Some patients receiving BOTOX® Cosmetic report the injections to feel like a pinch. You may begin to notice a visible smoothing of frown lines, crow’s feet, and forehead lines within 24 to 48 hours, with full results in 30 days lasting up to 4 months for moderate to severe frown lines.

BOTOX® Cosmetic is not a permanent treatment. If you discontinue treatment, the moderate to severe frown lines, crow's feet and forehead lines will gradually return.

Botox After Care Instructions

Patients may note some mild redness and swelling at the injection site. This is normal and should subside quickly. Routine activities can be resumed the same afternoon.    

Do NOT manipulate the treated area for 3 hours following treatment.

Do NOT lie down for 4 hours after your Botox treatment. This will prevent the Botox from tracking into the orbit of your eye and causing a drooping eyelid.

It can take approximately 4 to 7 days for results to be seen. If the desired result is not seen after two weeks of your treatment, you may need additional Botox. You are charged for the amount of product used. Therefore, you will be charged for a product used during any touch-up or subsequent appointments.

Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 24 hours after treatment. This will keep the Botox in the injected area and not elsewhere.

JUVÉDERM® VOLUXTM XC injectable gel is for deep injection to improve moderate to a severe loss of jawline definition in adults over the age of 21.

JUVÉDERM® VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss and for augmentation of the chin region to improve the chin profile in adults over 21.

JUVÉDERM® VOLLURE® XC, JUVÉDERM® Ultra Plus XC, and JUVÉDERM® Ultra XC injectable gels are for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. JUVÉDERM® VOLLURE® XC injectable gel is for adults over 21.

JUVÉDERM® Ultra XC injectable gel is also for injection into the lips and perioral area for lip augmentation in adults over 21.

JUVÉDERM® VOLBELLA® XC injectable gel is for injection into the lips for lip augmentation and correction of perioral lines, and for injection into the undereye hollows to improve the appearance of undereye hollows in adults over the age of 21.

Your medical practitioner will discuss with you the product’s indications, contra-indications, incompatibilities, and potential undesirable effects/risks associated with dermal filler injection and ensure that you are aware of the signs and symptoms of potential complications.

• Avoid taking Aspirin, Non-steroidal Anti-Inflammatory Drugs (NSAIDS) such as Motrin for 5 days prior to the procedure.

• Vitamin E, Fish Oil, Ginko Biloba, St Johns Wart, Ginseng, and Garlic 7-10 days prior to the procedure. These drugs and herbs may cause excessive bleeding or bruising.

• Eat at least 1 cup of fresh pineapple or pineapple juice for 3 days prior to the appointment. (the enzyme it contains can help prevent bruising and swelling)

• Arnica Montana (found at any health food store) as directed will also help prevent bruising and swelling and is highly recommended.

• Avoid dental procedures including cleanings 2 weeks before and after injections.

• Avoid excessive heat such as saunas, hot showers, the hot sun, or cooking over a hot stove. This may cause the blood vessels to dilate and cause more bleeding and bruising.

• Avoid strenuous exercise after the procedure. This may raise your blood pressure and pulse, causing more bruising and swelling.

• Avoid direct sunlight for prolonged periods of time. Wear sunblock to protect your skin. Sunlight may cause permanent discoloration after bruising.

• Avoid drinking alcohol for 24 hours after treatment. Alcohol may cause the blood vessels to dilate and cause more bruising.

• If lips are treated avoid straw drinking immediately after your treatment and for 2 weeks.

• No massages of the area treated or with face in a massage cradle for 2 weeks after treatment.

• Avoid taking Advil, Vitamin E, Ginger, Ginko, Bilboa, Ginseng, and Garlic for 2 weeks after the procedure since this may increase the risk of bruising. You may shower and do most other regular daily activities.

• Do not apply Make-up after the procedure for 12 to 24 hours.

• You may apply cold compresses or ice to the treatment sites to reduce swelling and bruising if instructed by your provider.

• We recommend Arnica Montana pills or gel to prevent bruising these can be purchased in our office or at any health food store.

• Note that any bumps or marks from the extremely small needle sticks will go away within a few hours. If you do develop a bruise, it will resolve like any other bruise. There is occasionally some mild pain, swelling, itching, or redness at the site of injection, like most other injections. Redness may last for 1-2 days, rarely longer.