Dermal Fillers Pre-Treatment Instructions A few simple guidelines before your treatment can make a difference between a good result and a fantastic one. If you have a history of Herpes (cold sores) you must be treated 2 days prior and 3 days after treatment with Valtrex 500mg BID (twice a day) or Acyclovir 400mg TID (three times a day), when the dermal filler injections are around or on the mouth. If you develop a cold sore, blemish, rash, or are sick, etc. prior to your appointment please call us as soon as possible to reschedule. If you have a special event or vacation coming up, schedule your treatment at least 2 weeks in advance of this event. Avoid Aspirin, Motrin, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other essential fatty acids such as Omega fish oils at least 3 days to 1 week before and after treatment. Please consult your doctor first if you take any of these agents as a medical necessity. Avoid alcohol, caffeine, Niacin supplements, high-sodium foods, spicy foods, and cigarettes 24-48 hours before and after your treatment. Discontinue Retin-A or any other acids such as glycolic or lytic acids two (2) days before and two (2) days after treatment. Take Arnica pills, strength #6, #12 or #30 as directed starting two (2) days before procedure. Continue using pills after procedure until bruising and swelling are gone.