Ultimate Guide to Filler Aftercare
Proper aftercare is critical to ensure your dermal fillers settle well and deliver the best results. Skipping aftercare can lead to swelling, bruising, or complications, while following guidelines helps your skin heal smoothly. Here’s what you need to know:
First 24 Hours: Use cold compresses to reduce swelling, avoid touching the treated area, and skip makeup. Sleep on your back with your head elevated.
Days 1–7: Swelling peaks around day two and lessens by day seven. Avoid strenuous activities, heat exposure, and direct pressure on the treated area.
Specific Areas: Lips require avoiding straws and lip products for 24 hours to prevent lip filler migration. Cheeks and jawline need care to prevent filler shifting, such as avoiding heavy accessories or dental work.
Long-Term Maintenance: Stay hydrated, use SPF 30+, and schedule touch-ups as needed (e.g., every 6–18 months based on the filler type and area).
Watch for warning signs like severe pain, skin discoloration, or vision issues, and consult your provider if they occur. Following these steps ensures smooth recovery and long-lasting results.
Do's and Dont's of Filler Aftercare - with Dr James!
Pre-Treatment Preparation
Getting ready for your filler appointment is more than just showing up – it’s about setting the stage for the best possible results. A little preparation goes a long way in reducing bruising and swelling, while also ensuring the filler integrates smoothly. Here’s what you need to know to get your skin and schedule on point.
Medications and Substances to Avoid
Certain medications and supplements can increase the risk of bruising. To minimize this, stop taking NSAIDs like Aspirin, Ibuprofen, and Naproxen, as well as supplements such as fish oil, Vitamin E, garlic, ginkgo biloba, ginseng, and St. John’s wort at least a week before your appointment. If you need pain relief, opt for Tylenol (acetaminophen), which won’t thin your blood [6].
If you’re on blood thinners like Warfarin, Heparin, or Clopidogrel, or blood pressure medications, consult your doctor before making any changes. Alcohol is another factor to avoid – steer clear of it for 24–48 hours before your treatment, as it can also thin your blood [9].
Taking antibiotics? You’ll need to wait until you’ve finished your course before scheduling a filler appointment. Depending on the type, the waiting period can range from one to four weeks after your last dose [6][7].
“Ideally, patients should also wait at least four weeks after completing their course of antibiotics before having any cosmetic injectable treatment. This ensures their infective episode has resolved and the patient is back to being well before treatment.” – Natalie Haswell [7]
Lastly, if you’re planning to get vaccinated, make sure there’s at least a two-week gap before or after your filler appointment [6].
How to Prepare Your Skin
Come to your appointment with a clean, makeup-free face [8]. To give your skin the best chance to heal and adapt, stop using Retin-A or other retinoids two days prior. Also, avoid aggressive facial treatments – like chemical peels, waxing, or exfoliating acids – for at least three days before your session [8].
If you’re prone to cold sores, let your provider know ahead of time. Injections can sometimes trigger an outbreak, so they may prescribe antiviral medication like Valtrex to prevent it. If you have an active cold sore, blemish, rash, or any skin infection in the treatment area, it’s best to reschedule [8][10]. Be upfront about your medical history, including any allergies, bleeding disorders, heart conditions, or supplements – even the “natural” ones [9][11].
Timing Your Appointment
Timing is everything when it comes to fillers. Schedule your treatment at least 14 days before any major event to allow for proper healing. Avoid booking appointments close to dental procedures, as this could interfere with recovery. Plan for some downtime – ideally 24–48 hours post-treatment – to avoid strenuous activities, alcohol, and high-sodium foods during the healing phase [8][9][10].
“If you have a special event or vacation coming up, schedule your treatment two weeks in advance in case of bruising.” – Aesthetics by Design [10]
For an extra boost in reducing swelling and bruising, consider starting oral Arnica Montana or sipping on pineapple juice 3–5 days before your appointment [9][10]. These small steps can make a big difference in how quickly you recover.
First 24 Hours After Treatment
The first 24 hours following your filler appointment are crucial for setting the stage for optimal healing and results. During this time, your body begins to recover, and the treated areas remain moldable for up to 48 hours. How you care for your skin during this period can influence the outcome significantly. Your primary focus should be on minimizing swelling, protecting the injection sites, and promoting healing.
Reducing Swelling and Bruising
Right after your treatment, take steps to reduce swelling and prevent bruising. Use a cold compress or medical-grade gel pack wrapped in a thin cloth, applying it to the treated area in 10-minute intervals (10 minutes on, 10 minutes off) for the first 24 to 48 hours. This method helps constrict blood vessels safely without irritating the skin. If you experience discomfort, opt for acetaminophen (Tylenol) instead of ibuprofen or aspirin.
“Acetaminophen doesn’t thin the blood, the way other oral nonsteroidal anti-inflammatory drug (NSAID) drugs do, so it won’t increase bruising after fillers.”
Dr. Taryn Murray, MD, Dermatologist, Cleveland Clinic
To avoid exacerbating swelling, steer clear of activities and substances that increase blood flow, such as alcohol, caffeine, saunas, hot tubs, steam rooms, and direct sunlight, for at least 48 hours. Additionally, hold off on strenuous workouts or any activity that raises your blood pressure during this time.
Hydration and Skin Protection
Staying hydrated is essential – aim for 8–10 glasses of water daily to aid the healing process and help the filler settle properly. Resist the urge to touch or massage the treated area for at least 6–24 hours to avoid filler migration or introducing bacteria to the injection sites.
Skip makeup for the first 24 hours to allow the injection points to close naturally. When it comes to skincare, avoid products with retinoids, Vitamin C, or exfoliating acids (such as AHAs and BHAs) for at least a day, as they can irritate the sensitive areas. Instead, stick with gentle, fragrance-free cleansers and hydrating serums. For lip fillers, applying a plain occlusive like Aquaphor or Vaseline can help maintain moisture.
Sleep Position Tips
How you sleep can also impact your recovery. For the first 2–3 nights, sleep on your back with your head elevated at a 30–45° angle using supportive pillows. This position helps minimize swelling and bruising by preventing fluids from pooling in your face.
“It is recommended to sleep on your back after dermal filler. Since most products are moldable for 48 hours, I encourage back sleeping to prevent the filler from becoming asymmetrical.”
Jessica Rohr, APRN, FNP-C, Face Forward Aesthetics
Keep an eye out for severe pain, blanching, or purple discoloration, and reach out to your provider immediately if you notice any of these symptoms.
For personalized aftercare tips tailored to your specific treatment, the team at Calista Aesthetics is available to guide you through the process.
Days 1-7: Managing Side Effects
During the first week of recovery, managing side effects is key to ensuring everything goes smoothly. Swelling and bruising typically peak around the 48-hour mark before gradually subsiding. Studies show that 20–70% of patients experience bruising, and by the end of the week, about 90% of visible swelling diminishes[13][17]. As your body integrates the filler, following proper aftercare can make a significant difference. Here’s a breakdown of remedies, activity adjustments, and warning signs to keep in mind.
Using Arnica and Bromelain
Natural remedies like Arnica montana and Bromelain can help reduce bruising. Arnica is available as a topical gel or oral supplement, while Bromelain is an enzyme found in pineapples. Applying arnica gel directly to bruises or taking the supplement as directed for 3–7 days post-treatment can speed up the healing process[13][3][16].
Activities to Avoid
For a smoother recovery, it’s important to temporarily adjust your routine:
Avoid strenuous activities like cardio, heavy lifting, or intense exercise for at least 24–48 hours, as increased blood flow can worsen bruising and swelling[3][13][4].
Steer clear of high-heat environments such as saunas, steam rooms, hot tubs, and hot showers for 48–72 hours.
Refrain from rubbing, massaging, or putting pressure on the treated area for at least 24 hours. Postpone facials or professional massages for about two weeks.
If you’ve had lip fillers, avoid using straws or making puckering motions for 24–48 hours[18][13].
“Aggressively massaging can also result in filler migration, so it’s best to avoid this as well.” – Anureet Bajaj, MD[14]
Warning Signs to Watch For
While mild tenderness, swelling, and bruising are normal, certain symptoms require immediate attention. Keep an eye out for the following:
Skin blanching (turning white or pale), a bluish-purple mottled pattern, or a cold sensation in the treated area – these may indicate vascular occlusion[13][4].
Persistent, sharp pain that doesn’t improve with acetaminophen, or spreading redness and warmth after 48 hours, could signal an infection[13][4].
Fever, discharge, or worsening symptoms after day three are also red flags.
Any changes in vision, such as blurriness, double vision, or vision loss, should be treated as an emergency.
A helpful rule of thumb: if swelling or redness worsens after day three instead of improving, contact your provider immediately.
Symptom | Normal (Days 1–7) | Red Flag (Seek Help) |
|---|---|---|
Pain | Mild tenderness or soreness for 1–3 days | Sharp, intense, or worsening pain; severe headache |
Skin Color | Minor purple/blue bruising; slight redness | Blanching (white skin), grey/dark blue mottling, or spreading redness |
Swelling | Peaks on Day 2, then steadily subsides | Worsens after Day 3 or interferes with vision/breathing |
Temperature | Slight warmth immediately after injection | Skin feels hot to the touch after 48 hours; fever |
Aftercare by Treatment Area
Once you’ve followed the general post-treatment care guidelines, it’s time to fine-tune your aftercare routine based on the specific area treated. The lips, cheeks, jawline, and under-eye regions each have unique recovery needs. Here’s a breakdown of how to care for these areas to promote smooth healing and optimal results.
Lip Filler Care
Swelling in the lips often peaks within 24–48 hours and can feel more noticeable than in other areas. Since hyaluronic acid fillers attract water, your lips may initially look puffier than expected, but this typically evens out within 2 to 4 weeks as the filler integrates with your tissue[19][22][25].
During the first 24 hours, use a cloth-wrapped cold compress for 10–15 minutes at a time to reduce swelling, and sleep with your head elevated to help the filler settle properly[19][21][22][23]. Stay hydrated, but avoid any activities that put pressure on your lips – this includes kissing, using straws, or puckering for at least 24 hours[19][22][25]. Also, skip lipstick or lip gloss during this time to minimize the risk of infection[19][20][25].
“To minimize your risk of infection, you shouldn’t have any dental work done for two weeks before or after filler injections.” – Taryn Murray, MD, Dermatologist, Cleveland Clinic[12]
Daily use of a lip balm with SPF can extend the life of your filler by protecting it from UV damage[20][22][25]. Additionally, avoid flying for at least a week after your treatment, as cabin pressure can exacerbate swelling[21][24].
Cheek and Jawline Filler Care
Cheek and jawline fillers require some extra attention to ensure they settle evenly. Swelling is typically at its worst around 48 hours and subsides within 5–7 days. While the filler starts to integrate within 2–3 weeks, full results are usually visible by the 8-week mark[26][14].
Refrain from touching, rubbing, or massaging the treated areas for at least 3–4 hours after your session to avoid shifting the filler. Apply a cold compress wrapped in cloth for 10–15 minutes during the first 24–72 hours, and sleep on your back with your head elevated – these steps help reduce swelling and promote even results.
Be cautious with accessories like heavy sunglasses, swim goggles, or scuba masks, as they can press against the cheeks and disrupt the filler. Avoid these for at least 48 hours. Similarly, delay any dental work for two weeks to prevent unnecessary pressure on the treated areas. Minimize exaggerated facial movements, such as wide smiles or chewing, during the first few days to allow the filler to settle properly.
“Since filler is a hydrophilic product and acts like a sponge, with any trauma or nearby procedure or even with extra salt intake or flying at high altitudes, they may notice that the filler holds onto water more than the surrounding tissues and can cause some temporary swelling.” – Kristy Hamilton, MD, Plastic Surgeon[14]
Reducing your salt intake for a few days post-treatment can help prevent fluid retention and puffiness. If you notice lumps, avoid trying to massage them yourself – contact your provider instead, as they can address any concerns without risking filler displacement.
Under-Eye Filler Care
The under-eye area is especially delicate, so gentle care is essential to avoid bruising and achieve subtle, natural results. While you’ll see changes immediately, it can take 1–2 weeks for the filler to fully settle[27].
For the first 1–3 days, avoid touching or rubbing the under-eye area to prevent shifting the filler or causing inflammation[27]. Follow the same cold compress and sleep recommendations as mentioned earlier to reduce swelling during the initial 24 hours[27][13][15].
Hold off on makeup and heavy eye creams for 2–3 days to lower the chance of infection[27]. Stay away from direct sunlight, saunas, and intense heat for at least two weeks, as heat can worsen swelling in this sensitive area[27]. Additionally, avoid high-sodium and spicy foods for a week, as they can trigger inflammation and water retention[27].
“For the first 1-3 days after your under eye filler injection, it’s crucial to avoid any contact, massage, itching, or rubbing around your eyes. This helps prevent the filler from shifting out of its intended position.” – Dr. Jetbodin Prakoonsuksapan[27]
Hydration is key – drink plenty of water to help hyaluronic acid fillers settle and maintain their plumping effects[27][24]. For two weeks, steer clear of fermented, raw, or partially cooked foods to reduce the risk of infection and prolonged swelling[27].
Maintaining Your Results Long-Term
Keeping your filler results intact for the long haul requires proper care in the weeks and months following treatment. Most hyaluronic acid fillers last anywhere from 6 to 18 months, while biostimulatory options like Sculptra can last over two years[4][30][31]. The longevity of your results depends on the product used, your skin care routine, and how consistently you schedule maintenance.
When to Schedule Touch-Ups
The timing for touch-ups varies based on the treated area, the type of filler, and individual metabolism. For example, the lips tend to break down filler faster – typically within 6 to 9 months – due to constant movement from talking and eating. In contrast, fillers in the cheeks often last 12 to 18 months, while jawline treatments can persist for 12 to 24 months[28].
“Topping up a small amount before a full breakdown often requires less product and leads to more seamless results.” – Solea Beauty Lounge[28]
Rather than waiting for the filler to completely fade, it’s better to schedule a touch-up as soon as you start noticing subtle changes, like the return of fine lines or a slight loss of contour[28]. Many providers suggest an initial follow-up about two weeks after your procedure to ensure the filler has settled properly[4]. These timely touch-ups, combined with daily care, help maintain smooth, natural-looking results.
Skincare and Lifestyle Habits
Daily habits play a big role in maintaining your filler results. Using a broad-spectrum SPF 30+ protects your skin from aging and prevents premature filler breakdown[29][34]. Staying hydrated is also key, as hyaluronic acid fillers bind to water to maintain volume[33][34].
A solid skincare routine can further enhance your results. Products like Vitamin C serums and hyaluronic acid topicals help protect your skin from environmental stress and support its natural barrier[34][35]. Avoid smoking and limit alcohol, as both can degrade collagen and accelerate filler breakdown[32][29]. Cutting back on sodium, processed foods, and sugar can help reduce swelling and inflammation, while highly active individuals should be aware that intense physical activity may speed up filler metabolism[35].
In addition to these habits, regular professional check-ins ensure your results stay on track.
Follow-Up Visits
A follow-up visit about two weeks after treatment helps confirm that the filler has settled evenly and allows your provider to address any minor asymmetries[4][15]. Beyond this, routine visits every 6 to 12 months can help you maintain a refreshed, natural look[4]. If asymmetries persist, don’t hesitate to contact your provider[36][4].
“Minor, planned corrections often look most natural.” – Nic Menezes, Growing Younger Clinic[4]
Combining fillers with neurotoxins like Botox can also help extend your results by reducing the muscle movements that contribute to filler breakdown[28][29]. Additionally, avoiding dental work for at least four weeks after your treatment can prevent unnecessary pressure on the treated areas[29].
For personalized advice on aftercare and long-term maintenance, consider consulting the professionals at Calista Aesthetics. Their expertise in creating natural, balanced results ensures your treatment plan aligns with your goals.
Conclusion
The success of your dermal filler treatment doesn’t end when you leave the clinic. Following proper aftercare transforms good results into great ones, helping you avoid complications while ensuring the filler settles smoothly and naturally[1]. Simple steps – like avoiding pressure on the treated areas for the first 24 hours, staying hydrated, and protecting your skin from UV exposure – play a big role in how long your results last and how natural they appear.
Swelling and bruising typically subside within 7 to 10 days, with full results becoming visible in about two weeks[37]. During this period, patience and sticking to the guidelines are crucial. Staying hydrated and using SPF 30+ sunscreen not only enhance your results but also help extend the life of your fillers. Since hyaluronic acid fillers rely on moisture, proper hydration directly affects the fullness of your outcome[33]. Likewise, consistent sun protection and avoiding smoking can prevent premature breakdown, keeping your skin looking refreshed.
“Delivering filler aftercare advice is a crucial step of the treatment journey… It reduces the risk of complications and can help to manage the patient’s expectations of results and recovery time.” – Harley Academy[2]
This highlights the importance of personalized guidance during your recovery process.
While this guide has covered essential aftercare tips, always consult your provider for advice tailored to your specific treatment. Recovery instructions can vary depending on the product used, the treatment area, and your individual physiology[2][5]. If you experience warning signs – such as pale or gray skin, increasing pain, or vision issues – contact your provider immediately[2][5].
For customized aftercare and ongoing support, reach out to Calista Aesthetics. Their team is dedicated to helping you achieve natural, lasting results from the initial consultation through follow-up care. By committing to these aftercare steps, you can ensure your results remain smooth, balanced, and long-lasting.
FAQs
After getting dermal fillers, it’s crucial to avoid touching, pressing, or rubbing the treated areas. This helps prevent irritation or any unwanted movement of the filler. Also, skip applying makeup for at least 24 hours to reduce the chance of infection or skin sensitivity.
In the first 24-48 hours, avoid intense physical activity, excessive heat or sun exposure, and drinking alcohol. Following these steps can help keep swelling, bruising, and discomfort to a minimum, giving your skin the time it needs to heal properly.
To help reduce swelling and bruising after your filler treatment, try these steps:
Use a cold compress on the treated area shortly after your procedure to ease swelling.
Sleep with your head elevated to encourage fluid drainage and minimize puffiness.
Stay hydrated to aid your body’s natural healing process.
Avoid intense physical activity, heat, and alcohol for 24-48 hours, as these can worsen swelling.
Try arnica cream or an antihistamine to help with minor bruising and discomfort.
If you notice swelling that lasts beyond a few days, becomes worse, or is paired with severe pain or discoloration, reach out to your provider right away. These tips can support a smoother recovery and help you achieve the best results.
The best time to plan a follow-up for filler touch-ups usually falls between 6 to 18 months, though this can vary based on the type of filler, the treated area, and how your body processes the product. Your personal goals also play a big role in determining the right timing.
Talking with your provider is key to creating a plan tailored to you. Regular appointments can help keep your results looking balanced and in line with what you want over time.