Different fillers can be used to treat a variety of concerns related to lost volume and wrinkles:

• Nasolabial folds (“parentheses” around the mouth)
• Vertical lip lines and smile lines
• Marionette lines, which extend down from the corners of the lips
• Diminished volume in the cheeks

• Thin or uneven lips
• Define Jawline and chin
• Under-eye hollows
• Hands

At MashMD, our experienced practitioners use their knowledge of facial anatomy and the products we use to keep you comfortable and customize your results.

First, we’ll get you started with a complimentary consultation so that we can get a good understanding of your goals and concerns. Your provider will use this information to create a custom treatment plan designed for you.

During the treatment itself, your injector will cleanse your face and may provide a light topical anesthetic to maintain your comfort. The injections themselves last for only a few moments and are administered via a fine, sterile needle.

You should expect to be in our office for about 30 to 45 minutes, depending on the significance of your procedure.

MashMD offers a wide range of dermal fillers to our patients. Our extensive menu of confidence-inspiring options includes:

• JUVÉDERM®
• JUVÉDERM VOLBELLA® XC
• JUVÉDERM VOLUMA® XC
• JUVÉDERM VOLLURE® XC
• JUVÉDERM VOLUX® XC

• RESTYLANE®
• RESTYLANE LYFT®
• RESTYLANE® REFYNE
• RESTYLANE® DEFYNE
• SCULPTRA® AESTHETIC
• VERSA™
• KYBELLA®

KYBELLA injections are used to improve the appearance of submental fat or fat that accumulates and causes a double chin. The active ingredient in KYBELLA is deoxycholic acid, a bile acid that eliminates fat cells. Targeted KYBELLA injections can restore a double chin to a more balanced, appealing size.

In order to reduce the amount of bruising and swelling at the injection site, our providers make the following recommendations about how to prepare for fillers:

Two Weeks Prior To Dermal Fillers:

• Please avoid getting any vaccinations or dental work/dental cleaning two weeks prior and two weeks following your dermal filler appointment.

One Week Prior To Dermal Fillers:

• Avoid blood thinning over-the-counter medications such as aspirin, Motrin, ibuprofen, and Aleve.
• Avoid supplements, including St. John’s Wort, Gingko biloba, primrose oil, garlic, ginseng, and Vitamin E.

24 Hours Prior to Injections:

• Do not drink alcoholic beverages 24 hours prior.

General Recommendations:

• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores. Please let your provider know if you are prone.

• Arrive at the office with a “clean face”—washed and without makeup.
• In order to maximize your comfort during the procedure, a topical anesthetic may be applied. In some cases, a local numbing medication will be injected into or around the area(s) to be treated.

• Apply an ice pack and Arnica topically—Arnica + Bromelain tablets are both natural supplements to reduce bruising. These are available for purchase at most local pharmacies and grocery stores.
• Take Tylenol to reduce pain as necessary.
• Avoid itching, massaging, or picking around the injection site. This is normal and generally disappears within a few hours to a few days. If these symptoms last more than 3 days, please contact our office.

6 to 10 Hours After Treatment:

• Until the swelling and redness have resolved, avoid intense heat in the treated area(s). This includes sunbathing, tanning, saunas, hot tubs, or hot wax.
• To help alleviate swelling, we recommend an antihistamine during the day, such as Zyrtec or Claritin, and Benadryl at night.
• If there is a visible bump, you can massage the area. Depending on the areas treated and the product used, you may feel “firmness.” These areas will soften and settle with time (usually 1-2 weeks).
• Sunscreen and makeup can be applied, and you may use a gentle cleanser on the area.

• Avoid drinking alcohol or partaking in strenuous exercise, as it may result in additional bruising.
• To help alleviate bruising, we recommend taking Arnica or Bromelain, eating fresh pineapple, and applying ice to the area.