The practitioner should take a medical history to make sure that there are no reasons why you shouldn’t have the treatment. Then you will usually be asked to read detailed information and sign a consent form which means that you have understood what the treatment may do, along with any potential side effects from the filler(s) being used. Photographs may also be taken by the practitioner for a “before and after” comparison of the treatment. The consultation, skin test (if appropriate), or maybe even an initial treatment might happen in your first visit, if your skin suits the filler recommended and you are comfortable in going ahead with the treatment. If not, you will simply be given a second appointment to begin your procedure.
For treatment of lines and wrinkles, an anaesthetic cream is sometimes applied to the area 20 minutes or so prior to injection. This helps to numb the area to be treated and reduces pain when the needle is inserted into the skin. Before injections in the lips, a dental or lip block may be used, where a small amount of lignocaine (an anaesthetic like the ones used by dentists) is injected into the lip area to help to numb them prior to treatment. Different injection techniques are used depending on the type of filler and the area being treated.
For filling out wrinkles, the two main techniques are:
- linear threading technique, where the full length of the needle is inserted into the middle of the wrinkle and the material is then injected while pulling the needle slowly backwards;
- serial puncture technique, where several injections are made in a line along the wrinkle or fold to lift the wrinkle;
Follow-up treatment
Depending on the type of filler used, and the area treated, top up treatments are usually required to maintain the effect.Recovery time
Depending on the area treated, and which filler is used, treatment times can vary from around 30 minutes to an hour, and recovery time can be from a few hours to a few days. However, most people find that they can return straight back to work after treatment with dermal fillers.(published with permission in writing from:http://www.consultingroom.com)


