Pre and Post Instructions

Botulinum Toxin A Pre and Post Care

  • Avoid all blood thinners a minimum of 3 days before your appointment. This includes NSAIDs (ibuprofen, naproxen, etc.), OTC supplements, including fish oil, turmeric, vitamin D, & alcohol.
  • If you are on a prescribed blood-thinner by your doctor, please contact me. Do not stop taking any prescribed medications.
  • Don’t drink caffeine at least 24 hours before your appointment.
  • Stay upright for at least 4 hours after treatment.
  • Do not rub, massage, or otherwise manipulate the areas injected for 24 hours. This includes the use of facial scrub brushes.
  • No facial treatments for 72 hours—this includes waxing, brow treatments, and facials.
  • No laser or microneedling treatments for two weeks before or after toxin treatment
  • Avoid working out for 24 hours. Avoid any excessive heat, saunas, etc., for 24 hours.
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. You can purchase this on Amazon or at Whole Foods.

Lip filler Pre and post Care

  • You must follow all pre-treatment instructions, or we must reschedule our visit. These instructions ensure less bleeding, less swelling, better recovery, and ultimately the best results.
  • If you have cold sores frequently, please notify me. You will need to take a prophylactic dose of antiviral medicine to prevent an outbreak due to the lip filler injections.
  • Avoid all blood thinners a minimum of one week before your appointment. This includes NSAIDs (ibuprofen, naproxen, aspirin, etc.), OTC supplements including fish oil, turmeric, vitamin d, etc. 
  • Avoid alcohol for one week before your appointment. 
  • If you are on a prescribed blood thinner by your doctor, please contact me. Do not stop taking any prescribed medications. 
  • Don’t drink caffeine at least 24 hours before your appointment. 
  • Avoid working out the day of your treatment. 
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. These can be purchased on Amazon or Whole Foods. 
  • One day before the visit, the day of the visit, and the day after the visit, take Zyrtec/Claritin/Allegra once daily and Pepcid 40mg twice per day. 
  • Do not drink directly through a straw for two weeks.
  • No dental visits for two weeks (unless necessary). 
  • No makeup, including lipstick and foundation, near the border of lips for 48 hours after treatment.
  • You may gently apply ice, make sure to take breaks, and use a barrier between the lips and the ice. 
  • Continue to avoid blood-thinning medications and supplements for one week after. 
  • Start massaging the lips starting 3-4 days after your appointment, as instructed, for up to 2 weeks. 
  • Swelling and bruising are normal and expected. Most swelling usually subsides by day 5, while bruising may last one week or more. You are considered fully healed in 2 weeks. 
  • Contact me IMMEDIATELY by text if you have intense pain or increasing pain (soreness is normal), abnormal bruising or discoloration in the area or anywhere on the face, redness, warmth, fever, chills, the area appears pale/blanched or appears to have decreased blood flow. 

Lip Filler FAQs

Yes. The lips are highly vascular and have the most nerve endings of anywhere else in the body. The majority of patients choose to numb with a topical cream. There is also an option to do a dental block, which involves injections near the gum line in the mouth. With either option, you will still likely have some level of pain. I also have a stress ball and a vibration tool that helps distract the brain from pain.  

You are considered fully healed in 2 weeks.

You will have swelling. The majority of the swelling goes down within one week.

Bruising is very likely. Expect to have bruising that could last 1 to 2 weeks. Some patients have no bruising, and some have a lot. Even if you’ve had lip fillers in the past with no bruising, expect bruising. My techniques are different, meaning your healing process could be very different as well. It is important to follow all the pre-& aftercare instructions provided to ensure the best healing and results. 

If you have a special event arriving, wait at least four weeks before the event to get lip filler in case touch-ups are needed. If it is your own wedding, I recommend at least 2-3 months before. 

This is so individualized since all lips are different with varying structure, anatomy, fullness, ability to be molded/shaped, and other factors that could determine your results. You may achieve your lip goals with one session, or it may take 2-3 sessions. Underlying asymmetries may or may not be corrected in one session.

In 6-8, if we are trying to build up the lip. Once the goal is achieved, the lips will need to be maintained every 6-12 months. 

All lip fillers are comprised of hyaluronic acid. This is naturally occurring in the body, so the body eventually breaks it down. The typical timeframe is 6 to 12 months for most patients. 

The two main types are used Revanesse Lips and Restylane Kysse. I have had excellent results and love both fillers equally. In my experience, I would say Revanesse will produce a fuller result. Kysse is “softer” (my opinion) but still provides good structure. I have achieved crisp borders and increased height in the top lip with fillers. 

YES. They will generally resolve in 2-4 weeks. If I feel any lumps, I will point that out to you when I am finished. We will instruct you to massage these to help them settle into the tissue. If you feel lumps during the healing process, you can also massage the areas to help.

You should follow the before and aftercare instructions. Avoid all blood-thinning medications and supplements, including NSAIDs (aspirin, ibuprofen, naproxen, etc.), fish oil, vitamin e, vitamin d, and alcohol for one week before your visit. 

If you have cold sores frequently, take prevention medication starting two days before your appointment. Please let me know if you need a prescription for this. 

Facial Filler Pre and Post Instructions

  • Be sure to eat and drink an adequate amount before your appointment to avoid feeling lightheaded from injections.
  • Avoid all blood thinners a minimum of 1 week before your appointment. This includes NSAIDs (ibuprofen, naproxen, aspirin, etc.), OTC supplements, including fish oil, turmeric, vitamin D.
  • Avoid alcohol for one week before your appointment. 
  • If you take a prescribed blood thinner by your doctor, please contact me. Do not stop taking any prescribed medications.
  • Don’t drink caffeine at least 24 hours before your appointment. 
  • Avoid working out the day of your treatment.
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. You can purchase this on Amazon or at Whole Foods. 
  • No makeup for 24 hours
  • You may gently apply ice, make sure to take breaks, and use a barrier between the lips and the ice.
  • Continue to avoid blood-thinning medications and supplements for one week after
  • Do not massage the areas unless instructed to do so as indicated.
  • Swelling and bruising are normal and expected. Most swelling usually subsides by day 5, while bruising may last one week or more. You are considered fully healed in 2 weeks.
  • Contact me IMMEDIATELY by text if you have increasing or intense pain (soreness is normal), abnormal bruising or discoloration in the area or anywhere on the face, redness, warmth, fever, chills, the area appears pale/blanched, or appears to have decreased blood flow.

Threads Pre and post Care

  • Be sure to eat and drink an adequate amount before your appointment to avoid feeling lightheaded from injections.
  • Avoid all blood thinners a minimum of 1 week before your appointment. This includes NSAIDs (ibuprofen, naproxen, aspirin, etc.), OTC supplements including fish oil, turmeric, vitamin D.
  • Avoid alcohol for one week before your appointment. 
  • If you take a prescribed blood thinner by your doctor, please contact me. Do not stop taking any prescribed medications.
  • Don’t drink caffeine at least 24 hours before your appointment. 
  • Avoid working out the day of your treatment.
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. You can purchase this on Amazon or at Whole Foods. 
  • No makeup for 24 hours
  • You may gently apply ice, make sure to take breaks, and use a barrier between the lips and the ice.
  • Continue to avoid blood-thinning medications and supplements for one week after
  • Do not massage the areas unless instructed to do so as indicated.
  • Swelling and bruising are normal and expected. Most swelling usually subsides by day 5, while bruising may last one week or more. You are considered fully healed in 2 weeks.
  • Contact me IMMEDIATELY by text if you have increased, or intense pain (soreness is normal), redness, warmth, fever, chills, the area appears pale/blanched, or appears to have decreased blood flow.

Microneedling Pre and post Care Instructions

1. If you have active acne in the areas to be treated, please call to reschedule

2. If you have cold sores frequently, please take antiviral medication to prevent a recurrence. If you need a prescription for this, please notify me to send it in. 

3. Please arrive with thoroughly cleansed skin (if possible): no makeup, moisturizers, perfume, cologne, or any other products on the skin. We do have makeup remover wipes and face wash if necessary. 

4. Avoid Retin-A, retinoids, topical antibiotics, exfoliants, hydroquinone, and benzoyl peroxide three days before treatment.

5. Topical numbing creme will be applied pre-treatment. Please let us know of any medication allergies.

  • Microneedling cannot be done while PREGNANT OR NURSING.

6. No sun exposure, tanning beds, self-tanning products for three days before the procedure. We will cancel the procedure if you are sunburned.

7. None of the following must be used or executed two weeks before treatment: chemical peels, waxing, and chemical depilatories.

8. The treated area should not be shaved the day of the procedure.

9. Bring a hat and scarf the day of the procedure to wear after your treatment.

1. Use ONLY your post-treatment products that we recommend for the first four days after your treatment. You should not use any of your own products during this period.

2. NO SUN EXPOSURE for at least 14 days, ideally 30 days after the procedure.

3. No tanning beds or self-tanning products for 7-14 days after the procedure.

4. No picking or exfoliating,

5. No vitamin A products 7days post-treatment (including Retin-A, Retinol, Tazorac).

6. No chemical peels 14 days post-treatment

7. No shaving/dermaplaning three days after the procedure. If the skin is irritated, continue to wait before shaving.

8. No toners for 14 days post-treatment

9. No sweating, exercising, Jacuzzi, sauna, steam bath until skin irritation has resolved (3-7 days)

10. No exfoliating medications or chemical products, or devices for at least seven days post-treatment

11. Ice packs, Tylenol, and NSAIDS are okay if you feel discomfort or swelling. Do not take Ibuprofen, Aleve or Motrin. 

12. Take Arnica Montana and Bromelain supplements to decrease bruising an

Microneedling Post-Treatment Expectations

Post-treatment, your skin may be red and flushed, similar to moderate sunburn. The redness should be significantly reduced within 24-48 hours. During the healing process, you can experience swelling, burning, itching, bruising, soreness, skin tightness, flakiness, sensitivity, and dryness. It can take 5-7 days for the skin to heal, depending on the extensiveness of your treatment. USE ONLY THE RECOMMENDED PRODUCTS WE GIVE YOU FOR THE FIRST FOUR DAYS. Ensure to wash your face with cool water and the cleanser we provide. Only gently pat your skin dry. Mineral-based sunscreen with an SPF of 30 should be applied and reapplied every 60-90 minutes outdoors.

Day 1

It is usual and expected for your skin to feel red, sun-burnt, tight, dry, swollen, and sensitive to the touch. You may also experience some stinging. Drink plenty of water, avoid makeup, and use only the products approved for post-treatment. You may reapply moisturizer repeatedly throughout the day. Avoid exfoliants or glycolic acids present in cleansers, as these can turn your skin very dry after the procedure. Use Tylenol for pain but don’t use anti-inflammatory medications such as Motrin and Ibuprofen as these may lower the wanted effects of the treatment.

***If you had PRP applied, please do not wash off the PRP solution until the following morning of your procedure.***

Day 2

You may feel the same as you did on Day 1. Skin feels dry, tight, and red. Use your post-treatment cleanser and lotion. Use your post-treatment products as instructed. Please do not use your own products.

Day 3

You still may be pink and notice that the swelling is beginning to lower. Mineral makeup is okay to start using. Continue with post-treatment products.

Day 4-6

Some swelling, some bruising, may have some flaking. You should not pick at the skin that is starting to flake off, and do not use any exfoliators. Continue to use sunscreen. You may resume exercise.

Day 7

It is starting to look great! Stop regular products for skin, including vitamin A products. Continue to avoid sun exposure. There may be areas that are darker than flake off after seven days.

Day 8-28

Don’t go to direct sun exposure. Instead, use at least an SPF 30 outdoors or in the car, and remember to reapply every 1- 11⁄2 hours while outdoors.

We suggest a series of 3-5 treatments at 4-6 week breaks and then treatments for maintenance no less than once a year for best results and efficacy. Please call, text, or email immediately if you have any concerns. 

Facial Filler Pre and Post Care

  • Be sure to eat and drink an adequate amount before your appointment to avoid feeling lightheaded from injections.
  • Avoid all blood thinners a minimum of 1 week before your appointment. This includes NSAIDs (ibuprofen, naproxen, aspirin, etc.), OTC supplements, including fish oil, turmeric, vitamin D.
  • Avoid alcohol for one week before your appointment. 
  • If you take a prescribed blood thinner by your doctor, please contact me. Do not stop taking any prescribed medications.
  • Don’t drink caffeine at least 24 hours before your appointment. 
  • Avoid working out the day of your treatment.
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. You can purchase this on Amazon or at Whole Foods. 
  • No makeup for 24 hours
  • You may gently apply ice, make sure to take breaks, and use a barrier between the lips and the ice.
  • Continue to avoid blood-thinning medications and supplements for one week after
  • Do not massage the areas unless instructed to do so as indicated.
  • Swelling and bruising are normal and expected. Most swelling usually subsides by day 5, while bruising may last one week or more. You are considered fully healed in 2 weeks.
  • Contact me IMMEDIATELY by text if you have increasing or intense pain (soreness is normal), abnormal bruising or discoloration in the area or anywhere on the face, redness, warmth, fever, chills, the area appears pale/blanched, or appears to have decreased blood flow.

Botulinum Toxin A Pre and Post Care

  • Avoid all blood thinners a minimum of 3 days before your appointment. This includes NSAIDs (ibuprofen, naproxen, etc.), OTC supplements, including fish oil, turmeric, vitamin D, & alcohol.
  • If you are on a prescribed blood-thinner by your doctor, please contact me. Do not stop taking any prescribed medications.
  • Don’t drink caffeine at least 24 hours before your appointment.
  • Stay upright for at least 4 hours after treatment.
  • Do not rub, massage, or otherwise manipulate the areas injected for 24 hours. This includes the use of facial scrub brushes.
  • No facial treatments for 72 hours—this includes waxing, brow treatments, and facials.
  • No laser or microneedling treatments for two weeks before or after toxin treatment
  • Avoid working out for 24 hours. Avoid any excessive heat, saunas, etc., for 24 hours.
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. You can purchase this on Amazon or at Whole Foods.

Lip filler Pre Care

  • You must follow all pre-treatment instructions, or we must reschedule our visit. These instructions ensure less bleeding, less swelling, better recovery, and ultimately the best results.
  • If you have cold sores frequently, please notify me. You will need to take a prophylactic dose of antiviral medicine to prevent an outbreak due to the lip filler injections.
  • Avoid all blood thinners a minimum of one week before your appointment. This includes NSAIDs (ibuprofen, naproxen, aspirin, etc.), OTC supplements including fish oil, turmeric, vitamin d, etc. 
  • Avoid alcohol for one week before your appointment. 
  • If you are on a prescribed blood thinner by your doctor, please contact me. Do not stop taking any prescribed medications. 
  • Don’t drink caffeine at least 24 hours before your appointment. 
  • Avoid working out the day of your treatment. 
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. These can be purchased on Amazon or Whole Foods. 
  • One day before the visit, the day of the visit, and the day after the visit, take Zyrtec/Claritin/Allegra once daily and Pepcid 40mg twice per day. 

Lip filler Post Care

  • Do not drink directly through a straw for two weeks.
  • No dental visits for two weeks (unless necessary). 
  • No makeup, including lipstick and foundation, near the border of lips for 48 hours after treatment.
  • You may gently apply ice, make sure to take breaks, and use a barrier between the lips and the ice. 
  • Continue to avoid blood-thinning medications and supplements for one week after. 
  • Start massaging the lips starting 3-4 days after your appointment, as instructed, for up to 2 weeks. 
  • Swelling and bruising are normal and expected. Most swelling usually subsides by day 5, while bruising may last one week or more. You are considered fully healed in 2 weeks. 
  • Contact me IMMEDIATELY by text if you have intense pain or increasing pain (soreness is normal), abnormal bruising or discoloration in the area or anywhere on the face, redness, warmth, fever, chills, the area appears pale/blanched or appears to have decreased blood flow. 

Lip Filler FAQs

Yes. The lips are highly vascular and have the most nerve endings of anywhere else in the body. The majority of patients choose to numb with a topical cream. There is also an option to do a dental block, which involves injections near the gum line in the mouth. With either option, you will still likely have some level of pain. I also have a stress ball and a vibration tool that helps distract the brain from pain.  

You are considered fully healed in 2 weeks.

You will have swelling. The majority of the swelling goes down within one week.

Bruising is very likely. Expect to have bruising that could last 1 to 2 weeks. Some patients have no bruising, and some have a lot. Even if you’ve had lip fillers in the past with no bruising, expect bruising. My techniques are different, meaning your healing process could be very different as well. It is important to follow all the pre-& aftercare instructions provided to ensure the best healing and results. 

If you have a special event arriving, wait at least four weeks before the event to get lip filler in case touch-ups are needed. If it is your own wedding, I recommend at least 2-3 months before. 

This is so individualized since all lips are different with varying structure, anatomy, fullness, ability to be molded/shaped, and other factors that could determine your results. You may achieve your lip goals with one session, or it may take 2-3 sessions. Underlying asymmetries may or may not be corrected in one session.

In 6-8, if we are trying to build up the lip. Once the goal is achieved, the lips will need to be maintained every 6-12 months. 

All lip fillers are comprised of hyaluronic acid. This is naturally occurring in the body, so the body eventually breaks it down. The typical timeframe is 6 to 12 months for most patients. 

The two main types are used Revanesse Lips and Restylane Kysse. I have had excellent results and love both fillers equally. In my experience, I would say Revanesse will produce a fuller result. Kysse is “softer” (my opinion) but still provides good structure. I have achieved crisp borders and increased height in the top lip with fillers. 

YES. They will generally resolve in 2-4 weeks. If I feel any lumps, I will point that out to you when I am finished. We will instruct you to massage these to help them settle into the tissue. If you feel lumps during the healing process, you can also massage the areas to help.

You should follow the before and aftercare instructions. Avoid all blood-thinning medications and supplements, including NSAIDs (aspirin, ibuprofen, naproxen, etc.), fish oil, vitamin e, vitamin d, and alcohol for one week before your visit. 

If you have cold sores frequently, take prevention medication starting two days before your appointment. Please let me know if you need a prescription for this. 

Threads Pre Care

  • Be sure to eat and drink an adequate amount before your appointment to avoid feeling lightheaded from injections.
  • Avoid all blood thinners a minimum of 1 week before your appointment. This includes NSAIDs (ibuprofen, naproxen, aspirin, etc.), OTC supplements including fish oil, turmeric, vitamin D.
  • Avoid alcohol for one week before your appointment. 
  • If you take a prescribed blood thinner by your doctor, please contact me. Do not stop taking any prescribed medications.
  • Don’t drink caffeine at least 24 hours before your appointment. 
  • Avoid working out the day of your treatment.
  • Per package instructions, start taking Arnica Montana, and Bromelain supplements one week before your visit. You can purchase this on Amazon or at Whole Foods. 

Threads Post Care

  • No makeup for 24 hours
  • You may gently apply ice, make sure to take breaks, and use a barrier between the lips and the ice.
  • Continue to avoid blood-thinning medications and supplements for one week after
  • Do not massage the areas unless instructed to do so as indicated.
  • Swelling and bruising are normal and expected. Most swelling usually subsides by day 5, while bruising may last one week or more. You are considered fully healed in 2 weeks.
  • Contact me IMMEDIATELY by text if you have increased, or intense pain (soreness is normal), redness, warmth, fever, chills, the area appears pale/blanched, or appears to have decreased blood flow.

Microneedling Pre Care Instructions

1. If you have active acne in the areas to be treated, please call to reschedule

2. If you have cold sores frequently, please take antiviral medication to prevent a recurrence. If you need a prescription for this, please notify me to send it in. 

3. Please arrive with thoroughly cleansed skin (if possible): no makeup, moisturizers, perfume, cologne, or any other products on the skin. We do have makeup remover wipes and face wash if necessary. 

4. Avoid Retin-A, retinoids, topical antibiotics, exfoliants, hydroquinone, and benzoyl peroxide three days before treatment.

5. Topical numbing creme will be applied pre-treatment. Please let us know of any medication allergies.

  • Microneedling cannot be done while PREGNANT OR NURSING.

6. No sun exposure, tanning beds, self-tanning products for three days before the procedure. We will cancel the procedure if you are sunburned.

7. None of the following must be used or executed two weeks before treatment: chemical peels, waxing, and chemical depilatories.

8. The treated area should not be shaved the day of the procedure.

9. Bring a hat and scarf the day of the procedure to wear after your treatment.

Microneedling Post Care Instructions

1. Use ONLY your post-treatment products that we recommend for the first four days after your treatment. You should not use any of your own products during this period.

2. NO SUN EXPOSURE for at least 14 days, ideally 30 days after the procedure.

3. No tanning beds or self-tanning products for 7-14 days after the procedure.

4. No picking or exfoliating,

5. No vitamin A products 7days post-treatment (including Retin-A, Retinol, Tazorac).

6. No chemical peels 14 days post-treatment

7. No shaving/dermaplaning three days after the procedure. If the skin is irritated, continue to wait before shaving.

8. No toners for 14 days post-treatment

9. No sweating, exercising, Jacuzzi, sauna, steam bath until skin irritation has resolved (3-7 days)

10. No exfoliating medications or chemical products, or devices for at least seven days post-treatment

11. Ice packs, Tylenol, and NSAIDS are okay if you feel discomfort or swelling. Do not take Ibuprofen, Aleve or Motrin. 

12. Take Arnica Montana and Bromelain supplements to decrease bruising an

Microneedling Post-Treatment Expectations

Post-treatment, your skin may be red and flushed, similar to moderate sunburn. The redness should be significantly reduced within 24-48 hours. During the healing process, you can experience swelling, burning, itching, bruising, soreness, skin tightness, flakiness, sensitivity, and dryness. It can take 5-7 days for the skin to heal, depending on the extensiveness of your treatment. USE ONLY THE RECOMMENDED PRODUCTS WE GIVE YOU FOR THE FIRST FOUR DAYS. Ensure to wash your face with cool water and the cleanser we provide. Only gently pat your skin dry. Mineral-based sunscreen with an SPF of 30 should be applied and reapplied every 60-90 minutes outdoors.

Day 1

It is usual and expected for your skin to feel red, sun-burnt, tight, dry, swollen, and sensitive to the touch. You may also experience some stinging. Drink plenty of water, avoid makeup, and use only the products approved for post-treatment. You may reapply moisturizer repeatedly throughout the day. Avoid exfoliants or glycolic acids present in cleansers, as these can turn your skin very dry after the procedure. Use Tylenol for pain but don’t use anti-inflammatory medications such as Motrin and Ibuprofen as these may lower the wanted effects of the treatment.

***If you had PRP applied, please do not wash off the PRP solution until the following morning of your procedure.***

Day 2

You may feel the same as you did on Day 1. Skin feels dry, tight, and red. Use your post-treatment cleanser and lotion. Use your post-treatment products as instructed. Please do not use your own products.

Day 3

You still may be pink and notice that the swelling is beginning to lower. Mineral makeup is okay to start using. Continue with post-treatment products.

Day 4-6

Some swelling, some bruising, may have some flaking. You should not pick at the skin that is starting to flake off, and do not use any exfoliators. Continue to use sunscreen. You may resume exercise.

Day 7

It is starting to look great! Stop regular products for skin, including vitamin A products. Continue to avoid sun exposure. There may be areas that are darker than flake off after seven days.

Day 8-28

Don’t go to direct sun exposure. Instead, use at least an SPF 30 outdoors or in the car, and remember to reapply every 1- 11⁄2 hours while outdoors.

We suggest a series of 3-5 treatments at 4-6 week breaks and then treatments for maintenance no less than once a year for best results and efficacy. Please call, text, or email immediately if you have any concerns. 

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