BOTOX & Dysport Pre-Procedure Instructions

  • Avoid using aspirin, non-steroidal anti-inflammatory medications (Ibuprofen, Naproxen, Aleve),  St. Johns Wort, Fish oil capsules or high doses of Vitamin E supplements 1 week prior to  treatment. Please continue taking any medications prescribed by your healthcare provider.
  • Avoid alcohol 3 days before procedure as this may cause increased bleeding and bruising. Alcohol does not contraindicate performing the procedure, but please notify your physician if  you have had alcohol the few days prior to your procedure. 
  • Avoid wearing make-up to the office. We will need a clean, washed face for your injections. 
  • If you have previously suffered from frequent facial cold sores (2-3 outbreaks, or more, per  year), discuss it with the doctor. You may need medication to minimize their recurrence. 
  • Consider Arnica montana to help reduce bruising. It significantly reduces bruising and swelling. You will need to start Arnica Montana the day of or before the procedure.

The guidelines to follow post treatment have been followed for years and are still employed  today to prevent the possible side effect of ptosis (drooping of the eyelids). These measures  should minimize the possibility of ptosis.  

  • No straining, heavy lifting, vigorous exercise for 3-4 hours following treatment. It is  now known that it takes the toxin approximately 2 hours to bind itself to the nerve to  start its work and because we do not want to increase circulation to that area to wash  away the Botox from where it was injected.  
  • Avoid manipulation of the area for 3-4 hours following treatment (for the same  reasons listed above). This includes avoiding a facial, peel or micro-dermabrasion after treatment with Botox or Dysport. A facial, peel or micro-dermabrasion can be done in the  same appointment only if they are done before the procedure.  
  • Facial exercises in the injected areas are recommended for one (1) hour following  treatment. This is to stimulate the binding of the toxin only to the localized area.  
  • It can take 2-10 days to take full effect. It is recommended that the patient contact the  office no later than 2 to 3 weeks after treatment if the desired effect was not achieved and  no sooner to give the toxin time to work.  
  • No make up on or around the injection site preferably until the day after the procedure.

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