Portland Sculptra® for Gluteal Enhancement enhances the curve and shape of your buttocks without surgery.

Health and safety is Dr. Heathers priority. To help avoid potential complications, please review our pre and post treatment considerations.

You are not eligible for treatment with filler if you are pregnant, nursing, experiencing an infection, or having an autoimmune condition flare-up.

Please notify us if you are traveling within 48 hours of your appointment.

**Please get clearance from your physician if you have a history of autoimmune, neurological, or psychological disorders.

Please reschedule your appointment if the following events are applicable:

* Youve had a dental visit in the past 3 weeks (youll want to avoid dental work for 3 weeks after treatment).

* Youve had a vaccination in the past 3 weeks.

* Youve been treated for an infection in the past 3 weeks.

* You are experiencing an active cold sore.

* You have a significant event within 2 weeks time.

* You have had surgery or trauma to the face in the last 3 months.

* Are taking blood thinners.

As with any medical grade aesthetic treatment, bruising can happen. Here are some suggestions to help minimize bruising risk:

Hydrate, hydrate, hydrate! When you are drinking enough water, your skin is more likely to have proper hydration levels and this supports wound healing. You want to get about 11 cups of water in a day to maintain proper hydration.

Take Arnica 30 C homeopathic tablets 3 pellets, 3 times a day, for 3 days before and after treatment. The evidence does not consistently show that homeopathic arnica is effective, however there are studies showing that it works. Given that arnica is readily available, inexpensive, and safe, it is reasonable to initiate prior-to and after treatment for those who bruise easily or are concerned about bruising.

Avoid alcohol for 24 hours before your treatment. Alcohol makes it harder for the blood to clot which increases bruising risk.

Avoid aspirin, ibuprofen, vitamin E, fish oil, and gingko for about one week prior to your treatment. These medications increase bleeding and bruising.

Topical numbing cream is offered prior to treatment. Pain with injections is uncommon, however you may feel pressure or discomfort in the areas being treated.

It is common to experience swelling in the injected area which typically subsides within 48-72 hours.

Bruising may appear in the hours after the appointment and can remain for about a week. These gradually fade with time.

Sculptra results can take three months due to the collagen synthesis process.

Keep your head above your heart for 4 hours.

Massage treated areas (upward strokes) 5 times per day for 5 minutes for 5 days following the injections!! OR 5 minutes morning and night for one month. This is an important step to ensure best results from your Sculptra treatment and reduce possible treatment side effects.

You may apply a cool compress to the injection site to help with swelling and bruising.

Avoid excessive sun or heat exposure for 24 hours post-treatment.

Do not exercise for 24 hours post-treatment.

Avoid saunas for 24 hours post-treatment.

If you are experiencing swelling: apply Arnica cream/gel to the area or take oral Arnica to enhance healing.

If you are experiencing bruising: you can take Bromelain 200 mg to enhance healing.

When to contact us:

• Difficulty breathing or swallowing.

• Intense pain the treated area.

• Excessive swelling that is increasing with time.

• Skin color and/or temperature changes other than bruising (where skin is white, mottled, or hot/cold).

If you aren’t sure if what you are experiencing is normal – call or email us! We are happy to help!

If you are experiencing any of the above symptoms, please call us at 917-717-3008 or email us at drheatherfriedman@gmail.com