(Sculptra® / Hyperdilute Radiesse®)

Contraindications – Do Not Schedule if You…

• Are pregnant or breastfeeding

• Have an infection or active inflammatory process at the treatment site

• Are being treated for an active or flare of an autoimmune disease or are on immunosuppressive therapy

• Have multiple or severe allergies, including to lidocaine (injectable or topical)

• Have had any viral or bacterial infection within 2-4 weeks (cold, UTI, cold sore, dental infection, etc.)

• Have had a dental appointment within 4 weeks (including cleanings)

• Be gentle when flossing two weeks before and after injections.

• Have received a vaccine/immunization within 4 weeks

Timing Considerations

• Do not schedule injections within 48 hours of travel

• Avoid scheduling before important events within 3-4 weeks due to potential for bruising, swelling, or complications

Reducing Bruising & Swelling

• Consider kiwi, pineapple, and/or sublingual Arnica 3 days prior to treatment until bruising resolves

• Arnica 30C pellets: 5 pellets under the tongue, 3 times daily

• Topical Arnica: can be applied 12 hours post-treatment

• Avoid blood-thinning medications and supplements 1–2 weeks prior (unless approved by your provider):  OTC pain medications: aspirin, ibuprofen (Advil®, Motrin®), naproxen (Aleve®), Excedrin®

• Avoid blood thinning supplements 1-2 weeks prior: vitamins A & E, fish oil, omega-3s, ginseng, garlic, ginger, kava kava, turmeric, celery root, glucosamine, ginkgo biloba, flaxseed/ flaxseed oil, krill oil, glucosamine chondroitin

• Avoid alcohol and green tea for 3 days to 1 week prior

Safe alternative for pain: Tylenol® (acetaminophen)

Cold Sore (Herpes) Considerations

• History of lip or facial cold sores increases risk of flare-ups

• If needed, an antiviral prescription (Valacyclovir 1g daily for 3 days) can be provided

• Please provide your pharmacy information if a prescription is required

Post-Treatment Care

General Care (All Injections)

• Avoid touching, pressing, rubbing, or manipulating treated areas for 12 hours

• Keep objects (pets, phones, hair, hats) away from treated areas for 12 hours

• Avoid applying makeup, powders, sunscreen, or skincare for 12 hours

• Sleep on your back if possible for 3 days (to avoid pressure on dermal fillers)

• Avoid facials, massages, lasers, or other skin treatments in treated areas for 1-3 weeks depending on treatment

Exercise & Temperature

• Avoid exercise for 24 hours

• Avoid vigorous activity, heat, and extreme cold for 2–3 days or until swelling/ redness resolves

Pain Management

• Take Tylenol® for discomfort for the first 24 hours

• Ibuprofen may be taken after 24 hours if needed

Biostimulators (Sculptra® / Hyperdilute Radiesse®) Specific

• Massage treated areas: 5 minutes, 5 times a day, for 5 days (using cleanser, moisturizer, or Arnica gel/cream)

• Do not massage dermal fillers

• Initial volumizing effect may dissipate within 48–72 hours; collagen-building takes 6–8 weeks

• Multiple sessions are usually needed for optimal results

• Minor asymmetry or unevenness may occur until swelling/bruising resolves

• Enhancements may be recommended 6-8 weeks after treatment

Bruising

• If bruising occurs, begin warm compresses 24 hours after treatment, 2–3 times per day

When to Contact Us Immediately

Call or text our office at 480-662-3269 if you notice:

• Extreme pain or unusual bruising patterns

• Blotchy skin color or severe redness

• Blisters, cold sores, or unusual itching

Important Policy

• These instructions ensure your safety and treatment success

• Failure to comply with pre-treatment instructions within 48 hours of your appointment will result in a “no show” charge equal to your planned treatment

• It is your responsibility to reschedule at least 48 hours in advance if unable to comply with the above instructions

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