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Pre-Treatment Instructions:

• If you have a history of cold sores, please inform your provider prior to treatment. The doctor will need to write a prescription to pre-treat to eliminate the chances of you developing a cold sore post treatment.
• Avoid anti-inflammatory/blood thinning medications 10-14 days prior to treatment. Medications such as: Aspirin, Vitamin E, Gingko 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.
• Avoid consuming alcoholic beverages 1 week prior to treatment (alcohol may thin the blood and increase the risk of bruising).
• Schedule your appointment at least 1-2 weeks prior to a special, such as a wedding or a vacation due to risk of bruising and swelling post treatment.
• Reschedule your appointment at least 48 hours in advance if you have a severe rash, cold sore or blemish in the treatment area.
• Be sure to have a good breakfast, including food and drink, before your procedure. This will decrease the chances of lightheadedness during your treatment.
• Consider taking Arnica tablets 1 week prior to injections to prevent bruising (Usage: Dispense 5 pellets under your tongue 3 times a day).

Post-Treatment Instructions:

• Avoid laser treatments directly over or above Hyaluronic Acid fillers for 4-6 weeks after injection.
• Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 24 hours after your treatment.
• Avoid massaging/manipulating the treated area for 24 hours following treatment (unless instructed by your provider).
• Do NOT consume excess amounts of alcohol or sodium to avoid excess swelling.
• If you have swelling, you may apply a cool compress for 5-10 minutes each hour (5 mins over eyes) and take Tylenol to ease any discomfort.
• We recommend sleeping on your back and slightly elevated, if you experience swelling.
• Avoid dental work 1-2 weeks after filler injections.

Allow 2 full weeks and if you need any adjustments or have any concerns and/or questions contact the office at 914-293-6557

Disclaimer: You are not a candidate if you are pregnant or breastfeeding.

Pre-Treatment Instructions:

• Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising).
• Do NOT use the following products 2 days prior or 2 days after your treatment (or until pinkness has subsided): Retin-A, retinoids, or similar vitamin A compounds, harsh scrubs or exfoliating products and bleaching creams (unless instructed otherwise by your provider).
• Gentlemen: Shave the treatment area one day before your scheduled treatment (unless instructed otherwise by your provider).

• Do not apply any creams, lotions, perfume or makeup etc. on the area to be treated, prior to treatment.
• Be sure to have a good breakfast, including food and :drink before your procedure. This will decrease the chances of lightheadedness during your treatment.
• Schedule your Kybella appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation (due to bruising and swelling)
• Reschedule your appointment at least 48 hours in advance if you have a severe rash, cold sore or blemish in the treatment area.
• Consider taking Arnica tablets 1 week prior to injections to prevent bruising (Usage: Dispense 5 pellets under your tongue 3 times a day).

Post-Treatment Instructions:

• Apply your sunscreen the day after treatment and re-apply every 2 hours for incidental sun exposure such as driving. 
• Do NOT pick, rub or scratch any scabs or dry skin that may appear. This may cause unwanted side effects such as darkening of skin and/or scarring.
• Avoid extreme temperatures of heat for 24 hours post treatment (i.e. Jacuzzi, hot showers etc.)
• Do NOT consume alcohol or sodium for 3 days post treatment to avoid excess swelling. 
• Avoid strenuous exercise for 24 hours post treatment.
• Sleep on your back with your head elevated to decrease swelling.

What To Expect:

• You will experience swelling and bruising for 3-5 days post treatment and will begin decreasing over a period of the next few weeks. 
• If you have swelling you may apply a cool compress for 15 minutes each hour and take Tylenol to ease discomfort.
• Many patients need 2 treatments for desired results, please schedule a follow-up appointment 4-6 weeks after your first treatment.

WHAT TO EXPECT: 
People who receive a lip filler treatment may experience irritation or complications, but the majority of side  effects that can occur are tolerable and manageable. It’s important to note that hyaluronic acid dermal fillers  are not permanent treatments.  

The most common side effects that people experience after an injection are: 

• Bruising 
• Redness 
• Swelling 
• Tenderness  
• Pain
  

Most side effects go away in a few days, but sometimes last up to a few weeks. But in the meantime, there are  steps you can take to minimize reactions.  

STEPS TO YOUR BEST RESULTS: 
If you have any of the more common symptoms mentioned above, here are some steps you can take to  minimize reactions and get comfortable.  

∙ Apply cool compresses to the injection site  (gently, without firm pressure) up to 4 times per day for 5 minutes at a time 
∙ Reduce facial expressions/lip pursing for 48  hours 
∙ Avoid massaging the injection area 
∙ Avoid sun exposure as long as bruising  persists 
∙ Keep head elevated while sleeping 
∙ Avoid vigorous exercise for 24 hours ∙ Stay well hydrated 

WHAT TO AVOID: 
Before and immediately following your lip treatment, there are actions you should avoid as they may cause  bruising, swelling, and/or other symptoms. These include:  

• Avoid consuming alcohol 3-4 days prior to and at least 24 hours after your procedure
•  To decrease your risk of bruising, avoid taking blood-thinning medications (unless medically necessary)  one week prior and 3 days after treatment. These include: Aspirin, NSAIDs, Fish Oil, Vitamin E  Supplements, St John’s Wort, Garlic tablets, Ginkgo Biloba, and Ginseng. 

If you  experience side effects that are not at least 50% reduced 3 days after treatment, contact the office at 914-293-6557

Disclaimer: You are not a candidate if you are pregnant or breastfeeding.

Pre-Treatment Instructions:

• If you have a history of cold sores, please inform your provider prior to treatment. The doctor will need to write a prescription to pre-treat to eliminate the chances of you developing a cold sore post treatment.
• Reschedule your appointment at least 48 hours in advance if you have a severe rash, cold sore or blemish in the treatment area.
• Avoid Dermal Fillers at least 2 weeks prior to treatment and 2 weeks after treatment.
• Do NOT use the following products 3 days prior or 3 days after your treatment (or until pinkness has subsided): Retin-A, retinoids, or similar vitamin A compounds, harsh scrubs or exfoliating products and bleaching creams (unless instructed otherwise by your provider).
• Do not apply any creams, lotions, perfume or makeup etc. on the area to be treated, prior to treatment.
• Avoid tanning or prolonged sun exposure 2 weeks before and 2 weeks after treatment. Sun may cause adverse reactions, as well as make your pigmentation worse.
• You will be expected to arrive early for numbing, let your provider know if you have an allergy to topical Lidocaine.

Post-Treatment Instructions:

• Apply your Sunscreen every 2 hours to prevent post procedure side effects, if exposed to sun.
• Apply your AQ Active Serum 2 times a day or as needed, for at least 5 days after treatment. You may use it longer for optimal results.
• The next day you may cleanse the treated area with your Ultra Gentle Cleanser with tepid warm water.  Apply cleanser to fingertips with water in a gentle motion. Do not use a washcloth or scrubs.
• You may resume your normal skin care routine 5-days post treatment.
• Avoid excessive sweating or exercise for 24 hours post treatment. (i.e. hot tubs, saunas, etc.)

What To Expect:

• After treatment, the area may feel like a mild sunburn and can be covered up with makeup the day after treatment, if desired. Slight redness can remain up to 3 days and longer in rare cases.
• In rare cases, you may experience bruising, depending on skin sensitivity and/or blood thinning medications. 
• During treatment and just after, you may experience pinpoint bleeding; this is a normal response with this procedure.
• The skin can feel dry or flake as a normal result of this procedure. This should resolve within a few days, in rare cases longer. You may experience a rough texture to the skin for a few days; this is a normal response after the DermaPen treatment.
• Although extremely rare, red stripping may occur and should subside within 3 days.
• Excessive scabbing, stripping or irritation should be reported to the office right away. 

1 week prior to treatment

Stop taking NSAID medicines such as Aspirin, Ibuprofen, and Naproxen since they interfere with normal blood clotting. Check medication labels for the active ingredient.

1. You may take Acetaminophen (Tylenol) as needed for pain not to exceed 3000 mg a day.

3 days prior to treatment:

Discontinue any irritant type topical products or treatments:

1. Products such as Alpha Hydroxy Acids, Beta Hydroxy Acid, Retinol (Vitamin A), Vitamin C (in a low pH formula), scrubs or anything perceived as ‘active’ skincare.
2. Treatments such as microdermabrasion and laser.

No prolonged sun exposure, to the area being treated:

1. A treatment will not be administered on sunburned skin

Day of treatment:

Shower as usual

1. Do not apply any lotion, powder, oils or other products to treatment areas

If face/neck being treated

1. Cleanse your face/neck and do not apply makeup
2. If you have long hair bring a hair band to pull it back

What can be expected?

• Immediately after your treatment, you will look and feel like you have a moderate sunburn
• Skin may feel warm and tighter than usual
• Skin may crust and peel for 3-7 days after treatment
• Redness and swelling may last for 3-4 days

After treatment:

CLEAN – Use a soothing cleanser or face wash with lukewarm water to cleanse the face and gently pat dry the treated skin until it heals. Always make sure that your hands are clean when touching the treated area.

HYDRATE – Use a gentle moisturizer or healing ointment on the treatment area until skin heals.

MAKEUP – Can be applied 2 days after the treatment. Clean makeup brushes prior to using.

PROTECT – At 24 hours after the procedure, you should apply a broad spectrum UVA/UVB sunscreen with a SPF30, AT ALL TIMES when you will be outside. Use a physical sunscreen (Zinc/Titanium Dioxide) daily. Do not use chemical sunscreens (oxybenzone, avobenzone, octisalate, octocrylene, homosalate and octinoxate).

• Reapply often→In addition to reducing your future risk of skin cancer, sunscreens also reduce wrinkles and slow the aging process.

What to avoid:

To ensure the proper healing environment, be certain to observe the following:

• For at least 48 hours post treatment, do NOT use any Alpha Hydroxy Acids, Beta Hydroxy Acid, Retinol (Vitamin A), Vitamin C (in a low pH formula) or anything perceived as ‘active’ skincare.
• Avoid intentional and direct sunlight for at least 24 hours. No tanning beds.
• Do not go swimming for at least 24 hours post-treatment.
• No exercising or strenuous activity for the first 24 hours post-treatment. Sweating and gym environments are harmful, rife with bacteria, and may cause adverse reactions.

If you have any questions or concerns regarding your treatment call the office at 914-293-6557

You can expect to see results within days after your neurotoxin treatment. Your treatment is fully effective two weeks after your injection. If you need a dose adjustment at that time, please schedule an appointment with your provider.

Pre-Treatment Instructions:

7 Days Before:

• Avoid NSAID medicines such as Aspirin, Ibuprofen, and Naproxen since they increase chances of bruising. Check medication labels for the active ingredient
• Avoid taking these herbal medicines and supplements since they can increase chances of bruising →                                                                    Dong Quai, Ginger, Feverfew, Ginkgo Biloba, Ginseng, Garlic (high dose), Omega-3 fish oil (3000 mg/day or higher), Vitamin E (high dose).

3 Days Before

• Avoid topical products such as Tretinoin, Retionls, Retinoids, Glycolic Acids, Alpha Hydroxy Acids or other “anti-aging” products
• Avoid waxing, bleaching tweezing or the use of hair removal cream on the area to be treated

24 Hours Before

• Avoid alcoholic beverages to decrease chance of bruising

DAY OF TREATMENT 

• It is recommended that you arrive to your appointment with a clean face o If possible avoid wearing makeup for the first few hours after the treatment 
• You may feel some tenderness or a stinging sensation following the treatment→ this may last for a few hours, possibly up to a few days 
• Some redness, swelling and possibly bruising may be visible after the treatment

Post-Treatment Instructions:

IMMEDIATELY AFTER TREATMENT 

• If you are able, try to exercise the treated muscles for the first 1-2 hours after treatment→frowning, raising eyebrows, squinting, smiling, etc.  This helps to work the medication into the muscles 
• Avoid lying down for the first 4 hours after the treatment 
• Do not have a facial, rub or massage the treated area for the first 24 hours
• Avoid activities that cause facial flushing for the first 24 hours 
• Avoid alcoholic beverages for the first 24 hours to decrease chance of bruising
• Avoid applying any heat to the treated areas for the first 24 hours
• Gently apply ice (preferably a cool gel pack) to the treated area for 15 min. every hour, as needed, to reduce discomfort, swelling or bruising
• Some people may experience a mild headache after the treatment o 
• You may take Acetaminophen (Tylenol) for pain relief ▪
• Oral and/or topical Arnica Montana may help reduce discomfort and bruising These can be purchased at most drug stores.

GENERAL INFORMATION 

• After botulinum toxin is placed in the targeted muscles, the weakening gradually begins to take effect over 3-7 days and is not complete for 14 days 

If you have any questions or concerns about your results after the 14 days please contact our office 

Initially botulinum toxin will last approximately 2-3 months 

With continued and consistent treatments the results may begin to last up to 4 months

If you have any questions or concerns regarding your treatment call the office at 914-293-6557

DO’S  

► Massage treated areas as instructed by your provider. This typically requires 5 minutes, 5 times per day, for 5 days following your treatment. 

► Know that you may be rather swollen for a day or two after your treatment. But also know that this is   totally normal and that the swelling will subside. Rest assured, the swelling will go down. 

► Prop yourself up with an extra pillow the night of your treatment. This will greatly aid in reducing  swelling.  

► Take Arnica pellets 4 times a day for at least 4 days following your treatment. Simply dissolve 4 pellets  under your tongue and avoid coffee and mints for 30 minutes so the pellets can work their magic.  Arnica is available for purchase in our office or at local health food stores.  

DON’TS 

► Don’t drink alcohol for at least 3-4 days prior to your appointment. You can count on a lot less  bleeding and bruising if you follow this guideline.  

► Don’t drink alcohol for at least 24 hours following your treatment, either. Alcohol causes  inflammation. Instead, relax and hydrate. 

► Don’t take fish oils, ibuprofen, aspirin, or garlic supplements for up to 7 days before and after your  treatment (unless it is medically necessary for you to be on any of those). These also thin your blood  and can cause more bruising and bleeding.  

► Don’t exercise for at least 24 hours following treatment. 

If this was your first treatment, you should schedule your next session in 1-2 months. If you have any concerns and/or questions please contact the office at 914-293-6557

For your safety and in order to obtain optimum results, the instructions below should be followed.

• Do not use the following products 3 days before or 3 days after your treatment or until pinkness has subsided): Retin-A, retinoids, or similar vitamin A compounds, harsh scrubs or exfoliating products and bleaching creams.
• Avoid tanning or prolonged sun exposure 2 weeks before and 2 weeks after treatment.
• Apply your Sunscreen SPF 50 after the treatment if you are planning on having incidental sun exposure. 
• Cleanse the treated area with your Ultra Gentle Cleanser with tepid warm water. Apply cleanser to fingertips with water in a gentle motion.
• Although extremely rare, a blister may appear, if so please call the office to let us know.
• Avoid blood thinners and heavy alcohol 2 weeks prior to treatment.
• Avoid Botox at least 1 week prior to treatment.
• Avoid Dermal Fillers at least 4 weeks prior to treatment.
• Notify your provider if you have a history of cold sores/ fever blisters
• You are not a candidate if you are pregnant.

Immediately after the Ultherapy treatment, the skin may appear red or slightly swollen in select areas, which may last a few hours or longer.

• If you opt for local anesthetic to be injected, you may experience more temporary swelling. We recommend sleeping on several pillows for the first two to three nights to allow the anesthetic to drain down.
• It is normal to experience mild tenderness, swelling and bruising along the jawline for several days in some cases longer.
• Some patients may experience mild bruising with the procedure. If you have more significant bruising, we recommend oral or topical Arnica to minimize bruising. You may purchase Arnica at the reception. Please start Arnica 2 days before your procedure.
• Some patients may have temporary welts that last a few days, in rare cases longer. If this occurs, ice the area each hour for 5-10 minutes.
• If we have prescribed an antiviral for you, please finish the entire course.
• You may experience some numbness or shooting pains, particularly on the brow bone area on occasion. This is temporary and will resolve soon. Please call us with any concerns.

You may resume regular activities immediately after the procedure. There are no limitations to your activities other than what we have stated above. You will start to experience immediate tightening and toning of the treated areas after the procedure. Your results will continue for the next 3-6 months as your body builds collagen in the treated areas. We recommend a follow-up appointment at 6 months for photos.

If you have any questions or concerns regarding your treatment contact the office at 914-293-6557

Pre-Treatment:

If you have any questions or concerns regarding your treatment contact the office at 914-293-6557