Massage Therapy and Other Service Appointment Contraindications with Cosmetic and Dermal Fillers

Massage Therapy and Other Service Appointment Contraindications with Cosmetic and Dermal Fillers

Providing massage, facial, bodywork, cosmetology appointments and more direct hands-on contact over tissues that have cosmetic fillers is CONTRAINDICATED. 

One of the reasons why manual services over cosmetic or dermal fillers is contraindicated is because of something known as shifting or migration.  

While there are few published articles that have been written about cosmetic injectable shifting, our anecdotal experience has seen a significant increase of clients who are suffering from shifting and migration of cosmetic injectables, which can cause pain, swelling, physical disfigurement, obstruction of circulation and even death.

When a practitioner manipulates soft tissue over an injectable, the practitioner could be blamed for shifting the filler away from its original placement site. While the chance of this happening might depend on the technique and force used with hands-on application, it is an incalculable risk for the potential of client injury or lawsuit. Any injectable failure due to shifting could be blamed on a practitioner who has physically manipulated the affected area, which is one of the reasons why we label cosmetic fillers as a service contraindication for any hands-on manipulation in the affected area.

Some practitioners have chosen to work over a filler with the physician's written direction and consent; however, the practitioner provides their work at their own risk knowing that working over cosmetic fillers is a general  service contraindication.  If you do chose to work with cosmetic fillers with these written approvals, know that it is additionally contraindicated to provide massage, facial, bodywork, cosmetology appointments and other services that have direct contact over the broken skin where any filler has been applied with needles on the same day as application. Skin must be whole and intact prior to working over the direct area to prevent infection and infection causing disease.

Please also keep in mind that there could be blood exposure on the skin on the same day as injectable application.  Blood exposure is another service contraindication, especially on the day of service with cosmetic fillers.

There are many different types of cosmetic fillers on the market today.  The FDA has recently approved some dermal fillers that have a temporary effect, because some of these fillers contain materials that are absorbed by the body over time.

Silicone injectables are an example of fillers used that are not approved by the FDA because they are permanent and remain within the body. The FDA warns: “It can move throughout the body and cause serious health consequences, including death. In fact, when injected into areas with many blood vessels, such as the buttocks (butt), silicone can travel through those vessels to other parts of the body and block blood vessels in the lungs, heart, or brain. This can cause a stroke or even death.”[i]

To learn more, please register training with us at:

[i] Commissioner. “Caution: Injectable Silicone and Dermal Fillers for Body Enhancement.” 19 Nov. 2021, U.S. Food and Drug Administration, FDA, 

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