Swelling, bruising, tenderness, firmness and mild temporary unevenness are common during the early recovery period.

You may also notice:

• Small red needle marks

• Mild itching around injection sites

• Palpable areas or temporary lumpiness

• Differences between the two sides while swelling settles

The appearance immediately after treatment should not necessarily be considered the final result.

Some temporary lumpiness or firmness can occur while swelling settles and tissues adapt.

However, not every lump or area of firmness should automatically be assumed to be normal, particularly if it is persistent, painful, red, hot, progressively worsening or associated with significant swelling.

If you are unsure, contact The Manor Clinic.

Temporary asymmetry is common during the early stages of recovery because swelling can differ between sides.

Everyone also has some degree of natural pre-existing facial asymmetry.

For this reason, an aesthetic result is generally better assessed once swelling and early tissue changes have settled.

If unevenness persists after the recommended settling period, your practitioner can assess whether further treatment or management is clinically appropriate.

If asymmetry develops suddenly or is accompanied by severe pain, skin colour change, visual symptoms or other concerning symptoms, contact The Manor Clinic immediately rather than waiting for a routine review.

For many treatments, a routine aesthetic review is generally most useful around 4 weeks after treatment.

Your practitioner may recommend an earlier or later review depending on the area treated and the reason for review.

A routine aesthetic review is different from a medical review.

If you develop unexpected, severe or worsening symptoms, do not wait until the routine review date.

Where a practitioner has recommended that you attend a review because of a concern or unexpected outcome, attending allows the concern to be properly assessed.

Photographs and messages may not always provide enough information for an appropriate clinical assessment.

Swelling varies considerably according to the area treated and the individual.

It is often most noticeable during the first few days and then progressively improves.

Lip and under-eye treatments can produce more noticeable or prolonged swelling than some other areas.

Residual swelling can occasionally remain for longer than expected.

If swelling is increasing rather than improving, becomes painful, red or hot, or develops after initially settling, contact The Manor Clinic.

Bruising commonly improves over approximately one to two weeks, although some bruises can remain visible for longer.

The extent of bruising varies depending on anatomy, treatment area, individual tendency to bruise and medications or supplements being taken.

Do not stop prescribed medication simply to reduce bruising unless the healthcare professional responsible for that medication has instructed you to do so.

Temporary firmness, palpable areas or mild lumpiness can occur during the settling period.

Some areas soften naturally as swelling resolves.

Persistent lumps, increasing firmness, tenderness, redness, significant swelling or other concerning changes should be clinically assessed.

Do not repeatedly massage or manipulate the area unless your practitioner has specifically instructed you to do so.

Results develop progressively rather than immediately.

Early swelling and bruising can substantially affect appearance.

For many treatments, the result is more appropriately assessed at approximately 3–4 weeks, although this varies according to the product, anatomical area and individual response.

A particular degree of correction, symmetry or aesthetic outcome cannot be guaranteed.

Longevity varies considerably.

Duration is influenced by factors including:

• The treatment area

• Amount and type of product used

• Anatomy

• Facial movement

• Tissue characteristics

• Individual metabolism and biological response

• Previous treatment history

Treatment may last for a shorter or longer period than expected or than a previous treatment.

A particular duration cannot be guaranteed.

Some hyaluronic acid-based volume treatments can be dissolved using an appropriate dissolving medicine where clinically indicated.

Dissolving is itself a medical procedure and carries its own risks.

For non-urgent aesthetic concerns, it is generally appropriate to allow swelling and tissue changes to settle before making a decision about dissolution. Your practitioner will assess the treated area and determine whether dissolving is appropriate.

Dissolution may be:

• Incomplete

• Uneven

• Greater than anticipated

• Require more than one treatment

It may also reduce volume that you were happy with.

Dissolving treatment does not necessarily work for non-hyaluronic acid injectable materials.

Where there is a suspected urgent medical complication involving a hyaluronic acid-based product, dissolving medication may be required immediately as part of emergency management.

Do not wait for a routine review if you develop vascular warning symptoms.

In many cases, further treatment may be considered approximately 2 weeks after dissolving, once swelling, inflammation and tissue changes have adequately settled.

The appropriate timing depends on why dissolution was performed, how the area responds and whether inflammation, infection or another complication is present.

Your practitioner will reassess the area before recommending further treatment. Two weeks is a general guide rather than a guaranteed treatment date, and a longer period may be recommended where the tissues have not adequately settled.

Where possible, remain within reasonable access to appropriate medical care during the first 24 hours following treatment.

If you are planning international travel, long-distance travel or travel to somewhere with limited access to medical care soon after treatment, please discuss this with your practitioner beforehand.

The principal concern is ensuring that you can access appropriate assessment promptly if an uncommon complication develops.

You do not generally need to sleep upright for an extended period following treatment.

If you have significant swelling, sleeping with your head slightly elevated for the first few nights may be more comfortable.

Where possible, avoid sleeping face-down or applying prolonged direct pressure to a newly treated area during the early recovery period.

Normal side sleeping is generally acceptable unless your practitioner has given you different instructions for a particular treatment area.

Where possible, avoid applying makeup directly over fresh injection sites for approximately 6–8 hours.

When applying or removing makeup after this period, avoid aggressive rubbing or pressure over treated areas.

If injection sites remain open, irritated or unusually inflamed, wait and contact the Clinic if you are unsure.

Avoid strenuous exercise for approximately 24 hours following treatment unless your practitioner advises otherwise.

Gentle day-to-day activity is generally acceptable.

Unless otherwise advised, avoid facials, facial massage, waxing, IPL, laser treatment, chemical peels, microneedling and other intensive treatments over recently treated areas for approximately two weeks.

Tell the other treating practitioner that you have recently undergone a volume or contour treatment.