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Injectables Pre + Post Care


 

Dermal Fillers

Pre-treatment:

  • If you are anxious or worried about your procedure, feel free to talk to the healthcare practitioner who will perform your procedure. Our practitioners are highly experienced and may have suggestions that will help.
  • Avoid Aspirin, Ibuprofen, Advil, St. John's Wort, oral Vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDs) in the 24 hours prior to your treatment as they may promote the risk of bruising and bleeding in the injection area.
  • If you are currently taking anti-coagulation medications (Warfarin, Coumadin, Heparin, Lovenox, Enoxaparin, Lepirudin, Refludan, Ticlopidine Ticlid, Clopidogrel, Plavix, Tirofiban, Aggrastat, Eptifibatide, Integrilin), discuss the use of these medications with your healthcare provider prior to your treatment. You may or may not be a candidate for treatment with cosmetic dermal fillers.
  • If you are prone to cold sores (oral herpes simplex), please notify your provider and take your prescribed medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed in the 24 hours prior to your treatment.

Post-care:

Please observe the following practices after treatment with cosmetic dermal fillers:

  • Avoid applying pressure or touching the treated area for six (6) hours after the procedure. The area can then be gently washed with a cleanser and water.
  • Avoid vigorous scrubs, exfoliation, or facial treatment in the area of treatment for 72 hours.
  • Avoid Microdermabrasion or Vibradermabrasion for 72 hours after cosmetic dermal fillers.
  • Avoid prolonged exposure to direct sunlight or UV/tanning beds for 72 hours after the procedure.
  • Avoid manipulation of the area following the injection unless specifically instructed otherwise by your healthcare practitioner.
  • For pain/discomfort, use cool packs and over-the-counter analgesics (Acetaminophen, Tylenol).
  • Oral or topical Arnica Montana, an herbal supplement, may help with reducing swelling caused by cosmetic treatments. DO NOT take Arnica Montana if you have liver or kidney problems.
  • Aspirin, Ibuprofen, Advil, St. John's Wort, oral Vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDs) may promote the risk of bruising and bleeding in the injection area.
  • If you are prone to cold sores (oral herpes simplex), please notify your provider and take your prescribed medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed for the 24 hours after your treatment.
  • If signs and symptoms of worsening pain or infection persist (warmth at the site of injection, discharge/pus, pain/discomfort) or if you develop a fever, please contact our office so our staff may assist you.

 

Botox®

Pre and post-treatment care instructions:

  • This treatment is not recommended if you have an important event within 2 weeks of injection due to the potential for bruising.
  • To minimize bruising, avoid blood thinners for 2 weeks before treatment unless you have been instructed to take blood thinners for a medical reason from your PCP.
  • For the first 4-6 hours following Botox®/Dysport®/Xeomin®, remain upright and periodically perform facial movements in the areas of injections in order to work the wrinkle relaxer into the muscle - e.g., smile, squint, etc.
  • Do not participate in activities that include heavy lifting, vigorous exercise or straining for 4-6 hours (it takes approximately 4 hours for the wrinkle relaxer to bind to the nerve and you do not want to increase circulation during that time).
  • Do not rub, touch, or manipulate the areas you were injected for 4-6 hours.
  • Avoid irritating products for 24 hours following your injections (retinol, Vitamin C, etc.)
  • Make-up may be gently applied before leaving the office, remember to wipe up and away from your eyes or brows.
  • Bruising in the area injected is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Using/taking Arnica before and after injections may help diminish bruising.
  • It may take up to 14 days for your wrinkle relaxer to take full effect.
  • A follow-up visit at 14-21 days is suggested to assess results for subsequent treatments, particularly if you are a first-time client.
  • Re-treatment is typically needed between 3-4 months.
  • Regular injections usually yield a longer-lasting result.
  • If your upper lip was treated you will not be able to drink through a straw, whistle, or enunciate some words for approximately 2 weeks.

 

Sculptra®

Pre-treatment:

  • If you are anxious or worried about your procedure, feel free to talk to the healthcare practitioner who will perform your procedure. Our practitioners are highly experienced and may have suggestions that will help.
  • Avoid Aspirin, Ibuprofen, Advil, St. John's Wort, oral Vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDs) in the 24 hours prior to your treatment as they may promote the risk of bruising and bleeding in the injection area.
  • If you are currently taking anti-coagulation medications (Warfarin, Coumadin, Heparin, Lovenox, Enoxaparin, Lepirudin, Refludan, Ticlopidine Ticlid, Clopidogrel, Plavix, Tirofiban, Aggrastat, Eptifibatide, Integrilin), discuss the use of these medications with your healthcare provider prior to your treatment. You may or may not be a candidate for treatment with cosmetic dermal fillers.
  • If you are prone to cold sores (oral herpes simplex), please notify your provider and take your prescribed medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed in the 24 hours prior to your treatment.

Post-care:

After each treatment session with SculptraAesthetic®, there are a few easy things you will need to help with the treatment results. You can print out this instruction sheet and keep it handy, so you remember to do these things every day:

  • HAVE AN - ice pack ready: Within the first 24 hours of treatment, apply a cloth-wrapped ice pack to the treated area for a few minutes at a time. Never apply ice directly to the skin.
    The cold will help reduce common swelling.
  • GIVE YOURSELF - facial massages: Massage the treated area for 5 minutes 5 times a day for 5 days after treatment as recommended by your physician
  • AVOID - excess sunlight and UV exposure: Protecting your skin from the sun is always important, but after treatment, excessive sunlight and UV lamp exposure should be avoided until any initial swelling and redness go away. Your doctor will provide guidelines on sunscreen protection and how to avoid excessive sunlight.
  • Treated areas may be red, swollen, and bruised for the first 2-7 days.
  • Avoid strenuous workouts and alcohol for 24 hours if possible.
  • If bruising occurs, continue Arnica supplements, DO apply topical Arnica gel, drink fresh pineapple juice, and/or take Bromelain supplements to help bruising resolve faster.
  • Bruising can be covered with makeup. i.e. Dermablend (CVS or Macy’s) or Colorescience Corrective Palette.
  • A few days after treatment, you will look as you did before treatment. This is normal, over time, SculptraAesthetic® will replace lost collagen.

 

Platelet Rich Fibrin (PRF)

Pre-treatment care instructions:

  • If you develop a fever, cold, or flu symptoms, or develop a cold sore, blemish, or rash, etc. in the area to be treated prior to your appointment, you must reschedule (we will not treat you).
  • It is recommended, if you have a special event or vacation coming up that you schedule your treatment at least 2 weeks in advance (we prefer 3-4).
  • If you are being treated in the lip area and have a history of herpes (cold sores) with outbreaks more than 4 times a year some practitioners recommended that you are pretreated with medication. **Please let us know that you need a prescription if you do not have this medication on hand. **
  • Discontinue use of anti-inflammatory drugs (steroidal and non-steroidal) such as Aspirin, Motrin (or any other Ibuprofen drugs) at least 3 days to 1 week before your treatment. With PRF, we "want" inflammation this is one of the mechanisms of how PRF does its work.
  • If you are or have been on systemic use of corticosteroids (steroids) within 2 weeks of treatment, we cannot treat you. Consult your physician for approval to discontinue the use of steroids and receive treatment.
  • Discontinue use of any other blood thinning agents such as Vitamin E, Vitamin A, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Essential Fatty Acids (EFA's and DHA's), etc. at least 3 days to 1 week before and after treatment to minimize bruising and bleeding.
  • It is recommended that you avoid: Alcohol, caffeine, Niacin supplement, spicy foods, and cigarettes 3 days before and after your treatment. (All of these may increase the risk of bruising)

Post-treatment care instructions:

  • There are minimal restrictions after your PRF injections allowing you to return to your daily activities almost immediately
  • Do not touch, press, rub, or manipulate the treated area (s) for at least 8 hours after your treatment
  • Avoid blood thinners and NSAIDs for 2 weeks following your treatment to minimize the risk of bruising
  • If you experience discomfort or pain, you may take acetaminophen/Tylenol as directed You may apply ice to the injected area for 20-30 minutes after the procedure for comfort
  • Do not wash or take a shower for at least 6 hours after your treatment
  • Do not use any lotions, creams, or make-up for at least 6 hours after your treatment
  • Avoid vigorous exercise and sun and heat exposure for at least 3 days after your treatment
  • It is normal to experience bruising, redness, itching, soreness, and swelling that may last 3-14 days following your procedure.

Please call our office should you have any questions or concerns regarding your PRF treatment or aftercare instructions

 

Kybella®

Pre-treatment instructions for Kybella® injections:

  • You may not be treated if you are pregnant or nursing, have difficulty swallowing nerve injury or weakness in the lower face, or an infection in the area. Inform your medical provider if you are on blood thinners, or have had procedures or surgery on your lower face or neck
  • Avoid blood thinners and NSAIDs for 2 weeks before the procedure to minimize the risk of bruising UNLESS you have been instructed to take any of these medications by your PCP
  • Tylenol will not cause bruising and is preferred for the week prior to treatment
  • Plan your procedure so that you can have 4 full days before returning to work or important social engagements as you will likely have swelling, redness, and potential bruising where you were injected
  • Have an antihistamine such as Claritin or Zyrtec available at home for discomfort and itching that may result from the procedure. This will also reduce swelling

Post-treatment instructions for Kybella® injections:

  • After your treatment, you should expect swelling and redness. You may also experience bruising, pain, numbness, and induration. This will normally last less than 5 days, but for some patients may last 14 days or longer
  • You may elect to ice the area post treatment. You may apply a cold compress to the area for 20 minutes per hour, and you may do this hourly for 24 hours following your injections
  • Do not participate in strenuous activity for 2 days following treatment
  • Sleep with your head elevated on at least 2 pillows the night following your injections
  • Do not scratch, pick or traumatize the area in any way
  • Do not massage or manipulate the injection site
  • You may apply your normal skin care regimen and sunscreen normally following your injections

 

QWO®

Pre and post-treatment instructions:

  • This treatment is not recommended if you have an important event within 2 weeks of injection due to the potential for bruising (if you plan to wear a swimsuit or something that reveals the treated area).
  • To minimize bruising, avoid blood thinners for 2 weeks before treatment unless you have been instructed to take blood thinners for a medical reason from your PCP.
  • For patients who are on anticoagulants or antiplatelets, you must obtain permission from your primary care provider (PCP) before pausing your medication. You must also obtain permission from your PCP to receive QWO® if you have a history of any bleeding disorders or coagulation issues.
  • For the first 5 minutes following QWO®, remain flat on your stomach before leaving the clinic.
  • Avoid irritating products for 24 hours following your injections (retinol, Vitamin C, etc.)
  • Bruising in the area injected is normal and expected. Bruising can last up to several weeks. Using/taking Arnica before and after injections may help diminish bruising.
  • Although rare, infection in the injected area is possible. Signs of infection may include redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.
  • Patients may return to normal activities following QWO® injections, as tolerated.