• Avoid blood-thinning medications for a couple of days prior such as Ibuprofen, Aleve, and supplements including St. John's Wort, Gingko Biloba, primrose oil, garlic, ginseng, and Vitamin E.
  • If you are on a medically indicated blood thinner stay on it, but consult with your provider ahead of time or day of the procedure.
  • Do not drink alcoholic beverages on the day of the procedure.
  • Arrive with a clean face, please wash your face prior to your appointment.
  • If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores. Please start your anti-viral medication 3 days prior to your injection and let your physician assistant know if you are prone.
  • Do not use Neurotoxin (BotulinumToxinA: Botox, Jeuveau, Xeomin, Dysport) if you are pregnant, are allergic to any of its ingredients, or suffer from neurological disorders.


  • Do not lay down for 4 hours following your treatment.
  • Avoid any massage or pressure to treatment area/s, as this may alter the placement of the drug.
  • If you would like to reapply makeup, do so gently over the treatment area/s.
  • Do not wear a hat or visor for 4 hours post-treatment, if the forehead was treated.
  • Refrain from flushing/sweating and heavy exercise for 24 hours. Avoid saunas and hot tubs for 24 hours.
  • Contract and release the treated muscles every few minutes over the next hour.