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Pre Treatment Stop

Always consult your GP or Consultant if Medication is Prescribed, Warfarin Will also increase the risk of bruising but you should continue to take this medication as prescribed

  • 3 Days Aspirin is a blood thinner may result in increased bruising
  • 3 Days Anti-inflammatory Pain Medication eg Ibuprofen
  • 7 Days Omega 3 or Fish Oil Supplements
  • 7 Days High Dose Vitamin E
  • 14 Days St John’s Wort 

pre treatment START

Before commencing any over the counter treatment always check with your GP or Consultant to ensure that this will not interact with prescribed medicines

Begin Taking

  • 7-14 Days Arnica Montana Tablets to Prevent Bruising
  • 5 Days Severe Cold Sore History Prescription for Acyclovir Tablets 
  • 3 Days Cold Sore History use Acyclovir Cream AM & PM


Eating Pineapple can also help it
contains Bromelain which helps the body to clear metabolic waste & heal faster

Avoid alcohol

DO NOT…

Drink Alcohol pre treatment for at least 48 hours.  Alcohol has a blood thinning effect & will give you a greater risk of bleeding & bruising which can lead to further complications from swelling.  

Bruising can be extensive & take anything for 7-10 days to resolve, rarely several weeks to resolve, particularly in delicate areas of the face such as eye & lip area.

DAY OF TREATMENT

Your face will be thoroughly cleaned & to prevent infection a product called Clinisept will be used to disinfect the skin, however, modern makeup is designed to last longer on the face and cover imperfections by sitting in the pores.  

It is impossible to guarantee complete remove of all traces of make-up, which can increase the risk of bio-film infections which may not be evident until several weeks or months later, requiring steroid & antibiotic therapy.

6 Hours BEFORE TREATMENT

Exercise increases the blood flow around the body, and whilst this has a positive effect upon your overall health & well-being including a positive impact on blood pressure, the increased blood flow can contribute to increased risk of bruising.

Post Treatment if bruised

Bruising is a normal, but undesirable risk of all injectable treatments & can be minimised by following the pre-treatment advice, if it does occur it can be managed by following the following technique.

Ice packs can be used for 10 minutes per hour for as long as required, ensure that you do not put the ice directly onto the skin use a clean tissue or thin cloth to wrap around the ice pack.  Using Arnica cream post procedure is helpful, apply to the affected area 2-3 times a day, use until the bruise has faded.

POST PROCEDURE SKINCARE

As advised by your practitioner, clinically produced cover-up makeup is especially useful immediately after your procedure as long as this is applied with clean hands it is safe.  You cannot use your own makeup as you will be at risk of infection for 8-24 hours, you can resume using your usual makeup after 24 hours.

Washing your skin in tepid water is advisable you shouldn’t use hot water, you can use your usual skincare as long as it does not contain acids which exfoliate or lighten the skin or Retinols, avoid these for 48 hours.

4 HOURS POST TREATMENT DON’T

Certain activities post treatment can cause Botox to migrate into surrounding muscles increasing the risk of Ptosis.  This is particularly important in the first 4 hours but care should be taken for up to 48 hours.

  • Exercise, vigorous cardio exercise, lifting weights or Pilates is not recommended.
  • Bend forward for prolonged periods, cleaning, certain exercises etc 
  • Lay flat if you are going to lie down prop yourself up more with an extra pillow.

BE PATIENT

Botox does not work immediately, the results can be see from 4-10 days post treatment. In some cases this can take a little longer.  After 10 days your are invited back to the clinic for a review and dose adjustment, this is free of charge.

Reviews are offered 10-21 days post treatment, after this time you will be charged for any further dose adjustments.

POST TREATMENT EFFECTS

Side effects usually resolve within a few hours post treatment

  • Swelling at the injection sites usually resolves within a few minutes to 1 hour, this is usually because the Botox is injected superficially and will be absorbed.
  • Headaches are normal and resolve spontaneously but it is fine to take usual pain relief is needed.
  • Bruising whilst undesirable is normal and expected to last a few days to 10 days.

REPORT SERIOUS SIDE EFFECTS

Serious side-effects are rare but it is important that you alert your practitioner as soon as possible.  You can reach your Practitioner 24 Hours a day

Please report any pain or unusual rash, BTA administration can result in anaphylaxis (a severe allergic reaction) which in itself is life threatening and requires immediate medical attention. Symptoms of a severe allergic reaction can include shortness of breath, wheezing, coughing, difficulty swallowing, swelling of the tongue, eyelids, lips, hoarseness of the voice, stomach pain, nausea or diarrhoea.

If you have any of the above symptoms please report to your nearest Accident and Emergency Department or call 999 for an ambulance.

NO MASSAGE OR FACIALS 14 DAYS

Botox treatment will not be fully settled in the first 14 days, massage or facials could result in the toxin migrating into adjacent muscles causing side-effects by weakening muscles. Muscles which have been affected by migration of the toxin will remain affected for at least 6 weeks and up to the full duration of the treatment and cannot be reversed.

You should also avoid swimming, saunas & steam rooms for 48 hours.

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