Pre-Treatment Instructions for Dermal Fillers + Biostimulators​

• Do NOT take aspirin, Motrin, ibuprofen, Naproxen, Aleve, Vitamin E, Gingko Biloba, fish oil, St. John’s Wort, garlic pills, or other anti-inflammatory medications for 1-2 weeks if okay with your primary physician. These medications can increase the risk of bruising. For mild pain or headaches Tylenol is preferred.

• DO consider taking over the counter Amica supplements (available at The Derm Institute, most supplement stores, Whole Foods, etc) starting 3-5 days before your treatment as they have been shown to decrease bruising.

• DO inform your nurse or physician if you have a history of medication allergies, history of anaphylaxis, and any other medical problems.

• The ideal time to schedule this procedure is at LEAST 2 weeks before a big event.

• Avoid Alcohol and Smoking: Avoid these substances for at least 24 hours prior to the procedure.

• Eat and Hydrate: Have a light meal and hydrate to minimize the risk of lightheadedness during theprocedure.

• Cold Sore Precaution: Inform your provider if you have a history of cold sores, as antiviralmedication may be prescribed.

• Skin Care Precautions: Avoid using retinoids, glycolic acid, and exfoliants for 2 days beforetreatment.

• Arrive Makeup-Free: Please arrive with clean skin and no makeup on the treatment area.

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Contraindications

Filler & Biostimulants may not be suitable for individuals who:

• Are pregnant or breastfeeding.

• Have severe allergies or a history of anaphylaxis.

• Have active skin infections or severe skin conditions at the treatment site.

• Are prone to keloid formation or hypertrophic scarring.

• Have allergies to any components of products being used.​

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Potential Risk & Side Effects

While Fillers including Sculptra + Dilute/Hyperdilute Radiesse, are generally safe, possible risks and side effects include:

• Temporary bruising, swelling, redness, and tenderness at the injection sites.

• Nodules or Lumps: Small lumps may occur and can often be smoothed within the initial days following treatment.

• Swelling is a known side effect of these procedures; to reduce swelling, sleep with your head elevated, avoid salt, and apply a cool compress if needed.

• Pigmentation Changes: Sun protection is essential; avoid sun exposure and use broad-spectrum SPF to prevent hyperpigmentation.

• Infection: While rare, any injection carries a risk of infection. 

• Allergic Reactions: Rare, but may include itching, hives, localized swelling, or other allergicresponses.

• Herpes Recurrence: Clients with a history of herpes may experience a recurrence due to injection-related trauma.

• Vascular Occlusion: Accidental injection into a blood vessel may cause serious complications.

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Expectations for Sculptra + (dilute) Radiesse

Gradual Improvement: Noticeable improvements are progressive, as collagen stimulation occurs over several weeks.

• Natural Lift: Results provide a subtle, natural-looking enhancement of treated areas without visiblebulk.

• Duration: Results typically last up to 12 months, with maintenance treatments recommendedannually or as advised by your provider.

• Individual Results: Outcomes may vary based on skin type, age, and lifestyle factors.