Your first appointment will consist of a consultation including a patient questionnaire, information regarding neuromodulators and fillers, a history and physical examination by a Nurse Practitioner, photographs, and a full discussion regarding options for treatment. Please ensure all your questions are answered during the consultation to ensure you are satisfied with any treatment that may be undertaken. Please note that certain injections may not be permitted at your consultation, depending on your medical history and the circumstances on the day.

Neuromodulators including Botox, or Xeomin cannot be administered to a patient who is pregnant, has a neuromuscular disorder, or is taking tetracycline or any aminglycside antibiotics.

On the day of your consultation, please wash your face thoroughly with antibacterial soap and do not apply foundation or any other makeup to the area which is being treated. Please refrain from using alcohol, aspirin, vitamin E, St. John’s Wort, Omega 3’s, Ginseng, Garlic, Gingko, or any anti-inflammatory medications for at least 2 days prior to your treatment.

After treatment, you may experience swelling, redness, pain, itching, discoloration and tenderness at the injection site. This will typically last for a couple of hours. The use of Tylenol (acetaminophen) is permitted. Additionally, although rare, red or swollen small bumps may occur for 2-3 days. If needed, you may apply make-up after 6 hours of treatment, using very minimal pressure on your skin.

For 1 Hour: Exercise the areas that were treated (eg. Practice frowning, raising your eyebrows)

For 3 Hours: Remain upright, do not rub the treated areas.

24 Hours: Refrain from strenuous physical activity, hot tub, sauna, facials, alcohol or aspirin.

After treatment, you may experience swelling, redness, pain, itching, discoloration and tenderness at the site of treatment. This will typically last for less than a week. The use of Tylenol(acetaminophen) is permitted. If the lips were injected, the swelling may be more significant. Arnica gel can be helpful to minimize redness and swelling. In rare circumstances, a blood vessel may have inadvertently been injected which may cause skin breakdown.

Be aware that you must guard against infection by keeping the skin clean, especially in the first 48 hours. You may apply only a small amount of makeup after 6 hours, but do so gently. Avoid excessive rubbing or manipulation of the skin. Aspirin, alcohol and heavy exercise is permitted after 24 hours.

The gel is quite movable for the first few days — do not press on The treated area. Try to sleep on your back.

For at least 2 weeks after treatment, avoid prolonged exposure to either hot (eg. hot tubs) or cold (eg. skiing) temperatures and prolonged direct sun exposure.

After treatment, you may experience swelling, redness, pain, itching, discoloration and tenderness at the site of treatment. This will typically last for less than a week. The use of Tylenol (acetaminophen) is permitted. Arnica gel can be helpful to minimize redness and swelling. Ice the treated area:  place ice pack on the area for 20 minutes, then remove the ice pack for 20 minutes. Repeat this process for 24 hours as needed.

For the next 3-5 days sleep on your back with your head elevated. Also avoid vigorous exercise, sun, and heat exposure. To reduce bruising, swelling, and irritation avoid alcohol, ibuprofen, vitamin A, vitamin E, foods high in sodium, and cigarettes. Avoid cosmetic treatments such as lasers, peels, facials, or microdermabrasion for the next 10 days.

Report to your injector immediately if you develop an asymmetric smile, facial muscle weakness, difficulties smiling, or skin ulceration to the treatment area.