Pre-Treatment Instructions

To decrease the risk of bruising, if possible discontinue for two weeks any blood thinning medications and supplements and herbs such as:

  • aspirin/NSAID’s
  • anti-coagulants (check with your prescriber to ask whether it is safe to temporarily discontinue)
  • vitamin E
  • St. John’s wort
  • Ginkgo Biloba
  • willow bark
  • coenzyme Q10
  • dong quai
  • feverfew
  • garlic
  • ginger
  • licorice root
  • green tea extract
  • aspirin (Bayer, Excedrin, etc.)
  • ibuprofen (Motrin, Advil)
  • naproxen (Aleve, Anaprox, Naprelan, Naprosyn)
  • celecoxib (Celebrex)
  • diclofenac (Cambia, Cataflam, Voltaren-XR, Zipsor, Zorvolex)
  • indomethacin (Indocin)
  • ketoprofen (Active-Ketoprofen)
  • ketorolac (Toradol)
  • nabumetone (Relafen)
  • oxaprozin (Daypro)
  • piroxicam (Feldene)
  • warfarin (Coumadin)
  • Pradaxa
  • Elequis
  • Xarelto
  • Clopidogrel (Plavix)

Plan your treatment no sooner than two weeks before any important social engagements in the event you do bruise.

Plan for “down-time” as recommended by your provider, usually 3 days of swelling.

To help decrease bruising, consider taking Arnica Montana or bromelain supplements. Bromelain is also found in pineapple, so you may try eating lots of fresh pineapple or juicing a fresh, ripe pineapple. The core has the highest concentration of bromelain.

Consider purchasing Arnica gel to apply after the treatment to help in swelling/ bruising.

Anyone who receives fillers might benefit from a good concealer at home. If used only for a short period after filler treatments, you can keep it in the refrigerator to make it last longer. Any department store, cosmetics store, or drug store carry concealer. Also, we have an excellent Mineral Corrector Palette available for purchase at the front desk.

Have ice packs ready in your freezer, preferably flexible to bend around the contours of your face. Bags of frozen peas also work well for this.

Post-Treatment Instructions

Immediately after treatment:
We will provide an ice pack to gently use on the areas treated. Remember you are still numb from the lidocaine, so do not hold the ice on one spot for more than a few seconds at a time. The numbness should subside in an hour or so.

Avoid applying anything to the area for at least 20 minutes if possible. This allows the tiny needle injuries in your skin to heal before introducing potential bacteria. Arnica gel is OK and may help decrease swelling and bruising.

Over the first few hours, limit moving the areas treated to allow the filler to “gel” into place.

Over the next 24 hours:

  • Ice frequently (20 minutes of every hour if possible).
  • Limit social interactions
  • If desired, take Arnica as directed to help decrease bruising. Also, Arnica gel may help.
  • Sleep elevated if comfortable to help decrease swelling
  • Ice immediately upon awakening the morning after your treatment, as this will likely be the greatest degree of swelling. Don’t panic. 🙂
  • Expect tenderness, especially when touching the areas treated. This will subside over the next couple of weeks. If you had filler in your temples, you will have some soreness with chewing. This can last for a few days.

Over the next two weeks:

  • Any bruising will subside.
  • Any swelling should resolve completely.
  • Tenderness should resolve.

As always, if you have any questions or concerns please call our office at 650-363-0300.

Contact Us

Jane Weston, MD

585 Glenwood Ave, Menlo Park CA 94025


Dr. Weston invites you to contact her to ask questions or schedule a consultation by calling our office today or filling out the form below to send us an email.