Botox: Before and After Care

Two Weeks Before Cosmetic Injectable Treatment

• Refrain from use of excessive or unnecessary blood thinners.

Three Days Before Cosmetic Injectable Treatment

• Avoid exfoliating agents like Retin-A, alpha or beta hydroxy acids, toners or any irritating creams on the treatment area.
• Discontinue electrolysis, waxing, threading, tweezing, plucking and chemical epilation in the treatment area.
• If you are prone to cold sores, notify the physician, who will prescribe a course of antiviral prophylactic treatment.
• Avoid Vitamin E (includes a multivitamin) and Fish Oil.
• Consider a course of Arnica Homeopathic tablets until a day after treatment to decrease the occurrence of bruising.
• Avoid Ibuprofen or Aspirin.

Day of Cosmetic Injectable Treatment

• Arrive at your appointment with a clean, makeup free face. Makeup wipes will be available, if not possible.
• A topical anesthetic / local analgesic may be indicated to maximize your comfort.
• You may experience some tenderness, swelling, redness or stinging at the injection site, immediately following injection.

Cosmetic Injectables Aftercare

• Avoid lying down for four hours following treatment.
• If using makeup the day of procedure, mineral makeup is preferable.
• Avoid going to the gym for 24 hours after injection.
• Comfort Measures:
  • Ibuprofen, acetaminophen or Aleve are appropriate for swelling or discomfort, if needed.
  • Antihistamines, like Benadryl and Zyrtec, may be used for minor itching.
  • For up to 48 hours following treatment, cool packs or ice can relieve minor discomfort and reduce swelling and bruising. Ice for a maximum of 20 minutes per hour. After 48 hours, switch to hot packs.
  • Arnica Gel may be used for bruising.
  • If extreme swelling or any unforeseen symptoms occur, please contact Smooth Synergy.

Post-Treatment Expectations

• With the exception of strenuous exercise, you may return to normal activity immediately following injection.
• Most side effects from the treatment should not be cause for alarm. Symptoms are usually minor and should subside in time, as a normal part of the healing process. They may be alleviated with simple measures, as described above.
• It is normal to experience mild tenderness, swelling, bruising for up to a week, particularly around the injection site.
• Flu-like symptoms or headache have been reported but are uncommon.
• It’s rare to experience drooping of the muscles around the treatment area; however, should this occur, please contact Smooth Synergy immediately at 212-397-0111.
• If you are concerned about any aspect of your post-treatment recovery, please call Smooth Synergy at 212-397-0111.

Cosmetic Injectables Results

• You will begin to see smoothing of lines and wrinkles between 3-7 days after Botox, Dysport or Xeomin injection, although some areas may take effect quicker than others. 
• Schedule a follow-up appointment ten days after your procedure, so the doctor can assess treatment results and administer minor touch-ups, as needed.
• To maintain results, it’s recommended that you schedule your next appointment in about three months.