After Care Botox/Fillers

Swelling, Redness, and Bruising

Swelling, redness and bruising can occur for up to two weeks post treatment in some cases. To significantly reduce your risk of bruising stop taking Aspirin 5 days before your treatment.

Keep the injection sites clean and watch for signs of a skin infection such as increased redness, swelling, warmth, and discharge. You will need to be assessed by your injector or Doctor if these symptoms occur.
You may immediately ice the treated areas to reduce bruising and swelling
You may take the supplement “Arnica Montana” (topically or in pill form) to hasten the recovery from bruising or swelling if you are not allergic
*If you have a history of cold sores and want your lips injected you will need a prescription such as Valtrex to prevent cold sore virus activation

After Care BotoxFillers

Sun and Heat

Avoid exposure to extreme cold or heat for 24 hrs
Avoid direct exposure to the sun or tanning beds for the first week.
Wear sunscreen with SPF 30-50 daily.

Activity Do's and Dont's

Avoid wearing a hat or headband for the first 24 hrs. This can move the Botox, Dysport or Xeomin in an undesirable location
Avoid extreme animation of the face for the first 24hrs (only applies to Dermal Fillers)
Mineral based Make-up can be worn immediately after the treatment
Avoid lipstick or lip plumper products 24 hours after a lip injection
Avoid firm rubbing or massaging the treated areas with for 48 hours.
You may gently wash your face with mild soap.
Avoid strenuous exercise (running, hot yoga, weight lifting) for the first 24 hours. Walking is fine.
Avoid alcohol consumption for the first 24 hours
Avoid taking anti-inflammatories or aspirin for the first week to speed healing
Sleep with head elevated for the first night (Only applies to Dermal Fillers applied to cheeks and tear troughs)
Resume skin care products such as retinoids, or acids 3-4 weeks after treatment
Avoid chemical peels or laser/light therapy to face for at least 4 weeks after treatment

When to contact your clinician or Doctor

*Hyaluronic acid in dermal fillers initially can attract water to itself and therefore sometimes feels “lumpy” or uneven within 48 hours of injection. Often these soft product lumps can be smoothed out by using two fingers in circular motion to flatten them. If this technique does not work or if the lumps become hard or if there is persistent pain, throbbing pain, discolouration, or swelling increases or does not go down please call the clinician on call at (403) 992-8397 or seek immediate advice from a Doctor.
*Allergic reaction: Sometimes allergic reactions present themselves hours, even days, after the introduction of a product. Please notify your clinician if you experience a rash, itchy skin, or localized swelling, post procedure.
Call 911 or seek immediate medical help if you experience any difficulty breathing, swelling of the tongue, mouth, throat, face, or have difficulty swallowing or speaking.

PDO AFTERCARE

Congratulations - You just received a PDO Threads treatment! Here are your post-treatment instructions and what to expect.
RESULTS:
• Effects should be noticeable immediately after treatment. However, maximum effect will occur in 4-6 weeks.
*It is highly recommended to sleep on your back to allow swelling to subside and avoid pressure on the face that may cause movement/misalignment of the threads.

Bruising and swelling is normal and expected and lasts up to 2 weeks. If bruising is visible you can take oral Arnica or apply topical Arnica gel or Cearna Arnica patch to areas that are discolored.
• Asymmetry and irregularity of the tissue is common and will typically resolve in 1-2 weeks
• Pain at the insertion points is normal and may last several days after treatment. Please consult your provider for any pain beyond 2 weeks.
AVOID:
AVOID opening the mouth too wide and avoid dental treatments for 3-4 weeks if treatment was on the face involving barbed threads.
AVOID: Alcohol, supplements such as Vitamin A,C, E, Omega fish oils, and ginkgo for 7 days after the treatment to prevent more bruising.
AVOID anti-coagulant medications such as aspirin unless medically needed for 7 days.
AVOID Excessive movement or animation of the area injected for 2 weeks.
AVOID Massage or manipulation of the tissue for 2 weeks.
AVOID Aesthetic treatments including Radio Frequency, or any heat producing device such as IPL, Laser, or Microneedling for 4 weeks since they will prematurely dissolve the threads.
AVOID Strenuous exercise for 1 week after facial treatments and 2 weeks after body treatments. No deep squats for one month if you have had any threads injected into the buttocks area.
AVOID steam rooms, saunas, hot tubs, or any water source that could be unclean or excessive in temperature for two weeks.
AVOID taking Ibuprofen or other anti-inflammatories for 2 weeks. Anti-inflammatories reduce the skins natural inflammatory reaction to the threads which builds new collagen. Acetaminophen may be taken instead, if needed.
AVOID smoking the first 2 days for better wound recovery
AVOID rubbing or massaging the treated area for 2 weeks
AVOID excessive neck movements for the first 2 weeks after treatment if neck was treated.
AVOID physical exercise x 7 days post procedure
AVOID facials or face-down massages x 4 weeks after procedure.
AVOID combination treatments such as PRP, dermal fillers and botox for 7 days in treated areas.
AVOID Avoid extreme temperatures, sauna, hot-tubs for 10 days
AVOID Retin-A, glycolic acid, AHA’s, and irritating products for 7 days.
THINGS TO DO:
DO apply cold packs to the area after the treatment.
DO apply make-up gently post-procedure.
DO apply polysporin to the entry points of the threads twice per day for the first 3 days to reduce risk of infection.
DO gently wash the treated areas on the same day as the treatment
DO apply SPF non-chemical TIZO SPF daily, avoid direct sunlight and tanning beds to avoid hyperpigmentation.
DO anticipate a scratchy, stinging or pulling pain or discomfort with facial expression for 2-5 weeks.
DO take Tylenol 500mg 1-2 tabs every 6 hours as needed for pain/discomfort the first 2-3 days post treatment.
FOLLOW-UP:
Normally, we would like to see you in 7 days post-treatment then 3 months.
WHEN TO CALL OR EMAIL US:
• If any of the threads are exposed or start to become exposed
• If you develop a reddened, hard, painful nodule over one or more of the threads.
• If you experience increased redness, swelling, or pain at the insertion site.
• Irregularity or visible ridges (buckling) of threads 2 weeks post-treatment.
• If you have any questions regarding your treatment or treatment response.
*To increase the rate of healing time and decrease swelling and bruising, your provider may encourage you to take oral antihistamines (Zyrtec, Benadryl) and histamine blockers (Zantac, Prilosec, Tagament).