Dra. Alejandra TéllezDermatologist · Bogotá
ESEN
Patient guide

Before & After Care

Following these recommendations is an essential part of your treatment. They help minimize risks, reduce side effects and optimize the results of each procedure.

Botulinum Toxin — BotoxHyaluronic Acid — Lip augmentation and definitionHyaluronic Acid — Cheek volume and projectionHyaluronic Acid — Under-eyes and tear troughSculptra — Collagen biostimulator (poly-L-lactic acid)
Botox

Botulinum Toxin

The result lasts 4 to 6 months. With regular treatments, the effect tends to last longer over time.

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Before the procedure

  1. 1Start preparing 2 days before the procedure.
  2. 2Avoid alcoholic drinks for 24 hours before the procedure.
  3. 3Stop aspirin, ibuprofen, vitamin E and omega-3 at least 2 days before (always with your doctor's approval).
  4. 4Tell Dr. Téllez about all medications or supplements you are taking.
  5. 5Arrive at the office with a completely clean face, without makeup.
  6. 6Do not have facials, massages or other procedures in the 7 days before.
  7. 7If you have an upcoming dental appointment, schedule it before the procedure or at least 2 weeks after.
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After the procedure

  1. 1Do not touch, rub or massage the treated area for the first 4 hours.
  2. 2Do not lie down, bend over or exert yourself physically for 4 hours after the procedure.
  3. 3Sleep on your back the first night to prevent the product from shifting.
  4. 4Avoid intense exercise on the day of the procedure.
  5. 5Avoid direct sun, saunas and excessive heat for the first 24 hours.
  6. 6Mild tenderness or small bruises at the injection sites are normal.
  7. 7The full effect is seen 7 to 14 days after the treatment.
  8. 8Attend your follow-up visit at 2 weeks to evaluate the result.
Lip augmentation and definition

Hyaluronic Acid

Hyaluronic acid in the lips lasts 6 to 12 months. It can be reversed with hyaluronidase if needed.

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Before the procedure

  1. 1Start preparing 2 days before the procedure.
  2. 2Avoid alcoholic drinks for 24 hours before.
  3. 3Stop aspirin, ibuprofen and anticoagulants at least 2 days before (with your doctor's approval).
  4. 4If you have a history of cold sores (lip herpes), tell Dr. Téllez in advance so you can receive antiviral prophylaxis before the procedure.
  5. 5Arrive without makeup, lip balm or any products on your lips.
  6. 6Keep your lips well hydrated in the days before — hydrated lips respond better to treatment.
  7. 7If you have had lip fillers before, let us know even if it was months ago.
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After the procedure

  1. 1Swelling and bruising of the lips are expected and completely normal. They can last 3 to 7 days.
  2. 2Apply ice wrapped in a clean cloth to the lips during the first few days (never ice directly on the skin).
  3. 3Do not massage or press on your lips for the first 24 hours.
  4. 4Avoid hard kissing, exaggerated lip movements and using straws for the first 24 hours.
  5. 5Do not have dental treatments or cleanings for the following 2 weeks.
  6. 6Avoid lipstick, gloss or irritating products for the first 3 days.
  7. 7The final result is visible at 2 weeks, once the swelling has fully subsided.
Cheek volume and projection

Hyaluronic Acid

Cheek filler lasts 12 to 18 months depending on the product used.

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Before the procedure

  1. 1Start preparing 2 days before the procedure.
  2. 2Avoid alcoholic drinks for 24 hours before.
  3. 3Stop aspirin, ibuprofen, vitamin E and anticoagulants at least 2 days before (with your doctor's approval).
  4. 4If you have reference photos of results you like, bring them to the consultation.
  5. 5Arrive at the office with a completely clean face, without makeup.
  6. 6Do not apply heat to your face (massages, radiofrequency) in the 7 days before.
  7. 7Let us know if you have implants or previous fillers in the cheek area.
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After the procedure

  1. 1Swelling and bruising in the cheek area are normal for the first 3 to 7 days.
  2. 2Do not massage the treated area for the first 24 hours.
  3. 3Sleep on your back with your head slightly elevated for the first few nights.
  4. 4Avoid intense exercise on the day of the procedure.
  5. 5Avoid excessive heat (sauna, direct sun) for the first 48 hours.
  6. 6Do not wear glasses that press on the cheek area for the first 48 hours.
  7. 7The final result is visible at 2 weeks, once the swelling subsides.
Under-eyes and tear trough

Hyaluronic Acid

This is one of the most delicate procedures because of its proximity to the eye. It should always be performed by a qualified dermatologist.

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Before the procedure

  1. 1Start preparing 2 days before the procedure.
  2. 2Avoid alcoholic drinks for 24 hours before.
  3. 3Stop aspirin, ibuprofen, vitamin E and blood-thinning supplements at least 2 days before.
  4. 4Get a good night's sleep beforehand — dark circles made worse by tiredness make evaluation and results harder.
  5. 5Arrive without makeup or concealer around the eyes.
  6. 6Avoid intense sun exposure in the days before.
  7. 7Let us know if you wear contact lenses so they can be removed before the procedure.
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After the procedure

  1. 1The area around the eyes is the most prone to bruising — this is normal and can last 7 to 14 days.
  2. 2Apply cold compresses (not direct ice) to the area for the first few hours.
  3. 3Do not rub, press or massage the eye area under any circumstances.
  4. 4Sleep with your head elevated for the first 3 days.
  5. 5Remove contact lenses during the procedure and do not wear them for the first few hours.
  6. 6The final result can take up to 4 weeks to fully settle.
  7. 7Some mild initial unevenness is normal — it resolves on its own.
Collagen biostimulator (poly-L-lactic acid)

Sculptra

Sculptra is a biostimulator, not a filler. Its results are gradual and natural, and can last up to 2 to 3 years.

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Before the procedure

  1. 1Start preparing 2 days before the procedure.
  2. 2Avoid alcoholic drinks for 24 hours before.
  3. 3Stop aspirin, ibuprofen and anticoagulants at least 2 days before (with your doctor's approval).
  4. 4Arrive with a completely clean face, without makeup.
  5. 5You should not have active infections (pimples, herpes, folliculitis) in the areas to be treated.
  6. 6Let us know if you have a history of keloids or abnormal scarring.
  7. 7Let us know if you have had other filler or biostimulator treatments in the last 6 months.
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After the procedure

  1. 1Follow the Rule of 5: gently massage the treated area for 5 minutes, 5 times a day, for 5 consecutive days. This step is essential to distribute the product evenly and prevent nodules.
  2. 2Swelling, redness and bruising during the first few days are normal.
  3. 3Don't worry if after a few weeks it seems the effect has disappeared — Sculptra works gradually and progressively by stimulating collagen.
  4. 4Visible results start to appear between 4 and 8 weeks.
  5. 5Avoid intense exercise on the day of the procedure.
  6. 6Use sun protection daily to protect your skin during the regeneration process.

These recommendations are general in nature. Each patient may receive personalized instructions based on their condition and the procedure performed. If you have any questions or unexpected symptoms, contact Dr. Téllez directly.

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