Lip fillers have become a popular cosmetic procedure for enhancing the volume and shape of the lips. Proper preparation and understanding of potential concerns are important for a successful outcome.
Understanding the Impact of Cold Sores
Getting lip fillers when an active cold sore is present is generally advised against. Cold sores are caused by the herpes simplex virus type 1 (HSV-1), a common viral infection that leads to fluid-filled blisters. This virus remains dormant in the body and can reactivate due to various triggers, including trauma to the lip area. The injection process involved in lip filler treatments can create micro-trauma, potentially awakening the dormant HSV-1.
Risks and Complications of Treatment
Proceeding with lip filler injections with an active cold sore carries several negative consequences. The trauma from the needle can cause the herpes simplex virus to spread to other facial areas or even to the injector’s hands. This viral spread can lead to new outbreaks in unintended locations, which can be more severe.
Injecting into an area with an active infection can exacerbate the existing cold sore. The cold sore may become larger, more painful, and take significantly longer to heal than it normally would. The inflammation and disruption to the skin’s healing process can also interfere with how the filler integrates into the lip tissue. This can result in poor aesthetic outcomes, such as uneven results, lumps, or prolonged swelling.
An active cold sore also significantly increases the risk of secondary bacterial infections. Open sores provide an entry point for bacteria, which can complicate healing and potentially lead to more serious issues like cellulitis. In rare instances, the combination of inflammation from the cold sore, potential infection, and the trauma of injection could theoretically worsen tissue damage around the injection site, though tissue necrosis is more commonly linked to vascular compromise from filler injection itself rather than cold sores.
Managing Cold Sores for Safe Lip Filler
If you have an active cold sore, it is important to reschedule your lip filler appointment immediately. Attempting to hide or treat the cold sore to proceed is not advisable, as this increases complication risks. Most practitioners recommend waiting until the cold sore has fully healed, typically taking about 10-14 days.
Individuals prone to cold sores should inform their practitioner about their history during the consultation. A common preventive measure is for the practitioner to prescribe prophylactic antiviral medication, such as acyclovir or valacyclovir. This medication is typically taken a few days before and after the procedure to suppress the virus and help prevent an outbreak. Antiviral medications do not interfere with the hyaluronic acid used in most lip fillers.
Beyond medication, avoiding common cold sore triggers like excessive sun exposure and stress can also be beneficial in preparing for the procedure. After the procedure, continuing prescribed antiviral medication, maintaining good hygiene, and avoiding touching the lips can further support healing and reduce the likelihood of an outbreak.