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• Reduce alcohol intake at least 24 hours before your appointment to minimise the risk of bruising, as alcohol can thin the blood.

• Disclose if you are on immunosuppressive therapy.

• Prior to and after treatment, it may be beneficial to take oral Arnica Montana. This supplement is known for its natural properties to mitigate swelling and bruising.

•Before the injectable treatment, it is important to consult your GP to discuss and possibly adjust certain medications and supplements for safety. To reduce the risk of bruising, it is recommended to avoid taking blood-thinning medications and supplements for at least a week prior to the procedure.

• 7-10 days prior to treatment, stop taking non-steroidal anti-inflammatory medications like aspirin, Advil, Ibuprofen etc.

• Stop using herbal supplements (fish oil, ginkgo, ginseng, St. John’s Wort, garlic pills, etc.) a week before treatment. Multivitamins are usually safe to continue.

• Discuss any history of allergies and current medications with your injector for a comprehensive understanding.

• If you have a history of cold sores, inform your provider, as there is a risk of an outbreak following the treatment.

• Avoid scheduling your treatment within three weeks of any significant event to allow for recovery and optimal results.

The duration of dermal fillers ranges from 6 to 12 months and may last longer, depending on the body's metabolism. However, the frequent use of lips, being a high-activity area, can affect the longevity of the results.

Receiving Dermal Fillers is typically characterised by a mild pinch, a sense of pressure or a stinging sensation during the injection. However, the perception of pain is subjective and varies from person to person, influenced by factors like the treated area and individual pain tolerance.

Common side effects after dermal filler treatment include:

• Redness

• Swelling

• Bruising

• Tenderness at the injection site.

• Bleeding

• Swelling-mild to moderate

• Itching

• Lumps and bumps (of filler)

• Discomfort

These side effects are usually mild and resolve independently within a few days to a week.

Serious side effects:

• Infection

• Allergic reaction

• Tissue damage may occur in rare cases.

• Vascular occlusion- Filler entering a blood vessel

• Tissue death and scarring-post vascular occlusion

• Stroke

• Ulceration of the skin

• Haematoma- collection of blood outside the blood vessel

• skin discolouration

• Permanent disfigurement

Risks/Side effects

Dermal filler injections carry a small but definitive risk of injury to facial vessels, leading to swelling, bruising, scarring, and skin breakdown.

Prompt communication with your nurse injector is crucial if such symptoms arise. Although rare, blindness and stroke are associated with the injection of filler into blood vessels.

At Sireni Aesthetics, we are confident in the quality of our services and encourage our clients to schedule a follow-up appointment to discuss any concerns or make any necessary adjustments.

For the best results following your Dermal Filler treatment at Sireni Aesthetics, we provide tailored aftercare guidance.

• Stay upright for at least 6 hours post-treatment to help the product settle effectively. Avoid lying down during this time.

• Hold off on skin treatments like Microdermabrasion, Skin needling, or Dermal Rolling for at least two weeks after Dermal Fillers.

• Avoid active topical skin care products containing Vitamin A, retinoids, or AHAs for 24 hours after the treatment.

• Avoid alcohol for 24-48 hours after dermal filler injections to reduce swelling and bruising.

• For the next 7 days, please do not take any massages lying face down.

• Refrain from exercising for 24-48 hours after treatment. Avoid activities that involve inverted poses or sweating as the filler settles.

• Avoid extreme temperature changes (e.g. saunas, ice baths) for 48 hours to prevent filler displacement.

• Be gentle when cleansing, applying skincare or makeup. Avoid touching treated areas for 4-6 hours to minimise infection risk.

Adverse Reactions:

The following symptoms are considered abnormal after a dermal filler treatment:

• Skin discolouration in the treatment area or its surroundings, displaying shades of purple, blue, white, or grey. This signals a vascular occlusion, necessitating immediate intervention.

• Ulceration or blistering in the treatment area or its surroundings.

• Severe swelling impacting normal activities such as eating, drinking, or sleeping.

• Increasing pain in the days following treatment.

• Redness and heat observed at the injection site or its surroundings.

• Formation of inflamed, hardened lumps accompanied by discomfort upon touch.

• Discharge, ooze, or persistent bleeding from the injection sites.

• Persistent itchiness, with or without the presence of a rash.

• Delayed sudden appearance of firm, inflamed lumps in the areas where the injection was administered.

As a rule, avoiding international travel for two weeks post-treatment reduces the risk of unpredictable swelling and bruising due to prolonged cabin air pressure.

It is recommended to schedule a consultation prior to dissolving any filler that was received at Sireni Aesthetics or any other practice. This measure serves to ensure individual circumstances are assessed, concerns are addressed, and personalised recommendations are provided.