Dermal fillers restore volume, support facial structure, and address the hollowing and contour changes that develop with age. At GhalMédica, all filler treatments are performed using real-time ultrasound guidance — a standard of care that goes significantly beyond what most aesthetic clinics offer.
Ultrasound imaging allows Dr. Sonya Ghalehii, MD to visualize each patient's unique vascular anatomy before any product is placed. This means vessels are identified and avoided with precision, reducing risk and ensuring that filler is placed exactly where it will be most effective structurally. For patients who have had filler elsewhere and are uncertain about what has been placed or where, ultrasound assessment is also available as a standalone evaluation.
Treatment time varies by area and volume treated. Mild swelling and tenderness are common in the first 48 to 72 hours. Final results are visible at approximately two weeks once any swelling has fully resolved.
Results vary. All filler treatments at GhalMédica are performed under physician oversight. A consultation is required prior to treatment.
Book a ConsultationAvoid blood-thinning supplements including high-dose vitamin E, fish oil, flaxseed oil, and herbal supplements such as ginkgo biloba and garlic. These increase bruising risk. Always consult your physician before stopping any prescribed blood thinners.
Avoid over-the-counter anti-inflammatories such as aspirin and ibuprofen where medically appropriate. Avoid alcohol for at least 24 hours before treatment to minimize bruising and swelling at injection sites.
Arrive with clean skin — no makeup, moisturizer, or active skincare products on the treatment area. Stay well hydrated. Eat a light meal before your appointment.
Disclose any previous filler treatments, including product type and where it was placed if known. Also disclose any autoimmune conditions, active skin infections, cold sore history, pregnancy, or breastfeeding status.
Pre-treatment instructions are based on Canadian dermatology and aesthetic medicine best practices. Individual instructions may vary — your GhalMédica practitioner will provide personalized guidance at consultation.
Avoid touching or applying pressure to the treated areas. Do not apply makeup for at least 12 hours. Avoid strenuous exercise, saunas, steam rooms, and direct sun or heat exposure. Sleep on your back with your head slightly elevated to minimize swelling.
Mild swelling, tenderness, and occasional bruising are normal and expected. Applying a cold compress gently (not directly on skin) can help reduce swelling. Avoid alcohol during this period as it increases fluid retention and bruising.
Avoid facial massages, microneedling, laser treatments, or any procedure that applies significant heat or pressure to the treated area. Avoid dental procedures that require prolonged mouth opening if lip or perioral areas were treated.
Apply broad-spectrum SPF 30 or higher daily. UV exposure degrades hyaluronic acid filler over time. Book a two-week follow-up to assess results. If you notice any blanching, severe pain, or vision changes immediately following treatment, contact GhalMédica urgently.
Post-treatment instructions are based on Canadian dermatology and aesthetic medicine best practices. If you experience unusual swelling, asymmetry, skin discolouration, or any concerning symptoms following treatment, contact GhalMédica promptly.
Ultrasound allows Dr. Sonya Ghalehii, MD to see the vascular structures beneath the skin in real time before placing any product. Because every patient's vascular anatomy is unique, this technology significantly reduces the risk of inadvertent vascular injury — one of the most serious potential complications of filler injection. It is not yet standard practice at most clinics. At GhalMédica, it is non-negotiable.
Duration varies significantly depending on the product used, the area treated, the volume placed, and individual metabolism. Hyaluronic acid fillers typically last between 6 and 18 months. Deeper structural placements tend to last longer than superficial ones. Your practitioner will discuss realistic expectations at consultation.
Yes. GhalMédica welcomes patients who have had prior filler treatments. Ultrasound assessment allows Dr. Sonya to evaluate what is already present before recommending any additional treatment. Understanding existing filler placement is an essential step in safe, informed care.
Hyaluronic acid fillers can be partially or fully dissolved using an enzyme called hyaluronidase, which is administered by injection. This is one of the key reasons GhalMédica uses hyaluronic acid-based products — the option to reverse treatment if needed is an important safety consideration in responsible aesthetic practice.
with a consultation.
Dr. Sonya Ghalehii, MD will assess your skin, understand your concerns, and recommend a treatment path built around you — not a menu.