Botox®, Dermal Fillers & Sculptra® – Pre & Post Treatment Instructions

Following these guidelines will help minimize side effects and ensure the best possible results from your treatment.

Pre-Treatment Instructions

  • Avoid Alcohol: Do not consume alcoholic beverages for at least 24 hours before treatment (alcohol can thin the blood and increase bruising).
  • Avoid Blood-Thinning Medications/Supplements (if possible) for 2 weeks before treatment:
  • Aspirin
  • Vitamin E
  • Ginkgo biloba
  • Ginseng
  • St. John’s Wort
  • Omega-3/Fish Oil
  • Ibuprofen (Motrin, Advil)
  • Aleve (naproxen)
  • Other NSAIDs
    (Always check with your physician before discontinuing any prescribed medication.)
  • Plan Ahead: Schedule your appointment at least 2 weeks before special events (e.g., weddings, vacations).
  • Botox/Dermal Fillers: Results appear in 7–14 days; bruising/swelling may be visible during that time.
  • Sculptra: Results develop more slowly—plan with your provider.
  • Pause Retin-A: Discontinue use 2 days before and 2 days after treatment.
  • Reschedule if you have a rash, cold sore, or blemish in the treatment area.
  • Cold Sore Prevention: If you have a history of cold sores, inform your provider—antiviral medication may be prescribed.
  • Eat Before Treatment: Have a good breakfast (food and drink) to reduce the risk of lightheadedness.
  • Pregnancy & Breastfeeding: These treatments are not recommended if you are pregnant or breastfeeding.
  • Medical Clearance: It is your responsibility to confirm with your physician or specialist that there are no contraindications based on your medical history.

Post-Treatment Care – BOTOX®

  • Do not manipulate the treated area.
  • Avoid facials, laser treatments, or microdermabrasion for 14 days after injections.
  • Do not lie down for 4 hours after treatment to prevent product migration.
  • Results appear in 4–14 days. If additional product is needed after 2 weeks, it will be charged based on the amount used.
  • Avoid strenuous activity, heavy lifting, or vigorous exercise for 6 hours post-treatment.

Post-Treatment Care – Dermal Fillers

  • Avoid significant movement or massage of the treated area unless instructed by your provider.
  • Avoid strenuous exercise for 72 hours.
  • Avoid extensive sun or heat exposure for 72 hours.
  • Limit alcohol and salty foods to reduce swelling.
  • If swelling occurs, apply a cool compress for 15 minutes each hour.
  • Use Tylenol (acetaminophen) for discomfort if you have no allergy.
  • Sleep face up with your head slightly elevated to reduce swelling.
  • Consider taking Arnica (with provider approval) starting 2 days before treatment to help minimize bruising and swelling

Post-Treatment Care – Sculptra®

  • Massage Rule of 5s: Massage the treated area for 5 minutes, 5 times a day, for 5 days (unless instructed otherwise by your provider).
  • Keep the area clean.
  • Avoid sun exposure for 2 weeks.