Botox®, Dysport® and dermal fillers are the most popular cosmetic treatments for good reason: results come quickly, recovery is short, and in experienced hands they look natural. Patients at The Naderi Center for Plastic Surgery & Dermatology often ask how to recover faster, keep swelling down and make their results last. This guide covers what to do before, during and after your appointment.

Aftercare Following Your Injectable Procedure
- Good preparation and aftercare reduce swelling and bruising, which shortens recovery after Botox and filler.
- Staying hydrated, avoiding certain medications before filler and following your aftercare instructions all make healing easier.
- Mild swelling, bruising and some unevenness are normal at first and usually settle within two weeks.
- Botox and Dysport work gradually, with the full effect at about two weeks.
- At The Naderi Center for Plastic Surgery and Dermatology, Dr. Shervin Naderi stresses that good results depend on both careful injection technique and good recovery habits.
Why Recovery Habits Matter for Injectable Results
Dr. Shervin Naderi often says, “Great injectable results don’t happen by accident. They happen through precision injection technique and thoughtful recovery habits.” A few simple steps make a real difference in comfort and results.
Preparing for Botox and Fillers Before Your Appointment
If you are having filler, it helps to avoid foods and medications that increase bleeding for two weeks beforehand, such as nuts, seeds, fish oil, NSAIDs and certain supplements. They aren’t dangerous, but they can add to bruising. For Botox alone, this level of preparation is unnecessary.
Arnica and Supplements for Healing Support
Patients who are prone to bruising often choose to start Arnica supplements a few days before their treatment. While optional, Arnica can help fade post-injection bruises more quickly. Dr. Naderi explains, “Bruising is normal and expected, but Arnica can help speed the process along for many patients.”
Blood Thinners and Medical Safety
If you take a prescription blood thinner, talk to the doctor who prescribed it before changing anything. Medically necessary medication comes first, and a little extra bruising is a reasonable trade-off.
If you tend to get cold sores, your injector may suggest an antiviral before lip or lower-face filler to help prevent an outbreak triggered by the injections.

What to Do on the Day of Your Appointment
Small preparations on the day of your appointment can make a noticeable difference in comfort and overall experience.
Eating and Hydration Before Treatment
Eat something and drink water before you come in. Steady blood sugar helps prevent dizziness or lightheadedness during injections, which is surprisingly common in patients who arrive hungry or dehydrated. As Dr. Naderi notes, “A simple snack before treatment can make the entire experience easier and more comfortable.”
Numbing Cream and Makeup Guidance
Patients receiving filler injections should plan to arrive a bit early for topical numbing. The numbing cream takes about 20–30 minutes to work fully and makes treatment significantly more comfortable. Minimal makeup is recommended, especially around areas being treated, but you can reapply makeup immediately afterward if needed.
Book a Consultation
Thinking about Botox? Our physicians see patients at our offices in Reston, VA and Chevy Chase, MD.
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Call Reston (703) 481-0002 or Chevy Chase (301) 222-2020.
What to Expect Right After Injections
Some swelling, redness and pinpoint bleeding right after injections are normal. A soft cold pack, such as a bag of frozen peas or crushed ice, helps reduce swelling. Hold it on gently, and avoid heavy ice packs or pressing on the treated areas.

Heal Faster With Expert Guidance
Our physician injectors can answer your questions at every stage of healing.
Post-Treatment Care During the First 48 Hours
What you do in the first 48 hours affects how smoothly you heal.
Exercise and Physical Activity
Strenuous exercise should be avoided for the first 48 hours. Increased blood flow can worsen swelling or bruising, especially after filler. Light walking is fine, but gym workouts, hot yoga, and long runs are best postponed temporarily.
Avoid Touching or Massaging Treatment Areas
One of the most important rules after facial fillers is that you must not touch or massage the treated areas until your injector gives you permission to do so. Even well-meant pressing can displace the product, add to the swelling and leave the face uneven. You can wash your face gently, but avoid scrubbing, facials and any pressure on the area for a week.
Using Makeup to Conceal Bruising
Makeup and concealer can be used the same day to camouflage bruising. Full-coverage formulas are especially helpful in the first few days. Lips, tear troughs and other areas with many blood vessels tend to bruise more, and that is normal.
Eyewear and Nose Fillers
Patients undergoing non-surgical rhinoplasty should avoid glasses that press on the nose bridge. Bringing your glasses to your appointment helps the injector ensure they won’t interfere with recovery. The same goes for tight swim goggles, which can distort filler placement.
Reducing Swelling and Supporting Healing
Pineapple and pineapple juice contain bromelain, a natural anti-inflammatory enzyme that may help with swelling. Results vary, but many patients find it helps, and it makes a refreshing snack while you recover.
For discomfort, take Tylenol. Avoid NSAIDs such as ibuprofen, which can increase bruising and swelling. Lips often feel dry after lip filler; Vaseline or Aquaphor keeps them moist and less sensitive.
Understanding Results Over Time
Try not to scrutinize your face during the first two weeks. Some unevenness or small lumps are common at first due to swelling. As Dr. Naderi explains, “Swelling takes time to settle. What you see at day two is not what you’ll see at week two.”
When Botox and Dysport Begin Working
Botox and Dysport take time to activate. Some patients notice results as early as day three, while others see the full effect around the two-week mark. Muscle activity slowly returns over three to four months, and regular treatments help maintain smoothing while training the muscles to relax.
How Long Fillers Last and What Is Normal During Healing
Right after filler, the area may feel firm and a little lumpy. This is normal and usually eases over about two weeks as the product settles into the surrounding tissue. First-time patients may notice results fade faster, but outcomes last longer with subsequent treatments as the body builds collagen around the injection sites.
Keep an eye on your skin while it heals. Call The Naderi Center right away if you have severe pain, changes in skin color, fever or a cold sore outbreak. Problems caught early are easier to treat, and a quick check gives you peace of mind.
See the Doctor
Questions about what you just read? Ask our doctors in person. Book a consultation in Reston or Chevy Chase, or start with a virtual consultation from home.
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Call Reston (703) 481-0002 or Chevy Chase (301) 222-2020.
Consult with Cosmetic Injectable Specialists in Chevy Chase and Reston
We invite you to schedule a consultation with one of our physician injectors at The Naderi Center. We see patients at our offices in Chevy Chase, Maryland and Reston, Virginia. Every injection is done by a physician, and you’ll leave with clear aftercare instructions.
Frequently Asked Questions About Recovery After Botox & Fillers
How long does swelling last after fillers?
Most swelling improves within 48–72 hours but may take up to two weeks to fully settle.
When will I see results from Botox Injections?
Results begin in 3–5 days and peak at 10–14 days.
Can I work out after injections?
Avoid strenuous exercise for at least 48 hours after filler. Light walking is fine.
Can I wear makeup after treatment?
Yes. Makeup and concealer can be applied right after injections.
Is bruising normal?
Yes, especially in areas like lips and tear troughs. Bruising can last 1–2 weeks.
What if one side looks different from the other?
Wait at least two weeks. Most asymmetry is due to early swelling.
How long does filler last?
It depends on the product and the area treated, and results tend to last longer with repeat treatments. Most of the swelling settles within 2 to 4 weeks, and the result keeps refining subtly for several months.
When should I call the office?
If you experience severe pain, unusual skin color changes, fever, allergic reactions, or difficulty moving part of the face.

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