Belotero smooths out the fine lines and shows off the youthfulness that’s uniquely you.
BELOTERO is specially designed to integrate into your skin and mold to your distinct facial contours. By adapting to the individuality of your skin, it softens lines and wrinkles around the nose and mouth for smooth and natural results that are uniquely you.
To learn what Well Medical Arts and Belotero can do for you click to book online at your convenience or call one of our patient care coordinators at 206-935-5689 to schedule a complimentary consultation.
BELOTERO has unique properties that allow it to adapt within the skin for soft and even correction. The versatility of the product makes it strong enough to handle deep treatment areas such as nasolabial folds (smile lines around the mouth), yet soft enough to treat more delicate areas such as vertical lip lines (thin lines that appear above the lip line). BELOTERO is made of a material called hyaluronic acid or HA. HA naturally exists as a component of your skin. By binding to water, it fills in wrinkles and folds, allowing immediate and smooth correction. We have been enjoying using Belotero tremendously.
We love using Belotero for diminishing fine lines in conjunction with Radiesse for adding lift and volume to restore a more youthful appearance.
Learn more about Belotero here.
10 Tips to Minimize the Risk of Bruising After Wrinkle Reducers & Dermal Fillers
Cosmetic injectable treatments, such as wrinkle reducers and dermal fillers, can work wonders in filling out lines and wrinkles, but they can cause temporary bruising and swelling. Many patients ask us how to minimize or prevent bruising and the good news is that there is a lot you can do before and after your appointment to minimize any unsightly coloring– and in some cases prevent it all together.
No injector can guarantee that you will not bruise from injectable treatments, but to avoid having any serious side effects it is always best to go to the most expert injector in your area. Also, to be on the safe side, please don’t plan any special events for at least 2 weeks after your injectable appointment. Remember, treatments can take anywhere from 1 to 2 weeks for results to fully settle in, so unless something is really off, most minor problems will resolve in that time by just being patient.
If you are just having a wrinkle reducer treatment (Botox, Dysport, or Xeomin) these suggestions are still good to follow even though bruising is less common. However, dermal fillers like Juvederm, Restylane, Radiesse, Sculptra and Bellafill are slightly more invasive and following these instructions will help to prevent bruises or reduce the appearance, quicker.
Here are a few pre and post treatment tips that can help you avoid any unnecessary bruising:
#1 Avoid Aspirin & NSAIDS
Aspirin, NSAIDS (Motrin, Ibuprofen, Naproxen, Aleve, Advil), and NSAID-containing products (Midol, Excedrin, cold medicine) are the most potent of the “bruisers”. All of these medications stun your platelets, which are the cells in your bloodstream that stop bleeding and bruising when your blood vessels and capillaries are damaged. If your platelets can’t do their job in sealing off the tiny capillaries that are disrupted during injectable treatments, your likelihood of getting a bruise is much higher than normal. Avoid all of these medications for at least a week prior to your treatment. If you need pain medication, please consider Tylenol as a substitute.
#2 Avoid Wine & Alcohol
Wine and alcohol also have some anti-platelet effects and increase your chances of bruising in the same way that Aspirin and NSAIDS do. We hate to ruin any fun plans, but avoiding alcohol the night before and the night you have your injectable treatment really helps to prevent bruising.
#3 Avoid Green Tea, Vitamin E, and Herbal Supplements
High doses of Green Tea, Vitamin E, Fish Oil, Gingseng, Omega 3 Fatty Acids, Ginko Bilboa, Flaxseed Oil, and herbal supplements like St. John’s Wart, Garlic, Red Yeast Extract and many others, act like mild versions of prescription blood thinners and definitely increase your chances of bruising. In particular, Green Tea Extract is known to be one of the most potent “bruisers” on the market, so make sure you curb it well before any injectable treatment. Because there are so many herbal supplements that have unpredictable effects on bleeding and bruising, we recommend stopping ALL supplements at least one week before your treatment.
#4 Skip the Gym
No exercise except for walking for 24-48 hours after your treatment. Keep your heart rate under 100. Do not do any inversions in yoga or do hot yoga. Damaged capillaries need two things to repair themselves after an injection; functional platelets and minimal blood flow. Exercise and physical activity increases your heart rate, blood pressure, and the flow of blood through arteries, veins and capillaries, including the ones that get damaged during injectable treatments. Also, avoid squeezing or massaging the treated areas for several hours after treatment as this could subtly change the results. If you were treated with the injectable Sculptra, please disregard this note and massage as you were instructed.
#5 Choose a Qualified Injector
This seems like a no-brainer, but be careful. There are no enforceable regulations on who is allowed to inject wrinkle reducers and dermal fillers, so there are tons of unqualified injectors out there. Be particularly cautious about getting injected in clinics offering extremely low prices because they tend to rely heavily on counterfeit products.
Apply a cold pack to the treatment area before and after your injection. Cold applied to the skin constricts blood vessels and constricted blood vessels are smaller and less likely to get in the way of the needle. An added bonus, the cold will desensitize the area so you will feel less pain.
#7 Numbing Cream
If your injector applies numbing cream about 20-30 minutes before starting the injections, it will help prevent bruising and make you more comfortable during the treatment. Some anesthetic creams constricts blood vessels slightly making bruising less likely. When you make your appointment, ask if you should come in early if you want to get numbing cream.
#8 Anti-Bruising Supplements
You can try taking two supplements that have been shown to prevent bruising; Arnica and Bromelain. Take Arnica pills 4 days before and after the procedure to aid in potential bruise reduction. Arnica is an herbal dietary supplement that has been used for centuries to reduce bleeding and inflammation. Place four pills underneath your tongue, twice a day. If you do bruise, you can take it each day until bruising has subsided. Bromelain is helpful in reducing any swelling after the procedure and may be taken three days prior to your treatment and continue for one week after. Bromelain is a pineapple-based enzyme that also helps to reduce inflammation and bruising.
Arnica and Bromelain are both available in our clinic for purchase, and there is enough in the bottle for several treatments. If you have ever had a cold sore around the mouth or near the injection site be sure to talk to your practitioner before treatment, so that they can properly prescribe you Valtrex or another anti-viral medication to prevent an outbreak.
#9 Sun Protection
No excessive sun or heat until any initial swelling and redness have resolved. Proper and frequent use of sunscreen is always important. The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor of SPF 30 or more. Wear a hat when outdoors. I have created a list of some of my favorite sunscreens to help you find a good quality product.
#10 Plan accordingly
Another important part of getting injections is timing. Try to make your appointments at least two weeks prior to a big event just in case you have swelling or bruising. You should also make sure they are within your budget when you do get the treatment. There are times you might need more areas treated and sometimes less, depending on how your body responds. Injectables work differently on everyone, so you may not get the same results in terms of how long the treatments last as your friend.
What happens if you bruise?
If you do bruise, there is help. First of all, continue icing the bruised areas once you get home as long as you can. Next, take your Arnica and Bromelain as directed. A high-level concealer will also come in handy to hide those temporary bruises. If the bruise is on your lip, then lipstick should do the trick. The intensity and duration of your filler or Botox side effects will depend on the treatment aggressiveness and your individual healing characteristics, but normally can last for one to two weeks after the treatment.
Understand where you want the injections.
Finally, now that you have taken the plunge on facial injections, be careful not to get carried away. Some people go overboard with wrinkle reducers and dermal fillers and develop an artificial look to their face. A good injector will actually tell you they will not do the treatment on you at a certain point. If you feel like your face looks “done,” then you have done too much. You should look like a refreshed version of yourself!
Important safety information for Belotero Balance
IMPORTANT SAFETY INFORMATION FOR BELOTERO BALANCE®
Who should not use BELO TERO BALANCE?
BELOTERO BALANCE should not be used in patients with a history of or presence of multiple or severe allergies, including those with a history of anaphylaxis. BELOTERO BALANCE should not be used in patients with allergies to gram-positive bacterial proteins.
What is the most important information I should know about BELO TERO BALANCE?
As with all events that involve an injection through the skin, there is a risk of infection. Laser treatments or chemical peels or any other treatments that affect the skin can increase the risk of infection. Do not use BELO TERO BALANCE if you have a skin inflammation or a skin infection. Do not use until the infection is healed.
Patients getting BELO TERO BALANCE may have an injection site reaction. These reactions can include inflammation and usually last less than seven days.
For approximately 24 hours after treatment, avoid:
extensive sun or heat exposure
aspirin or non-steroidal anti-inflammatory drugs
Exposure to any of the above can cause temporary redness, swelling and/or itching at the injection site.
It is not known how BELOTERO BALANCE will work in areas of the face other than the smile lines.
It is not known how BELOTERO BALANCE will work in women who are pregnant or breastfeeding or people who are less than 21 years of age.
What should I tell my doctor before injections with BELO TERO BALANCE?
Tell your doctor if you are taking medicines that affect blood clotting, like aspirin, an NSAID or warfarin. These medicines may put you at an increased risk of bruising or bleeding at the treatment site.
Tell your doctor if you have a skin reaction like cold sores, cysts, pimples, rashes, hives, or an infection. Treatment with BELO TERO BALANCE should be delayed until the reaction goes away.
Tell your doctor if you are taking medicines that affect your immune system.
What are the most common adverse events seen with BELO TERO BALANCE?
The most common local side effects seen with BELO TERO BALANCE were swelling, bruising, redness, hardening of the skin, pain, altered color or itching. Other side effects that have occurred with BELO TERO BALANCE include headache, swelling of the side of the nose, moderate cold sore, lip numbness, and lip dryness. Side effects were often mild to moderate and often resolved within 7 days.
Important: Click here for Instructions for Use or call Merz Aesthetics Customer Service at 866-862-1211.
Caution: Rx Only
Reference: 1. BELO TERO BALANCE [instructions for use]. Greensboro, NC: Merz North America, Inc.; 2012.