Sure Shots

Whether you’re a filler first-timer or a Bo pro, ELLE’s first annual no fear guide to injectables covers everything you need to know, from choosing the best doctor to the importance of taking things slow.

There are alternative facts galore when it comes to what to do and what not to do when getting a round of injectables. Here, the misconceptions get debunked.

Blow-outs posttreatment are A-OK.

FALSE. New-York based dermatologist Patricia Wexler, MD, advises patients not to break a sweat for a full day postfiller, since upping the heart rate increases circulation and can cause swelling if hyaluronic acid-based fillers are exposed to more fluid. But there are sedentary activities that also, surprisingly, pose a threat: “Don’t get your hair done or cook over a stove for at least four hours; the heat can diffuse Botox,” says Wexler, even though some derms no longer consider such activities risky since injection techniques have evolved. She also forbids shoe shopping (bending down can upset Botox placement), flying (the change in altitude exerts added pressure that can be problematic for fresh Botox and filler, which both need time to integrate into the face), and high-altitude skiing (ski goggles pressing against your forehead can cause filler to clump) within the same time frame.

Know Before You Go

The best way to ensure the most refreshed, rejuvenated-looking outcome after an injection: Brush up on these key protocols before setting foot inside a professional’s office.


Most Botox and filler veterans know to lay off anticoagulants such as aspirin and ibuprofen before treatment, since those types of drugs hinder blood clotting and increase the risk of bruising should the needle nick the blood vessel. But Manhattan dermatologist Patricia Wexler, MD, has a longer list of things to forgo, including some seemingly innocuous pantry staples. “No fish oil, multivitamins, green tea, cinnamon, ginger, and red wine a full week before treatment,” she says. “Antioxidants, though not all of them, can increase the fragility of blood vessels and prevent clotting.” Ask your MD at least two weeks ahead of time for a full list of what to avoid.

Source: Elle. May, 2017.