BOTOX, XEOMIN & DYSPORT -UPDATED

Botox Cosmetic, Xeomin, Dysport
Pre/Post Treatment Suggested Do’s and Don’ts
Any medication/supplement that thins the blood can increase the risk of bleeding. Talk to your healthcare provider if you take the following medications or supplements (Generally they should be avoided 7 days prior to injection):
– Fish Oil, Asprin, Naproxen, Ibuprofen, Warfarin, Xarelto, Heparin, St. John’s Wart, Garlic, Ginkgo Biloba, Vitamin E. This list is not all-inclusive.
– Do not drink alcohol for 24 hours before or after your treatment in order to prevent bruising.
– Ice is okay after your treatment if needed. There may be bumps but they usually go away within minutes.
– After your treatment do not rub the area or lay on it for 4 hours. Exercise is okay but avoid anything that would invert the body (standing on your head for some yoga poses).
– Once any pinpoint areas from injection sites have closed it is okay to apply makeup (usually after one hour)

DERMAL FILLERS – UPDATED

Dermal fillers – Pre/Post Treatment Suggested Do’s and Don’ts
Please come in with a clean face 15 minutes prior to your appointment. If you are unable, we do have makeup wipes available in our restroom for your use.
Any medication/supplement that thins the blood can increase the risk of bleeding. Talk to your healthcare provider if you take the following medications or supplements (Generally they should be avoided 7 days prior to injection):
– Fish Oil, Asprin, Naproxen, Ibuprofen, Warfarin, Xarelto, St. John’s Wart, Garlic, Ginkgo Biloba, Vitamin E. This list is not all-inclusive.
– Do not drink alcohol for 24 hours before or after your treatment. Do not smoke for 24 hours following your treatment.
Ice for the next 4 hours 15 minutes on 15 minutes off. You can continue to ice periodically for continued swelling.
– Avoid anything that will heat the face for 24 hours (hot tub/laying out/working out); apply sunscreen for incidental exposure.
– Do not massage the area unless instructed by the injector. – – Try not to lay on the injected area for 24 hours.
– If lips were treated apply Aquaphor to the lips frequently to prevent chapped lips.
– Swelling/bruising can occur and may last up to two weeks depending on your body. Some people find Arnica or Pineapple to be helpful before or after the procedure to help with swelling/bruising.
– Inform us if you are prone to cold sores as injecting the lips or near the lips may increase the risk of an outbreak but can be treated.
Do not apply makeup after your treatment until the open areas are completely closed. This could be 4 hours but is very important to prevent infection. If possible, skip makeup the day of treatment.
If you experience severe pain, mottling or discoloration of the skin please contact us immediately! Better to be safe than sorry, please call with any concerns.

KYBELLA

Preparing for your Kybella Treatment
1. The amount of Kybella needed is determined at your appointment. A grid is placed under the chin and the amount of injection sites needed determines the amount of Kybella you will need. Unlike with other products where you can choose to do more or less, Kybella must be exact. We will not undertreat you so please be prepared to be treated adequately.
2. Most people need 2-3 vials but occasionally some people may need 4.
3. Some people have had great success with only one treatment, however in the clinical studies 2-6 treatments were needed on participants.
4. If you need another treatment, it will need to be about a month after the first one. We recommend booking the next appointment at time of treatment. You can always cancel with 24 hours notice. You will know it is time to re-treat when you no longer feel the product working.
5. Do not plan this treatment right before a major event. You most likely will be swollen for a few days after injection so plan ahead. Although rare, some people have reported swelling for a few weeks.
6. After injection we do recommend to ice the area for four hours, 15 minutes on 15 minutes off. Ibuprofen can be taken for discomfort. Pineapple or arnica can be taken to minimize bruising.
7. If you have a history of difficulty swallowing, are currently pregnant or breastfeeding you are not a candidate. If you have had procedures performed at the treatment site, call us and we can talk over the phone first to make sure this is the right procedure for you.
Post Treatment
1. Swelling can be significant for a few days after Kybella. If it does not go down within a week please give us a call. Bruising, hardened areas (induration) and numbness are common following the procedure.
2. If you have severe symptoms such as difficulty breathing please call 911 or go the nearest ER.
3. Ibuprofen can be taken for mild discomfort, icing can help as well.
4. Some people report itching, an antihistamine such as Zyrtec can be taken.
5. If you have difficulty swallowing, crusting or scabbing or any other unusual symptoms please give us a call.
6. Do not participate in strenuous activity for at least 3 days following treatment.
7. Sleep with your head elevated until swelling goes down.
8. Do not massage, scratch or pick at the areas of injection.

SCLEROTHERAPY

Preparing for your Sclerotherapy appointment
Your initial appointment will be just for evaluation to make sure you are a candidate for the procedure unless otherwise discussed with the office prior to the appointment.
You are required to purchase compression hose prior to treatment. If you arrive to the appointment without them you may not be treated and charged a fee so please make sure you have them.
Please arrive to the appointment wearing loose fitting shorts.
Do not shave or wear lotion on your legs the day of the appointment.
Do not use self-tanner for at least a week prior to your appointment.
Post care Sclerotherapy
You will be asked to stay in the office for 20 minutes after the procedure to make sure you do not have an allergic response so please plan on spending over an hour with us.
Make sure to wear your compression hose as recommended (Generally 7 days, on during the day and off at bedtime).
Avoid hot baths for 48 hours and shaving for 24 hours
Avoid direct sunlight for 7 days, excessive sun exposure can lead to permanent skin staining.
No prolonged sitting or standing – take breaks or do foot exercises (dorsiflex)
Arnica can be used to help the healing process
Aleve or Motrin can be taken to help with pain
Discoloration can take months to dissapear
No strenuous lifting/working out for 7 days however walking is encouraged and normal activity can be resumed immediately
Be patient with your body, 3-5 treatments may be necessary spaced 4-6 weeks apart
Call us if you have any concerns including severe pain, your veins will look worse before they look better.

PRP AND MICRONEEDLING

Preparing for your PRP micro needling treatment
1. Bring a hat with you for your appointment. You will need it to wear home. This is very important because you need to avoid sunlight and cannot put on sunscreen yet!
2. You will need to plan this treatment when you are sure you can avoid any sun exposure for one week.
3. After the appointment you will have some redness/swelling that can last up to 24 hours.
4. The day of treatment you will not be able to put makeup on so plan accordingly.
5. Please call us prior to your appointment if you have any of the following conditions: autoimmune disorder, porphyria, facial cancer, communicable diseases, liver disease, blood disorder, hepatitis, on anticoagulation therapy or may be pregnant. These may be contraindications to receiving the procedure.
6. We recommend discontinuing anything that may thin the blood a week prior to the procedure such as Fish Oil, Ibuprofen, Naproxen, Xarelto, St. John’s Wart, Heparin, Ginkgo Biloba, Vitamin E, Asprin. Discontinuation of any prescription medication should be discussed with your healthcare provider. We also recommend not drinking any alcoholic beverages 24 hour prior to the procedure to prevent bruising.
After your appointment
1. Wear a hat to avoid sun exposure
2. Leave the PRP on the remainder of the day until you wash your face at night with a mild cleanser.
3. Whenever your face feels tight apply the HA gel provided. You may also apply grapeseed oil.
4. You may ice if you feel swollen, 15 minutes on 15 minutes off.
5. We recommend avoiding Ibuprofen or any anti-inflammatories.
6. You must wear sunscreen for a week following your treatment and avoid direct sun exposure. Failure to do this may result in hyperpigmentation.

ULTHERAPY

Please arrive 10-15 minutes early to fill out the necessary Ultherapy paperwork.  If you arrive late to your appointment you may forfeit your deposit and be asked to reschedule.

If you have any of the following Ultherapy is contraindicated at this time, please contact the office to reschedule: open wounds in the treatment area, severe or cystic acne in the treatment area, or active implants in the treatment area.  If recently treated with dermal fillers please wait 2 weeks to have Ultherapy if treating the same area.  Neurotoxins (Botox)etc can be performed after your Ultherapy treatment or if receiving Botox first wait 24 hours.

Medication may be prescribed to you prior to your appointment. If medication is prescribed you are agreeing not to drive for 24 hours following your appointment and will have a driver to take you home. If not having a medication prescribed to you we recommend taking Ibuprofen or Tylenol 30-45 minutes prior to your scheduled appointment. 

We do require a $100 non-refundable deposit as we reserve 1-2 hours for your treatment. If you cancel or need to reschedule you need to give us a minimum of 24 hours notice. If you are wanting to treat multiple areas, please be advised it may take more than one appointment.

Aftercare
This is truly a lunchtime procedure and most people do not have any visible downtime. Some people do have mild redness and swelling. Icing or topical hydrocortisone following the procedure is ok if needed. Results are gradual and take 2-6 months. Please call the office if you have any concerns.

PDO THREADS

Preparing for your PDO thread treatment
Before your appointment:
Please arrive with a clean face or we can provide you with face wipes.
We recommend discontinuing anything that may thin the blood a week prior to the procedure such as Fish Oil, Ibuprofen, Naproxen, Xarelto, St. John’s Wart, Heparin, Ginkgo Biloba, Vitamin E, Asprin. Discontinuation of any prescription medication should be discussed with your healthcare provider. We also recommend not drinking any alcoholic beverages 24 hour prior to the procedure to prevent bruising.
Smoking can delay healing and is generally not recommended prior to appointment or during the healing process.
Swelling/bruising can occur and may last up to two weeks depending on your body-Plan your treatment in advance of any big events!
Some people find Arnica or Pineapple to be helpful before or after the procedure to help with swelling/bruising. Icing gently for 15 minutes on 15 minutes off is recommended.
Inform us if you are prone to cold sores as injecting the lips or near the lips may increase the risk of an outbreak but can be treated.
After your appointment:
Do not apply makeup until the area has healed (at least 4 hours but may take longer)
Do not massage or manipulate the area in any way unless otherwise instructed
Do not exercise or perform any strenuous lifting for 72 hours after the procedure (or longer if instructed otherwise)
Avoid facials, waxing, massage for three weeks
Laser treatments can dissolve the product quicker and should be discussed with your provider
Any medication/supplement that can thin the blood including anti-inflammatory medications should generally be avoided for two weeks following the procedure and should be discussed with the medical provider
Swimming/submerging the area treated should be avoided until it has completely healed (days up to two weeks)
If lips are treated, avoid drinking out of straws until completely healed (may be up to two weeks)
Icing is generally recommended after the procedure, 15 minutes on 15 minutes off