- Avoid Vitamin E, fish oils, and Ginkgo Biloba for one week prior to treatment.
- Avoid ASA (Abbreviation on a medication that indicates it contains acetylsalicylic acid (Aspirin) 2 weeks before treatment. (Please consult with your physician first if you are on ASA therapy).
- Avoid anti-histamine and inflammatory drugs one week prior to treatment. These negate the effects of the procedure. The body's histamine and inflammatory responses are needed post procedure.
- Stop Laser Hair Removal, Electrolysis, Waxing, and Depilatory creams one week prior to treatment.
- Stop topical retinoids (tretinoin and retinoic acid (Retin-A, Renova, Refissa)) one week prior to treatment.
- If using Accutane, a 3-month waiting period after discontinuation of medication is required.
- Please notify our office if you have ever been diagnosed with Herpes Simplex Virus (HSV)- You may require prophylactic therapy.
- The initial 72 hours post-procedure are the most critical.
- Avoid direct sun and heat. This includes simple day-to-day tasks such as gardening, cooking over a hot stove for a long period of time, sitting next to a bonfire or fireplace, etc.
- Discontinue use of any Alpha-Hydroxy products. You may resume your homecare regimen when the skin is no longer flaking and peeling.
- Use hydrating and reparative products. Products rich in soothing and healing ingredients are best to encourage new, healthy cell growth. Peptides, antioxidants, stem cells, Vitamin A, C, and E, and growth factors work very well.
- Use physical sunscreen. Sun care products should be applied no less than every 30-90 minutes. DO NOT go outside without sun protection (even on a cloudy day).
- No scratching or peeling.
- Limit exercise the first week.
- Drink plenty of water.
What to Expect After Your Treatment:
- Immediate pinpoint bleeding may occur, which will resolve within 10 minutes.
- Minor redness and swelling will occur for 1-2 days.
- Minor peeling and flakiness will occur after a few days. Don't pick at the loose skin.
- Call our office if you experience excessive redness, swelling, pain, or drainage as they might indicate an infection.
Neurotoxins Pre & Post Care
- This treatment is not recommended if you have an important event within 2 weeks of injection due to the potential for bruising.
- Avoid herbal supplements such as Ginko, green tea, and anti-inflammatories of any kind for 2 weeks before and following treatment to limit bruising.
- For the first 5-6 hours following Botox/Dysport/Xeomin, remain upright and periodically perform facial movements in the areas of injections in order to work the Botox/Dysport/Xeomin into the muscle - e.g., smile, squint, etc.
- Do not participate in activities that include heavy lifting, vigorous exercise, or straining for 2-3 hours (it takes approximately 2-3 hours for Botox/Dysport/Xeomin to bind to the nerve and you do not want to increase circulation during that time).
- Do not rub, touch, or manipulate Botox/Dysport/Xeomin for 6 hours.
- Avoid irritating products for 24 hours following Botox/Dysport/Xeomin.
- Make-up may be applied gently before leaving the office, remember to wipe up and away from your eyes or brows.
Bruising in the area injected is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Using/taking Arnica may help diminish bruising.
- It may take up to 12 days for Botox/Dysport/Xeomin to take full effect.
- A follow-up visit at 10 days to 2 weeks is suggested to assess results for subsequent treatments, particularly if you are a first time client. If full correction is not achieved, you will need to purchase additional Botox/Dysport/Xeomin for injection.
- Re-treatment is typically needed between 2-6 months.
Regular injections usually yield a longer lasting Botox/Dysport/Xeomin result.
- If your upper lip was treated you will not be able to drink through a straw, whistle, or enunciate some words for approximately 2 weeks.
- Although rare, infection in the injected area is possible. Signs of infection may include redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.
Pre-Procedure Instructions & At-Home Preparation
If you are anxious or worried about your procedure, feel free to talk to the healthcare practitioner who will perform your procedure. Our practitioners are highly experienced and may have suggestions that will help.
Avoid Aspirin, Ibuprofen, Advil, St. John's Wort, oral Vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDS) in the 24 hours prior to your treatment as they may promote the risk of bruising and bleeding in the injection area.
If you are currently taking anti-coagulation medications (Warfarin, Coumadin, Heparin, Lovenox, Enoxaparin, Lepirudin, Refludan, Ticlopidine Ticlid, Clopidogrel, Plavix, Tirofiban, Aggrastat, Eptifibatide, Integrilin), discuss the use of these medications with your healthcare provider prior to your treatment. You may or may not be a candidate for treatment with cosmetic dermal fillers.
If you are prone to cold sores (oral herpes simplex), take your prescribed medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed in the 24 hours prior to your treatment.
Post-Treatment Instructions & At-Home Recommendations
Please observe the following practices after treatment with cosmetic dermal fillers:
- Avoid applying pressure or touching the treated area for six (6) hours after the procedure. The area can then be gently washed with a cleanser and water.
- Avoid vigorous scrubs, exfoliation, or facial treatment in the area of treatment for 72 hours.
- Avoid Microdermabrasion or Vibradermabrasion for 72 hours after cosmetic dermal fillers.
- Avoid prolonged exposure to direct sunlight or UV/tanning beds for 72 hours after the procedure.
- Avoid manipulation of the area following the injection unless specifically instructed otherwise by your healthcare practitioner.
- For pain/discomfort, use cool packs and over-the-counter analgesics (Acetaminophen, Tylenol).
- Oral or topical Arnica Montana, an herbal supplement, may help with reducing swelling caused by cosmetic treatments. DO NOT take Arnica Montana if you have liver or kidney problems.
- Aspirin, Ibuprofen, Advil, St. John's Wort, oral Vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDS) may promote the risk of bruising and bleeding in the injection area.
- If you are prone to cold sores (oral herpes simplex), take your prescribed medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed for the 24 hours after your treatment.
- If signs and symptoms of infection persist (warmth at the site of injection, discharge/pus, pain/discomfort) or if you develop a fever, please contact our office so our staff may assist you.