Tips for Before & After Dermal Filler Treatments

I’m scheduled to receive Restylane (dermal filler) soon. What are some tips to make the procedure go as smoothly as possible?

The number one side effect of dermal fillers can be bruising and some swelling. To reduce the occurrence of these effects it is best to avoid aspirin, ibuprofen, and Aleve one week before the appointment. It’s best to also avoid fish oil, herbal supplements such as St. John’s Wort and other supplements that can thin the blood and lead to bruising.

Taking Arnica Montana pellets a few days before the procedure and eating fresh pineapple can help reduce the occurrence of bruising.

About 48 hours before the appointment avoid meals containing lots of salt or sugar as these can contribute to swelling. (No Chinese take out!) Avoid excess alcohol and caffeine as these may dehydrate you.

The day of the appointment eat a light meal before you come to avoid that woozy feeling.

No strenuous exercise for 24 hours after the procedure. Staying in and applying gentle ice or compresses to the area for 10-15 minutes once an hour until bedtime and upon awakening will go a long way to combatting any swelling.

Always ask your provider if there are any additional instructions for you to follow.

For more information about Restylane, dermal fillers or any of our other services, please contact us at

Enhanced Skin Care Center is located at:
 24825 Eureka Rd. in Taylor, MI 48180

Meet Your Injector – A Little Q&A with Jane Kramar MD

OLYMPUS DIGITAL CAMERAHow did Dr. Kramar get started at ESCC?

A licensed Family Practice Physician, Jane Kramar expanded her medical practice to include cosmetic procedures in 2005. Dr. Kramar had extensive training in the injections of dermal filler and BOTOX® before opening Enhanced Skin Care Center in February of 2006.

How does Dr. Kramar stay up to date in the field?

Since opening ESCC,  Dr. Kramar has attended a minimum of two training seminars per year to learn the latest in injection techniques as well as gathering information on the newest products and how they can perform best for her patients.

How many injections has she done?

Over 13 years Dr. Kramar has injected fillers such as Restylane®, JuveDerm® and Voluma® on hundreds of patients per year. The number of patients injected with BOTOX and Dysport® is numbered in the thousands.

Why should I choose Dr. Kramar and ESCC?

Injecting filler into the lips, cheeks, lines around the mouth, and BOTOX or Dysport in the upper face to give the individual a natural look is an art and the experience of the injector dictates those results. Beware of the injector that does house parties or comes to a salon occasionally to inject. Often these injectors are less experienced and see far fewer patients so the chances of less than desirable results rise. In the unlikely event a complication should arise during a procedure, an experienced physician, like Dr. Kramar will attend to it in a properly and timely mannerDr. Kramar takes the time to get to know her patients and understand the type of results they are looking for. She offers guidance to help the individual obtain a fresh, natural appearance never looking over done or unnatural.

How do I get started at ESCC?

Contact us through our website or call us at 734.946.8800 to set up a complimentary consultation. We will meet with you to determine your the right course of treatment for you. We carefully consider your skin type, your lifestyle, and your budget.

For more information about healthy skin, please contact us at

Enhanced Skin Care Center is located at:
 24825 Eureka Rd. in Taylor, MI 48180

Dermal Fillers…what are they and what do they do?

In recent months there has been a lot of press about “dermal fillers”, specifically Restylane and Juvederm. Many people are confused about what dermal fillers are and what they do. Read on for answers to some of our most frequently asked questions about dermal fillers.

What is Restylane and Juvederm?

Restylane and Juvederm are brand names of substances commonly referred to by doctors as dermal fillers. Both of these products are safe and natural fillers made up of a non-animal based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the body.

What can fillers do?

Fillers are used to restore volume and fullness to the skin. They are best used to fill in lines around the nose (nasolabial folds), around the lips, and areas at the corners of the lips (marionette lines). Fillers are also used to restore fullness to the lips and areas in the face like cheeks and hollows under the eyes.

Are fillers safe?

Yes. Fillers have been used for more than 20 years worldwide. Since the hyaluronic acid is fully compatible with your bodily fluids there is virtually no risk of allergic reactions and no allergy testing is required.

What is the procedure like?

First you will consult with the doctor about the specific areas in which you would like volume restored. Once the area(s) have been determined, a topical numbing cream is applied to your skin for about 20-30 minutes prior to the procedure to minimize any discomfort from the injection. The product is then injected into the desired areas. Usually the entire procedure takes less than an hour and a half (including the numbing time.)

Are there any side effects?

This can vary by the individual. After the treatment you may have some redness or swelling. This will normally last less than a week. You also may experience some bruising at the injection sight – which can typically be concealed with cover-up. We do have pre-procedure instructions that can help minimize swelling and bruising as well as a natural supplement called Arnica Montana for those who tend to bruise more easily. We always advise people to schedule their procedure at least 2-3 weeks before a special event like a wedding, to ensure no visible signs of the procedure.

How long does the filler last?

Fillers can last 6 to 12 months depending upon the individual. The exception to this is when used around the lips. Because we use our lips more often through eating, talking, etc. the product is more quickly metabolized by the body and may last closer to 6 months. Recently Restylane has been granted FDA approval for the duration of up to 18 months if a patient comes in for an enhancement between 6 and 9 months. We have found that patients who return within 6 to 9 months for a touch-up are able to sustain their results for well over a year.

What is the cost of the procedure?

The product is priced per syringe, and the cost of the procedure depends upon how many syringes needed to make your desired correction. The more volume you want restored, the more syringes needed. Please note that all syringes don’t always have to be done in one visit. Often a patient will have some filler injected at one visit and then return in a few weeks to have additional filler placed in areas where she/he wants more volume. This layering process does not detract from the final result and can help to make the procedure more manageable financially. Because it is difficult to accurately quote a cost without seeing the patient first, we suggest scheduling a complimentary consultation to accurately determine a treatment plan for you.

I am considering the procedure. What should I do?

Please call our office to set up a complimentary consultation with our nurse. She will answer any questions you may have, give you an accurate price for the procedure, and provide pre-treatment instructions.

Dermal fillers are a safe, effective way to immediately improve lines and wrinkles on the face with little or no downtime. In comparison with other cosmetic procedures this is an affordable option to enhance your appearance.

If you have additional questions or would like to schedule your complimentary consultation to see if dermal fillers are right for you, please contact us today by calling 734.946.8800 or visiting

Enhanced Skin Care Center is located at:
 24825 Eureka Rd. in Taylor, MI 48180