Pre+Post Care Instructions

PRE-TREATMENT INSTRUCTIONS

• Do NOT consume alcoholic beverages at least 24 hours prior to treatment to decrease the risk of bruising.

• Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment.

  Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections.

• Schedule your appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Full results and resolution of bruising and swelling may take a complete two weeks.

• Avoid dental work, including teeth cleaning, 2 weeks before filler appointment to avoid potential infections

  or lumps/bumps.

• Do not schedule your filler in the 2 weeks before or following a vaccine, including the Covid-19 vaccination

• Do not schedule your filler in the 2 weeks before or following a colonoscopy

• If you develop an infection, virus or rash prior to your filler appointment, please call our office; your

  treatment may need to be rescheduled until you have recovered

• Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the

  chances of lightheadedness during your treatment.

• You are not a candidate if you are pregnant or breastfeeding.

POST TREATMENT INSTRUCTIONS

• Ice (but avoid firm pressure) for 15 minutes 3 times the day of treatment.

• You may take Acetaminophen/Tylenol if you experience any mild tenderness/discomfort.

• Do not massage treated areas after treatment.

• After treatment there will be moderate swelling and redness with possibility of bruising. These symptoms

  will resolve in about 7 days. You may apply or take Arnica tablets to help decrease the amount of bruising.

• Avoid extended UV exposure until any redness/swelling has subsided. Apply SPF.

• Avoid strenuous exercise for 24 hours to reduce bruising. You may resume other normal activities/routines

  immediately .

• Avoid dental work, including teeth cleaning, 2 weeks after filler appointment to avoid potential infections or

  lumps/bumps.

• Call immediately if extreme pain, blanching or marked bruising of the area or visual disturbances,

  headache, or other constitutional symptoms.

PRE-TREATMENT INSTRUCTIONS

• Do NOT consume alcoholic beverages at least 24 hours prior to treatment to decrease the risk of bruising.

• Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections.

• Schedule your appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Full results from toxin injections will take 14 days. Also bruising and swelling may be apparent in that time period.

• Be sure to have a good meal including food and drink before your procedure. This will decrease the chances of lightheadedness during your treatment.

• You are not a candidate if you are pregnant or breastfeeding. 

POST-TREATMENT INSTRUCTIONS

• Do NOT manipulate the treated area for 4 hours following treatment. Do NOT receive facials or microdermabrasion for 2 days after treatment unless specified by physician.

• Do NOT lie flat for 4 hours after your treatment to prevent toxin from tracking to undesired muscles.

• It can take 14 days for full results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional injections.

• Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep the toxin in the injected area and not elsewhere.

PRE-TREATMENT INSTRUCTIONS​

Avoid Accutane for the past 6 months

Do not use topical agents that may increase sensitivity of skin: retinoids, topical antibiotics, exfoliants, acids that may be drying or irritating to the skin (such as alpha hydroxyl acid (AHA) beta hydroxyl acids (BHA), exfoliating masks, salicylic acids, hydroquinone, and benzoyl peroxide acne products) 5-7 days prior

Do not take any anti-inflammatory medications such as ibuprofen, Motrin or Advil for 3 days prior to treatment. These agents will interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation

Avoidance of IPL/Laser procedures, unprotected sun exposure or sunburn for 2 weeks prior

No waxing, depilatory creams or electrolysis to area being treated 5-7 days prior

No shaving the day of the procedure to avoid skin irritation. If there is dense hair present in the treatment area, closely shave the area the day before you arrive to your appointment. Moles, warts or actinic (solar) keratosis cannot be treated.
If you are prone to cold sores, take antiviral agent for 2 days prior to and day of treatment. Call office for prescription.

Bruising is a common risk especially with PRP injections. Avoid blood thinning agents (aspirin, fish oil, Omega-3, Vitamin E) for 1 week prior. May resume day after treatment.

*Please see anti-bruising protocol for full description 

OPTIONAL

Preparing the skin for this procedure will ensure optimum results. Healthy skin will respond better and results will last longer. Skin cells need nutrients for best function.

Skin care for pre-conditioning 4-6 weeks prior. Provider will make recommendations if pre-conditioning needed.

• Dietary recommendations for optimal healing and result. We recommend Collagen MD Advanced Connective Tissue Support Formula for 2 weeks pre-and post-treatment. Collagen MD products are available in our office, no prescription needed.

CONTRAINDICATIONS

Pregnancy, actively infected or actively inflamed skin, skin irritation, cystic acne to area being treated, keloid scars, allergies to topical lidocaine and sunburn.

Day of Treatment

• Skin is clean without lotion, oil, makeup, powder, perfume or sunscreen. Patient may wash face in office upon arrival.

• Inform provider of any relevant changes in your medical history and of all medications you are taking.

• Notify provider of any cosmetic tattoos to areas being treated.

• Topical Lidocaine will be applied in office for 30-45 min prior to treatment.

If combining Microneedling with Platelet Rich Plasma (PRP), your blood will be drawn in office while you are numbing.

​

POST TREATMENT INSTRUCTIONS

Immediately after your Medical MicroNeedling procedure, your health care provider will apply a hyaluronic mask for 5-10 min and moisturizer.

Do not take any anti-inflammatory medications such as ibuprofen Motrin or Advil for 1 week. DO NOT ice face or use arnica or bromelain. These agents may interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation.

Avoid sun tanning and prolonged exposure to direct sunlight for 2 weeks. After 24 hours, always use a full spectrum sun screen SPF30 or above. When exposed to sun, wear a hat and apply sunscreen every 2 hours.

• Use Tylenol only as needed for any soreness

• Optional dietary recommendations: Eat fresh pineapple, tart cherry juice (no sugar), salmon (omega-3 fish oil), bone broth based soups, continue taking collagen 1 & 3 supplement (Collagen MD Advanced Connective Tissue Support Formula) for 2 weeks to optimize healing. Avoid dairy, wheat and sugar!

DAY 1-3

A sunburn -like effect is normal. The skin will feel tight, dry, sensitive to touch. Treat skin gently washing with a gentle cleanser, cool water, using hands only and pat dry no earlier than 4 hours after treatment. Redness or sensitivity might well be present. Some small bruising is common with PRP injections and may last up to 5-7 days and swelling can last 2-4 days depending on how aggressive of a treatment you received.

Plan your social calendar accordingly!

• Avoid strenuous exercises that cause sweating, jacuzzi, sauna or steam baths for 24 hours due to open pores, or up to 48 hours if inflammation exists.

• May only use Oxygenetix Make-up post procedure or Mineral makeup after 24 hours

• Sleep on your back with head of bed elevated to minimize swelling or pain as needed

DAY 2-7

• Peeling may start 3-5 days after treatment. You will notice skin dryness and flaking. This is due to an increased turnover of skin cells. Do not pick, scratch or scrub at treated skin! Allow old skin to flake off naturally and keep moisturized AT ALL TIMES with Hyaluronic serum and TGF- growth factor followed by Le Mieux Derma Relief Serum for extra dry skin every 2 hours if needed.

DAY 5-7

You may restart your regular skin care products and Retin-A once your skin is no longer irritated.

Many patients have noticed continued skin improvement for months following the last treatment.

• For best results, we recommend follow up and repeat treatments in 4-6 weeks and a series of 3-5 treatments depending on your personalized care plan.

• *For further information or to book an appointment, please call our office.