Your neuromodulator care.

You can expect to see results within days after your neurotoxin treatment. Your treatment is fully effective two weeks after your injection. If you need a dose adjustment at that time, please schedule an appointment with your provider.

Pre-Treatment Instructions:

7 Days Before:

• Avoid NSAID medicines such as Aspirin, Ibuprofen, and Naproxen since they increase chances of bruising. Check medication labels for the active ingredient
• Avoid taking these herbal medicines and supplements since they can increase chances of bruising: Dong Quai, Ginger, Feverfew, Ginkgo Biloba, Ginseng, Garlic (high dose), Omega-3 fish oil (3000 mg/day or higher), Vitamin E (high dose).

3 Days Before

• Avoid topical products such as Tretinoin, Retionls, Retinoids, Glycolic Acids, Alpha Hydroxy Acids or other “anti-aging” products
• Avoid waxing, bleaching, tweezing or the use of hair removal cream on the area to be treated

24 Hours Before

• Avoid alcoholic beverages to decrease chance of bruising

Day of treatment

• It is recommended that you arrive to your appointment with a clean face. If possible avoid wearing makeup for the first few hours after the treatment
• You may feel some tenderness or a stinging sensation following the treatment: this may last for a few hours, possibly up to a few days
• Some redness, swelling and possibly bruising may be visible after the treatment

Post-Treatment Instructions:

Immediately after treatment

• If you are able, try to exercise the treated muscles for the first 1-2 hours after treatment: frowning, raising eyebrows, squinting, smiling, etc. This helps to work the medication into the muscles
• Avoid lying down for the first 4 hours after the treatment
• Do not have a facial, rub or massage the treated area for the first 24 hours
• Avoid activities that cause facial flushing for the first 24 hours
• Avoid alcoholic beverages for the first 24 hours to decrease chance of bruising
• Avoid applying any heat to the treated areas for the first 24 hours
• Gently apply ice (preferably a cool gel pack) to the treated area for 15 min. every hour, as needed, to reduce discomfort, swelling or bruising
• Some people may experience a mild headache after the treatment
• You may take Acetaminophen (Tylenol) for pain relief
• Oral and/or topical Arnica Montana may help reduce discomfort and bruising. These can be purchased at most drug stores.

General information

• After botulinum toxin is placed in the targeted muscles, the weakening gradually begins to take effect over 3-7 days and is not complete for 14 days

If you have any questions or concerns about your results after the 14 days please contact our office

Initially botulinum toxin will last approximately 2-3 months

With continued and consistent treatments the results may begin to last up to 4 months