Neurotoxin Instructions

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Before your Botox procedure, it’s essential to follow a few simple steps to ensure the best possible results. Avoid blood-thinning or anti-inflammatory medications, alcohol, and supplements like aspirin or fish oil at least 24 hours prior to your treatment to minimize bruising. Arriving at your appointment well-rested and hydrated will also help your skin respond better to the Botox injections.

• Plan 2 week of no major events in case you bruise.
• Taking blood thinners such as Aspirin, Advil, Aleve, Motrin, Fish Oil, Vitamin E and Vitamin A or consuming alcoholic beverages may increase the risk of bruising. Please receive Physician approval before stopping any prescribed medication.
• Start Arnica tabs and or Arnica cream 3 days prior to your appointment to help minimize bruising, you may continue for 3-5 days after injections.
• If you are sick or have an active infection prior to your appointment please call the office to reschedule your injection appointment.  

After your Botox treatment, it’s important to follow proper aftercare instructions to maximize the effects and minimize any side effects. For the first 24 hours, avoid touching or massaging the treated areas and refrain from engaging in intense physical activity to prevent the Botox from migrating. Staying upright and keeping your head elevated will help the product settle into place for optimal results.

• No strenuous exercise for 24 hours after injections.
• No bending, lifting or laying down for 4 hours after injections.
• No face down massages or facials for 24 hours after injections.
• Avoid wearing makeup for 4hrs. When resuming makeup, please use clean brushes and sponges.
• After neurotoxin injections it is normal to have small welts or bumps at the injection site. Please do not touch or manipulate. Moving your facial muscles through expressions will help the product to absorb and disperse faster.
• Although some people react quicker to certain neurotoxins the full effect of your treatment will take between 10-14 days.  

• Plan 2 weeks of no major events in case you bruise or swell.
• Taking blood thinners such as Aspirin, Advil, Aleve, Motrin, Fish Oil, Vitamin E and Vitamin A or consuming alcoholic beverages may cause an increase in the risk of bruising. Please receive Physician approval before stopping any prescribed medication.
• Start Arnica tabs and or Arnica cream 3 days prior to your appointment to help minimize bruising, you may continue for 3-5 days after injections.
• If you have a history of cold sores notify our office so a provider can prescribe cold sore medication.
• If you are sick or have an active infection prior to your appointment please call the office to reschedule your injection appointment.
• No vaccines 2 weeks before or after your filler appointment. No dental work of any kind 2 weeks before or after your appointment.  

• To minimize bacteria to injection sites, avoid touching the injected area for 24 hours. Keep hair and phone away from the treated area for several hours.
• Avoid wearing make-up for 4 hours. When resuming makeup, please use clean brushes and sponges.
• Avoid excessive heat or strenuous exercise for 24 hours which may cause increase bruising.
• Avoid laying on your face for long periods of time (side-sleeping, facials, massage) for 1 week.
• If a cold sore develops, please continue medication as prescribed.
• Please notify the office right away if there is pain, discoloration or blistering after any injection appointment.
• Allow 2 full weeks for full healing and final results.
• Please make sure not to have any dental work or vaccines of any kind for 2 weeks before or after your injection appointment. 

• Hydrate, hydrate, hydrate! Drink at least 64 oz of water
• Take 2000 mg of Vitamin C daily before your treatment. The earlier you start, the better!
• Pre-treat with Arnica 3 days before you’re your treatment by dissolving 5 pellets under your tongue, 3 times a day.
• Avoid Omega 3s, Turmeric, Ibuprofen, Vitamin E, Ginkgo Biloba, Garlic Supplements & Aspirin for 7 days prior.
• Avoid alcoholic beverages for 4 days prior. *including red wine*
• To lessen your chance of irritation & redness, pause the use of Retinol & exfoliating acids 3 days before your treatment & for 3 days after.

• Keep your head above your heart for 4 hours
• Massage treated areas (upward strokes) 5 times per day for 5 minutes for 5 days following the injections!! This is an important step to ensure best results from your Sculptra treatment and reduce possible treatment side effects.
• You may apply a cool compress to the injection site(s) for up to 48 hours
• Avoid excessive sun or heat exposure for 24 hours post-treatment
• Do not exercise for 24 hours post-treatment
• Avoid saunas for 6 hours post-treatment
• If you are experiencing swelling: apply Arnica cream/gel to the area or take oral Arnica to speed up healing.
• If you are experiencing bruising: apply Alastin INhance serum four times per day to the area or take Bromelain 200 mg to speed up healing.

• Difficulty breathing or swallowing
• Intense pain the treated area
• Excessive swelling that is increasing with time
• Skin color and/or temperature changes other than bruising (where skin is white, mottled, or hot/cold)
• If you aren’t sure if what you are experiencing is normal – call or email us! We are happy to help!

Go to your nearest Emergency Room if you are experiencing difficulty breathing or swallowing!