Please follow these recommendations to minimize the risk of bruising and swelling from injections of Botox, Juvéderm or Voluma.
One week before your treatment:
Avoid taking aspirin or NSAIDs (such as ibuprofen, Advil, Motrin, Aleve), Vitamin E supplements, Omega 3 supplements, turmeric supplements and Ginkgo biloba supplements. Tylenol is fine. You can resume these medications and supplements 24 hours after your injection. If you have any questions or medical concerns, consult your physician prior to stopping any medication or supplement.
One day before your treatment (recommended if treating with dermal fillers):
Begin taking an Arnica Montana supplement, and continue for 4 to 6 days after the injection. Arnica Montana is a homeopathic remedy that may help reduce swelling and bruising. It can be purchased at most health food stores, vitamin stores and major pharmacies. Follow the instructions on the supplement container. If you have a medical condition that has an increased risk of blood clots, or if you are using a mediation to prevent blood clots, please contact your physician before using Arnica.
Immediately following your treatment:
If you have swelling from an injection of Juvéderm or Voluma, you can apply cold compresses (such as frozen peas wrapped in a towel) to the area to reduce swelling and discomfort.
If you bruise, beginning 24 hours after your treatment:
Apply Arnica gel or cream to the bruised area and gently massage it into the skin 3 times daily. Arnica cream or gel can be purchased at most health food stores.
Eat fresh pineapple daily. The Bromelain in pineapple may help the body naturally eliminate the bruise.
If you have soreness or swelling, you may take aspirin or ibuprofen as directed on the container.
You may cover the bruised area with makeup. We find that concealers and mineral foundations (or mineral foundation layered over concealer) work well, but may need to be applied several times a day until the bruise resolves. Note that gold/yellow tones help neutralize the purple tones in a bruise.
Bruising is infrequent, but sometimes occurs following an injection of Botox. Minor bruising and minor swelling is more common following injections of Juvéderm or Voluma. Sometimes bruising or swelling arise a day or two after the injection. The treated area may also be tender for a few days, and bruises often look a little deeper in color as they heal. This is normal. However, if these symptoms persist for more than a few days or get worse (increasingly tender, red or swollen) instead of getting better, contact your provider immediately at (360) 353-1537
Recommended Pre & Post Care for Botox Cosmetic®
For best results please follow these instructions.
Before your treatment:
• Review the Bruise Prevention Protocol.
• Some medications or supplements that thin the blood may increase the risk of
bruising. Consult with your physician.
• Avoid facials and chemical peels for 1-2 days prior to treatment and 1-2 days after
treatment.
• Notify your physician of any changes to your health history or medications since your
last appointment.
• If you have a history of herpes or cold sores, an anti-viral prescription is
recommended prior to treatment in that area.
After your treatment:
• Avoid strenuous exercise, extensive sun or heat, and alcohol for 24 hours following
treatment.
• Remain upright for 4 – 6 hours after injection.
• Don’t massage or manipulate the injection areas. Wash your face gently.
• You may take Tylenol for discomfort, but wait 24 hours before taking ibuprofen (such
as Motrin or Advil), aspirin, Aleve or Vitamin E to minimize bruising.
• If bruising occurs, refer to the Anti-Bruise Protocol above.
• Severe pain after injection is not usual. In the unlikely event this occurs, call your
provider immediately.
• For best results, please schedule your next treatment 12-16 weeks after today’s
treatment. It is important to maintain a regular injection schedule to optimize your
results and reduce formation of new wrinkles.
Recommended Pre & Post Care for Juvéderm® and Voluma®
For best results please follow these instructions.
Before your treatment:
• Review the Bruise Prevention Protocol.
• Some medications or supplements that thin the blood may increase the risk of
bruising. Consult with your physician.
• Avoid facials and chemical peels for 1-2 days prior to treatment and 1-2 days after
treatment.
• Notify your physician of any changes to your health history or medications since your
last appointment.
• If you have a history of herpes or cold sores, an anti-viral prescription is
recommended prior to treatment in that area.
After your treatment:
• Avoid strenuous exercise, extensive sun or heat, and alcohol for 24 hours following
treatment.
• Use cold compresses briefly if the treated area is swollen.
• Don’t massage or manipulate the injection areas. Wash your face gently.
• For Voluma injections, avoid sleeping on the injection areas for 1-2 days. If possible,
sleep on your back or use soft pillows.
• The most common side effects are redness, swelling, tenderness, firmness, itching,
lumps/bumps, discoloration, and bruising at the injection sites. These side effects
should resolve within a week.
• You may take Tylenol for discomfort, but wait 24 hours before taking ibuprofen (such
as Motrin or Advil), aspirin, Aleve or Vitamin E to minimize bruising.
• If bruising occurs, refer to the Anti-Bruise Protocol above.
• Severe pain after injection is not usual. In the unlikely event this occurs, call your
Provider immediately.
• Please schedule a follow up appointment in 2 to 4 weeks following your treatment.
Please sign that the information above has been reviewed and is understood.
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