Cosmetic Injections-How to Prepare

3 DAYS BEFORE treatment: AVOID topical products such as Tretinoin (Retin-A), Retinols, Retinoids,

Glycolic Acid, Alpha Hydroxy Acid, or other “anti-aging” products. Also AVOID waxing, bleaching,

tweezing, or the use of hair removal cream on the area to be treated.

 7 DAYS BEFORE treatment (to prevent bruising): AVOID blood thinning over-the-counter medications

such as Aspirin, Motrin, Ibuprofen, and Aleve. Also avoid herbal supplements, such as Garlic, Vitamin E

Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid extra bruising.

Inform your provider if you have a history of Perioral Herpes to receive advice on antiviral therapy

prior to treatment.

Do not use XEOMIN® if you are pregnant or breastfeeding, are allergic to any of its ingredients, or

suffer from any neurological disorders. Please inform your provider if you have any questions about this

prior to the treatment.

Day of Treatment:

Arrive to the office with a “clean face”. Please do not wear makeup. You may bring your own makeup

to apply after your treatment.

 You may experience a mild amount of tenderness or a stinging sensation following injection.

 Redness and swelling are normal. Some bruising may also be visible.

 You may experience some tenderness at the treatment site(s) that can last for a few hours or a few

days. You may have bruises in the areas treated.

• AVOID straining, heavy lifting, or vigorous exercise for 3-4 hours following treatment.
• AVOID laying down or bending over for 3-4 hours following treatment.
• AVOID manipulation of the area for 3-4 hours following treatment. This includes not doing a facial, peel, or micro-dermabrasion AFTER treatment with Xeomin®.
• It can take 2-14 days for Xeomin® to take full effect. It is recommended that the patient contact Dr. Merola no later than 2 weeks after the treatment if the desired effect was not achieved (and no sooner to give the toxin time to work).
• Arnica gel can be applied to the areas treated afterwards to help with healing and reduce the risk of bruising. Arnica 30C pellets can also be taken (5 pellets under tongue).
• Makeup may be applied before leaving the office. Avoid Retin-A, Glycolic acid, Vitamin C, or other "anti-aging products for the next 24 hours to the treated areas.
• Although extremely rare, allergic reaction to botox serum can occur. If you experience EXTREME skin redness, swelling or rash, or SEVERELY swollen or puffy eyes, or SEVERE headache, you may be allergic to botox serum or you may have developed antibodies to the botox serum from previous treatment. Go directly to your closest emergency room or urgent care to confirm the reaction as allergic and receive treatment immediately.

• Dermal fillers must not be administered if you have had any vaccines, immunizations, procedures, illnesses, or dental work in

the past two weeks and for an additional two weeks after fillers.

• Do not use dermal fillers if you are pregnant or breastfeeding, are allergic to any of the ingredients, suffer from any

neurological or autoimmune disorders, are experiencing any cold or flu-like symptoms, or have any active inflammatory

processes (cysts, pimples, rashes, hives).

• For optimal results, and to minimize the chance of bleeding or bruising at the injection site, please avoid all blood-thinning

medications and supplements for one week prior to your appointment. This includes over-the-counter medication such as

aspirin and ibuprofen. Also avoid herbal supplements such as garlic, vitamin E, ginko biloba, St. John's Wort and omega-3

capsules. If you have a cardiovascular history, please check with your doctor prior to stopping use of aspirin.
Do not drink alcoholic & caffeine beverages 24 hours before or after your treatment to avoid extra bruising.

• Inform your provider if you have a history of Perioral Herpes to receive advice on antiviral therapy prior to treatment. (Valtrex

500 mg BID, 5 days, start 2 days prior to treatment)

• Avoid topical products such as Tretinoin (Retin-A) retinols, retinoids, glycolic acid, alpha hydroxy acid, or any "anti-aging"

products for two days before and after treatment.I'm 

• Avoid significant movement or massage of the treated area unless instructed by provider.

• Avoid strenuous exercise or anything that increases your heart rate for 24 hours.

• Avoid extensive sun or heat for 72 hours (no sauna, hot tub).

• Avoid consuming excess amounts of alcohol or salts to avoid excessive swelling.

• You may apply a cool compress or ice pack for 15 minutes each hour while awake to reduce swelling.

• Use Tylenol (acetaminophen) for discomfort. No NSAIDs (ibuprofen, aspirin) for 24 hours as they can increase bleeding.

• Try to sleep face up and slightly elevated if you experience swelling.

• You may want to consider taking Arnica (found in health food stores) to help with the bruising and swelling.

• Avoid wearing makeup the day of procedure.

• Sanitize your phone before putting it to your face and try to talk on speaker phone as much as you can day of.

• Wait a minimum of two weeks before dental work, immunizations, or laser treatments.

Dermal fillers last, on average,12 -18 months with some lasting 24 months. It is recommended at the time of your treatment to schedule

your next appointment to maximize your benefit. Typically, this is best done two weeks post-treatment. The most typical side effects are

bruising, swelling, and redness. These are temporary and will resolve

• Stop smoking and drinking alcohol at least one week before the treatment since it might dry the skin and influence the anesthetic during the treatment.
• Avoid omega fish oils, vitamin E, chilli ginseng, garlic, krill, and other supplements 2 days before your treatment.
• Avoid aspirin-based medicines like Naproxen/Naprogesic, Neurofen, and Ibuprofen, which may cause bleeding, adverse effects, and problems during the service.
• Avoid high-intensity workouts and saunas the days leading up to your treatment.

• Avoid excessive movement in the injected area for around 2 weeks.
• Avoid strenuous activity for 1 week for any facial treatments and 2 weeks for body treatments.
• Avoid wearing makeup in the treatment area for at least 48 hours after the treatment.
• Avoid drinking alcohol a week following your treatment to avoid swelling.
• Avoid certain aesthetic treatments and facials for 4 weeks following the treatment.
• Avoid certain medication and aspirin-based medicines like Naproxen/Naprogesic, Neurofen, and Ibuprofen following your treatment.
• Avoid smoking for at least 14 days after your treatment to promote the best results.