(Pre & Post Care Instruction For BOTOX® Cosmetic, Dysport®, and XEOMIN®.)

PRE-CARE:

• Avoid the use of Aspirin, NSAIDS, Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week pre and post injection as they will increase your risk of bruising.
• Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid extra bruising.
• You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising.
• Do not apply products that are potentially irritating for 2 -3 days before and after treatment (examples – tretinoin/retin-a, glycolic acid, benzoyl peroxide, hydroquinone).
• Inform your provider if you have a history of cold sores to receive advice on antiviral therapy prior to treatment.
• Do not use the above stated if you are pregnant or breastfeeding, are allergic to any of its ingredients, or have a history of neurological disorders.
• Please inform your provider if you have any questions about this prior to the treatment.

DAY OF TREATMENT

• You may use topical anesthetic medication in office before your scheduled appointment (please arrive 15 minutes prior to procedure).
• Arrive with a clean face. Please do not wear makeup.
• You may experience a mild amount of tenderness or stinging during and following injection. Redness and swelling are normal. Some bruising may also be visible.

AFTERCARE:

• It is best to try to exercise your treated muscles for 1-2 hours after treatment (e.g. practice frowning, raise your eyebrows, and squint). This helps to work the product into your muscles.
• Stay in a vertical position for 4 hours following injection. Do not rest your head or lie down; sit upright.
• 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. 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 laser, IPL, or skin tightening treatments of the area for a minimum of 24 hours (or as directed by your provider) after injection.
• You may continue your topical products as mentioned above 1 week after injection.