

C A S P E R, W Y O M I N G
DERMAL FILLERS
REDUCE THE APPEARANCE OF
FINE LINES AND WRINKLES
As we age, our skin and underlying structures start to change. This change causes areas of the face to appear hollow. Dermal fillers help you to restore your youth by plumping up your facial structures, softening facial creases, and smooth out wrinkles.
FACE the world
with confidence

Dermal Fillers are versatile products that can be used for a variety of reasons, such as filling skin creases to ease their appearance, adding volume where it has been lost through aging, and sculpting facial features to achieve that all-important ‘contoured’ look.
There are many different types of fillers used within the aesthetics industry, with the most common form being Hyaluronic acid fillers. Hyaluronic acid is a naturally occurring substance within the body that is very prominent in the skin, providing much-needed volume and support. Dermal fillers are simply a reproduced version of this Hyaluronic acid, meaning that they are very safe to use. Fillers can last anywhere from 9 to 24 months, depending on the product chosen and the area it has been placed in, so they can be a relatively inexpensive way to reach your rejuvenation goals without turning to surgery.
In general terms, fillers work by replenishing lost volume or by adding volume to areas where it is naturally lacking. Due to this, they are perfect for filling skin creases, such as marionette lines, peri-oral lines, and nasolabial folds, as well as for adding volume to the cheeks. A secondary benefit of Hyaluronic acid is that it is hydrophilic (meaning that it attracts moisture), and hence is the reason for hydrated, youthful-looking skin. Unfortunately, as we age, we gradually lose our stores of hyaluronic acid, resulting in a loss of moisture, and generally drier skin. Therefore, in addition to reducing the appearance of creases/wrinkles and contouring the face, Hyaluronic acid fillers greatly benefit the skin by replacing lost Hyaluronic acid, and hence lost moisture.




What to Do, & What to Avoid, Before Your Fillers Treatment
To reduce the amount of bruising and/or swelling from the injection sites, please follow the instructions below.
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Avoid blood thinning over-the-counter medications such as Aspirin, Motrin, Ibuprofen, and Aleve for 1 week prior. Please consult your provider if you are taking Aspirin or blood thinners for medical reasons!
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Avoid supplements including St. Johns Wort, ginkgo biloba, primrose oil, garlic, ginseng, and Vitamin E for 1 week
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Avoid topical products such as Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, or any "Anti-Aging" products for 3 days prior
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Avoid waxing, bleaching, tweezing, or hair removal cream on the area to be treated for 3 days prior
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Do not drink alcoholic beverages for 24 hours prior to treatment
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If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores. Please let your provider know if you are prone to cold sores.
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Do not use dermal fillers if you are pregnant or breastfeeding, are allergic to any ingredients, or suffer from neurological disorders. Please inform us if you have any questions about this prior to your treatment
Day of Treatment
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Arrive to the office with a "clean face" - washed and without makeup.
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To maximize your comfort during the procedure, a topical anesthetic may be applied.
Within the First Hour of Treatment
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Immediately after the treatment, there may be redness, bruising, swelling, tenderness, and/or itching near the injection site. Avoid itching, massaging, or picking around the injection site. This is normal and generally disappears within a few hours to a few days. If these symptoms last more than 3 days, please contact our office.
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Ice, arnica cream and tablets, and bromelain tablets can all reduce or resolve potential bruising
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You may take acetaminophen (Tylenol) to reduce any pain as necessary
Within 6 to 10 Hours of Treatment
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Avoid drinking alcohol or partaking in strenuous exercise, as it may result in additional bruising.
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Until the swelling and redness have resolved, avoid intense heat in the treated area(s). This includes sunbathing, tanning, saunas, hot tubs, or hot wax. Also avoid extreme cold such as skiing or other winter sports.
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To help alleviate bruising, we recommend the topical application of Arnica - a natural ointment commonly used to reduce bruising. You can find this in the natural foods section of your grocery store, or at local pharmacies.
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Minimize movement of the treated area(s). However, if there is a visible bump, you can massage the area. Depending on the areas treated and the product used, you may feel "firmness". These areas will soften and settle with time (usually 1-2 weeks)
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Sunscreen and makeup can be applied, and the area can be gently washed with a gentle cleanser. Use a sensitive cleanser such as the True Science product line or Cetaphil to avoid additional skin irritation.
Additional Post Treatment Recommendations
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For most patients, the benefits of dermal fillers can be enhanced by using a medical-grade skincare system. Products containing Vitamin-C can strengthen the skin and improve laxity and texture. Additionally, use of Tretinoin (or Retin-A) helps rebuild cells in the skin’s epidermis (or top layer).
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Most skin damage (aging, wrinkles, dark spots, and hyper-pigmentation) is caused by sun damage. Wearing sunscreen is critical to maintaining the look and health of your skin. Sunscreen should be re-applied after every 4 hours of sun exposure. Sunscreen with an SPF 45 or greater is recommended.
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If it is difficult for you to reapply sunscreen throughout the day, consider adding a powdered sunscreen (such as Bare Essentials) to your daily routine, which can be brushed on to the face and chest periodically.
Please Contact Us Immediately if You Experience
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Fever and/or chills
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If the area appears red, hot to the touch, and "angry" looking.
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Severe pain or increasing pain
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Discolored blotches in areas not injected or blanching of injected areas
How Long Will Dermal Fillers Last?
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The short answer is, of course, it depends - what areas were treated, and with which specific product. Cosmetic fillers are long lasting, but not permanent.
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Shorter term fillers made of hyaluronic acid, like Juvéderm and Restylane, will last anywhere from 6-18 months depending on the areas treated and your body’s metabolism.
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Most patients choose to have a follow up treatment 6-12 months after initial treatment for wrinkles. For lip injections or lip enhancements, we recommend a follow up visit after about 6-9 months.