FAQ

What is Botox?


Botox, Dysport, Xeomin, and Nuceiva are brand names of medications known as neuromodulators. Neuromodulators work by temporarily blocking the signal that tells the muscle to contract. When small amounts of these medications are injected, they relax the movement of targeted facial muscles. When you decrease the movement of these muscles you also decrease wrinkling and smooth out the appearance of the skin.

The effects of these medications wear off after approximately 3 months. However, with regular treatments results may last longer and a smaller dose may be required. These medications can help to prevent the appearance of permanent wrinkles and soften existing fine lines.
Botox is also a highly effective and safe treatment for excessive underarm sweating and for chronic migraine headaches.




What are Dermal Fillers?


Dermal fillers are injected to restore lost volume or add lift. From our mid twenties we start losing collage and elastin in our skin. This causes sagging and eventually deep lines. We use fillers around the eye, cheeks, mouth and jawline to restore and enhance natural face shape. By restoring this lost volume sagging skin and deep lines can be lifted and smoothed. They can also be used to enhance lips for a full, hydrated look. Common areas for fillers include lips, under eye, cheeks, and in the lines extended from the nose along the mouth. Fillers have been used for decades and are typically made up of hylauronic acid which is substance that your body naturally makes.




Are the treatments safe?


Botulinum Toxin Botulinum toxin has a long history of use for various medical conditions since the 1970s and a very good safety profile. It has been used for cosmetic applications since 2002. Botox is also a very effective treatment for conditions such as migraines and excessive underarm sweating. Dermal Fillers Hyaluronic Acid (HA) fillers have been used since the early 2000s with a good safety profile. HA occurrs naturally in the skin and helps keep skin plump and hydrated. These fillers typically last 6 to 12 months before the body gradually and naturally absorbs the particles. A skilled injector is essential to ensure safe administration. Most common side effects to these treatments are mild injection pain, bruising, and slight swelling. Full details regarding risks and benefits will be discussed during your consultation with a healthcare provider.




When should I have a treatment for a special event?


If you have never had a botulinum toxin or dermal filler treatment, then ideally you should have your first treatment 4 months before your important event so that the dose and effect can be fine tuned before the big day. If you have had a treatment in the past with no adverse effects then 3 to 4 weeks before the event would be the best timing.




Botox: Before & After Care


Botulinum Toxin
Pre-Treatment Care

  • To reduce bruising, avoid taking blood thinning supplements and non-essential medications for 7 days before your treatment. These include: fish oil, garlic, ginger, ginkgo biloba, ginseng, green tea, and vitamin E, aspirin, Advil (ibuprofen) and Aleve (naproxen).
  • Avoiding alcohol for 24 hours before your treatment can also reduce your chances of bruising.
  • Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.
  • If you are having lip treatment done and have a history of cold sores (perioral herpes), you can discuss starting a prescriptive medication to prevent an outbreak prior to your procedure.
  • Sunburned skin is difficult to treat so avoid exposure to the sun.
  • Always inform your treating healthcare provider or all medications that could interact with treatment such as: antibiotics, blood thinners (ie) Coumadin/warfarin, Plavix).
OTHER IMPORTANT INFORMATION
  • Neurotoxins and fillers are not approved for use when pregnant or breastfeeding.
  • Do not use neurotoxins if you are allergic to eggs, milk proteins, or have any neurological disorders.
  • Treatment cannot be performed on active skin infections.
  • It is not recommended to have Neurotoxin treatment on the same area less than 90 days apart.
  • The most common side effect is bruising and swelling. It is NOT advisable to have injections less than 2 weeks before a big event.
Post-Treatment Care
  • Exercise your treated muscles for the first hour after treatment (e.g. practice frowning, raising your eyebrows or squinting). This helps to work the treatment into your muscles.
  • Do NOT have a facial, rub, or massage the treated area for 24 hours after your treatment.
  • Do NOT lie down or do strenuous exercise for four hours after treatment.
  • Avoid any exposure to a sauna, hot tub or tanning for four hours. This will prevent your blood pressure from rising and thus minimize the risk of bruising after treatment.
  • Some patients experience a mild headache following their treatment. You may take Tylenol for pain relief.
  • Tiny bumps or marks will go away within a few hours after your treatment.
  • There is a small risk of bruising. If this occurs, it is temporary and can easily be covered up with makeup. Bruising may last up to one week.
  • Effects begins gradually anywhere from 3-7 days and is not complete for two weeks. A follow up appointment is planned for 2 weeks after your treatment to assess the outcomes.
  • Treatments will gradually wear off over the course of 3 months.




Filler: Before & After Care


Dermal Fillers Pre-Treatment Care

  • To reduce bruising, avoid taking blood thinnning supplements and non-essential medications for 7 days before your treatment. These include: fish oil, garlic, ginger, ginkgo biloba, ginseng, green tea, and vitamin E, aspirin, Advil (ibuprofen) and Aleve (naproxen).
  • Avoiding alcohol for 24 hours before your treatment can also reduce your chances of bruising.
  • Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.
  • Please inform us if you have any history of Herpes Simplex (cold sores) on your face, we will prescribe a preventative medication for you to take 1 week before your appointment to prevent an outbreak.
  • Avoid dental procedures (including cleaning) 2 weeks pre filler and 2 weeks post filler
  • Bruising and swelling will be worse for the first 24-48 hours after you receive 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.
OTHER IMPORTANT INFORMATION
  • Fillers are not approved for use when pregnant or breastfeeding.
  • Treatment cannot be performed on active skin infections.
  • The most common side effect is bruising and swelling. It is NOT advisable to have injections less than 3 weeks before a big event.
Post-Treatment Care
  • Redness, swelling, bruising, and tenderness are common after the injections. These can last up to a week.
  • Avoid excessive touching or massaging the treated areas for about 6 hours after the injections. The treated areas can be washed with a gentle cleanser.
  • Cold compresses applied without pressure may be used to reduce swelling and decrease soreness.
  • Tylenol can help with discomfort.
  • To reduce bruising, avoid taking blood thinnning supplements and non-essential medications for 5 days after your treatment. These include: fish oil, garlic, ginger, ginkgo biloba, ginseng, green tea, and vitamin E, aspirin, Advil (ibuprofen) and Aleve (naproxen).
  • Avoid strenuous exercise for 48 hours to prevent moving the filler or increasing blood flow to the face.
  • Extensive sun, UV light exposure, and alcoholic beverages may cause increased redness, bruising, or swelling.
  • Avoid all dental procedures (including cleaning) 2 weeks post filler.




How long does a treatment last?


Botulinum Treatments: Results reach full effect in 1 to 2 weeks and last approximately 3 months. Dermal Fillers: Results are immediate, although swelling and bruising are common in the first few days. Duration of results depends on the area treated but will typically last 6 to 12 months.