Prepping for Your First Dermal Filler Appointment

So you’ve made your first appointment for a dermal filler injection. Dermal filler, such as Juvederm, offers a safe, non-surgical way to help restore hyaluronic acid in the skin. This adds volume and reduces the appearance of wrinkles, giving you a more youthful experience.

As your treatment gets closer, you might be wondering if there is anything you can do to prepare ahead of time. The answer is “yes!” Doing your homework and making some slight adjustments to your routine can alleviate any stress ahead of the treatment and minimize your recovery. Here are four tips on how to prepare for your first dermal filler appointment. 

Set a Clear Goal

Before going into the procedure or consultation, be sure that the desired outcome is clear. Patients should prioritize their aesthetic goals and have a clear budget in mind for the treatment. It’s also a good idea to take a few pictures so you can see how the area improved following your treatment.

Do the Research

Your physician is a great resource for questions about the procedure, but it never hurts to do a little outside research. Patient reviews and testimonials can be especially helpful in helping you understand what to expect. Take notes while you’re reading through them and bring them with you to your first appointment. That way you won’t forget to ask any questions when meeting with your doctor. When it comes to choosing a provider, look for someone who is board-certified and has a well-trained staff. 

Eating more leafy greens and Vitamin K can help prevent bruising/swelling after receiving dermal filler.

Get Proper Nutrients

What’s inside the body can affect your reaction to the treatment. You might need to alter your diet a bit in the two weeks leading up to your appointment. Avoid aspirin, non-steroidal anti-inflammatory medications — such as Motrin and Advil — Vitamin E, and fish oil. All of these can increase bruising following the treatment. Eating more leafy greens and Vitamin K also can help prevent bruising/swelling.

Have a Clear Schedule

One of the most important things you can do is build in recovery time. There may be visible redness and swelling immediately following your appointment. For added discretion, book injections on a Friday or take a day off from work following the injection. 

Dermal fillers like Juvéderm® can be administered in as little as 15 minutes with results that can last up to a year. If you want more information about dermal fillers, schedule a consultation today with Donaldson Plastic Surgery.

Many men and women could enhance their appearance with fillers such as Restylane and Juvéderm; however, they shy away from these treatments because of the needle. At Donaldson Plastic Surgery in Columbus, Ohio this is less of a concern now because the latest generation of fillers has arrived!

Several weeks ago, the company Allergan launched a new and improved version of Juvéderm that contains lidocaine — a numbing medication similar to novocaine. Their studies have shown that 9 out of 10 patients are more comfortable with the lidocaine than without, and so far Dr. Donaldson’s patients agree. Procedures that might have otherwise required a nerve block (direct numbing of a facial nerve) can now be done safely and comfortably with the new filler alone.

In the last several days a competitor, Medicis, announced the availability of their latest products: Restylane-L and Perlane-L. These next-generation fillers also contain lidocaine for a more pleasant cosmetic experience. Dr. Donaldson is one of the first plastic surgeons in the country to have them available for his patients.

Restylane Columbus OH Juvéderm Columbus OH
Whether you have had Juvéderm or Restylane in the past or are curious to try one of them for the first time, you will most likely benefit from the addition of lidocaine to the filling material. Columbus, Ohio plastic surgeon Dr. Donaldson believes that increased comfort is a major advantage, and Juvéderm XC, Restylane-L and Perlane-L are important breakthroughs in cosmetic medicine.

Filling, roundness, softness, plumping are all desired goals within the latest volumetric philosophy that has permeated plastic surgical literature and discussions.

In the past decade, a new generation of plastic surgeons has turned upside down the traditional thinking about aging, beauty and the aesthetic ideal. It used to be assumed that aging effects were due to gravity and stretching, and that tissues sagged and fell over time. While this may be true to a certain extent, there is another fundamental process at work: loss of volume.

Technological breakthroughs in 3-D imaging, CAT scanning and MRI’s clearly demonstrate a decrease in the amount of bone, size of fat pads, quantity of muscle fiber and thickness of skin over time. In contrast, high-definition photographs show that skin landmarks such as moles and freckles do not descend appreciably as a person ages. These studies suggest that the wrinkling and hollowness that characterize old age are similar to a grape becoming a raisin, or a helium balloon that has deflated — it is due to volume loss from deeper within the body, and not just sagging of the skin itself. 

This new understanding has major implications for the treatment and prevention of aging. The face lift provides an excellent example. The old mantra was to lift, tighten, stretch and smooth the skin, but now we know that the skin is merely redraping over less underlying tissue. If only the skin is tightened, the effect may appear as if a patient is standing in a wind tunnel — the skin is swept back smooth and tight, but overlying a hollowed and sunken framework. The more pure anatomic approach is to rejuvenate the face by restoring inner volume where it has faded. This may include the addition of fat grafts,duplication of underlying fascia and muscular tissue, placement of implants, and/or injection of hyaluronic acid filler such as Restylane and Juvéderm in combination with a face lift. When the deeper tissues are filled, then the skin is pushed out and wrinkles smooth more naturally. 

Dr. Jeffrey Donaldson is a champion of this new volumetric philosophy. He uses fat transfer, fillers and advanced multi-plane surgical techniques to restore volume and create youthful, soft, natural effects in the face and body for patients in Columbus, Ohio. Cosmetic surgery has rapidly evolved with these recent discoveries, and Donaldson Plastic Surgery offers you the most up-to-date results.

Screen Shot 2016-03-21 at 2.46.15 PMWhen wrinkles set in, facial fillers can fade and smooth them away. Juvéderm is one popular injectable gel that restores facial volume, creating a more hydrated and healthier appearance. The results typically last for about a year.

How It Works

The aging face gradually loses volume under the skin, forming unwanted wrinkles, lines, folds and hollows. Juvéderm can be injected to fill creases precisely and to restore lost volume. It may also be used to adjust the structure or shape of the face to create more youthful or desirable contours. The effect can be reversed by another type of injection for patients who do not like the results.


Patients seeking a minimally invasive method for facial rejuvenation turn to Juvéderm. This treatment is popular because it actually replenishes one component of human collagen — hyaluronic acid (HA). HA naturally occurs in the skin, but diminishes with age. After injection, the body recognizes HA as “self,” which contributes to the safety and success of this procedure.

The Time Line

Patients generally experience an extended period of fullness and volume after this treatment. The time frame for results varies for each patient and largely depends on the location and type of injection. However, most people will have results for a minimum of six months. The general rule is that injections in more mobile areas will not last as long as injections in less mobile areas. Less mobile areas take more time to absorb the filler, so the results will last longer. Juvéderm Voluma is cross-linked for durability and can last for up to two years!

Patients should consult with a board-certified plastic surgeon to determine whether this treatment is a good match. A professional can help each person find the most effective and long lasting Juvéderm treatment.

*Earned by Dr. Donaldson