin as needed.
  • You can continue your regular activities immediately after, be mindful of the injection site area and try to avoid rough contact to prevent any swelling or infection from developing.

Thank you for choosing us for your IV hydration and/or IM injection needs, we are excited to have you as a loyal client of our SKM brand!