Neuromodulator (Botulinum-A Toxin) Pre- and Post-Treatment Instructions

These guidelines are designed to support optimal results while aligning with current clinical evidence and safety standards. Individual recommendations may vary—always follow your provider’s specific guidance.

Before Your Appointment

To minimize bruising and ensure safe treatment:

• Avoid alcohol and non-essential blood-thinning medications/supplements (e.g., aspirin, ibuprofen, vitamin E, fish oil, garlic, ginkgo) for 24–72 hours prior to, unless prescribed by your physician

• Inform your provider of all medications, medical conditions, pregnancy/breastfeeding status, or prior neuromodulator treatments

Immediately After Treatment (First 4 Hours)

• Remain upright (do not lie flat)

• Avoid rubbing, massaging, or applying pressure to treated areas

• Avoid hats, headbands, or anything that compresses injection sites

First 24 Hours

• Avoid strenuous exercise and activities that significantly increase body temperature (e.g., saunas, hot yoga)

• Avoid alcohol to reduce the risk of bruising

• Avoid excessive heat and direct sun exposure

• Gentle cleansing is permitted; makeup may be applied lightly if needed

First 24–48 Hours (Precautionary)

• Avoid facials, massage, or energy-based treatments to the area

• Avoid NSAIDs (e.g., ibuprofen) if possible to minimize bruising

What to Expect

• Mild redness, swelling, or bruising at injection sites may occur and typically resolves within a few days

• Bruising, while not the goal or desired outcome, can occur with any injectable treatment. Even when performed correctly, small blood vessels beneath the skin may be affected. This is temporary and typically resolves within several days to a week

• Initial effects may begin in 3–5 days, with full results at 10–14 days

• Results generally last 2–4 months, varying by individual

Important Considerations

• Serious complications are uncommon

• Emerging evidence suggests many traditional restrictions are precautionary; however, conservative aftercare is recommended to optimize outcomes

• Contact your provider if you experience significant asymmetry, eyelid drooping, difficulty swallowing, or other unexpected symptoms

Follow-Up

A follow-up at 2 weeks is recommended to assess results and determine if any adjustments are needed.

By proceeding with treatment, you acknowledge that you have received and understand these instructions. Results vary by individual, and no guarantees are implied.

Dermal Filler Pre- and Post-Treatment Instructions

These guidelines are designed to optimize your results and support a smooth recovery. Individual recommendations may vary—please follow your provider’s specific guidance.

Before Your Appointment

To minimize bruising and reduce the risk of complications:

• Avoid alcohol and non-essential blood-thinning medications/supplements (e.g., aspirin, ibuprofen, vitamin E, fish oil, garlic, ginkgo) for 24–72 hours prior to, unless prescribed by your physician

• Avoid chemical peels, laser treatments, or other skin-irritating procedures for 1–2 weeks prior to

• Schedule treatment at least 1 month before major events, as swelling, bruising, or asymmetry may occur

Immediately After Treatment (First 4–6 Hours)

• Avoid touching, rubbing, or applying pressure to treated areas

• Remain upright; avoid lying flat

• Avoid makeup

First 24 Hours

• Avoid strenuous exercise

• Avoid alcohol to reduce risk of swelling and bruising

• Avoid excessive sun, heat exposure, and tanning beds

• Avoid extreme cold exposure

• Do not massage or manipulate treated areas

• Avoid make-up

First 48 Hours

• Continue to avoid pressure on treated areas (e.g., sleeping face-down, tight headwear)

• You may resume supplements such as garlic, ginkgo, fish oil, and vitamins after 48 hours, if desired

First 1–2 Weeks (Settling Phase)

• Avoid facials, massage, laser treatments, or chemical peels in the treated area

• Allow time for filler to integrate; final results should be assessed at 3 weeks

• If planning additional treatments (laser, peels, etc.), space them at least 4 weeks before or after filler to reduce the risk of inflammation

What to Expect

• Swelling, tenderness, and mild asymmetry are common initially and typically improve within several days to 3 weeks

• Bruising, while not the goal or desired outcome, can occur with any injectable treatment. Even when performed correctly, small blood vessels beneath the skin may be affected. This is temporary and typically resolves within 7–14 days

• Temporary firmness, unevenness, or small lumps may occur and usually soften as the product settles

Important Considerations

• Most side effects are mild and self-limited

• Contact your provider promptly if you experience severe or increasing pain, significant swelling, skin color changes (pale, dusky, or mottled), or any unusual symptoms

Follow-Up

A follow-up at 3 weeks is recommended to assess results and determine if any refinement is needed.

By proceeding with treatment, you acknowledge that you have received and understand these instructions. Results vary by individual, and no guarantees are implied.