what are the common side effects of dermal fillers

One of the brilliant things about dermal fillers is that they involve little to no downtime and they offer patients a solution to their aesthetic needs without the need for drastic surgery. That said, dermal fillers are injectables and as such there is always the small risk of unwanted side effects. But, what is normal and what should you contact your practitioner about? For a fact, you can buy aquashine online and at over the counter stores, but it is advisible to contact a proffesional dermatologist to give you a proper dermal fillers session.

What happens after a dermal filler procedure?

After receiving dermal filler injections, your healthcare provider will cleanse your skin. They may give you an ice pack to ease pain and swelling.

Fillers like apriline Ageline might cause you bruises, swelling or discomfort after getting the injections. Usually, these side effects are mild and go away in a few days.

Many people see results right away after getting these injections. But everyone’s results are different. How long it takes to see results (and how long they last) depends on several factors, including the type of treatment you received.

Swelling

Lets start with the common things you do know about. Swelling after injections of filler. Some swelling is your bodies natural reaction to needles poking holes in your skin, particularly if the session has involved a lot of injection spots. Then, the filler itself can cause a temporary reaction as it pushes into the skin, resulting in some degree of puffiness. This should be managed easily with ice over the next 24 hours. However, unless very large amounts of filler have been used, swelling should not be extreme. If lips puff up to your nose, and it is hard to speak, this is NOT normal. Either the injection process has been unnecessarily rough, or very large amounts of filler have been used OR – you could be having an allergic reaction!! If you are at all concerned contact your injector. If you have any tingling of the mouth or tongue, or trouble breathing, you need a doctor straight away!

Bruising

Any time that a needle pierces the skin it is possible to cause a bruise. Your injector should always be trying to achieve treatments with minimal bruising, but the reality is, it is always possible. Some people are just more prone to bruising. Sometimes things you are taking every day will make you bruise more (like fish oil, glucosamine, vitamin C and E, gingko, aspirin, nurofen, and other arthritis medications). Alcohol will make you bruise more as it affects the liver function. Some people are very sensitive to this and even the day after a party will bruise noticeably more than usual. I have had one memorable patient who would bruise significantly even after 2 wines the night before.

Redness

It is common to have some redness at injection sites, particularly noticeable if the filler is injected close to the surface. This is really an inflammation response and should settle over 24 hours.

Allergic Reaction

The worst allergic reaction a person can have is an anaphylactic reaction. This is of rapid onset and causes breathing problems and is a medical emergency. Fortunately this is very rare! It is possible to develop a slower reaction to filler, where the body walls off the products because it sees it as foreign. This can cause nodules or lumps. It had been thought to be a common cause for persisting lumps that developed weeks after filler injection. However these days there has been more study done on these reactions, and a biofilm is thought to be more often the cause. Dissolving the filler with hyalase will usually settle this down. (You can have an allergic reaction to the hyalase too ! – but this is uncommon)

Lumps

Lumps can have many causes, but a lump that is not red or sore may be just a deposit of filler that has settled in the one spot. Lumps after Sculptra can be an over reaction to the treatment and nothing much can be done about them. Fillers like Aquamid may need to be excised to remove a lump.

Discoloured Skin

Some fillers if injected close to the surface can create a bluish colour to the skin (tindle effect).

Infection

Any time the protective surface of your skin is breached, a bug could get in. Fortunately infections and biofilms are very rare, but even with the most careful sterile procedure it can happen. This could cause a fairly quick redness and swelling and heat over several days, an abscess requiring draining, or a more unusual chronic kind of issue. This can be quite a delayed response – even 5-6 months after the filler was injected. Biofilms can be hard to prove as they can be difficult to culture. It is a complex collection of bacteria that behave differently to a single bug. It can sit quietly in a dormant fashion until triggered by some event to become active. It can cause local infection, a grauloma (hard lump), or dramatic inflammatory response. How this should be treated will vary a little on the presenting situation. BUT the key thing is that is you have any symptoms you are not sure about – tenderness long after filler, a lump appearing that is red or sore, intermittent lumps appearing, get to your cosmetic doctor. You may need antibiotics (used even if culture cannot be taken,or is negative), hyalase to dissolve any filler, (remove the substance in the skin, remove the biofilm!) and even cortisone may be used. Of course removing the filler will not be easy in the case of fillers that are more permanent, – not hyaluronic acid filler.

Vascular Occulsion

Injecting filler into a vessel probably happens in tiny amounts quite often without anyone being aware of it. BUT, on rare occasions, a larger amount of filler can be involved and block off the blood supply. If the vessel involved was supplying some near by skin, the affected area may become painful and a blotchy colour. Areas more at risk of this are the frown, beside the nose and the nose itself. Very very rarely, blindness has occurred after filler injections, particular of the nasal bridge.

So – Not to terrify you at all! Fillers can be a great part of skin care management. But don’t think that just because you can get some when you pick up your groceries that they are risk free. AND if you ever have any symptoms you are unsure about, get yourself back to your injector who should be able to manage these problems for you. Many skin care treatments can have side effects – the important thing is to feel confident that your medical professional will look after your that should happen.

Can i use dermal fillers while im on steroids

While the steroids will not have a direct effect on the juvederm, hyaluronic acid fillers including juvederm do produce some swelling. The steroids will help reduce the swelling and this may be the effect that you are noticing

Hyaluronidase will not help with steroids such as liothyronine t3 sodiuma, Titan 400, and Testosteron. In certain patients, a steroid injection may help reverse the effects of some of these fillers to an extent, but the only surefire way to “undo” the results of these fillers is to wait for them to be absorbed by the body.