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TREATMENT PRE + POST CARE

Injectables (Botox, Xeomin, Jeuveau) - Pre + Post Care

  • Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Ginko Biloba, St. John’s Wort, and high doses of vitamin E for 7-10 days prior to the procedure, as these may cause an increased risk of bleeding and bruising at the treated site(s). Regular multi-vitamin and Tylenol® are permitted (If not contraindicated).

  • Avoid alcoholic beverages for 24 hours prior to the procedure as this can increase the risk of bleeding and bruising at the treated site(s).

  • Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.

  • Take Tylenol® (if not contraindicated) 1 hour prior to your appointment to help with any discomfort you may have if you have concerns about discomfort.

  • If you have any history of Herpes Simplex (cold sores) on your face, make sure you inform the NP or RN that you have made your appointment, one week prior to your appointment; this will allow us adequate time to prescribe a medication to prevent an outbreak.

  • Sunburn skin is difficult to treat so avoid exposure to the sun.

  • Eat a small meal or a snack before your appointment.

  • Always inform your NP or RN of all medications, including supplements you may be taking as well as your medical history.

 

Treatment Precautions

  • You would not be considered a candidate for Xeomin® if you have any of the following:

    • Myasthenia Gravis

    • Allergy to Botulinum Toxin

    • Neuromuscular disorder

    • Pregnant or breastfeeding

    • Allergy to human albumin

 

After Injectables Treatment (Botox, Xeomin, Jeuveau)

  • The results of your treatment can take up to 14 days to take full effect. Usually, patients notice a change in 4-5 days.

  • It takes time for the muscles to lose strength and the lines to fade following any botulinum toxin treatment.

  • Please wait until 14 days have passed before assessing if you are pleased with the results.

  • Do not touch or rub injected site for 2-4 hours following treatment.

  • Avoid exercise and sweating for the remainder of the day and no lying down or leaning forward for 2-4 hours after treatment. 

  • There can be a slight chance of bruising at the treated site, this is temporary. Be assured that any tiny bumps or marks will go away within a few hours of treatment.

  • Avoid any type of facial, Microderm abrasion, or massage for 14 days after treatment.

  • Avoid Ibuprofen, Advil, or Motrin, Tylenol is acceptable to take if experiencing discomfort (if not contraindicated)

  • Botulinum toxin treatment is a temporary procedure and at first, you may find that your treatment results will last approximately 3-4 months. If you maintain your treatment appointments with the frequency recommended by your clinician, the duration of each treatment result may last longer than 4 months.

  • Your satisfaction is important to us! We would like you to return to the office in 2 weeks for a follow-up assessment appointment, especially after your first treatment. This will ensure we are able to see how your facial muscles react to your treatment. If you require additional Botulinum toxin treatment to fine-tune/adjust your treatment results there will be additional charges at the regular rate.

  • Remember your sunscreen every day.

Revanesse Versa Dermal Filler - Pre + Post Treatment

  • Because post-procedural swelling is to be expected and can vary depending on which area is being injected, taking these steps prior to your procedure will aid in bringing down the swelling and minimizing possible bruising.

  • Minimize alcohol consumption for a minimum of 24 hours prior to injectable treatment. Alcohol can thin the blood making it easier for bruising to occur. It is best to avoid alcohol for a minimum of 3 days prior to injectable treatment.

  • Avoid certain supplements and medications before the procedure.

  • It is best to avoid any blood thinning agents for at least 1 week prior to injectable treatment to minimize the occurrence of bruising.

  • Stop all NSAIDs (non-steroidal anti-inflammatory medications) such as aspirin, Advil, Aleve, Nuprin, Bufferin, Ibuprofen, etc. Tylenol is ok to use.

  • Stop all herbal supplements such as fish oil, ginkgo, ginseng, St. John’s Wort, garlic pills, etc. (a multivitamin is ok to continue).

  • Always discuss any history of allergies and current medications you are taking with your provider.

  • Start taking oral arnica Montana prior to the procedure. Arnica montana is a natural supplement that helps to reduce swelling and bruising. Starting the supplement the day prior to the procedure and continuing after the procedure is recommended.

  • Avoid salty foods a few days before and after the treatment as excess sodium causes the body to retain water, which in turn can worsen swelling.

  • Avoid any depilatory treatments (hair removal, such as tweezing, waxing, etc.) for a minimum of 2 days prior to the treatment. Tell your provider if you are planning any chemical peel treatments or laser treatments as this may cause possible irritation at the treatment site.

  • If you have a history of cold sores, it is important to let your provider know. There is a risk that the treatment could lead to an outbreak, so your provider may want to treat you with Valtrex.

  • Tell your provider if you are on immunosuppressive therapy.

  • Tell your provider if you are pregnant or breastfeeding as the safety profile has not been studied on this group and injectable treatment should not be performed.

After Your Versa Dermal Filler

  • Avoid significant movement or massage of the treated area unless instructed by the provider.

  • Avoid strenuous exercise or anything that increases your heart rate for 24 hours.

  • Avoid extensive sun or heat for 72 hours (no sauna, or hot tub).

  • Avoid consuming excess amounts of alcohol or salts to avoid excessive swelling.

  • You may apply a cool compress or ice pack for 15 minutes each hour while awake to reduce swelling.

  • Use Tylenol (acetaminophen) for discomfort. No NSAIDs (ibuprofen, aspirin) for 24 hours as they can increase bleeding.

  • Try to sleep face up and slightly elevated if you experience swelling.

  • You may want to consider taking Arnica (found in health food stores) to help with the bruising and swelling.

  • Avoid wearing makeup on the day of the procedure.

  • Sanitize your phone before putting it to your face and try to talk on speakerphone as much as you can the day of.

  •  Wait a minimum of two weeks before dental work, immunizations, or laser treatments.

  • Dermal fillers last, on average, 6-12 months with some lasting 24 months. It is recommended at the time of your treatment to schedule your next appointment to maximize your benefit. Typically, this is best done two weeks post-treatment.

  • The most typical side effects are bruising, swelling, and redness. These are temporary and will resolve. However, please call the office at 207-607-9974 to notify us if you experience any additional side effects.

Revanesse Lips Dermal Filler - Pre + Post Care

 

  • People who have previously experienced problems with facial cold sores are at risk that a needle puncture might cause the eruption of another cold sore.

  • Bear in mind to let your surgeon know if you have had previous experience with facial cold sores.

  • Dermal Fillers should not be performed if :

    • You are breastfeeding or pregnant

    • Suffer from any neurological disorders,

    • You are allergic to some of the ingredients and compounds.

  • If you’re unsure how fillers will affect you, contact our team to get your questions answered and set up a consultation!
     

One Week Before Your Treatment

  • Avoid supplements, including garlic, Vitamin E, ginseng, primrose oil, and Gingko Biloba.

  • Consult with your physician about any medications you take regularly and whether they’re likely to cause issue. 
     

Two Days Before Your Treatment

  • Do not use topical products like anti-aging products, Glycolic Acid, Retinoids, Retinol, and so on. Avoid tweezing, bleaching, waxing, and even hair removal cream around the lips.

 

One Day Before Your Treatment

  • Don’t drink alcoholic beverages one day prior to lip injections.

  • Avoid any blood thinning over-the-counter drugs such as Aleve, ibuprofen, aspirin, Motrin, and so on.

 

Treatment Day

  • Arrive at the appointment with a completely clean face, that is, washed face without any makeup.

  • Avoid alcohol.

  • Don’t take any painkillers beforehand. Most fillers already include a local anesthetic to help manage any discomfort at the injection site, so rest easy knowing that you’re about to have killer lips!

HOW TO KNOW IF YOU’RE A GOOD CANDIDATE FOR LIP FILLERS?


If your lips are thinner than you would like, lip fillers may be a good solution for you. Dermal fillers can enhance your lips’ contour and fullness and provide a healthier and younger appearance. Lip injections are typically not recommended for people who currently have cold sores, diseases such as lupus or diabetes, or those with blood clotting issues. If you have concerns over any medical complications or how your body will react to fillers, consult with us beforehand! Cosmedic wellness centers are overseen by a qualified medical doctor with decades of experience, so your health and confidence are always top priorities. 

HOW LONG DO LIP INJECTIONS TAKE? ARE THEY PAINFUL?


If you’ve decided to undergo a lip injection treatment, the procedure usually lasts around 30 – 45 minutes. However, the approximate time will depend on a person’s specific characteristics, needs, and wishes. Injections are not inherently painful, but the numbing agent may cause slight, mild discomfort. In addition, filler injections work by depositing a gel beneath your skin, so there will be a period of adjustment as your body and tissues adapt to the additional volume. For more info on how fillers work, check out our previous articles!


All in all, there isn’t much to worry about preparing for your lip filler appointment. Stay hydrated, and avoid substances that can thin your blood or alter your natural baseline. And don’t use products that can interfere with your skin’s natural state. And of course, don’t forget to consult with your physician assistant and be completely honest leading up to your appointment for the best results.

After Your Dermal Filler Treatment

  • Avoid significant movement or massage of the treated area unless instructed by the provider.

  • Avoid strenuous exercise or anything that increases your heart rate for 24 hours.

  • Avoid extensive sun or heat for 72 hours (no sauna, or hot tub).

  • Avoid consuming excess amounts of alcohol or salts to avoid excessive swelling.

  • You may apply a cool compress or ice pack for 15 minutes each hour while awake to reduce swelling.

  • Use Tylenol (acetaminophen) for discomfort. No NSAIDs (ibuprofen, aspirin) for 24 hours as they can increase bleeding.

  • Try to sleep face up and slightly elevated if you experience swelling.

  • You may want to consider taking Arnica (found in health food stores) to help with the bruising and swelling.

  • Avoid wearing makeup on the day of the procedure.

  • Sanitize your phone before putting it to your face and try to talk on speakerphone as much as you can the day of.

  • Wait a minimum of two weeks before dental work, immunizations, or laser treatments.

  • Dermal fillers last, on average, 6-12 months with some lasting 24 months. It is recommended at the time of your treatment to schedule your next appointment to maximize your benefit. Typically, this is best done two weeks post-treatment. The most typical side effects are bruising, swelling, and redness. These are temporary and will resolve. However, please call the office at 207-607-9974 to notify us if you experience any additional side effects.

VIPeel Pre + Post Care

VIPeel Pre-Care

  • No retinol for three days prior to treatment.

  • Avoid sun exposure - no tanned skin.

  • If you have an allergy to aspirin or phenol, are pregnant or breastfeeding, you CANNOT get this procedure done.

  • Plan to NOT exercise vigorously for the next 3-4 days after treatment. Avoid excessive perspiration as sweating may induce water blisters and excessive internal warming.

  • Plan to have the peel remain on your face for four hours post-treatment.

  • If you are prone to cold sores, please let us know prior to treatment.

 

VIPeel Post-Care

  • The first two days your skin will look a little tan, bronzed, or pink. It may also feel a bit tight before the peeling begins.

  • As a rule, treat it like a sunburn: avoid sun exposure, avoid sweating and avoid heat.

  • During the peeling phase, you must avoid sun exposure. Even after the peeling has subsided your new skin will be sensitive to UV light. Protect your investment and reapply your sunscreen when outdoors.

  • If any products in the post-peel kit sting or irritate beyond your tolerance reach out to your practitioner for options to use instead.

  • The amount of visible peeling you will experience varies greatly. You will peel as much as your skin needs to peel.

  • Each morning, apply the Post Treatment Repair Cream and SPF 50+ Sunscreen and apply as needed throughout the day. Continue use for the 7-Day peeling process.

 

Towelettes

  • Function: The towelettes included in your post-peel kit provide additional stimulation of the skin and expedite the peeling process.

  • Use: The first towelette should be used 4 hours after your peel has been applied. Subsequent towelettes will be applied at intervals designated in your aftercare booklet. All towelettes should be spaced a minimum of 4 hours apart and all towelettes should be used in the first 48 hours.

  • Discontinue any unused towelettes if you note any peeling within the first 48 Hours.

  • Side effects: Towelettes are not refreshing towelettes. There are active ingredients in these towelettes and therefore you may note some light stinging upon application. Some people can also experience some itching, especially on night 1 which can be remedied by applying Post Treatment Repair Cream, hydrocortisone cream, or taking an oral antihistamine.

 

Peeling

  • Safe products to use during peeling: VI Derm Gentle Purifying Cleanser, Post Treatment Repair Cream, SPF 50+. (From your home you can also use a gentle cleanser, Aquaphor, and sunscreen.)

  • Days 3, 4, and 5 are the typical days of peeling. By day 6 most exfoliation has subsided.

  • Typically, peeling begins on the third day, starting around the mouth and then peeling outward. The forehead and neck will be the last areas to peel.

  • We recommend cleansing your face prior to showering and keeping your face protected from hot water.

  • When cleansing your face use your fingertips only. Avoid using washcloths or facial machine brushes during the first week.

  • While the skin is exfoliating avoid pulling, picking, rubbing, and any premature removal of skin. This could lead to significant irritation and possible hyperpigmentation. Never force or peel the skin off in sheets.

  • When peeling make sure to keep your body hydrated and your skin moisturized.

  • The Post Treatment Repair Cream may cause slight sensitivity when first applied but it quickly subsides.

  • If you are excessively dry or irritated when peeling, add a light layer of Aquaphor to provide a protective barrier.

 

Continuing After Care

  • Resuming Skin Care Products

    • Non-Actives: Can be resumed once peeling has subsided, usually days 6-7.

    • Actives: Can be resumed once peeling has subsided and sensitivity has returned to normal, usually days 7-10.

  • Physical Activity / Exercise

    • Refrain for 72-96 hours after peel application. Inducing excessive perspiration can lead to PIH or blistering.

  • Scheduling the Next VI Peel

    • VI Peels should be scheduled every 4-6 weeks (for best results)

  • Additional Skincare Treatments

    • It is recommended to wait for a minimum of 2 weeks before any treatment that creates exfoliation of the skin. 

 

 

VitaDerm Dermaplane - Pre + Post Care

 

Before Your Dermaplane Treatment

  • Dermaplaning is an entirely non-invasive and pain-free procedure with very minimal recovery time. However, the patient must prepare in the two weeks preceding the procedure to ensure that the maximum benefits of the process take hold.

  • Avoid Sun Exposure

  • If your skin is even slightly burnt, an esthetician cannot get to work on any type of skincare treatment. Avoid sun exposure, especially if you are prone to sunburns and redness, in the week or two leading up to your dermaplaning appointment.

  • At least three to five days before your procedure, stop exfoliating altogether. The dermaplaning process already takes exfoliation to the extreme, so the extra abrasive topicals aren’t necessary. If you continue to use chemical and manual exfoliators at home, you are putting yourself at risk for over-exfoliation and irritation.

  • It’s best to leave those creams and scrubs in the medicine cabinet for a few days before your dermaplaning treatment.

  • Get Waxing Out of the Way

    • Yes, the point of dermaplaning is to remove unwanted hair from the face. However, there is a difference between the short, translucent peach fuzz on your face and the terminal hair from your eyebrows, upper lip, or chin.

    • Waxing removes terminal hairs but also removes layers of skin cells on the face. Since dermaplaning also removes excess skin cells, schedule your waxing appointment at least two weeks before your skincare treatment to avoid any possible irritation afterward.

 

  • Have a Breakout? Time To Reschedule

    • Although one of the fantastic benefits of skincare treatments like dermaplaning is a reduction in the appearance of acne scars, the treatment isn’t appropriate for skin with active acne.

    • If you’ve had a big breakout or even just one small pimple or lesion, it’s time to reschedule your appointment.

    • It might seem disappointing to wait for a new session, but this ensures that the process is safe and produces results for you.

 

After Your Dermaplane Treatment

 

After treatment, your skin will be vulnerable. The skin revealed by the treatment is new to the world, so it will be especially sensitive for 3 days to a week after treatment. To take care of your skin, it is important you follow the simple aftercare advice we give you. Post-treatment guidelines include:

  • Avoid direct sun exposure for 3 days

  • Avoid extreme heat for 3 days

  • Do not use scrubs or other exfoliators for 1 week

  • Avoid chlorine for 1 week

  • Apply serums and moisturizers

  • Use sunscreen

 

Hyperhidrosis Treatment with Botox- Pre + Post Care

  • For Botox in armpit treatment please arrive to the appointment with shaved underarms(both males and females) and wearing a dark-colored loose fitting top. You will need to expose the area for treatment so a vest or sleeveless top is recommended.

  • Deodorant can be worn to the appointment and will be removed by your doctor prior to Botox injections.

 

After your Hyperhidrosis Treatment

  • Nearly all patients continue their routine daily activity immediately after the treatment. When Botox is injected there is an initial minor sting for a few seconds. Once the injection is complete, there is usually no discomfort.

  • Avoid lying down or massaging the treated area for 4 hours after treatment.

  • Do not exercise for 24 hours.

  • If you get a headache (as some people do for a few hours after the treatment) you may take a Tylenol, unless otherwise advised by Dr. Khuu.

  • You will notice the effect of Botox in 5 to 10 days.

 

The treatment care instructions are a list of things to avoid to take care of the new skin.

We may have additional guidelines for you to follow, such as specific products that should and should not be used.

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