Dermal Filler Post-Procedure Instructions

Actual patient of Dr. Devgan, before and after tear trough fillers

Actual patient of Dr. Devgan, before and after tear trough fillers

Actual patient of Dr. Devgan, before and after lip fillers

Actual patient of Dr. Devgan, before and after lip fillers

A great dermal filler treatment hinges on your provider's technique, but it is also important to understand how to best take care of yourself after a Juvederm, Voluma, Restylane, Belotero, or other filler treatment. These are the instructions I give to the patients in my New York City practice after a filler treatment.

1.      TIMING: It takes 2-3 weeks for full results of dermal fillers to become apparent. Please be patient. Not only are swelling and bruising common after treatment, but dermal filler takes time to rehydrate and attract water molecules to create a soft, natural result.

2.      DURATION: Dermal fillers typically last anywhere between 6 months and 2 years. The duration of effect depends on the type of dermal filler used, where on your face it was injected, how expressive your face is, and your metabolic rate. After repeated use of dermal fillers, many of our patients find that they have nice results that lasts even longer than expected because hyaluronic acid (collagen) based dermal fillers stimulate your body’s own collagen supply.

3.      POSITION: The night of your treatment, sleep with your head elevated on 2 pillows, lying on your back if possible. Do not rub or massage the treated areas after your treatment unless Dr. Devgan has instructed you to do so.

4.      EXERCISE: Do not perform strenuous exercise on the day of your treatment. You can resume all normal activities the next day. Avoid facials or saunas for 4 hours after your treatment. Feel free to shower and go about most other regular daily activities.

5.      SWELLING/ BRUISING: Any tiny bumps or needle marks will go away within a few hours. Bruises or residual marks are common and may be covered with makeup, but please wait for 2 hours and use a gentle touch to avoid rubbing the treated area. Please know that Dr. Devgan takes great care to ensure meticulous symmetry with microdroplet injection. Even still, it is common for temporary bruising and swelling to appear asymmetric in the initial period after injection. This is temporary and will go away on its own.

6.      ICE: Use of ice or over the counter hydrocortisone 1% cream will reduce the risk of bruising and swelling. Icing is recommended immediately following treatment and for the first 2 days after treatment.

7.      PRESCRIPTION ANTI-INFLAMMATORY MEDICATION: If you feel that you have severe swelling, or if you have a special event coming up and are anxious for your swelling to go away, you may be a candidate for Dr. Devgan to prescribe you a Medrol dose-pack, a prescription 6-7 days series of pills that quickly brings down swelling in the face and body. Please ask Dr. Devgan or call our office if you are interested in learning more about this.

8.      ALCOHOL/ BLOOD THINNERS: Drinking excessive alcohol within 2 days of treatment, or using blood thinners such as Advil and Aspirin can increase your risk of bruising.

9.      COLD SORES: If you have had cold sores or oral herpetic infection in the past, any treatment to your face can trigger reactivation. We recommend taking an antiviral medication such as Valacylovir in advance of your treatment and for several days afterward to reduce this risk. If this applies to you, please discuss with Dr. Devgan.

10.   FOLLOW UP: Please schedule your follow up visit for 6-12 months from today to ensure best results of long-term facial rejuvenation. You may schedule your follow up visit in person, via email, or over the phone. If you allow your dermal fillers to completely wear off, it is more difficult for Dr. Devgan to evaluate how your individual facial features reacted to your prior treatment.

11.   QUESTIONS: Please feel free to call us at 212-452-2400 or email us at office@LaraDevganMD.com with any questions or to schedule your follow up appointment.

 

Chin Augmentation- Real Patient Results

Actual patient of Dr. Devgan, before and after chin augmentation to lengthen a rounded face and strengthen the profile.

Actual patient of Dr. Devgan, before and after chin augmentation to lengthen a rounded face and strengthen the profile.

A well-proportioned chin subtly augments facial balance and brings the proportions into a more pleasing, attractive configuration.

Chin augmentation can be performed with injectable fillers, insertion of a chin implant (implant mentoplasty), or moving the bone of the chin forward (osseous genioplasty). In my New York City practice, chin implants and injectable chin augmentation are the more popular of these procedures because they involve less operative time and a faster recovery.

Chin augmentation with injectable filler (typically Voluma) lasts 1-2 years and takes about 5 minutes. There is no downtime, and results can be specifically tailored to your anatomic concerns.

Chin implants can be done under local anesthesia only or with IV sedation (twilight anesthesia). The procedure takes 30 to 60 minutes and can be easily combined with rhinoplasty, eyelid surgery, facelift, necklift, buccal fat pad excision, or other facial surgery. Results are permanent, natural, and durable.

If you are thinking about chin augmentation, rhinoplasty, or both, please feel free to call my office at 212-452-2400 or email office@LaraDevganMD.com for more information.

Actual patient of Dr. Devgan, before and after chin augmentation

Actual patient of Dr. Devgan, before and after chin augmentation

What do scars after eyelift (blepharoplasty) look like?

Actual patient of Dr. Devgan, before and after upper eyelid blepharoplasty. Result is 3 months postop. New York City.

Actual patient of Dr. Devgan, before and after upper eyelid blepharoplasty. Result is 3 months postop. New York City.

Actual patient of Dr. Devgan, before and after upper eyelid blepharoplasty. Result is 3 months postop. New York City.

Actual patient of Dr. Devgan, before and after upper eyelid blepharoplasty. Result is 3 months postop. New York City.

Actual patient of Dr. Devgan, before and after upper eyelid blepharoplasty. Result is 5 weeks postop. New York City.

Actual patient of Dr. Devgan, before and after upper eyelid blepharoplasty. Result is 5 weeks postop. New York City.

Eyelift (blepharoplasty) is one of my favorite, signature operations. It can brighten your eyes, restore a youthful appearance to your face, and make you look more alert and rested.

Many patients are concerned with scarring after eyelift surgery. For this reason, I plan all of my operations to keep the scars as hidden as possible, in the most cosmetic locations.

For upper eyelid surgery, scars are hidden in the lid crease that is formed when you blink. For lower eyelid surgery, scars are hidden either inside the wet, pink part of the eye (the conjunctiva), or hidden under the eyelash margin.

The images above reveal typical scar outcomes for my actual patients, without any makeup or retouching.

Lip augmentation review from an actual patient

I love performing lip injections (lip augmentation or injectable lip filler), so it's always nice to get nice compliments from my patients. This is a message and photo that I recently received from a Juvederm lip augmentation patient in my NYC office: 

Perfection!! Your talent is unmatched. Thank you so much for everything, I will certainly be back! (Already referring everyone to you.) Xoxo

Early Facelift Results

Actual patient of Dr. Devgan, before and 5 weeks after facelift. Note the improvement in her jawline, neck, and under-the-chin contour.

Actual patient of Dr. Devgan, before and 5 weeks after facelift. Note the improvement in her jawline, neck, and under-the-chin contour.

Actual patient of Dr. Devgan, before and 5 weeks after facelift. Note that her scar is pink and immature, though already flat and inconspicuous. It will improve over time.

Actual patient of Dr. Devgan, before and 5 weeks after facelift. Note that her scar is pink and immature, though already flat and inconspicuous. It will improve over time.

How long will it take to recover from a facelift?

Final results from a facelift or necklift operation take up to a year to fully materialize. This is because the face and neck are highly vascular, contain a great deal of blood vessels, and hold onto fluid for some time. Scar tissue also takes about a year to evolve from a raw, pink incision to a thin, pale line.

That does not mean that you need to wait a year to look beautiful, refined, and youthful, after a facelift or necklift operation, though. 

A typical timeline for facelift recovery

1 day after surgery: bandages come off

1 week after surgery: stitches are removed

1-2 weeks after surgery: patients feel comfortable going out in public, possibly with concealer or a modified hairstyle

2 weeks after surgery: most patients have returned to work at this point

3-4 weeks after surgery: patients feel confident about all types of work and social events

1 month after surgery: bruising is likely completely gone

3 months after surgery: swelling has come down significantly

6-12 months after surgery: swelling resolves and scars slowly mature and fade

Recovery from facelift and necklift is very tolerable overall, and most patients are fine taking 1-2 weeks off of work and social engagements to recover. If you have specific questions about recovery from these plastic surgery operations, or if you would like to be a patient in my New York City practice, please call 212-452-2400 or email office@LaraDevganMD.com.