Injectable Fillers FAQs
Learn the answers to frequently asked questions about dermal fillers at Hillcrest Plastic Surgery in Orlando, such as Restylane®, RADIESSE®, JUVÉDERM®, PERLANE®, and Sculptra®.
These answers to commonly asked questions are not intended to be taken as medical advice; they are based on Dr. Kenrick Spence's many years of experience treating thousands of dermal fillers patients at his Medical Spa and facial plastic surgery practice.
Dermal Fillers Questions Answered by Dr. Spence
Do I need to go under general anesthesia to receive fillers?
No, fillers are done with the aid of topical or local anesthesia.
Do I need to go under local anesthesia for fillers?
Local anesthesia is not necessary, but can be used to alleviate some of the discomfort associated with fillers.
Will I experience lumps and bumps?
Yes, during your swelling you will experience some lumps and bumps. This is normal and at two weeks we will reevaluate you.
How long before I can wash my face or get it wet after receiving fillers?
You may wash your face the day of your appointment.
How long after my appointment can I lie on my face.
It is safe to sleep as you normally would the day of.
How long does it take for the swelling to go down?
It typically takes no more than three days, but the final balance of the product may take up to two weeks.
When can I wear makeup after getting fillers?
Makeup can be applied the following day.
Should I wait before receiving any skincare treatments?
It is best to delay any skincare treatment for the following 48 to 72 hours following the injection of your fillers.
How far in advance should I get my fillers before an event?
Typically, two weeks before is enough time. This will allow for any potential bruising or swelling to subside as well as the ability for minor touch ups.
How long will my fillers last?
This can vary from one filler to another, as well as from patient to patient. There are fillers that can last up to six months or as long as a year and a half.
What if I decide I want more fillers before my next top-up appointment?
That can always be accommodated by contacting our office and scheduling another appointment.
At what age can I begin having dermal fillers such as JUVÉDERM or Restylane?
There is no specific age to start dermal fillers. It depends on when the need arises. We have very young patients at the Hillcrest Plastic Surgery that are using dermal fillers for enhancing facial features, such as their lips; treating acne scars and other facial scars; and minimizing signs of aging, such as loss of volume in the cheeks. Dermal fillers can also be used to enhance the results of facial plastic surgery.
What is the best dermal filler?
At the Hillcrest Plastic Surgery, we have vast experience with 8 different types of dermal fillers. The best filler for you will depend on these factors:
- area being treated
- skin type
- how long you want the benefits to last
- aesthetic goals
Each filler has its own advantages, and sometimes a combination may achieve the best results. For example, a possible combination of fillers might be Restylane to enhance the lips, JUVÉDERM to fill out hollows beneath the eyes, and RADIESSE to add volume to the cheeks.
I lost a lot of weight. As a result, even though the skin is tight, my face still looks old. Should I get dermal fillers or a facelift?
Many patients who have lost weight have an aged appearance because of loss of volume. A facelift may not be necessary. Fat, the most natural filler used for this procedure, can be harvested from another area of the body through liposuction and then injected into the targeted regions. Other options include injectable fillers such as Sculptra and RADIESSE.
How does my body eliminate these fillers?
Fillers used in our Orlando med spa such as Sculptra, Restylane, and JUVÉDERM are biocompatible and biodegradable. These terms mean that these injectables can be broken down and naturally eliminated by your body's normal cleansing processes.
Can I have an allergic reaction to Sculptra?
Allergic reactions to Sculptra are uncommon. Sculptra is composed of the same material used in surgical suture material for years. Side-effects may include small, non-visible bumps beneath the skin which you may be able to feel but not see.
I heard that if I have a certain kind of scar, I can't have Sculptra?
Currently the manufacturer of Sculptra Aesthetic does not recommend the product for patients who have a tendency to form hypertrophic scars (thick, raised, pigmented scars).
Do these fillers show up on X-rays?
RADIESSE is the most likely filler to show up on X-rays due to its calcium content.
What precautions can I take to prepare for my dermal filler?
Although not harmful, bruising can occur with the use of dermal fillers. At Hillcrest Plastic Surgery, we follow and recommend the following precautions to decrease the risk of bruising:
- Topical Arnica
- Ice compresses
- Meticulous injection technique
- Local anesthetics combined with epinephrine
We also recommend that you stop all blood-thinning agents at least five days before your injection. Talk with your physician about any blood-thinning prescriptions prior to halting your medications.
How long does JUVÉDERM last?
It has been our experience that hyaluronic acid fillers such as JUVÉDERM last between 6 to 8 months, depending on the patient. In addition, the duration of the benefits varies, depending on the locations of the injection. Areas of the face that are less mobile tend to last longer.
Call Hillcrest Plastic Surgery at (407) 999-2585 to learn more about how one of our highly skilled and qualified dermal filler specialists can achieve your aesthetic goals. Or, request a consultation online. Our knowledgeable staff will be happy to help you.