Pre & Post Care
Botox / Neuromodulator Treatment Care
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• Avoid taking aspirin (unless directed by your doctor) or other non-steroidal anti-inflammatory drugs (NSAIDs) 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 the procedure, as these medications may cause increase risk of bleeding and bruising at the treated site(s).
• Avoid alcoholic beverages for 24 hours prior to the 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 your injector before your appointment.
• Avoid sun exposure to prevent sunburn.
• Eat a small meal or a snack before your appointment.
• Always inform your injector of your medical history and all medications, including supplements.
PRECAUTIONSYou would not be considered a candidate for Botox® or neuromodulator if you have any of the following:
· Myasthenia Gravis
· Allergy to Botulinum Toxin
· Neuromuscular disorder
· Pregnant or breastfeeding
· Allergy to human albumin
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• Avoid facials, saunas and massages to the face the day of treatment.
• Do not swim in the ocean or put on make up the day of injection to prevent infection.
• Do not touch or rub injected site for 2-4 hours following treatment. Avoid exercise and sweating.
• 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 treatment. Please wait until 14 days have passed before assessing if you are pleased with the results.
• 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)
• Neuromodulator (Botox, Xeomin, Jeaveu, Dysport) 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 neuromodulator to fine-tune/adjust your treatment results, there will be additional charges for 5 units and up.
• Remember to wear sunscreen every day.
Dermal Fillers Treatment Care
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You may take Tylenol® (if not contraindicated) one hour before your appointment to prevent any discomfort.
Take arnica supplement and/or bromelain supplement (found in pineapples) to help minimize the swelling and bruising after injection
If you are taking blood thinners such as Aspirin, Coumadin, Eliquis, Xarelto, Pradaxa or Plavix, please let us know but DO NOT stop taking the medication.
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.
If you have any history of Herpes Simplex (cold sores) on your face, make sure you inform us one week prior to your appointment; this will allow us adequate time to prescribe a medication to prevent an outbreak that can affect your lip filler results.
Avoid dental procedures (including cleaning) 2 weeks before filler and 2 weeks after filler treatment.
Come to your appointment with a clean face and make up free to the treated area.
Eat a small meal or a snack before your appointment.
Bruising and swelling will be worse for the first 24-48 hours after 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.
Please refrain from travel plans outside of the state for 5 days after dermal filler treatment so we can address any symptoms or complications that arises.
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You may take Tylenol (unless instructed not to by your doctor) every 4-6 hours after the treatment to help with any discomfort you may have. Swelling will subside on its own with time; no need for ice.
Please avoid travel plans outside the state for 5 days after treatment so we can address any symptoms.
Notify your injector immediately if you notice any paleness, pain that won’t go away or bruising that is getting bigger and at a different area of the treated site. For example, if we treated your lips and you noticed bruising on your chin and on perimeter of the mouth, please notify us immediately.
Taking arnica supplement or bromelain (found in pineapples) can help with bruising.
Avoid putting pressure to the treated area by sleeping on your back.
If lip fillers were done around the mouth area, avoid drinking from a straw, smoking and vaping as it can change the shape.
The majority of reactions to dermal fillers are redness, swelling, lumps, bruising and tenderness after the injections. These usually subside a few days after the treatment, but can last up to 2 weeks. If any of these symptoms persist after taking Tylenol, or if you develop other discomfort, please contact our injector.
Avoid make up and swimming in the ocean for the first 24 hours to prevent 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.
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 touching, massaging or manipulating the treated areas. The treated areas can be washed with a gentle and unscented cleanser.
Avoid dental procedure (including cleaning) for 2 weeks after filler injection
Your satisfaction is important to us! We would like you to return to the salon in 2 weeks for a follow up for the best result.
Remember to wear sunscreen daily.
Fat Dissolver Treatment Care
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• Foods and Medications to Avoid. Two weeks before your appointment try to avoid nuts, seeds, fish, fish oil, NSAIDs, supplements, and anything that prolongs bleeding. This will significantly help minimize bruising, bleeding and swelling.
• Arnica Supplements. You can start Arnica supplements a week prior to injection to help with post injection bruises. Arnica helps to speed up the fading away of bruises.
• Medications and Supplements. Talk to your primary healthcare provider if you are on blood thinners you may need to stop these a few days to weeks prior to your treatment. Speak to your prescribing physician regarding safety of stopping and restarting these medications. We do not recommend patients that are on life saving medications stop their medications in order to have any cosmetic procedures performed. -
• Eat and drink before your treatment. It is not uncommon for patients to “pass-out” or get lightheaded during their injection. Having a good blood sugar and being hydrated will make it less likely that you will feel queasy during your treatment.
• Men with beards should shave area under the chin. Men who have a beard should shave the part of their beard under their chin. A beard will interfere with the doctor’s ability to make markings on the skin for the injection sites, potentially displace the trajectory of the injection needle and distort the true appearance of the jaw line.
• Come with a clean face and minimize make up and lotion the area that will be treated.
• Reserve your next appointment. Fat dissolver injections are typically repeated in 4-6 weeks following the initial session.
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After your fat dissolver injection.
The first few days after your treatment the treated area will be very swollen; it will take weeks for results to become noticeable. We recommend not evaluating results until completing your course of treatment.
It is normal to have swelling, pinpoint bleeding and bruising underneath the chin. Due to the numbing cream applied for your procedure you will still feel numb for another 1-2 hours after your procedure. Please be sure to follow our post procedure instructions in order to minimize swelling, bruising and decrease downtime. The initial results from the fat dissolver can been seen in just one to two sessions. Although more than one treatment is required for optimal benefits, once the full series has been completed, no further maintenance is needed. The fatty tissue, once eliminated, will not return. This means that the results from the fat dissolver treatment are permanent.
• Ice Area. Use a small bag of frozen peas in a sandwich bag or crushed ice to gently ice the area. No heavy ice bags. Ice for 20 minutes on and 20 minutes off. Continue the icing for 48 hours if possible.
• Minimize Strenuous Exercise: We recommend no strenuous exercise for 48 hours in order to reduce swelling and bruising. • Do not manipulate or massage or rub or poke the area. Do not massage or manipulate the treated area which will be quite swollen after the fat dissolver injections. You may shower and wash your face with gentle cleanser. Avoid facials, chemical peels or laser treatments on the treated area for 14 days.
• Make up including concealer can be used to cover up any bruises 24 hours after injections.
• Take Arnica supplements. Arnica supplements can quickly help reduce appearance of bruises.
• Sleep with head propped up on 2-3 pillows. For the first 2-3 days sleeping with your head propped up on 2-3 pillows can help minimize swelling under the chin area. Swelling should begin to improve after about 48 hours to 1-2 weeks.
• Pineapples help to minimize swelling and brusing after injections. Pineapples have natural anti-inflammatory properties to help with healing.
• Take Tylenol for Pain: It is normal to experience some pain and sensitivity in the area of the injections. Most patients find that Tylenol can help relieve this post-injection pain. Avoid NSAIDs such as Motrin and ibuprofen as these can make swelling and bruising worse.
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.
Avoid touching, massaging or manipulating the treated areas. The treated areas can be washed with a gentle and unscented cleanser.
Your satisfaction is important to us! We would like you to return to the salon in 2 weeks for a follow up for the best result.
Remember to wear sunscreen daily.
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• Bruising. Bruises may last 1-2 weeks. Bruises can show up several days after the treatment.
• Swelling, Inflammation and Redness. Swelling will be the worst the first two days and is mostly due to localized inflammation. Initial swelling can take up to 2 weeks to settle. Sleeping propped up and icing can minimize this side effect. Avoid exercise first 48 hours or longer as swelling increases when working out.
• Asymmetry. Asymmetry initially is mostly secondary to swelling and any bruises that have formed under the skin. After a few weeks swelling will start to diminish and the fat melting results will begin to be noticed.
• Localized “Hardening” Under the Skin. As the fat starts to melt it can form hardened nodules. Your healthcare provider will advise you when to start massaging the nodules to facilitate them dissolving quicker
WHEN TO CONTACT US
• Uneven smile or facial muscle weakness
• Trouble swallowing
• Injection site ulceration or tissue cell-death
• Hair loss (alopecia) in treated area
Chemical Peel Treatment Care
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• Inform the provider if you have taken Accutane (oral acne medication) in the past year.
• Stop application of all topical retinoids, or Vitamin A derivative products.
• Stop the use of all Glycolic or chemical exfoliants.
• Stop use of all mechanical exfoliants, such as scrubs.
• Avoid facial waxing.
• Avoid sun exposure without a sunscreen of SPF 30 or greater. Avoid tanning beds.
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Expect your skin to appear pink for a few hours after treatment.
• Your skin may be sensitive for a few days to 2 weeks after treatment.
• Avoid direct sunlight on the treated area and use a broad spectrum UVA/UVB sunscreen of SPF 30 or greater for 1-2 weeks after your treatment. Wear a large brim hat to protect your skin.
• Keep your skin well hydrated with a protective moisturizer, EltaMD Skin Recovery is recommended.
• Avoid using abrasive products such as scrubs or exfoliating sponges for 7 -10 days.
• Avoid products such as retinols and glycolic acid 10 days.
• Vitamin C Serums may be resumed after 48 hours.
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• Peeling is expected for on day 3-10
• Mild Itching, irritation, redness, increased sensitivity.
• Crusting is rare; however if it does occur, a thin layer of over-the-counter antibiotic ointment such as Polysporin® can be applied 2-3 times a day for 3 days. Please call us if you experience this uncommon reaction.
Microneedling Treatment Care
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No use of Accutane/Isotretinoin within the last 6 months
Avoid retinoids, topical antibiotics, exfoliants, hydroquinone, sunburn, and benzoyl peroxide 3 days (72 hours) prior to your microneedling procedure
No IPL/Laser procedures 7 days prior to treatment.
No waxing, depilatory creams (i.e. Nair, etc.), or electrolysis treatments 7 days prior to treatment.
No shaving on the day of the procedure, please do this at least 24 hours prior.
• No significant changes in the skin including breakdown of skin, excess dryness, or sunburn.
Please make sure your skin is clean, without lotion, oil, makeup, deodorant, powder, perfume or sunscreen.
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Please omit lotions, creams or make up in the area to be treated
Arrive for your appointment with clean, washed skin
Inform your provider of any changes in medical history, and of all medications you are taking
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Avoid Sun Exposure:
Sunlight can damage the newly stimulated skin, so stay out of direct sun and wear sunscreen with a high SPF every day for at least 7-10 days.
Gentle Cleansing:
Only wash the treated area with lukewarm water and a gentle cleanser for the first 24-72 hours, then gently exfoliate after 3-5 days if needed.
Hydrate:Drink plenty of water to support the skin's natural healing process and help maintain moisture.
Apply a hydrating moisturizer 2-3 times a day to keep the skin from drying out.
4. Avoid Harsh Products:
Avoid using any alcohol-based toners, exfoliating products, or harsh skincare ingredients for at least 10-14 days after micro needling.
Also, avoid using retinol, exfoliation, and fragrance-containing products for a few days.
Protect the Skin:Avoid sweating, saunas, and swimming pools for at least 2-3 days to prevent infection and irritation.
Be cautious about applying makeup, especially for the first 24-48 hours.
Monitor for Any Issues:If you experience excessive pain, swelling, or signs of infection (redness, pus, warmth), contact your dermatologist or micro needling provider immediately.
PRF Treatment Care
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Avoid the following for at least 1 week prior to treatment:
Retin A/Tretinoin or retinol containing products
NSAIDS (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin)
Tylenol is allowed
Certain nutritional supplements (Gingko, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients)
Systemic Steroids (prednisone, dexamethasone)
Alcohol and Cigarettes
Hydrate well the day before and the day of the procedure for ease of blood draw.
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Blood will be drawn and spun in a centrifuge for PRF to be processed.
Local anesthetic will be used to minimize discomfort.
PRF may be injected into the areas of concern first which can be followed by the PRF.
PRF will be injected into the areas of concern
There may be redness, swelling and bruising after the procedure.
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Expect mild inflammation, swelling, and redness.
Bruising may occur in certain areas.
Apply Arnica gel or cream:
Twice a day for the first 3 days
Then once daily for 1 week
Sleep on an incline
Avoid sleeping on your belly
Avoid the following for at least 1 week:
Topical products:
Retin-A, Tretinoin, or any retinol-containing products
Medications:
NSAIDs (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin) — Tylenol is allowed for pain relief
Supplements:
Gingko, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin, and other anti-inflammatory nutrients
Substances:
Alcohol and cigarettes
Radiesse Biostimulatory Treatment Care
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-For 24 hours prior to treatment, Avoid alcohol, especially red wine as it can increase bruising.
-Come with a clean face by avoiding the use of make up
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Redness at the injection site is normal
Typically resolves within 3 days
Swelling is very common
Can last up to 2 weeks
Apply a cool compress or ice pack for 15 minutes each hour to help reduce swelling
Do not massage any lumps for the first 72 hours
Lumps are usually swelling and can persist for up to 2 weeks post-treatment
Avoid touching the treated area for 6 hours
After 6 hours, you may gently wash the area with soap and water
Until redness and swelling subside, avoid:
Intense heat (sunlamps or sunbathing)
Saunas and hot tubs (for at least 72 hours)
Extensive sun exposure
Avoid alcohol for 24 hours
Avoid strenuous exercise for 48 hours
This helps reduce the risk of increased swelling and water retention
Avoid makeup for 24 hours
Avoid facials, facial massages, and facial cleansing devices for 2 weeks post-treatment
Avoid travel plans for 5 days after treatment so we can address any symptoms that may arise
Call the office immediately if you experience the following:
• Have discolored blotches in areas not injected
• Have blanching of injected areasNotice the area appears red and/or hot to touch
Have severe or increasing pain
Weight Loss (Tirzepatide) Care
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Consult Your Healthcare Provider: Discuss your medical history, including any kidney, pancreas, or thyroid issues or family history of thyroid cancer as well as conditions like diabetic retinopathy or gastroparesis.
Share Your Medication List: Inform your provider about all current medications, including over-the-counter drugs, as some can interact with tirzepatide.
Discuss Pregnancy and Breastfeeding: If you're pregnant, breastfeeding, or planning to become pregnant, talk to your doctor about the risks and benefits of taking tirzepatide.
Safety Disposal of Sharps: Prepare a safety sharp bin at home out of reach from children
Bring a cooler bag with an ice pack to your appointment to keep the medication cold for traveling.
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Maintain a Balanced Diet: Focus on nutrient-dense foods like lean proteins, whole grains, fruits, and vegetables. Limit processed foods, sugary snacks, and high-fat items.
Stay Hydrated: Drink plenty of water throughout the day to support overall health and potentially manage side effects like nausea or constipation. Aim for at least 8-10 glasses (64 ounces) daily.
Avoid constipation by consuming food high in fiber such as prunes, papaya and vegetables.
Engage in Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, combined with strength training two or more days a week.
Monitor for Side Effects: Be aware of potential side effects, such as nausea, diarrhea, and constipation, which may be more pronounced when starting or increasing your dose.
Manage Side Effects:
Nausea: Eat smaller, more frequent meals, avoid greasy or spicy foods, stay hydrated, and consider ginger or peppermint.
Constipation: Increase fiber intake gradually, drink plenty of fluids, and exercise regularly.
Communicate with Your Healthcare Provider: Schedule regular check-ups to monitor your progress, discuss any concerns, and adjust your treatment plan as needed.
Report Any Severe or Persistent Side Effects: If you experience severe or persistent nausea, vomiting, or other concerning symptoms, contact your healthcare provider immediately.
Store Tirzepatide Properly: Store medication in the refrigerator at 36°F to 46°F (2°C to 8°C), and protect them from light. Avoid freezing them.
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Maintain Sustainable Habits: Continue with the healthy lifestyle changes you adopted during treatment, including a balanced diet and regular exercise.
Transition Gradually (if applicable): Work with your healthcare professional to adjust or phase out the medication as appropriate.
Continue Monitoring: Regularly track your weight and other health markers to maintain long-term success.
Seek Ongoing Support: Consider joining support groups or seeking counseling to help navigate post-treatment challenges.
Its common side effects include nausea, diarrhea, and heartburn. Many people experience these side effects when they first start taking tirzepatide or after their dosage is increased.
For many people, these side effects are usually mild and get better as they continue to take the medication. But in the meantime, there are at-home strategies to help ease symptoms. Below are some tips to help you manage common tirzepatide side effects.
| Side Effect | Management Strategies | Things to Avoid |
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| Nausea |
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| Diarrhea |
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| Heartburn |
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Contact your healthcare provider if you have side effects that don’t improve or become severe.It’s best to store Tirzepatide in the fridge. It’s ideal to store them in the refrigerator at 36°F to 46°F.
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