Toxin Instructions

Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Ginko Biloba, St. John’s Wort and high doses of vitamin E for 7-10 days prior to procedure, as these may cause increased risk of bleeding and bruising at the treated site(s). Regular multi-vitamin and Tylenol® are permitted (if not otherwise contraindicated).
Avoid alcoholic beverages for 24 hours prior to procedure as this can increase the risk of bleeding and bruising at the treated site(s).
Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.
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.
Sunburn skin is difficult to treat so avoid excessive exposure to the sun.
Eat a small meal or a snack before your appointment.
Always inform your doctor of all medications, including supplements you may be taking as well as your medical history.

PRECAUTIONS

You would not be considered a candidate for toxin if you have any of the following:

Move the affected muscles by frowning, squinting and raising your eyebrows as much as possible within the first 60 minutes after treatment.
Stay upright for 4 hours after injection
Do not massage or rub the treatment area for 24 hours (washing your face and applying make-up gently is fine)
Avoid cleansing devices, having a facial, or be face down in a massage cradle or a chiropractor’s chair for 24 hours after treatment
If forehead was injected, avoid wearing a hat or headband for 24 hours
Avoid strenuous exercise for 12 hours after treatment
Take Acetaminophen (Tylenol®) as needed for any headache or discomfort
Avoid Aspirin, Ibuprofen, Vitamin E, and Fish Oil for 24 hours after injection
Call the office if you have continued swelling or pain at the injection site
It may take up to 14 days for full results
Duration of toxin effect varies with each individual. Results last 3 months on average, but last longer if regular treatments are maintained. Repeat injections are needed to maintain results. Please discuss this with your injector for appropriate scheduling and treatment plan

Dermal Filler instructions

Dermal fillers must not be administered if you have had any vaccines, immunizations, procedures, illnesses, or dental work in the past two weeks and for an additional two weeks after fillers
Do not use dermal fillers if you are pregnant or breastfeeding, are allergic to any of the ingredients, suffer from any neurological or autoimmune disorders, are experiencing any cold or flu-like symptoms, or have any active inflammatory processes (cysts, pimples, rashes, hives)
For optimal results, and to minimize the chance of bleeding or bruising at the injection site, please avoid all blood-thinning medications and supplements for one week prior to your appointment. This includes over-the-counter medication such as aspirin and ibuprofen. Also avoid herbal supplements such as garlic, vitamin E, ginko biloba, St. John's Wort and omega-3 capsules. If you have a cardiovascular history, please check with your doctor prior to stopping use of aspirin. Do not drink alcoholic beverages 24 hours before or after your treatment to avoid extra bruising
Inform your provider if you have a history of Perioral Herpes to receive advice on antiviral therapy prior to treatment (Valtrex 500 mg BID, 5 days, start 2 days prior to treatment)
Avoid topical products such as Tretinoin (Retin-A) retinols, retinoids, glycolic acid, alpha hydroxy acid, or any "anti-aging" products for two days before and after treatment

After treatment there may be redness, swelling, tenderness and itching of the treated areas. This is expected and may last up to 2 days.
Lip treatment can cause swelling and may appear uneven up to 1 week.
Cold compress can be applied immediately after treatment to reduce swelling and discomfort
Acetaminophen (Tylenol) may be used for discomfort
Do not use NSAIDS (Ibuprofen, Aspirin, Aleve, etc) for 24 hours as they can cause bleeding and bruising
You may consider taking Arnica to treat/prevent bruising
Avoid touching, massage and significant movement of treated areas unless otherwise instructed
After 6 hours you can gently wash with soap and water
Avoid applying makeup the remainder of procedure day
Avoid strenuous exercise for 24 hours
Avoid extensive sun or heat for 72 hours (no sauna, hot tub)
Try to sleep face up and slightly elevated
Sanitize your phone and do not use it directly touching your face
Wait a minimum of two weeks before dental work, immunizations, or laser treatments