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Klinikten çıktınız, cildinizin derinliklerine “gençlik tohumlarını” ektirdik. PLLA (Polilaktik Asit) dolgusu, klasik dolgular gibi “yaptır ve unut” bir işlem değildir. Bu tedavide doktorun başarısı %50 ise, sizin evdeki bakımınız ve uyumunuz kalan %50’yi oluşturur. PLLA’nın sihirli etkisini maksimize etmek ve olası yan etkileri (nodül, topaklanma) sıfıra indirmek için Process after PLLA filling You should know its management very well.
Istanbul Nisantasi Medlook Polyclinic we always tell our patients: “We have laid the foundation, it is up to you to build the building.” In this guide, we explain step by step the golden rule of PLLA treatment, the “5-5-5 Massage”, the changes you will experience in the first days and what you should (and should not) do to make your recovery comfortable.
Golden Rule What is 5-5-5 Massage?
Massage is the key to success after PLLA filling (Sculptra etc.). Why? Because the injected micro-particles should be homogeneously (evenly) distributed in the tissue. If they cluster at one point, there may be excessive collagen production and tiny hardness (nodules) may form. To prevent this, the rule accepted in world standards is as follows:
- Five times a day: Morning, noon, afternoon, evening, night.
- For 5 minutes: By looking at the clock, without shortening the time.
- For 5 days: First 5 days after the procedure.
How is it done? You should massage the skin with your fingertips in a circular motion and with moderate pressure (enough to feel it on the bone), as directed by your doctor. Using moisturizing cream reduces friction.
The First 24 Hours: Critical Turning Point
Immediately after the procedure, there will be fullness and slight edema on your face. This is normal.
- Cold Application: Applying ice compresses (without direct contact with the skin) for 10 minutes every hour on the first day reduces edema and possible bruising.
- Makeup Ban: You should not wear make-up or touch your face with dirty hands until the injection points have closed (at least 6 hours, ideally 24 hours).
- Position: Sleeping with your head elevated (double pillow) on the first night prevents you from waking up swollen in the morning.
List of Prohibitions: What to Avoid?
Some activities are risky during the settling process of PLLA particles.
| Activity | Duration / Restriction | Why? |
|---|---|---|
| Excessive Heat (Bath/Sauna) | 1 Week | Heat increases edema and can exacerbate inflammation. |
| Heavy Sport | 3 Days | Sweating and increased blood pressure can create a risk of infection at the injection points. |
| Sunbathing / Solarium | Until the bruise goes away | If there is a bruise and you go out in the sun, permanent staining (hyperpigmentation) may occur in that area. |
| Other Binding Operations | 2 weeks | For laser, chemical peeling or skin care, the skin should be allowed to calm down. |
Recovery Calendar: What to Expect?
Post PLLA process, duration of effect As we mentioned in our article, it follows a fluctuating course.
- Day 1 - Day 3: Your face is full (water edema). You are satisfied.
- Day 4 - 7: Edema goes down. Your face will return to its original shape. Don't worry that “it didn't work”, the process is just beginning.
- Week 2 - 4: Improvement in skin quality, brightness and tightening of pores begin.
- Week 6 and Beyond: Permanent volume increase is seen with collagen production.
What to do if there is a nodule (lump)?
Your hand may have tiny, chickpea-sized hardness under the skin. These are usually not visible from the outside, they can only be felt.
- Early Period (First 2 Weeks): It can be distributed with hard massage. Consult your doctor.
- Late Period: If there is a visible nodule, your doctor can shrink it by injecting cortisone or sterile water into it. Never try to squeeze or prick it yourself.
Long Term Protection
To extend the life of our PLLA investment:
- Protect from the Sun UV rays break down newly produced collagen. Do not miss your SPF 50+ cream.
- Stay away from cigarettes: Sigara içmek, tedavinin etkisini %40 oranında azaltır.
- Collagen Supplement: Hydrolyzed collagen taken orally supports the process from the inside.
Contact Us
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Frequently Asked Questions (FAQ)
Forgetting once or twice is not a problem, but neglecting in general increases the risk of nodules. As soon as you remember, continue with the massage and extend the time a little.
Asymmetry due to edema is very normal in the first week. One side may swell more than the other or the side you are lying on may look fuller. It will equalize in 2 weeks.
We usually wait for you for a second session or follow-up after 4-6 weeks. During this time, we evaluate the skin's response and decide if an additional dose is needed.
Yes, you can take Paracetamol group painkillers. However, it is useful to avoid blood thinners such as Aspirin or Ibuprofen for the first 2 days (in order not to increase the risk of bruising).
Appointment and Contact
The secret of a successful aesthetic result is doctor-patient cooperation. You do your homework (massage) and we will rejuvenate your skin with the most advanced technology of science. Any questions you have about the process, Medlook Polyclinic’s expert team in Nişantaşı, Istanbul is just a phone call away. We wish you a safe and comfortable recovery process.
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