Healing After Facial Balancing: What to Expect

Facial balancing with dermal fillers is a powerful way to enhance facial harmony, restore lost volume, and refine your natural features. While results are immediate, the healing process takes time as swelling subsides, fillers settle, and your skin adjusts. At Clemens Face + Body in Coolidge Corner, Brookline, we want every patient to feel prepared for the post-treatment experience. Here’s what to expect after facial balancing and how to ensure the smoothest recovery possible.

The First 24-48 Hours: Initial Reactions

Immediately after your treatment, you may experience:

  • Swelling & Puffiness – This is completely normal and varies from person to person. Areas like the lips and under-eyes tend to swell more than others.

  • Mild Bruising – Small bruises can appear at injection sites, lasting anywhere from a few days to three weeks.

  • Tenderness or Soreness – Some sensitivity at the injection sites is expected, but it should be mild and improve within a few days.

  • Asymmetry Due to Swelling – If one side appears slightly different from the other, don’t worry! Swelling is often uneven but will settle as the filler integrates.

Precautions for the First Two Days:

  • Avoid touching, rubbing, or scratching the treated areas.

  • Sleep on your back with your head slightly elevated to minimize swelling.

  • Refrain from intense workouts or excessive sweating for 12-24 hours.

  • Keep the area clean and avoid applying makeup for the rest of the day post-treatment to reduce infection risk.

Week 1: Settling & Adjustments

Over the first week, swelling will gradually decrease, and bruising (if present) will start to fade. Patients new to fillers often worry about lumps or firmness under the skin—this is completely normal. You may be able to feel the fresh filler, but over time, it will integrate with your natural tissue and soften.

What to Expect:

  • Swelling peaks around day 2-3, then slowly improves.

  • Minor asymmetry may still be present but will even out.

  • You may still feel small lumps or firmness, but they will gradually soften.

Best Practices:

  • Stay hydrated—good hydration helps the filler settle properly.

  • If needed, you can apply a cold compress for the first 24 hours to reduce swelling.

  • Continue to avoid facial massages, aggressive rubbing, or treatments like facials and chemical peels for at least two weeks.

Weeks 2-4: The Final Result

By the second to fourth week, the filler will have fully settled, integrated with your tissue, and softened. This is when you can truly assess your results.

  • Any lingering swelling should be minimal.

  • The filler should feel smooth and natural under the skin.

  • If necessary, a follow-up appointment can be scheduled to assess the results and make any minor adjustments.

When to Contact Your Injector

While complications are rare, it’s important to monitor your healing process. Please contact Clemens Face + Body if you experience:

  • Mottling of the skin (patchy discoloration or white spots)

  • Paleness or duskiness in the treated area

  • Severe or worsening pain beyond expected tenderness

  • Numbness or tingling that does not improve

  • Redness or warmth that worsens over time

  • Vision changes, including blurred vision or acute eye pain

These may be signs of a vascular complication, which requires immediate attention. If anything feels out of the ordinary, don’t hesitate to reach out to us at 929-501-5181.

Final Thoughts: Trust the Process

Facial balancing with fillers is a journey, and the first few weeks of healing are just as important as the treatment itself. Trust that temporary swelling, mild asymmetry, and initial lumps are all part of the process.

At Clemens Face + Body in Brookline, Boston, we focus on subtle, natural-looking enhancements that complement your unique features. If you have any concerns during your healing process, we’re always here to help.

📍 Location: 1368 Beacon Street, Unit 112, Brookline MA 02446
📅 Book a Consultation: Call 929-501-5181 or schedule online today!

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Perioral Aging: Understanding the Causes and Treatment Options