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DERMAL FILLER
AFTERCARE

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It is important to follow these aftercare instructions carefully.

 

What to Expect After Treatment

It is normal to experience the following:

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  • Swelling: This is common and may last up to 7 days, with some mild swelling persisting for up to 2 weeks.

  • Bruising and Hematomas: Surface bruising or deeper internal bruising may occur. This is part of the healing process and typically resolves within a week. Over-the-counter products like Hirudoid or arnica may help alleviate bruising.

  • Tenderness or Red Needle Marks: This should subside within a few days.

  • Asymmetry: Swelling can create temporary unevenness, which will typically resolve as the filler settles.

  • Firmness or Lumpiness: The treated area may initially feel firm or have small palpable lumps. Over the next 4 weeks, the filler will soften as it integrates with your tissue. If instructed by our team, gentle massage can help smooth out the area.

 

 

Cosmetic nurse performing facial treatment on client at Charlie Ralph Clinic

Specific Areas

  • Lip Fillers: Swelling is more pronounced in the upper lip and will settle over the 2 week integration period.

  • Jawline Fillers: Lumpiness along the jawline is common but will resolve as the filler integrates.

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Aftercare Guidelines

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DO

  • Apply a cool compress for 10 minutes per hour on the day of treatment to reduce swelling.

  • Keep your head elevated for 4 hours post-treatment—avoid lying down.

  • Stay hydrated by drinking plenty of water.

  • Take Panadol (paracetamol) for mild pain or discomfort.

  • Be patient—results take up to 4 weeks to finalise.
     

DON’T

  • Avoid touching the treated area for the first 6 hours. After this, you may gently cleanse your face.

  • Avoid applying makeup for 24 hours.

  • Refrain from alcohol for 48 hours post-treatment.

  • Avoid strenuous exercise, excessive sweating, or exposure to intense heat (e.g., saunas) for 24 hours.

  • Do not fly domestically for 5 days or internationally for 7 days.

  • Avoid facials, waxing, energy-based treatments, or chemical peels for 2 weeks.
     

Potential Complications

While rare, complications can occur:

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  • Vascular Occlusion: Signs include pale or dusky skin, "fishnet" patterns, persistent pain, or delayed capillary refill. If you notice these symptoms, contact us immediately or visit your nearest emergency department.

  • Infection: Symptoms include redness, tenderness, swelling, heat, nodules, or pus. Seek medical attention if these occur.

  • Cold Sores: Dermal fillers may trigger outbreaks in those with a history of cold sores. Antiviral treatments can help prevent or manage this.

       Swelling, Bruising, and Pain Management

  • Use a cool compress as directed.

  • Arnica or Bromelain supplements may help reduce swelling and bruising.

  • For bruising, treatments like LED will help subside. 

  • Avoid medications or supplements that increase bruising risk, such as aspirin or fish oil, unless prescribed.
     

Review and Retreatment

  • Aesthetic Review: Results should be reviewed no sooner than  2 weeks post-treatment, as swelling must fully subside. Earlier reviews may not provide an accurate assessment of symmetry or final results.

  • Retreatment: Additional treatments can be performed 1–6 months after your first session. Maintenance injections are typically required annually.

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