What to Expect During Treatment: Before you come in: We recommend that you avoid any medications that can prolong bleeding, such as aspirin and non-steroidal anti-inflammatories (NSAIDs), for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site. Ask your healthcare professional what he or she recommends. Determining your treatment needs: We will examine the soft tissue of your face to assess the depth of wrinkles and folds to determine your treatment. We may even take pre-treatment photographs so you can see the difference after treatment! Before the procedure: Local or injection anesthesia/numbing medications may be used to maximize your comfort during the procedure. The procedure: The area to be injected will be cleansed, commonly with alcohol swabs. A topical anesthetic cream, icing to the injection sites or a local anesthetic via injection (such as a dental block) may be used for your comfort. Once your treatment region in numbed, we will make injections in several locations, placing the dermal filler where correction or volume enhancement is desired. We may massage or manipulate the area where the filler has been placed. The treated area may be cleansed again. You may be given ice or cold packs to place on the treated area to minimize swelling and bruising. The entire treatment process may take 20 to 30 minutes or more After the procedure: No special care is needed after treatment, however we advise you not to massage the area for several hours after treatment, as this may displace the gel. Seeing results: You should see improvement in the treatment areas almost instantly.