Profhilo aftercare:
the BAP bumps, make-up, exercise and sauna rules

Why are there bumps after Profhilo, and should you massage them?

Bumps after Profhilo are expected. The product is not spread across the face the way a mesotherapy cocktail is; it is placed as a discrete deposit at each of the Bio Aesthetic Points, five per side at the zygomatic protrusion, the nasal base, the tragus, the chin and the mandibular angle. Those points were chosen for vascular safety and because an uncrosslinked, low-viscosity hyaluronic acid diffuses through the subcutaneous layer from the point of deposit. A raised wheal at each point straight afterwards is what a correct deposit looks like while the material sits before dispersing.

Do not massage the bumps unless you have been told to. The product spreads on its own as the tissue takes it up, and pressing a deposit before it has dispersed does not speed that up; it pushes material sideways and adds bruising. Dr Sin Yong places a modified BAP, keeping the manufacturer's points as the safety frame and adding placement according to the individual face, so the written aftercare for your visit names any point where a different instruction applies. The BAP technique page explains the pattern; the Profhilo page explains what the treatment is directed at and what it cannot do.

What should you do on the first day after Profhilo?

On the first day, keep the points clean and leave them alone. Cleanse gently in the evening with lukewarm water and a mild cleanser, pat dry, and use a plain moisturiser if the skin feels tight. Avoid make-up over the injection points on the first day, so that bacteria are not carried into entry points that have not yet closed; a tinted sunscreen over intact skin away from the points is reasonable if you must go out.

Avoid heat, alcohol and exercise for the rest of the day. Hot showers on the face, saunas, steam rooms, hot yoga and alcohol widen blood vessels and prolong swelling and bruising, and hard exercise raises blood pressure and does the same. A cool compress held lightly against a tender point for a short spell eases it; do not press. Paracetamol is reasonable if you need it; avoid anti-inflammatory painkillers unless the clinic has said otherwise, as they can increase bruising. Sleep face-up with the head slightly raised while the points are tender, because the tragus and mandibular angle points sit exactly where a side-sleeper presses into the pillow.

“A bleb at each point is what a correct Profhilo deposit looks like. It is the product sitting where it was put, before it spreads.”

Dr Sin YongOn the bumps after Profhilo

When can you wear make-up, exercise and use a sauna after Profhilo?

Make-up can go on once the entry points have closed, over intact skin, applied lightly without rubbing and removed gently. If a point is still raised or bruised, cover it with a light concealer rather than foundation worked in with a brush. Normal skincare can usually restart once the points have closed; pause retinoids and exfoliating acids until the skin feels ordinary if it is sensitive, and do not start any new active product while the points are still settling, because a reaction is harder to interpret then.

Light exercise such as walking is fine once the first day is over. Hard exercise, hot classes, saunas and steam are better left until the bumps have flattened and any bruising has stopped spreading; treat it as a question of heat and blood flow rather than of effort. Facials, facial massage, gua sha and at-home devices over the treated points wait until the skin is ordinary again, and any energy-based treatment over the same area is spaced as set out in your plan. Daily sunscreen continues throughout, and a bruise is kept covered or under sunscreen, because a bruise exposed to the sun can leave a brown mark in Fitzpatrick III to V skin.

Aftercare at a glance

What is normal after Profhilo, and what is not?

Normal after Profhilo is a bleb at each point that flattens as the hyaluronic acid spreads, mild redness, tenderness at the points, transient swelling, and bruising, which is more likely near the mandibular angle and the tragus where vessels run close to the surface. Pinpoint bruises can appear. The skin looks ordinary once the blebs have dispersed. These settle on their own and are covered on the skin booster aftercare page, which applies to Profhilo and to Rejuran alike.

Not normal is a bump that is getting larger rather than flattening, redness that is spreading with warmth, pain after the first day that is increasing rather than settling, or swelling that does not subside. A palpable nodule that persists after the points have otherwise settled is uncommon and is examined rather than massaged. Delayed inflammatory reactions to hyaluronic acid devices are described in the literature and are infrequent; they need review, not waiting.

Vascular events after Profhilo are rare, partly because the Bio Aesthetic Points were chosen for anatomy that is comparatively free of significant vessels, but low risk is not absence of risk. Skin turning white, dusky or net-like near a point, or pain that is severe and worsening, is time-critical and needs assessment the same day. Hyaluronidase, which dissolves hyaluronic acid, is kept on site wherever it is injected.

When should you call the clinic after Profhilo, and when is the review?

Message the clinic on WhatsApp during clinic hours if you notice any of the following:

• Pain that increases instead of settling, or that is severe.
• Skin turning white, dusky, purple or net-like over or near a point.
• Redness that is spreading, with warmth, or pus at a point.
• A bump that is getting larger rather than flattening, or a lump that persists once the other points have settled.
• Swelling that does not subside, or that is clearly one-sided and increasing.

Go straight to a hospital emergency department for any change in vision or swelling of the lips, tongue or throat with difficulty breathing, and do not wait for a message reply. The complication care page sets these signs out in full. Most messages after Profhilo turn out to be ordinary bruising or a slow-to-flatten point, and you will be told plainly whether what you describe sounds expected, needs to be seen, and how soon.

The review is timed in words rather than by a fixed calendar: once the blebs have dispersed, the bruising has gone and the skin has had time to respond, which is when hydration and bounce can be judged. Any second placement is decided at that review according to what the skin is doing, the area treated and what else is planned; no standard course is quoted here. If you had Profhilo elsewhere and something feels wrong, the same warning signs apply. The consultation process page describes how an assessment here works, and the flying after treatment page covers travel timing.