Pre/Post Care

• Clients with permanent metal implant in the treatment area can not be treated
• Area must be shaved 24 hours prior to your appointment (Shaving is the only accepted method of hair removal in between treatments)
• Avoid sun to treatment area. Tanned or Sun burned skin can not be treated
• Avoid sunless tanning products to treatment area for 2 weeks prior to treatment
• Avoid any other procedure to treatment area 2 weeks before or after scheduled appointment
• Arrive at the clinic with no make-up/lotion/deodorant on treatment area

• You may experience slight redness, bumps and redness to treatment area up to 72 hours after treatment. Aloe may be applied for comfort.
• Avoid extended sun exposure for 7 days post treatment
• Avoid any other treatment to area for 14 days
• If you experience any side effects such as hypo/hyper pigmentation, or blistering call the clinic for further instructions

• Do not wear makeup on the day of treatment
• No sun-tanning or self-tanners 4 weeks prior to treatment
• Includes spray tans, tanning lotions, tanning beds, sun exposure, etc.
• Some medications or supplements may increase the risk of bruising. Consult with your physician
• Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories, etc.)
• Notify clinic with any changes to your health history or medications since your last appointment
• History of herpes or cold sores may require an antiviral prescription prior to treatment

• Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen to prevent further sun damage
• Bruising, redness and swelling are common and resolve with time
• A “bug bite look” is common and usually resolves in 1-2 days
• Avoid heat – hot tubs, saunas, etc. for 1-2 days
• Avoid skin irritants (examples below) a few days post-treatment
• Products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.
• Notify clinic of any concerns (blistering, excessive redness/swelling, etc.)

Leg vein treatments only:
 

• Compression stockings (20-30 mm/hg) are optional
• Avoid high impact activity 3-5 days
• Hemosiderin staining (brown staining) may occur after a treatment and usually resolves with time (can take 1-2 years) but, on a rare occasion, it may be permanent
• Strict avoidance of sun exposure may decrease risk of permanent hemosiderin staining
• Large leg veins may take many months to resolve and should not be re-treated before then
• Consult with clinic about when to resume skin care regime.

• It is imperative that you avoid direct sun exposure to treatment area 4 weeks before treatment
• Avoid self tanner for 2 weeks before treatment
• Avoid retinol products for 1 week prior to treatment
• Avoid botox and fillers 2 weeks prior to treatment

• You may have a mild sunburn sensation following the treatment up to 24 hours
• Redness is normal and may last a few days
• Do not exfoliate for 1 week post treatment
• Do not use any active products for 1 week after treatment
• Makeup can be applied immediately after treatment if skin is not broken
• Avoid sun and use spf 30+
• Avoid heat or friction to treatment area for 24hours
• Brown spots will appear darker while healing before they begin to resolve
• Avoid picking or scratching the treatment area

• Do not wear makeup on the day of treatment
• Excess hair may need to be shaved. Men should be cleanly shaved
• No sun-tanning or self-tanners 4 weeks prior to treatment
• Includes spray tans, tanning lotions, tanning beds, sun exposure, etc.
• Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories, etc.)
• Notify clinic with any changes to your health history or medications since your last appointment
• History of herpes or cold sores may require an anti-viral prescription prior to treatment

• Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen to prevent further sun damage
• Bruising, redness and swelling may occur and resolve with time
• Avoid heat – hot tubs, saunas, etc. for 1-2 days
• Avoid skin irritants (examples below) a few days post-treatment
• Products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.
• Multiple treatments are required
• Notify clinic of any concerns (blistering, excessive redness/swelling, etc.)
• Consult with clinic about when to resume skin care regime.

• 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 increase risk of bleeding and bruising at the treated site(s). Regular multivitamin and Tylenol® is permitted (If not contraindicated).
• Avoid alcoholic beverages for 24 hours prior to procedure as this can increase the risk for 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.
• Take Tylenol® (if not contraindicated) 1 hour prior to your appointment to help with any discomfort you may have, if you have concerns about discomfort.
• 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 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.

• Enjoy our complimentary make-up “touch-up” at Spa 43 after your Botox® treatment. You may apply makeup immediately following your treatment. Avoid facials and saunas the day of treatment.
• Try to use the injected muscles for the first 1-2 hours after treatment: practice frowning, raising your eyebrows and squinting. This helps work Botox® into your muscles. Although this is thought to help, this will not impact your treatment negatively if you forget.
• The results of your treatment can take up to 14 days to take full effect. Usually patients notice a change in 4-5 days. It takes time for the muscles to lose strength and the lines to fade following Botox® treatment. Please wait until 14 days have passed before assessing if you are pleased with the results.
• Do not touch or rub injected site for 2-4 hours following treatment. Avoid exercise and sweating for the remainder of the day and no lying down or leaning forward for 2-4 hours after treatment.
• There can be a slight chance of bruising at the treated site, this is temporary. Be assured that any tiny bumps or marks will go away within a few hours of treatment.
• Avoid any type of facial, microderm abrasion, or massage for 14 days after treatment.
  Avoid Ibuprofen, Advil or Motrin, Tylenol is acceptable to take if experiencing discomfort (if not contraindicated)
• Botox® Cosmetic is a temporary procedure and at first, you may find that your treatment results will last approximately 3-4 months. If you maintain your treatment appointments with the frequency recommended by your clinician, the duration of each treatment results may last longer than 4 months.
• Your satisfaction is important to us! We would like you to return to the office in 2 weeks for a follow-up assessment appointment, especially after your first treatment. This will ensure we are able to see how your facial muscles react to your treatment. If you require additional Botox® to fine-tune/adjust your treatment results there will be additional charges at the regular rate.
• Remember your sunscreen every day.

• Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for at least 7-10 days before your appointment, unless medically necessary.
• You may take Tylenol® (if not contraindicated) one hour before your appointment to prevent any discomfort you may experience. If you have concerns about discomfort.
• If you are taking prescription blood thinners such as Coumadin or Plavix, you should check with the prescribing doctor to see if you are able to stop these medicines for 7-10 days before your appointment and at least 2 days after the procedure has been done.
• 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.
• Avoid dental procedures (including cleaning) 2 weeks pre filler and 2 weeks post filler
  Come to your appointment with a clean face. **This means NO MAKEUP or MOISTURIZER**
  Eat a small meal or a snack before your appointment.
• Bruising and swelling will be worse for the first 24-48 hours after you receive your dermal filler injections. Refrain from exercising for the remainder of the day following your injection(s). You may want to refrain from going to any special events during this time.

• The majority of reactions to dermal fillers are redness, swelling, bruising and tenderness after the injections. These usually subside a few days after the treatment, but can last up to a week. If any of these symptoms persist longer than a week, or if you develop other symptoms, please contact our office.
• Cold compresses may be used after the treatment to reduce swelling and decrease soreness. You may take Tylenol (if not contraindicated) every 4-6 hours after the treatment to help with any discomfort you may have.
• Make-up may be applied a few hours after the treatment, if no complications are present, such as open wounds, bleeding or infection.
• In the first 24 hours following treatment, limit exposure to sunlight or UV lamps. Extensive sun or heat exposure and alcoholic beverages may cause a temporary increase in redness, bruising or swelling at the injection sites. If there is persistent swelling or redness after the injections, you should limit exposure to sunlight or UV lamps until these symptoms subside (for at least 5-7 days). If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.
• Patients should avoid strenuous exercise for 48 hours to prevent moving the filler or increasing blood flow to the face.
• Avoid taking aspirin (unless medically necessary) or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for 5 days after the treatment, as these may cause an increased risk of bleeding or bruising at the injection sites.
• Avoid excessive touching or massaging the treated areas for about 6 hours after the injections. The treated areas can be washed with a gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.
• Avoid dental procedure (including cleaning) 2 weeks post filler
• Your satisfaction is important to us! We would like you to return to the office in 2 weeks to see whether a touch-up is necessary. If follow up treatments are necessary, there will be additional charges at the regular rate. Additional costs of medical treatment would be patients’ responsibility would complications develop after dermal filler procedure.
• Studies have shown that having a follow-up treatment before the product has fully dissipated will enhance the lasting effect. Consult your physician about recommendations for touch-up or follow-up treatments.
• Remember your sunscreen daily.