Botox and Fillers

First, a consultation with our Nurse Aesthetician is scheduled in one of our private consultation rooms.

During this face-to-face consultation, our experienced injector/aesthetician will provide a personalized treatment plan tailored to your needs and based on your facial analysis and health history.

A thorough health history is obtained from an upper provider such as a Nurse Practitioner, a Physician Assistant or a Physician via telemedicine or face to face consult before any treatment can be performed.



For some patients receiving Botox/and or Dysport injections has been reported to feel a lot like a pinch, this varies dependant on the patient.
The most common side effects at injection sites include:

  1. redness
  2. swelling
  3. bleeding

You may begin to notice a visible smoothing of lines within 24 to 48 hours, with results can last up to 4 months for moderate to severe frown lines.
These injectables are not a permanent treatment. If you discontinue treatment the moderate to severe frown lines, crow’s feet and forehead lines will gradually return to a pre-treatment state.



After your consultation with our nurse aesthetician, they will recommend a treatment plan that is best suited to you, which will be dependent duration, the amount required, and facial movement.

There are many types of fillers such as Juvederm, Restylane, Voluma etc. most of these are made of (HA) hyaluronic acid.

These fillers are administered after the injection site is numb using numbing cream or other distraction tools. This helps minimize and reduce the “pinch” feeling.

With fillers, changes are noted immediately. Swelling may occur and this is normal. Typically swelling inflammation subsides within 24-48 hours given injection site and type of filler.


  • ALCOHOL: Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of
  • AVOID: Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment. Medications and
    supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil,
    Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections.
  • SPECIAL DAY: Schedule your Dermal Filler and Botox appointment at least 2 weeks prior to a special event which you may be attending, such
    as a wedding or a vacation. Results from the Dermal Filler and Botox injections will take approximately 4 to 7 days to appear. Also
    bruising and swelling may be apparent in that time period.
  • Discontinue Retin-A 2 days before and 2 days after treatment.
  • Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on the area.
  • HEALTH HISTORY: If you have a history of cold sores please let us know, an anti-viral medication prior to treatment can be prescribed.
  • FOOD: Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the chances of lightheadedness
    during your treatment.
  • PREGNANT: You are not a candidate if you are pregnant or breastfeeding.
  • If you are prone to bruising or swelling taking Arnica tablets 48 hours prior to injections helps the healing process.


After Care Instruction for BOTOX/Dysport Injections
  • After your treatment you can resume your day.
  • Do NOT manipulate the treated area for 3 hours following treatment. Do NOT receive facial/ laser treatments or microdermabrasion after
    Botox injections for at least 10 days. Ask your provider if you are not sure about the time frame of certain services.
  • REST: 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 drooping eyelid.
  • RESULTS: It can take approximately 4 to 7 days for results to be seen. If the desired result is not seen after 2 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.
  • EXERCISE: Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep
    the Botox in the injected area and not elsewhere.
  • BE GENTLE: When washing your face within the 1st 24 hours, GENTLY scrub.
  • FOR DISCOMFORT: You may take Tylenol.
  • SIDE EFFECTS: bruising and swelling are normal, applying topical Arnica cream/gel can help reduce the appearance.


After Care Instructions for Fillers
  • EXERCISE: Avoid strenuous exercise for 24 hours.
  • FUN IN THE SUN: Avoid extensive sun or heat for 72 hours.
  • DRINKING: Avoid consuming excess amounts of alcohol or salts to avoid excess swelling.
  • SLEEPING: Try to sleep face up and slightly elevated if you experience swelling.
  • LOVE IT OR HATE IT: Do NOT love or hate your results immediately, swelling and bruising are noted mostly in the First 24-48 hours.
    However, swelling may last more than others. Modification (if needed) can be done when swelling and bruising subsides.
  • BE GENTLE: When washing your face within the 1st 24 hours, GENTLY scrub.
  • SIDE EFFECTS: bruising and swelling are normal, applying topical Arnica/ice/ Benadryl can help reduce the appearance.
  • PAIN: ice the area that’s filled to help minimize swelling. Use Tylenol for discomfort.
  • SWELLING: If swelling is uncomfortable and lasts more than 72 hours please contact healthcare provider FIRST.
  • Warm compresses MAY be applied (must be advised by healthcare provider first)
  • MASSAGE: Do not touch/massage the treated area unless directed to by HEALTHCARE PROVIDER
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