Procedure Instructions

If you are going to stop taking blood thinners, do so 2 weeks prior to treatment. This includes all anti-inflammatory and blood-thinning medications and supplements such as Aspirin, Motrin, Ibuprofen, Aleve, Ginko Biloba, Turmeric, Garlic, Flax Oil, Cod Liver Oil, Omega-3 Vitamin A, Vitamin E or any other essential fatty acids. If pain medication is needed, use Tylenol instead.
If you have a history of cold sores please let your provider know, it may be advisable to be on an anti-viral medication prior to treatment.
If you suffer from allergies or sinusitis make sure your symptoms are under control before treatment.
It is recommended to discontinue Retin-A 2-3 days before treatment to avoid any increased redness or irritation.

Do NOT touch, press, rub or manipulate the injected areas after treatment. This can cause irritation or filler displacement.
Swelling is very common and is worse the morning after treatment.
Avoid excessive gestures that involve the treated area.
Avoid high-sodium foods and alcohol 24-48 hours after your treatment. These items may contribute to increased swelling or irritation.
Avoid the use of Retin-A or similar products for the next 48 hours after treatment to avoid increased irritation or redness.
Avoid wearing makeup or lipstick on treated area until the day after treatment.
Avoid cosmetic treatments such as laser, peels or facials for 2 weeks after treatment.
Avoid Micro-dermabrasion, HydraFacials, deep radio frequency or laser resurfacing over treated area.
Call the office if you have increased pain, swelling, redness or blisters following your treatment. o Full results are evaluated after 2 weeks. One side may settle faster than the other.

Tenderness/Pain can last 1-4 weeks.
Tenderness/Pain may be accentuated by gestures or touching the treated area.
Swelling may worsen in the first 24 hours and should settle within the first few days. Cold packs can be helpful in reducing swelling.
If swelling is persistent it may be advisable to take a course of oral antibiotics.
No extreme facial expressions for 2 weeks.
If threads were place in the jowls, DO NOT open mouth too wide for 1-2 weeks.
If threads were paced in the cheeks, avoid excessive smiling.
No facials or facial massage for 10 days.
Apply products in a tapping or upward motion.
Application of antibiotic ointment is advised on entry points.
Although most patients do not bruise, it can occur and may take a few days to appear.

It takes 7 days for full results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional Botox. (Routinely there is no charge for touch ups.)
Botox can be performed in conjunction with fillers, laser or threads on the same day.
We recommend contracting the treated muscles for 3 minutes immediately after treatment.
Laying down is no longer a contraindication after your Botox treatment.