Avoid aspirin for 10 days. Ideally avoid ibuprofen (Motrin, Advil) and Vitamin E for 5 days prior to the procedure, because these medications will make you more likely to bruise. If you have been prescribed one of these medications, ask your doctor before you stop taking it. Tylenol will not cause bruising and is preferred for the week prior to treatment.
Alcohol is also a blood thinner and should be avoided for 2 days prior to the procedure to minimize bruising.
To minimize risk of infection, it is important to avoid dental work, including cleanings, for 2 weeks before and after your ﬁller procedure.
Todays hyaluronic acid ﬁllers contain lidocaine, an anesthetic, making the procedure quite tolerable. In the oﬃce we can apply numbing cream prior to the injection, and use ice packs during the procedure, making injections even more comfortable. Some patients beneﬁt from the use of Topicaine numbing cream (available for purchase in our oﬃce) or LMX 4 or 5% cream (slightly more expensive and available by special order at your pharmacy without a prescription) prior to the procedure to minimize discomfort. You may apply the numbing cream 30 minutes prior to your appointment to the area being treated. After you check in for your appointment, apply an additional layer of numbing medication and rub into the skin. No more than a single 30 gram tube should be used in any given day to avoid the danger of lidocaine toxicity. For ﬁllers only a fraction of the tube should be used.
Do not have any dental work, particularly cleanings, done within 2 weeks before and after filler to avoid oral bacteria contamination of the filler (via the bloodstream).