While Botox® and/or Xeomin® is a no downtime procedure, the following are some guidelines to be aware of following your treatment.
- No rubbing or massaging the injected area for 4 hours after treatment (this includes receiving a facial treatment).
- No strenuous exercise for the remainder of the day.
- Keep upright for 4 hours (avoid lying down).
- Avoid headwear that is tightly fitted across the forehead for the next 4 hours.
- Avoid excessive alcohol and blood thinning medication (such as Aspirin) for the remainder of the day.
Possible side effects
In most cases there will be no side effects from your Botox® and/or Xeomin® treatment. However, because everyone’s physiology is different, people can be affected in different ways. The most common side effects are:
- Bruising – There is a complex highway of blood vessels beneath the skin. Any time we receive an injection, it is a possibility to have a bruise at the injection site.
- Bumps – For some people, a bump may be apparent at each injection site and typically disappears within 30 minutes.
- Headache – Temporary headache is the most common reported symptom following Botox® and/or Xeomin®. If desired, painkiller medication may be taken. Ibuprofen/Advil is preferable to Tylenol/Aspirin, as the latter can increase bruising if taken the day of treatment.
Results and Future Appointments
- Results of Botox® and/or Xeomin® usually start to appear within a few days of injections, but can take up to two weeks to see full effect. If you feel you may need an adjustment to your treatment, you may schedule an appointment for two weeks from your initial appointment.
- Although some people may experience shorter or longer lasting results, scientific evidence shows that the effects of Botox® and/or Xeomin® usually lasts 3-4 months when dosed optimally.
- It is highly encouraged to schedule your next appointment as soon as your Botox® and/or Xeomin® wears off (at 3-4 months) to keep up smoothness and/or maintain progress.
It is important to follow instructions about dermal filler aftercare.
Immediately after your filler treatment may notice a few of the following things:
- Red needle puncture marks
- Itching in the area
These issues above are after filler treatment, and should resolve over the next few days to weeks. Your final result will be seen at about 4 weeks after treatment, at which time you may choose to be reviewed to see if further treatments are required to achieve optimal results.
You should not touch your face for 6 hours. After this you may clean your skin with water and a gentle cleanser if you wish. It is ideal to avoid applying makeup the entire day of the procedure.
Things to avoid:
- Do not expose the area to intense heat (i.e. use of jacuzzi or sauna)
- Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible)
- Avoid strenuous exercise for 24 hours.
- Avoid alcohol ideally 24 hours before as well as 24 hours after treatment
- Do not use AHA, Retinols/Retin A for 24 hours
Pain is usually mild and occasionally moderate after filler injections. There are areas which tend to be more painful like the chin and the lips. Pain relievers such as ibuprophen can be taken if necessary.
Apply a cool compress for 10 minutes every hour on the day of treatment (do not apply ice directly on your skin). A cool compress applied regularly for the first 24 hours after injections may help to reduce the amount of swelling.
Patients on aspirin, fish oil or other drugs associated with increased bruising may find their risk increased. Some patients use arnica both before and after treatment to reduce bruising.
Massage of the filler areas is not advised unless otherwise instructed.
Cold sores and dermal filler
There may be a small chance that a treatment may induce an outbreak of facial cold sores in patients with a previous history.
Some patients take preventative Lysine or antivirals to help reduce the risk of cold sores. If you get cold sores after a treatment, you should see your doctor.
Reviewing the results of dermal filler should be performed at 4 weeks (except for cosmetic emergencies, which should be reviewed immediately)
Reviewing prior to 4 weeks is not useful as there is often a small amount of swelling still present, so the results cannot be judged until this has resolved. This is particularly important with regards to symmetry.
Retreatment should occur at any time between 1-6 months after a first treatment. Once peak filler has been achieved, and the patient is on maintenance injections, they might have filler once per year.
Cosmetic complications include vascular occlusion and infection. Vascular occlusions mostly occur in the treatment chair, and injectors are are able to see that they are happening and treat them.
Early infections may occur after a few days after the treatment. The patient might notice increasing redness, tenderness, swelling, pain, heat, nodules or pus. Patients should see their doctor if this occurs.
Lip filler after care
When the lips are injected, the upper lip tends to swell much more than the lower lip and often patients think that their upper lip has had too much filler injected into it. Once the swelling calms down, they realise this is not the case.
Concerns after filler treatment
If you are concerned post-treatment, please call. If you are unable to contact your injector and you are concerned that it is an emergency, please visit the emergency department of your local hospital.
Please carefully read and follow these instructions after your Platelet Rich Plasma (PRP) treatment. There are minimal restrictions after your PRP injections allowing you to return to your daily activities almost immediately.
DO NOT touch, press, rub or manipulate the treated area(s) for at least 8 hours after your treatment.
- Avoid NSAIDS (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin)—Tylenol is okay to use in its place for pain for 1 week.
- Avoid Vitamin A, Vitamin E, Gingko Biloba, Garlic, Flax Oil, Cod Liver, Essential Fatty Acids (EPA, DHA), for at least 1 week prior to and 2 weeks after your treatment.
- Avoid Systemic Steroids (prednisone, dexamethasone) for 1 week.
- Avoid alcohol and cigarettes 3 days after treatment. Smokers do not heal well and problems recur earlier and results may take longer.
Remember, our goal is to create inflammation. These listed medications will limit or prevent inflammation, which can diminish your results. If you must take Aspirin for cardiac reasons, you certainly may do so, but this may limit your results.
It is normal to experience bruising, redness, itching, swelling and/or soreness that may last from 2-5 days following your procedure. If you experience any pain or discomfort you may take Tylenol or other Acetaminophen-containing products as directed.
We would prefer if you could refrain from applying ice to the injected area as ice acts as an anti-inflammatory.
- Do not use any hair products for at least 6 hours after your treatment.
- AVOID saunas, steam rooms, swimming for 2 days after your treatment.
- AVOID vigorous exercise, sun and heat exposure for at least 2 days after your treatment.
- AVOID resuming Minoxidil (Formula 82M, Rogaine®) or hair coloring or straightening for 3 days. Continue increased water intake the first week after your treatment.
Please do not hesitate to call our office should you have any questions or concerns regarding your PRP treatment or aftercare.
- For 7 days prior to treatment, avoid taking aspirin, fish oil, vitamin E, and any NSAID’s (Non steroidal anti inflammatory agents such as Motrin, Advil, Aleve, Ibuprophen). This allows natural healing mechanisms to take place in the body.
- Avoid alcohol consumption for 48 hours before your treatment.
- If you have places to go after treatment and think you may feel self conscious, you may find it beneficial to wear a turtleneck or scarf to your appointment to help hide the swelling.
- Plan your appointment at least a couple weeks in advance of any parties, weddings, or large events.
- On the day of your procedure, apply ice for 10 minutes of every hour.
- Do not massage or manipulate the swollen area.
- You can take 2 pills of Extra Strength Tylenol if significant discomfort occurs.
- Sleep with your head slightly elevated if possible for 2-3 nights.
- You may shower, wash your face, apply moisturizers and sunscreens as you regularly do the day after your treatment.
- You may apply arnica cream/gel to expedite the bruising process.
- Avoid exercise for 3 days as it is known to worsen swelling.
It is normal to have significant swelling, numbness, hardness, lumpiness, tingling, redness, tenderness, and bruising. Some men may see areas of no hair growth afterwards, which should return to normal in 4-6 weeks. Most swelling occurs immediately and the day following treatment, and will start improving by day 5.
If you have any concerns not listed, please call our office at (208)292-8315. If you have difficulty breathing or swallowing please visit the emergency department of your local hospital.
If you plan to have another Kybella treatment, this may be done 4 weeks from your last.