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BOTOX & FILLER PRE‐TREATMENT INSTRUCTIONS
 7 Days Before

 

  • To avoid bruising it is best not to take any anti-inflammatory medication or pain relievers that are blood thinners such as Aspirin, Ibuprofen, Naproxen 

  • Avoid the following vitamins & supplements: Vitamin E, Fish Oil, Omega 3 fatty acids, Ginkgo biloba, Garlic, flax seed oil and COQ10 

  • Avoid drinking alcohol a few days before treatment since it, too, is a blood thinner 

  • Sunburned skin is difficult to treat so avoid exposure to the sun before your appointment 

  • Avoid waxing, bleaching, tweezing, facial scrubs or the use of hair removal cream on the area to be treated 

  • Avoid the use of Alpha Hydroxy Acids higher than 10%, Retinol and Retinol A 

  • If you have a tendency to bruise easily, start taking Arnica, an oral homeopathic medication 3-4 days before treatment to help promote healing, minimize bruising and swelling. It is available at health food stores, some supermarkets and pharmacies. It comes in an oral tablet and a topical cream. The cream may be helpful after treatment. 

  • Always inform your nurse of any changes in medications including antibiotics, high blood pressure medication, Warfarin, Plavix, or other blood thinners as well as your medical history. 

 

Additional important information: 

  • Patients should be in good overall health. 

  • Do not use Botox® or dermal fillers if you are pregnant/breastfeeding, 

  • Do not use Botox® if you are allergic to eggs or any of its ingredients or if you suffer from any neurological disorders. 

  • Active skin infections are a contraindication to treatment 

  • It is recommended to have Botox® treatments at least 12 weeks apart. 

  • Stay well hydrated before and after filler treatment. Dermal filler attracts and binds to water to add volume to the skin. 

  • The most common side effect is bruising and swelling. It is NOT advisable to have injections less than 2 weeks before a big event. 

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BOTOX & FILLER POST‐TREATMENT INSTRUCTIONS

  • Do not massage, rub or apply pressure to the treated area for 6 hours after treatment

  • Avoid aspirin, ibuprofen, and drinking alcohol for a few days following treatment

  • Do not exercise for 24 hrs.

  • Apply topical Arnica cream to any areas with redness, bruising or swelling · Avoid exposure to the sun and cold outdoor activities until redness from treatment disappears

  • Do not restart Retinol or Retin-A for 2 days

 

IF YOU HAD BOTOX TODAY: 

  • Stay erect; do not lie down for at least 4 hours

  • You may experience occasional tingling sensations

  • An immediate headache is common especially, if it is your first botox treatment

  • It can take 2-14 days to take full effect. Botox can last 3-4 months.

  • Makeup can be reapplied after treatment but it is best to avoid putting anything on your skin on the day of treatment.

 

IF YOU HAD FILLER TODAY:​

  • Lips: Avoid kissing, puckering, using a straw, and “lip plumpers”. This can displace the filler material and cause complications.

  • Using Vaseline® to keep the lips moisturised can help.

  • A cool pack may be applied to the area treated with very light pressure to reduce swelling. Ice should not be applied directly to the skin. A cool pack can be applied for 10-20 minutes and then removed for 10-20 minutes. This cycle can be continued throughout today.

  • Mild to moderate bruising is very common with fillers. Apply Topical and/or oral Arnica to help with any areas of bruising and/or swelling.

  • Stay well hydrated can improve results. Filler attracts and binds to water to add volume to the skin.

  • Avoid facials, peel, micro-dermabrasion, dental treatment, “face down” massages for two weeks. Also, sleep on your back for the next few nights.

  • If possible, avoid makeup today. Gentle cleansing and moisturizer is fine.

  • The effect of filler is immediate with full effect within 2 weeks once bruising and swelling has settled down.


 

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