FACE SERVICES INSTRUCTIONS

  • Botox and Dysport Wrinkle Relaxers
  • Lip Fillers
  • Facial Dermal Fillers
  • Kybella
  • Sculptra
  • Instalift

Botox and Dysport Wrinkle Relaxers

Before Your Wrinkle Relaxer Treatment

  • If you’ve started any antibiotics or medications since your initial visit, please let us know.
  • Avoid Advil, Ibuprofen, Aleve, Motrin, Vitamin E, Fish Oil, St. John’s Wort, and other non-steroidal anti-inflammatory products 14 day prior to treatment to help decrease your chance of bruising. Do not stop taking any medications that have been prescribed to you without consulting your prescribing physician.
  • Avoid drinking alcoholic beverages 48 hours before treatment to reduce chances of bruising.
  • To help reduce the chances of bruising, start taking oral Arnica 7-10 days before treatment. Take as directed on the bottle.
  • If you are being treated for excessive sweating, you may wear deodorant on the day of your appointment.
  • You cannot be treated if you are pregnant or breastfeeding.
  • Clients actively undergoing chemotherapy or radiation treatment cannot be treated. Clients must be in remission for 6 months to be treated.
  • Please inform your Master Provider of all medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems you may have.

After Your Wrinkle Relaxer Treatment

  • You may receive multiple procedures on the same day as your Wrinkle Relaxer appointment. Dermal fillers can be done before or after a Wrinkle Relaxer treatment. Microneedling must be performed prior to receiving Wrinkle Relaxers. If you wish to get Dermal filler, Microneedling, and Wrinkle Relaxer, they would be done in that order.
  • Do not participate in any strenuous exercise for a minimum 24 hours.
  • Do not massage or manipulate injection sites for 24 hours.
  • Bruising may occur after injections, and typically resolves within 14 days.
  • Allow 10 days for Botox, Dysport, or Xeomin to fully set in before judging the final result, even though some benefits are typically seen earlier. In some clients, it may take up to 14 days to reach full effect. An improvement in skin appearance may begin after Botox/Dysport is fully set in.
  • If you are being treated for excessive sweating you may wear deodorant after your treatment.
    Botox, Dysport, and Xeomin are FDA indicated to last about 3 months. However, everyone is unique and the longevity and amount of product required will differ per person.

Lip Fillers

Before Your Lip Filler Treatment

  • Please plan your treatment to allow for several days of potential swelling and bruising.
  • If you have an active cold sore/fever blister, canker sore, shingles you will need to postpone treatment. If you are prone to developing cold sores/fever blisters or shingles, please contact us 1 week before treatment for recommendations.
  • If you’ve started any antibiotics or other medications since your initial visit, please let us know.
  • Avoiding Advil, Ibuprofen, Aleve, Aspirin, Motrin, Vitamin E, fish oil, St. John’s Wort, and other non-steroidal anti-inflammatory products 5 days prior to treatment to decrease your risk of bruising. Do not stop taking any medications that have been prescribed to you without first discussing with your prescribing medical provider.
  • Do inform your clinician of all medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems.
  • Avoid drinking alcoholic beverages 48 hours before treatment to reduce risk of bruising.
  • To reduce the risk of bruising, consider taking over the counter Arnica supplements if not contraindicated with your current medication regimen (available online, at most supplement stores, at Juvly, Whole Foods, etc). Start taking oral Arnica 7-10 days before treatment. Take as directed on the bottle.
  • Take an antihistamine (Claritin, Zyrtec or Loratadine) 3 days prior to treatment. This will help reduce swelling.
  • Women who are pregnant or breastfeeding cannot be treated.
  • Patients actively undergoing chemo or radiation treatment cannot be treated. Patient must be in remission 12 months to be treated.
  • Tylenol will not increase the chance of bruising and is preferred for the week prior to treatment. To help with possible discomfort, you may take acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment. Do not take more than 3000mg of acetaminophen/Tylenol in a 24 hour period.

After Your Lip Filler Treatment

  • Lips may be swollen for several days (up to 2 weeks) following your lip filler treatment. Swelling may increase during the first 24 hours. Applying ice packs gently to the lips for no more than 30 seconds at a time throughout the first 1-2 days can help with swelling. Do not over-ice.
  • Do consider taking over the counter Arnica supplements if not contraindicated with your current medication regimen (available online, at most supplement stores, Whole Foods, etc) to help reduce the risk of bruising, start taking oral Arnica 7-10 days before treatment. Continue taking after treatment until bruising and/or swelling has subsided. Take as directed on the bottle.
  • Take an antihistamine (Claritin, Zyrtec or Loratadine) 3 days prior to treatment. Continue taking after treatment until swelling has subsided. This will help reduce swelling.
  • Avoid exercise for 48 hours following treatment as it may increase swelling.
  • Bruising may also occur in or around the lips. Bruises may not be visible but may feel like small lumps within the lips. This is common in the first two weeks and even up to 6 weeks. Lips may temporarily appear uneven because of this.
  • Starting on day 3, a slightly firm massage of the lips with clean fingertips will help bruises to break down or absorb and will promote a smooth result. Massage with fingertips several times daily for the first 2 weeks.
  • Keep lips well moisturized in the coming days with a non-medicated moisturizer like Vaseline. Lipstick/makeup may be applied the following day if desired.

Facial Dermal Fillers

Before Your Dermal Filler Treatment

  • Please plan your treatment to allow for several days or more of potential swelling, tenderness, and bruising.
  • If you have an active cold sore, fever blister, canker sore, or shingles you will need to postpone treatment. If you are prone to developing cold sores, fever blisters, or shingles, please contact us 1 week before treatment for recommendations.
  • If you’ve started any antibiotics or other medications since your initial visit, please let us know.
  • Avoiding Advil, Ibuprofen, Aleve, Aspirin, Motrin, Vitamin E, fish oil, St. John’s Wort, and other non-steroidal anti-inflammatory products 5 days prior to treatment is best to decrease your risk of bruising. Do not stop taking any medications that have been prescribed to you without first discussing with your prescribing physician.
  • Do inform your Master Provider of all medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems.
  • Avoid drinking alcoholic beverages 48 hours before treatment to reduce risk of bruising.
  • To reduce the risk of bruising, consider taking over the counter Arnica supplements if not contraindicated with your current medication regimen (available online, at most supplement stores). Start taking oral Arnica 7-10 days before treatment. Take as directed on the bottle.
  • If you are having dermal filler placed to your tear trough please take an antihistamine (Claritin, Zyrtec, or Loratadine) for 3 days prior to treatment to help reduce post-treatment swelling.
  • Women who are pregnant or breastfeeding cannot be treated.
  • Patients actively undergoing chemotherapy or radiation treatment cannot be treated. Patients must be in remission for 12 months to be treated.
  • If you have recently used the medication accutane, it is recommended to postpone treatment until at least six months after stopping the medication.
  • Tylenol will not increase the chance of bruising and is preferred for the week prior to treatment. To help with possible discomfort, you may take acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment. Do not take more than 3000mg of acetaminophen/Tylenol in a 24 hour period.

After Your Dermal Filler Treatment

  • You might have some redness and swelling that should resolve within several days. Bruising may occur, and may last up to 14 days. Cold compresses/ice may be used immediately after treatment to reduce swelling. You may apply a cold compress to the area for several seconds at a time, up to 20 minutes per hour, and you may do this hourly for 3 days.
  • Certain areas of the face such as the undereyes, will swell more than others. Swelling and bruising may last several days to weeks. Call our office if you notice blanching (whitening of the skin) or have any other concerns.
  • Do not manipulate, push, or rub injection sites within the first 48 hours.
  • Exercise should be avoided within the first 24-72 hours as it may increase swelling.
  • Your skin may be more sensitive during the first several days after treatment. Use gentle skin care products during this time, and wait 3 days before using harsher treatment products such as retinol, or AHA. Makeup and gentle cleansers can typically be applied several hours after treatment/li>

Suggested Skincare

  • SkinMedica offers a line of products containing TNS, a compound which promotes skin healing and renewal and is a great addition to your skincare regimen. Remember, daily sunscreen with an SPF of 30 is recommended to maintain your improved skin.

Kybella

Before Your Kybella Treatment

  • Please plan your treatment to allow for several days of potential swelling and bruising. Swelling may last up to 4 weeks. Consider a scarf or turtleneck to camouflage when treating the chin, jawline, or cheeks.
  • If you’ve started any antibiotics or other medications since your initial visit, please let us know.
  • You cannot be treated if you are pregnant or nursing.
  • You may not be treated if you have a history of difficulty swallowing, nerve injury, or weakness in the lower face you if you are treating your chin, jawline, or cheeks.
  • Inform your medical provider if you are on blood thinners, or have had procedures or surgery of your lower face or neck.
  • If you have an active cold sore, fever blister, canker sore, or shingles you will need to postpone treatment. If you are prone to developing cold sores, fever blisters, or shingles, please contact us 1 week before treatment for recommendations.
  • Avoiding Advil, Ibuprofen, Aleve, Aspirin, Motrin, Vitamin E, fish oil, St. John’s Wort, and other non-steroidal anti-inflammatory products 5 days prior to treatment to decrease your risk of bruising. Do not stop taking any medications that have been prescribed to you without first discussing with your prescribing medical provider.
  • Do inform your Master Provider of all medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems.
  • Tylenol will not increase the chance of bruising and is preferred for the week prior to treatment. To help with possible discomfort, you may take acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment. Do not take more than 3000mg of acetaminophen/Tylenol in a 24 hour period.
  • Avoid drinking alcoholic beverages 48 hours before treatment to reduce risk of bruising.
  • To reduce the risk of bruising, consider taking over the counter Arnica supplements if not contraindicated with your current medication regimen (available online, at most supplement stores). Start taking oral Arnica 7-10 days before treatment. Take as directed on the bottle.
  • Patients actively undergoing chemotherapy or radiation treatment cannot be treated. Patient must be in remission 12 months to be treated.

After Your Kybella Treatment

  • You should expect swelling and redness. You may also experience bruising, pain, numbness, and induration. This will normally last around 7 days, and for some customers may last up to 4 weeks. Some clients will experience numbness for longer than 4 weeks.
  • You may elect to ice the area post treatment, but must do so very carefully. Use an ice pack with the fabric side against the skin, or wrap a soft plastic ice pack in a wet thin towel. Apply the ice pack approximately 30 seconds on, and 30 seconds off. Icing too vigorously can cause frostbite and scarring. You may apply a cold compress to the area for 20 minutes per hour, and you may do this hourly for up to 3 days.
  • Do not participate in strenuous activity for 3 days following treatment.
  • Sleeping with your head elevated may help avoid increased swelling.
  • Do not scratch, pick or traumatize the area in any way. Do not massage or manipulate the injection sites.
  • You may apply your normal skin care regimen and sunscreen.
  • Kybella treatments are done in a series, for best results we recommend a series of 2-4 treatments spaced about 2-3 months apartment.
  • Call our offices if you have any difficulty swallowing, crusting or scabbing, asymmetry of your smile or any other unusual symptoms.

Suggested Skincare

  • SkinMedica offers a line of products containing TNS, a compound which promotes skin healing and renewal and is a great addition to your skincare regimen. These products are available at our office.
  • Remember, daily sunscreen with an SPF of 30 is recommended to maintain your improved skin.

Sculptra

Before Your Sculptra Treatment

  • Please plan your treatment to allow for several days of potential swelling, soreness and bruising.
  • If you have an active cold sore, fever blister, canker sore, or shingles you will need to postpone treatment. If you are prone to developing cold sores, fever blisters, or shingles, please contact us 1 week before treatment for recommendations.
  • If you’ve started any antibiotics or other medications since your initial visit, please let us know.
  • Avoiding Advil, Ibuprofen, Aleve, Aspirin, Motrin, Vitamin E, fish oil, St. John’s Wort, and other non-steroidal anti-inflammatory products 5 days prior to treatment to decrease your risk of bruising. Do not stop taking any medications that have been prescribed to you without first discussing with your prescribing medical provider.
  • Do inform your clinician of all medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems.
  • Avoid drinking alcoholic beverages 48 hours before treatment to reduce risk of bruising.
  • To reduce the risk of bruising, consider taking over the counter Arnica supplements if not contraindicated with your current medication regimen (available online, at most supplement stores). Start taking oral Arnica 7-10 days before treatment. Take as directed on the bottle.
  • Women who are pregnant or breastfeeding cannot be treated.
  • Clients actively undergoing chemo or radiation treatment cannot be treated. Clients must be in remission 12 months to be treated.
  • Tylenol will not increase the chance of bruising and is preferred for the week prior to treatment. To help with possible discomfort, you may take acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment. Do not take more than 3000mg of acetaminophen/Tylenol in a 24 hour period.

After Your Sculptra Treatment

  • Do massage the treated areas 5 times a day for about 5 minutes for 5 days after treatment.
  • Following your procedure, you may experience soreness in the jaw and in the treated area which may last for several days. You may hold ice packs on the treated areas gently for several seconds at a time to minimize discomfort.
  • Feel free to wear makeup a few hours after treatment.
  • Treated areas may be red, swollen, and bruised for the first 2-14 days.
  • Avoid strenuous workouts and alcohol for 24 hours.
  • A few days after treatment, the injected volume will absorb and you will look as you did before treatment. This is normal. Your body will gradually build collagen in the treatment areas and full results may be seen in about 3 months.

Follow-Up Treatments

  • Follow up treatments should be scheduled every 6 weeks until treatment is completed (2-3 treatments for desired correction is normal).
  • Visible results may not be seen until 2-3 sessions have been completed.
  • Results can last more than two years.

Suggested Skincare

  • SkinMedica offers a line of products containing TNS, a compound which promotes skin healing and renewal and is a great addition to your skincare regimen. These products are available at our office.
  • Remember, daily sunscreen with an SPF of 30 is recommended to maintain your improved skin.

Instalift

Before Your Instalift Threadlift Treatment

  • Please plan your treatment to allow for several days of potential swelling and bruising.
  • If you have any history of medical or skin conditions, (including psoriasis, vitiligo, cold sores, shingles, etc) inform your clinician as this may make PDO threads an unsuitable treatment for you.
  • If you have an active cold sore/fever blister, canker sore, shingles you will need to postpone treatment.
  • If you are prone to developing cold sores/fever blisters or shingles, please contact us 1 week before treatment for recommendations.
  • If you’ve started any antibiotics or other medications since your initial visit, please let us know.
  • Avoiding Advil, Ibuprofen, Aleve, Aspirin, Motrin, Vitamin E, fish oil, St. John’s Wort, and other non-steroidal anti-inflammatory products 5 days prior to treatment is best to decrease your risk of bruising. Do not stop taking any medications that have been prescribed to you without first discussing with your prescribing medical provider.
  • Do inform your clinician of all medical conditions, medications you are taking, skin disorders, allergies, history of anaphylaxis, and any other medical problems.
  • Avoid drinking alcoholic beverages 48 hours before treatment to reduce risk of bruising.
  • Do consider taking over the counter Arnica supplements if not contraindicated with your current medication regimen (available online, at most supplement stores, Whole Foods, etc) to help reduce the risk of bruising, start taking oral Arnica 7-10 days before treatment. Take as directed on the bottle.
  • Women who are pregnant or breastfeeding cannot be treated.
  • Patients actively undergoing chemo or radiation treatment cannot be treated. Patient must be in remission 6 months to be treated.
  • Tylenol will not increase the chance of bruising and is preferred for the week prior to treatment. To help with possible discomfort, you may take acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment. Do not take more than 3000mg of acetaminophen/Tylenol in a 24 hour period.

After Your Instalift Threadlift Treatment

  • Bruising and swelling is normal and expected – if bruising is visible you can start taking oral Arnica and apply topical Arnica cream to areas that are discolored.
  • Asymmetry and irregularity of the tissue is common and will resolve on its own in about 2 weeks.
  • Pain at the insertion points is normal and may last several days to 2 weeks after treatment. Tylenol can be taken if desired, unless you have been otherwise directed by your primary care physician. It is advisable to avoid anti-inflammatories such as Ibuprofen (Advil, Motrin) and Naproxen (Aleve) as they can suppress new collagen formation. Do NOT stop taking any prescription medications without consulting your prescribing physician.
  • Do not apply ice or heat to the area for 4 weeks
  • Gently wash the treated area as required, but do not rub or massage for 4 weeks
  • It is important not to overstretch the treated area (i.e. open the mouth wide or animate excessively) for 4 weeks (avoid dental treatment during this time if possible).
  • No exercise (including light exercise) for the first week.
  • No strenuous exercise (weight lifting, running) for 2 weeks.
  • Avoid tanning beds for at least 4 weeks.
  • Do not have facials, facial treatments, microneedling, Radio-frequency, IPL, Laser or other heat treatments near the treated area for 6 weeks
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