Pre/Post Treatment Care

Botox/Dysport Pre-Procedure Instructions:

• Avoid taking Aspirin, Excedrin, Non-steroidal Anti-Inflammatory Drugs (NSAIDS) such as Motrin for 5 days prior to procedure.
• Avoid any alcohol consumption for 5-7 days before your procedure.
• Vitamin E, Fish Oil, Ginko Biloba, St Johns Wart, Ginseng,Glucosamine, Green Tea, and Garlic 7-10 days prior to the procedure. These drugs and herbs may cause excessive bleeding or bruising.
• You may still receive treatment if you have consumed these items but know while it will not alter the effectiveness of your treatment it will increase your risk of post-treatment bruising.

Botox/Dysport Post-Procedure Instructions:

• Keep your head above your heart for at least 5 hours. No laying down flat or face down until that time. No yoga, massage, facial or anything where your head will be lower than your heart or level with your heart for any sustained period of time.
• No exercise after your treatment for the rest of the day. You may exercise before your treatment.
• Do not wear a cap, hat or visor that will put pressure on the treated area for the rest of the day after your treatment.
• Do not massage or put sustained pressure on the treated area for the rest of the day following your treatment.
• The small “bumps” in the injection area will resolve usually within 5-10 minutes of injection. At times if one area is slightly tender or lasts longer it can be a slight bruise in that area and will resolve in a few days.
• Full results of your treatment can take up to 14 days (but can happen sooner). During this time, it can change some as it takes effect, and this is totally normal.
• Results typically can last 3-4 months but individual variability does exist.
• You can apply ice afterward to any bruised area or tender area, but this is not required.
• Bruising can happen. We don’t like it, but it is a needle in skin. It will heal.
• Touch ups when needed can be done two weeks after your treatment but not sooner.
• Administration can trigger headaches the day of or even a few days after injection. These are self-limiting and will get better. You can take tylenol or ibuprofen if needed.
• Call for any severe or atypical symptoms that you feel are related to your treatment for further evaluation. 918-927-2618

Fillers Pre-Procedure Instructions:

• Avoid taking Aspirin, Excedrin, Non-steroidal Anti-Inflammatory Drugs (NSAIDS) such as Motrin for 5 days prior to procedure.
• Avoid any alcohol consumption for 5-7 days before your procedure.
• Vitamin E, Fish Oil, Ginko Biloba, St Johns Wart, Ginseng, Glucosamine, Green Tea, and Garlic 7-10 days prior to the procedure. These drugs and herbs may cause excessive bleeding or bruising.
• Eat at least 1 cup of fresh pineapple or pineapple juice for 3 days prior to appointment. (the enzyme it contains can help prevent bruising and swelling).
• Arnica Montana (found at any health food store) as directed (usually 5 tablets under the tongue 3 times a day) will also help prevent bruising and swelling and is highly recommended.
• Plan your social schedule accordingly. Plan to have bruising and swelling after your treatment.
• Must wait 2 weeks after any vaccine to have filler.
• No dental procedures 2 weeks before or 2 weeks after fillers (including routine cleaning).
• Filler is not recommended if you have a chronic dental abscess or known chronic untreated sinusitis.
• You need to be fever free and off any antibiotics for minor illnesses (bladder infections, acute sinusitis etc) for 2 weeks prior to treatment

Fillers Post-Procedure Instructions:

• Avoid excessive heat such as saunas, hot showers, the hot sun or cooking over a hot stove on the day of your treatment and for several days following. This may cause the blood vessels to dilate and cause more bleeding and bruising.
• Avoid strenuous exercise after the procedure. This may raise your blood pressure and pulse causing more bruising and swelling.
• Avoid direct sunlight for prolonged periods of time. Wear sun block to protect your skin. Sunlight may cause permanent discoloration after bruising.
• Avoid drinking alcohol for 24 hours after treatment. Alcohol may cause the blood vessels to dilate and cause more bruising.
• If lips are treated avoid straw drinking immediately after your treatment and do not chew or bite on your lips as this can displace filler.
• No massages of the area treated or with your face in a massage cradle for 2 weeks after treatment.
• Avoid taking Advil, Vitamin E, Ginger, Ginko, Bilboa, Ginseng, and Garlic for several days after the procedure since this may increase the risk of bruising.
• You may shower and do most other regular daily activities. You can take Tylenol afterward for any discomfort you are experiencing.
• Developing guidelines recommend avoiding make up application for 12 hours post treatment to reduce the possible risk of bacterial contamination and potential infection/irritation. If you choose to please use clean brushes & sponges. If you had lips done and must use a lipstick or gloss buy new product to use. Getting makeup in injection points may cause infection or nodules.
• You may apply cold compresses to the treatment sites to help reduce swelling and bruising.
• We recommend Arnica Montana pills or gel to prevent bruising post treatment that may help bruising resolve quicker.
• Note that any bumps or marks from the extremely small needle sticks will go away within a few hours. If you do develop a bruise it will resolve like any other bruise. There is occasionally some mild pain, swelling, itching, or redness at the site of injection similar to most other injections. Redness may last for 1-2 days, rarely longer.
• Call the office immediately for any severe or worsening pain, atypical swelling, atypical skin discoloration, rash, blister or sore that occurs in the region of treatment.

Sculptura Pre-Procedure Instructions:

• Avoid taking Aspirin, Excedrin, Non-steroidal Anti-Inflammatory Drugs (NSAIDS) such as Motrin for 5 days prior to procedure.
• Avoid any alcohol consumption for 5-7 days before your procedure.
• Vitamin E, Fish Oil, Ginko Biloba, St Johns Wart, Ginseng, Glucosamine, Green Tea, and Garlic 7-10 days prior to the procedure. These drugs and herbs may cause excessive bleeding or bruising.
• Eat at least 1 cup of fresh pineapple or pineapple juice for 3 days prior to appointment. (the enzyme it contains can help prevent bruising and swelling).
• Arnica Montana (found at any health food store) as directed (usually 5 tablets under the tongue 3 times a day) will also help prevent bruising and swelling and is highly recommended.
• Plan your schedule accordingly. Plan to have bruising and swelling after your treatment.
• Must wait 2 weeks after any vaccine to have filler.
• No dental procedures 2 weeks before or 2 weeks after fillers (including routine cleaning).
• No acute febrile illnesses for two weeks of your appointment.

Sculptura Post-Procedure Instructions:

• Avoid excessive heat such as saunas, hot showers, the hot sun or cooking over a hot stove on the day of your treatment and for several days following. This may cause the blood vessels to dilate and cause more bleeding and bruising.
• Avoid strenuous exercise after the procedure. This may raise your blood pressure and pulse causing more bruising and swelling.
• Avoid direct sunlight for prolonged periods of time. Wear sun block to protect your skin. Sunlight may cause permanent discoloration after bruising.
• Avoid drinking alcohol for 24 hours after treatment. Alcohol may cause the blood vessels to dilate and cause more bruising.
• Be sure and do facial massage as directed 5 minutes at a time five times per day for five days.
• Avoid taking Advil, Vitamin E, Ginger, Ginko, Bilboa, Ginseng, and Garlic one the day after the procedure since this may increase the risk of bruising.
• You may shower and do most other regular daily activities. You can take Tylenol afterward for any discomfort you are experiencing.
• Developing guidelines recommend avoiding make up application for 12 hours post treatment to reduce the possible risk of bacterial contamination and potential infection. If you choose to please use clean brushes & sponges. If you had lips done and must use a lipstick or gloss buy new product to use. Getting makeup in injection points may cause infection or nodules.
• You may apply cold compresses to the treatment sites to help reduce swelling and bruising.
• We recommend Arnica Montana pills or gel to prevent bruising post treatment that may help bruising resolve quicker.
• Note that any bumps or marks from the extremely small needle sticks will go away within a few hours. If you do develop a bruise it will resolve like any other bruise. There is occasionally some mild pain, swelling, itching, or redness at the site of injection similar to most other injections. Redness may last for 1-2 days, rarely longer.
• Remember results from Sculptra take time to notice and a series of treatments is recommended for optimal results.
• Call the office immediately for any severe or worsening pain, atypical swelling, rash, blister, bumps, or sore that occurs in the region of treatment.

Microneedling Pre-Treatment Instructions:

• If you have active acne in area of treatment you may need to re-schedule.
• If you have a history of cold sores you will be placed on a medication to prevent them. Please follow the instructions on your prescription. Please let us know if you get cold sores before your treatment.
• Please arrive with fully cleansed skin.
• Avoid Retin-A; retinoid, topical antibiotics, exfoliants, hydroquinone and benzyl peroxide 3 days prior to treatment.
• Topical numbing cream will be applied pre-treatment. Notify us of any medication allergies.
• Microneedling cannot be done while PREGNANT OR NURSING.
• No sun exposure, tanning beds, self-tanning products for 7-14 days before the procedure. Procedure will be canceled if you are sunburned.
• None of the following can be used or performed two weeks prior to treatment: chemical peels, waxing and chemical depilatories.
• Do not shave the treated area the day of procedure.
• We recommend to bring a hat day of procedure to wear after the treatment.
• Avoidance of Accutane for the past 6 months.
• If you are acutely ill at the time of your appointment you will need to reschedule.

Microneedling Post-Treatment Instructions and Expectations:

• Use Gentle Cleanser, the moisturizer given and SPF of 30 or higher for the first 4-5 days.
• Do not use any of your own products during this time.
• NO SUN EXPOUSURE for at least 7-10 days after the procedure.
• NO picking or exfoliating.
• NO Vitamin A products 7 days post treatment (including Retin-A, Retinol, Tazorac). Please read your skin care labels for ingredients.
• NO chemical peels 14 days post treatment.
• NO shaving 3 days after procedure, if skin is irritated continue to wait before shaving.
• NO strong toners for 14 days post treatment.
• NO sweating, exercising, Jacuzzi, sauna, steam bath until skin irritation has resolved (3-7) days.
• NO exfoliating medications or chemical products or devices for at least 7 days post treatment.
• NO makeup for 24 hours.
• Ice packs and Tylenol are okay if you are feeling discomfort or swelling. Do not take Ibuprofen, Aleve or Motrin.
• Eat fresh pineapple or drink pineapple juice to minimize bruising and swelling.
• IF PRP WAS APPLIED DO NOT WASH OFF UNTIL BEFORE BED OR NEXT MORNING.

What to expect after your treatment:

After the treatment your skin will be red and flushed similar to moderate sunburn. The redness should be greatly reduced with 24-48 hours. During the healing process you may experience swelling, burning, itching, bruising, soreness, skin tightness, flakiness, sensitivity and dryness. It may take up to 5-7 days for the skin to heal depending on the extensiveness of your treatment. USE ONLY THE PRODUCTS WE GIVE YOU FOR THE FIRST FOUR DAYS. Make sure to wash your face with cool water and a gentle cleanser, gently pat your skin dry. Mineral based sunscreen with SPF of 30 should be applied and reapplied every 60-90 minutes while outdoors.

Day 1  – It is normal and expected for your skin to feel red, sunburnt, tight, dry, swollen and sensitive to the touch. You may also experience some stinging. Drink plenty of water, avoid make-up and use only the product of moisturizer we give you. You may reapply the moisturizer repeatedly through out the day. Stay away from exfoliants or glycolic acids that are present in cleansers as these can make your skin very dry after the procedure. Use Tylenol for pain but avoid anti-inflammatory medications such as Motrin and Ibuprofen as these may decrease the wanted effects of the procedure.

*** If you had PRP applied, do not wash off the PRP solution until bedtime or morning after your treatment***

Day 2 – May feel the same as you did on Day 1. Skin feels dry, tight and red. Use gentle cleanser and post kit moisturizer and sunscreen. Use as instructed. Do not use any of your own products.

Day 3 – You will still appear light pink and notice swelling has begun to decrease. Continue with Post Care as instructed.

Day 4-6 – Minimal or no swelling, minimal or no bruising, may have some light flaking. Do not pick at the skin that is starting to flake off and do not use any exfoliators. Continue to use post moisturizer and sunscreen. You may resume exercise.

DAY 8-28 – Remember to apply sunscreen with minimum of 30 SPF outdoors or in the car and remember to re apply every 2-3 hours while outdoors

Call the office if you are experiencing any atypical pain, swelling, rashes or openings in skin.