Filler Consent

Information:

• Fillers (Voluma, Kybella, Juvederm Ultra, Juvederm Ultra Plus, and other injectable gels) are injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur. It temporarily adds
  volume to the skin and subcutaneous tissues, making for the appearance of a smoother skin surface.
• Correction is temporary: therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal correction.
• Less material (about half the amount) is usually needed for repeat injections.
• Most patients need one or possibly two treatments to achieve optimal wrinkle smoothing.
• The results may last as long as nine months to one year.

• Other treatments for dermal soft tissue augmentation include but are not limited to, products such as Radiesse, Restylane, Hylaform, Cosmoderma, and Perlane. Aside from these treatments, additional options for the correction of lines and wrinkles include facial serums, Botox, chemical pills,
  and laser skin resurfacing treatments and surgery.  All options should be discussed with Dr. Grover.

Side effects and complications:

• Side effects are mild in nature, and the duration is short lasting
  seven days or less.
• The most common side effect includes, but are not limited to temporary injection site reactions such as:
  • redness/pain, tenderness, firmness, swelling, lumps/bumps, bruising, itching, infection, and discoloration.
  • In the first 24 hours after injection, you should avoid strenuous exercise, extensive sun or heat exposure, and alcoholic beverages.
  • Exposure to any of the above may cause temporary redness, swelling, and or itching at the injection site.
  • Be sure to report any redness and/or visible swelling that lasts for more than a few days, or any other unexpected symptoms or concerns.

Contraindications:

• Severe allergies marked by a history of anaphylaxis or history of presence of multiple severe allergies
• A history of allergies to Gram-positive bacterial proteins.
• The usage of substances that can prolong bleeding such as
  aspirin, ibuprofen, Eliquis, or other anticoagulants
• If you are on immunosuppressive drugs used to decrease the body's immune response
• If you're pregnant or breastfeeding
• If you have a history of excessive scarring (eg, hypertrophic scarring and keloid formations) and pigmentation disorders.