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Aftercare

If you have had a treatment with Dr Rushworth, please see the aftercare advice below. If you have any concerns about treatment or complications please get in touch as soon as possible. Review appointments can be booked via the bookings page. 

Dermal Filler (Hyaluronic Acid)

You have undergone a treatment in which a hyaluronic acid gel was injected into your skin or lips to improve shape, proportion, lines, shadows or wrinkles. Due to anaesthetic in the gel, you may feel numbness or tingling immediately after the procedure, and have some moderate swelling, redness, bruising and tenderness over the areas treated. Some people experience a dull ache, and tenderness over the treated areas which subsides between 48-72 hours. Mild, non-painful swelling can last for up to 2 weeks. Bruising is usually visible initially, then more obvious the next day before fading over 7-14 days. A small minority of bruises can last for 4-6 weeks.

 

When will I see the results?

The results are instant however optimum results will be seen within 2 weeks.

 

How to protect your result and reduce side effects:

  • Do avoid exposure to UV and getting too hot for 48 hours after treatment, for example strenuous exercise, drinking alcohol, hot weather, sun beds, sauna, steam room. This is because heat causes increased blood flow which might cause increased swelling, discomfort and bruising.

  • You can keep the area cool with a cold compress, but do not press hard or apply ice as this can cause an injury.

  • Don’t have facial massages, facial electric stimulation, dermaroller, semi-permanent makeup, laser treatments, or microdermabrasion for 2 weeks after your treatment.

  • Don’t apply makeup or have a spray tan until 24 hours after treatment. This is to avoid the risk of infection.

  • Do not touch your face in the areas injected until the day after treatment to reduce the risk of reaction and infection.

  • Don’t apply pressure when cleansing your face. Use gentle strokes away from the eyes.

  • Don’t wear tight caps/garments in the area that has been injected.

 

When to contact Dr Rushworth:

Serious complications are rare, but it is vital you seek urgent review if anything like this occurs:

  • Swelling, puffiness or lumpiness which does not fade in the first week.

  • The filler changes texture and becomes hard, nodular or lumpy, especially if there is redness or tenderness after 48 hours.

  • These symptoms may indicate a need for medical assistance from your clinician or family doctor if you are unable to see me, but please contact me so I can advise you.

 

Lumps are fairly common side effects following filler treatment, particularly in lips. If the lump is tender, it is probably a bruise under the skin. If the lump is not tender and there is no discolouration, you can gently massage it with small circular motions over the lump for one minute twice a day. If the lump does not go please contact me or book a review appointment.

 

IMPORTANT: Contact me immediately if you have symptoms of a blocked blood vessel

 

If you develop increasing pain near or above the site of injection which is getting worse over time, especially if associated with a mottled or pale area of skin indicating a lack of blood flow, you should contact me straight away. In rare cases, an urgent reversal or other medical interventions may be required immediately to prevent scarring. If we are unreachable attendance at accident and emergency is advised. Make contact with me as soon as possible so I can advise other clinicians to help them. 

 

How long does filler last?

Standard Dermal fillers

  • Juvederm Ultra 2, Juvederm Ultra 3 and Juvederm Ultra 4 last 6-9 months. It can be longer for some people.

Premium Dermal Fillers

  • Juvederm Volbella for tear troughs under the eyes and upper-lip lines lasts up to 1 year, longer for some people.

  • Juvederm Volift for lips, nose-to-mouth lines, mouth-to-chin lines, hands and temple hollows lasts 12-15 months, longer for some people.

  • Juvederm Voluma for nose, cheeks and chin lasts 12-18 months, longer for some people.

Please note these are average timeframes and your results may vary. I also use dermal fillers from Restylane and Teoxane. The most suitable filler for your needs will be determined during the consultation. 

 

Follow-up appointments:

If you would like an adjustment to your filler, top-ups are available within 4 weeks of initial treatment. There is a charge for this.  

 

If you have any questions or concerns about side effects or complications please contact me as soon as possible.

 

Botulinum Toxin A Injections

You have undergone a treatment in which a tiny amount of a muscle relaxing protein has been injected into muscles to improve appearance. It will take 14 days for the full effect to be reached.   

 

When will I see the results?

  • Your initial results will appear within 2-5 days.

  • Results continue to improve for up to 14 days when the results will be at their maximum.

 

Dos and don’ts following treatment:

  • Do stay upright for 2 hours after treatment. This is to avoid pressure in the area and to avoid increased blood flow which might cause the Botox to be dispersed and therefore not last as long.

  • Do move the areas the Dr injected for the first hour after treatment by making pronounced facial expressions, e.g. frowning, smiling and raising your eyebrows. This helps the Botox reach the cells it needs to in order to work.

  • Do avoid exposure to UV and getting too hot for 48 hours after treatment, for example strenuous exercise, drinking alcohol, hot weather, sun beds, sauna, steam room. This is because heat causes increased blood flow which might cause the Botox to be dispersed and therefore not last as long.

  • Don’t apply makeup or have a spray tan for 6 hours after treatment. This is to avoid the risk of infection.

  • Do not touch your face in the areas injected for 6 hours.

  • Don’t apply pressure when cleansing your face. Use gentle strokes away from the eyes. This is to avoid preventing the Botox reaching the cells it needs in order to work.

  • Don’t wear tight caps/garments in the area that has been injected. This is to avoid preventing the Botox to reach the cells it needs to in order to work.

  • Don’t have facial massages, facial electric stimulation, dermaroller, semi-permanent makeup, laser treatments, or microdermabrasion for 2 weeks after your treatment.

 

Side effects and complications:

  • It is very common to get a small tender red lump where you were injected. This should go within 48 hours after treatment.

  • You might get a bruise and/or redness following treatment. This is normal. This should go within 10 days, but it might take longer. Arnica tablets/creams can be used to help reduce bruising and can be purchased over the counter at a pharmacy.

  • A small proportion of people suffer from headaches following Botox. These can be treated in the normal way with over the counter painkillers. If symptoms persist and/or if you are in doubt, consult the appropriate NHS healthcare professional.

  • If you experience any of the following symptoms, contact me as soon as possible and I will book you a follow-up appointment from 14 days after treatment: forehead/eyelid heaviness, forehead tightness, look more tired than before treatment, eyeshadow is hard to apply.

 

How long does Botox last?

  • Generally lasts between 3-4 months, it can be longer for some people. It will gradually start to wear off after around 6-8 weeks.

 

Follow-up appointments:

If you would like an adjustment to your Botox, please book this online as a review appointment. For Botox, tweaks can only be undertaken between 2 and 4 weeks after treatment. If you know you always need a follow-up, please book in advance to avoid disappointment.

 

If you have any questions or concerns about side effects or complications please contact me as soon as possible.

 

Facial Peels, Micro-infusions and Microneedling

Dos and don’ts following treatment:

  • Do avoid exposure to UV and getting too hot for 48 hours after treatment, for example strenuous exercise, drinking alcohol, hot weather, sun beds, sauna, steam room.

  • Don’t apply makeup or have a spray tan for at least 6 hours after treatment. This is to avoid the risk of infection.

  • Do not touch your face in the areas injected for 6 hours.

  • Don’t apply pressure when cleansing your face. Use gentle strokes away from the eyes. 

  • Unless advised otherwise by Dr Rushworth, don’t have facial massages, facial electric stimulation, dermaroller, semi-permanent makeup, laser treatments, or microdermabrasion for 2 weeks after your treatment.