What to Expect With Filler: Do's & Don'ts Before & After Dermal Filler

Even though it’s a small, nonsurgical, and relatively painless procedure, fillers can be intimidating for someone who’s never done it.

Before you jump in your nurse injector’s chair, we want to make sure you know what to expect and have our top tips for receiving filler.

If you still have questions by the end of this post, our team would love to help you during a filler consultation. Let’s start with the basics.

Dermal fillers are used to replace lost fat pads, create a more hydrated, refreshed look, or reshape and contour the face and hands. It’s one of the best treatments for anti-aging as well as augmentation (think lips, cheekbones & law line).

Since this is an invasive procedure, there is a risk of bruising and swelling around the injection site. Here’s how you can reduce that risk.


One-Two Weeks Prior to Your Appointment

  • Avoid blood thinning over-the-counter medications such as aspirin, Motrin, ibuprofen, and Aleve.

  • Avoid supplements, including St. John’s Wort, Gingko Biloba, primrose oil, garlic, ginseng, and Vitamin E.

  • Start taking herbal anti-inflammatories and/or Arnica to reduce your body's overall inflammation.

2-3 Days Prior to Your Appointment

  • Avoid alcohol

24 Hours Prior to Your Appointment

  • Avoid Exercise or any overly agitating or stressful activities

The Day Of Treatment

  • Arrive with a clean face. No makeup, please :)

  • Depending on your comfort needs, your nurse will apply a local anesthetic or inject a numbing agent to the area being treated. We also have ProNox available to ease your nerves during your appointment.

ProNox is a device that administers “laughing gas” in an inhaled mixture of 50% Oxygen and 50% Nitrous Oxide. The device is used to reduce anxiety and discomfort during in-office procedures, and it can be used in conjunction with local anesthesia.

What To Do The First Hour After Your Filler Appointment

  • Apply an ice pack (we’ll supply you with this)

  • Apply Arnica topically and/or internally by tablet.

  • Take acetaminophen to reduce pain as needed.

  • Avoid itching, massaging, or picking around the injection site.

  • After 6 hours, you may apply mineral-based sunscreen and makeup as desired and use a gentle cleanser on the area.

24-48 hours After Your Appointment

  • Keep Icing the treatment area(s) as needed

  • Avoid exercise and intense heat until all swelling and redness are gone

  • Antihistamine is an option after your appointment (as tolerated) to reduce swelling.

  • Avoid strong topical products such as any kind of Retinol, Glycolic Acid, or “anti-aging” products.

  • Avoid hair-removal treatments around the treatment area

1-2 Weeks After Your Appointment

  • Continue applying Arnica

  • Keep taking your natural anti-inflammatories


  • Have fever and/or chills

  • Have discolored blotches in areas not injected

  • Have blanching of injected areas

  • Notice the area appears red and/or hot to the touch

  • Have severe or increasing pain

How long does it take for dermal fillers to settle?

Fortunately, dermal fillers work very quickly and you can see results immediately. Injectables will take some time to integrate into your tissues, though. It's normal for your filler to take up to two weeks to fully settle.

General Recommendations

  • Do not use dermal fillers if you are pregnant or breastfeeding, are allergic to any ingredients, or suffer from neurological disorders.

Please let us know if you have any questions regarding dermal fillers. We’d be glad to help you on your way to your best results!

Schedule a consultation, here.

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