(Botox® & Dysport®)
Before Your Appointment

Bruising is possible with any injection. To help reduce your risk, please avoid the following 7–14 days before treatment, unless prescribed by your medical provider:

• Pain relievers / anti-inflammatories:

Aspirin, ibuprofen (Advil®, Motrin®), naproxen (Aleve®), Excedrin®

✔ Tylenol® (acetaminophen) is okay and does NOT contribute to bruising

• Supplements & herbs:

Fish oil, omega-3s, multivitamins, vitamins A & E, turmeric, garlic, ginger, ginseng, ginkgo biloba, St. John’s Wort, evening primrose oil, grape seed extract, glucosamine + chondroitin

• Alcohol and green tea

After Your Treatment

First Hour

• Do not touch, rub, or apply makeup, sunscreen, or skincare to treated areas for 30 minutes

• Avoid pressure from fingers or your cell phone

First 24–48 Hours

• Do not rub or massage treated areas

• Avoid hats, helmets, or tight headwear

• Avoid glasses if your nasal (“bunny line”) area was treated

• Avoid workouts until next day

• Avoid facials, massages, chiropractic care, or brow services for 48 hours

• Avoid extreme heat or cold (saunas, steam rooms, ice baths)

Skincare

• Gently wash your face the same day

• Avoid exfoliants, facial devices, gua sha, rollers, or dermaplaning until the next day

Results & Follow-Up

• Results develop over 2–3 weeks

• Temporary uneven movement can occur during this time and is normal

• Touch-ups are evaluated at 2 weeks only

• You may feel temporary heaviness in the forehead or brows, especially with first-time or increased dosing. This usually resolves within 3–4 weeks.

How Long Results Last

• Results last 2–4 months

• Effects peak around 6 weeks

• Most patients maintain results with treatment every 3–4 months

• Dose does correlate with duration, ask your provider if your dose can and should be adjusted for maximal duration
• Consistent treatments lead to more predictable and longer-lasting results. We recommend scheduling your next appointment before leaving the office.
• Neuromodulators work best as part of a comprehensive plan. At home skincare, in-office skin treatments, fillers, biostimulators, lifestyle, and surgery may all play a role in maintaining natural, balanced results.

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