Technique
Most injections are performed using a cannula to reduce bruising and vascular risk. Hyaluronic acid fillers are reversible with hyaluronidase.
Treatment Areas
- Cheeks: 1–3 syringes
- Chin: 1–4 syringes
- Jawline / Angle: 1–2 per side
- Temples / Preauricular / Pyriform: 0.5–1 per side
- Nose / Under‑Eye Support / Smile Lines
Pre‑Treatment Care
- Schedule when minor swelling or bruising will not disrupt important events.
- Avoid blood‑thinning medications and supplements (aspirin, ibuprofen, naproxen, Aleve, fish oil, vitamin E, St. John’s Wort, ginkgo biloba, garlic, ginseng, flax, etc.) for 7–10 days before treatment if approved by your doctor.
- Avoid alcohol for at least 24 hours before and after your treatment.
- Stop topical tretinoin (Retin‑A), retinol, glycolic acid, alpha hydroxy acids, or other exfoliants for 2–3 days before.
- Avoid waxing, bleaching, tweezing, or using hair‑removal creams on the treatment area for 2–3 days before.
- Do not schedule fillers if you have a rash, cold sore, blemish, or infection in the area.
- Notify your provider if you have a history of cold sores or are pregnant or breastfeeding; filler may not be appropriate.
- Avoid dental work, vaccines, or other medical procedures for at least 2 weeks before and after filler.
- Optional: take arnica montana 2–7 days before your procedure to help reduce bruising.
- Minimize salty foods a few days before and after the procedure to reduce swelling.
- Arrive with a clean face and no makeup on the day of treatment.
Post‑Treatment Care
- Expect swelling, bruising, redness, tenderness, or firmness at the injection sites. These typically resolve within a few days.
- Apply ice packs wrapped in a cloth for 15 minutes every hour for the first 12 hours.
- Avoid touching, massaging, or applying pressure to treated areas for at least 24–48 hours.
- Avoid strenuous exercise, saunas, steam rooms, and hot environments for 24 hours.
- Wait until the next day to apply makeup, cleansers, or moisturizers on the treated area.
- Sleep with your head elevated and avoid sleeping on your side or stomach for 24–48 hours.
- Avoid facials, massages, or aggressive skin treatments for 2 weeks.
- Avoid wearing tight‑fitting goggles or glasses for at least 72 hours if filler was injected near the upper cheek or under‑eye area.
- You may take acetaminophen (Tylenol) for mild discomfort.
- Bruising may worsen before it improves and can last up to 2 weeks.
- Contact your provider if you experience severe pain, blanching, dusky or white skin, or signs of infection.
Pricing
Pricing per syringe:
- Juvederm Voluma / Volux: $600
- Juvederm Ultra / Ultra Plus: $525
- Restylane Lyft: $500
- Refyne / Defyne / Kysse / Contour: $550
- Restylane Silk / L: $525
Combo packages: 15 units of Botox (or 45 units of Dysport) plus 1 syringe of Juvederm Voluma for $675, or plus 1 syringe of Restylane Lyft for $575—repeat in multiples to save on overall cost.