Botox Post Treatment Instructions

You would not be considered a candidate for Botox®/Dysport if you have any of the following:

Myasthenia Gravis
Allergy to Botulinum Toxin
Neuromuscular disorder

Pregnant or breastfeeding
Allergy to human albumin
Allergy to Cow’s milk (Dysport)

Post Treatment

Please do not apply makeup immediately following your treatment. Avoid facials and saunas the day of treatment.
Try to use the injected muscles for the first 1-2 hours after treatment: practice frowning, raising your eyebrows and squinting. This helps work Botox® into your muscles. Although this is thought to help, this will not impact your treatment negatively if you forget.
The results of your treatment can take up to 14 days to take full effect. Usually patients notice a change in 4-5 days. It takes time for the muscles to lose strength and the lines to fade following Botox® treatment. Please wait until 14 days have passed before assessing if you are pleased with the results.
Do not touch or rub injected site for 2-4 hours following treatment. Avoid exercise and sweating for the remainder of the day and no lying down or leaning forward for 2-4 hours after treatment.
There can be a slight chance of bruising at the treated site, this is temporary. Be assured that any tiny bumps or marks will go away within a few hours of treatment.
Avoid any type of facial, microdermabrasion, or massage for 14 days after treatment.

Avoid Ibuprofen, Advil or Motrin, Tylenol is acceptable to take if experiencing discomfort (if not contraindicated)
Botox® Cosmetic is a temporary procedure and at first, you may find that your treatment results will last approximately 3-4 months. If you maintain your treatment appointments with the frequency recommended by your clinician, the duration of each treatment results may last longer than 4 months.
Your satisfaction is important to us! We would like you to return to the office in 2 weeks for a follow-up assessment appointment, especially after your first treatment. This will ensure we are able to see how your facial muscles react to your treatment. If you require additional Botox® to fine-tune/adjust your treatment results there will be additional charges at the regular rate.
Remember apply your sunscreen every day.

Dermal Fillers Pre/Post Treatment Instructions

Before Treatment

Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for at least 7-10 days before your appointment, unless medically necessary.
You may take Tylenol® (if not contraindicated) one hour before your appointment to prevent any discomfort you may experience. If you have concerns about discomfort.
If you are taking prescription blood thinners such as Coumadin or Plavix, you should check with the prescribing doctor to see if you are able to stop these medicines for 7-10 days before your appointment and at least 2 days after the procedure has been done.
If you have any history of Herpes Simplex (cold sores) on your face, make sure you inform the doctor that you have made your appointment with, one week prior to your appointment; this will allow us adequate time to prescribe a medication to prevent an outbreak.
Avoid dental procedures (including cleaning) 2 weeks pre filler and 2 weeks post filler
Try to come to your appointment with a clean face. This means NO MAKEUP.
Eat a small meal or a snack before your appointment.
Bruising and swelling will be worse for the first 24-48 hours after you receive your dermal filler injections. Refrain from exercising for the remainder of the day following your injection. You may want to refrain from going to any special events during this time.

After Treatment

The majority of reactions to dermal fillers are redness, swelling, bruising and tenderness after the injections. These usually subside a few days after the treatment, but can last up to a week. If any of these symptoms persist longer than a week, or if you develop other symptoms, please contact us.
Cold compresses may be used after the treatment to reduce swelling and decrease soreness. You may take Tylenol (if not contraindicated) every 4-6 hours after the treatment to help with any discomfort you may have.
Make-up may be applied 24 hours after the treatment, if no complications are present, such as open wounds, bleeding or infection.
In the first 24 hours following treatment, limit exposure to sunlight or UV lamps. Extensive sun or heat exposure and alcoholic beverages may cause a temporary increase in redness, bruising or swelling at the injection sites. If there is persistent swelling or redness after the injections, you should limit exposure to sunlight or UV lamps until these symptoms subside (for at least 5-7 days). If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.
Avoid strenuous exercise for 24 hours to prevent increasing blood flow to the face.
Avoid taking aspirin (unless medically necessary) or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for 5 days after the treatment, as these may cause an increased risk of bleeding or bruising at the injection sites.
Avoid excessive touching or massaging the treated areas for about 6 hours after the injections. Try to avoid sleep on your stomach for the first few nights. The treated areas can be washed with a gentle cleanser.
Avoid dental procedure (including cleaning) 2 weeks post filler
Remember apply your sunscreen daily.

Thread Lift Instructions

Pre-Treatment

Aspirin prescribed for a medical indication should not be terminated. However, bruising is more likely. Patients at risk of Herpes labialis are advised to take prophylactic acyclovir tablets and should apply topical cream, especially if threads are to be inserted around the lips.
Arnica tablets taken from about 5 days pre-treatment may be beneficial in reducing swelling after the treatment.
We advise you to stop taking all blood ‘thinning” supplements such as Evening Primrose Oil, Vitamin C and Vitamin E and certain herbs.
Taking Tylenol 500mg 2 tablets one hour before your appointment is recommended to minimize discomfort.

Aftercare

Swelling is expected in the first 1-2 weeks. Cold and warm compress will help to minimize it.
A stinging or “pulling” kind of discomfort or tenderness is normal. Take Tylenol 500 mg 1-2 tablets every 6 hours as directed. Avoid taking any anti-inflammatory medication such as Naproxen or Ibuprofen, because inflammation is necessary to initiate the new collagen formation process. Ibuprofen and similar medications will suppress this process.
Gently wash the treated areas after 12 hours but do not rub or massage the face for 2 weeks. Apply SPF30 + and avoid direct sunlight & tanning machines in order to prevent post Inflammatory Hyperpigmentation (PIH).
Avoid smoking after treatment for 1-2 weeks to speed recovery.
Do not open mouth too wide or make exaggerated facial expression for 3-4 weeks (avoid dental treatment for 3 weeks if possible)
Avoid alcohol and anti-coagulant medicines (aspirin, unless prescribed for medical indications) , blood ‘thinning’ vitamins C, A & E for 7 days. Avoid sauna or hot tub, and intensive exercise for 7 days post procedure. Avoid having Radio Frequency (RF) or any heat producing device (laser, IPL, etc.) treatments of the thread treated areas for at least 10 weeks.
Anti-inflammatory medication may be taken after 7 days. Arnica can be applied to reduce bruises and swelling.
Possible complications may include Infection, foreign body reaction in epidermis (granuloma) and protrusion. Extremely rare, temporary facial nerve injury (facial muscle weakness or twitching of the face) may occur due to local anesthetics, it normally subside within 2 hours.
Follow up examination after one month.

Spectra Laser Peel Post Treatment Protocol

• After Spectra Laser Peel gently and thoroughly clean the skin surface using a neutral cleansing lotion and cotton pads dipped in cool water.

• Using a bright lamp make a final check for untreat areas and ay residual Spectra Lotion.

• If residual Spectra Lotion' or un treated areas are visible don protective goggles, fit eye protection for for the patient, perform a flashlight check and recomence lasing that area.

• A collagen or algae mask can be used to soothe the skin following treatment. This will help reduce any redness or erythema.

• Complete patient records recording full treatment details including laser type, wavelength, pulse width, fluence, spot size and where appropriate the number of shots. Patient records should be signed and dated. Scheduled follow ups as necessary.

• Advise patients that sunscreen with a Skin Protection Factor(SPF) of at least 30 should be applied one hour before going outdoors for at least two weeks after treatment.

• Advise patients not to use any glycolic acid, retinol or alcohol based toner for at least 48hr after treatment.

• Optional : Post treatment algae mask

• Epidermal and Dermal Lesion Post Treatment Protocol

• Using a bright lamp make a final check for untreated areas.

• After treating both epidermal and demal pigmented lesions apply an antibiotic cream until crust flake off.

• If untreated areas are detected don protective goggles, fit eye protection for the paint, perform a flashlight check and recommence lasing that area.

• Completed patient records recording full treatment details including laser type, wavelength, pulse width, fluence, spot size and where appropriate the number of shots. Patient records should be signed and dated. Scheduled follow ups as necessary.

• Advise patients that sunscreen with a Skin Protection Factor(SPF) of at least 30 should be applied one hour before going outdoors for at least two weeks after treatment.

• Advise patients to avoid peeling off or damaging any scabbing that may occur and to let the scab fall off naturally to avoid scarring.

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