Munson Health
Collagen Injection -- Wrinkle Filler

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by Neff DM

(Soft Tissue Filler; Injectable Filler)


What to Expect

Prior to Procedure

Before the test your doctor will:
  • Examine, measure, and take pictures of your face
  • Discuss known allergies
  • Discuss medicines, supplements, and skin products you are using
  • Test your skin for allergies
  • Discuss risks and benefits of the procedure
  • You will sign an informed consent form.
  • You may be asked to avoid aspirin and other blood-thinning medicines.
  • All makeup will need to be removed before the procedure.


Local or topical anesthesia, such as ointment or ice, may be used. A nerve block is often used for lip injections. This type of anesthesia blocks the nerves responsible for pain.

Description of the Procedure

The doctor may make pen marks on the areas to be targeted. Your face will be cleaned and prepared with an antibacterial cleanser. Local or topical anesthesia will be given to numb the area. For small areas, a topical cream or ice is used.
There are different ways to inject the collagen:
  • Serial puncture technique—The doctor will make a series of small punctures with the needle along the targeted area and insert small amounts of collagen at each puncture site.
  • Linear threading or fanning technique—The doctor will insert the needle into the full length of the targeted area and inject the collagen slowly as the needle is removed or inserted.
The procedure is often repeated in deeper areas.

How Long Will It Take?

The procedure may take only a few minutes or longer depending on the areas injected. You will be able to go home after the procedure.

Will It Hurt?

Anesthesia can block pain and discomfort. Some have the procedure without anesthesia, but the injection is painful.
Ask your doctor about medicine to help with the pain and swelling after the procedure.

Post-procedure Care

At the Care Center
After your procedure, the staff may provide the following care:
  • Cleanse your face
  • Apply ice and/or a soothing ointment
At Home
When you return home, do the following to help ensure a smooth recovery:
  • Take pain medicines as directed.
  • Ice the affected area as directed to reduce swelling. Swelling should go down within hours or a few days.
  • Do not touch the injected area.
  • You may put on makeup without touching the affected area.
  • Be sure to follow your doctor’s instructions.


American Society of Plastic Surgeons

American Academy of Dermatology



Canadian Dermatology Association

Canadian Society of Plastic Surgeons



Dermal fillers. American Society of Plastic Surgeons website. Available at: . Accessed February 8, 2013.

Fillers. American Society of Dermatology website. Available at: . Accessed February 8, 2013.

Filler materials and general injection technique. In: Bolognia JL, Jorizzo JL, Rapini RP, eds. Dermatology . 2nd ed. Philadelphia, PA: Mosby Elsevier; 2008: chap 158.


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