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STEPS:

1. Please fill out the medical history form (use login & password that you created when you booked your appointment): https://go.medspacircle.com/users/login
2. Please sign up for the Xperience: https://xperiencemerz.com/
3. This is the link for your Notice of Privacy Policy.
4. Additional questions? Please read our Frequently Asked Questions.
5. Please read the PRE & POST injection instructions below.

Xeomin treatment involves the injection of highly diluted, individualized doses of botulinum toxin A into (or in close proximity to) overactive facial muscles which are responsible for wrinkles. Xeomin relaxes muscle(s) by diminishing their ability to contract. The following Xeomin injection Self-Care instructions have been prepared specifically for our patients.

BEFORE TREATMENT

• For one week before treatment, please avoid the following medications: Aspirin, Advil, Motrin, Ibuprofen, Aleve, Naproxen, Excedrin (all OTC pain pills except Tylenol), vitamin E, Vitamin A (Tretinoin, Retin-A, Renova, Differin, Tazorac, Triluma), Gingko Biloba, Omega-3 fatty acids, cod liver oil, CoQ10, garlic and ginger.
• Avoid sun exposure to the area to be treated one week before treatment.
• Do not take ANY muscle relaxing medications (example: Soma or Flexaril) at least one month before treatment.
• If you have a special event or vacation coming up, please keep in mind that you may want to schedule your treatment at least 2 weeks in advance.
• Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours before and after your treatment. (All of these factors may increase risk of bruising and swelling).
• If you develop a cold / flu, cold sore, blemish, or rash, etc. in the area to be treated prior to your appointment, we recommend that you please reschedule your appointment until it resolves.
• It is recommended to discontinue Retin-A two (2-3) days before treatment to avoid any increased redness and irritation.
• It is recommended that you wait at least 2 weeks to have botulinum toxin treatments performed if you have previously had cosmetic treatments with laser, ultrasound, peels, facials or micro-dermabrasion.

AFTER TREATMENT

• Remain upright for 6 hours following treatment. No lying down or bending over for 6 hours.
• Keep the treated areas clean. Light make-up coverage is acceptable if desired.
• You may apply ice for 5 minutes every 1⁄2 hour if there is any pain or swelling. Any bruising will eventually resolve on its own, typically within one to two weeks.
• If post-injection bruising is noticed, consider using the OTC homeopathic natural remedy Arnica Montana, which has been shown to rapidly relieve and even prevent bruising. Arnica is available at most health food stores and is safe (free of reported side-effects).
• As always, wear at least SPF 30 sun block when appropriate and avoid exposure to intense, direct sunlight and heat (example: sun lamp steam, sauna) for at least two to three days.
• Move the facial muscles (frown, smile, raise eyebrows) that have been treated throughout the rest of the day. This will help the muscles absorb the Xeomin.
• Avoid vigorous exercise for 24 hours.
• Do not rub or massage the areas treated for 24 hours.
• Do not take aspirin containing products (see above) for the next 24 hours. These agents may increase bruising/bleeding at the injection site.  Tylenol may be taken.
• Avoid Aspirin, Motrin, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days to 1 week after treatment. These items may increase bleeding and bruising.
• Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours after your treatment. These items may contribute to increased swelling or irritation.
• Avoid the use of Retin-A or similar products (ex. Kinerase, Tazarac) 2 days after treatment to avoid increased irritation or redness.
• Avoid cosmetic treatments such as laser, ultrasound, peels, facials or micro-dermabrasion for 2 weeks after treatment.
• Try to avoid wearing makeup until the day after treatment. Earlier use may cause pustules. If you must wear makeup we recommend a good quality mineral makeup for the face.
• Avoid wearing hats or headbands after treatment.
• Please report to your provider if any increased pain, increased swelling, redness, blisters, or itching immediately, should it occur following your treatment.
• The onset of muscle relaxation usually begins in 7-10 days, but optimal results may take up to 2 weeks.
• *NOTE*: Results may vary. If there is partial improvement of a treated site, and re-treatment is desired, a second treatment may be performed no sooner than 2 weeks after the primary treatment. There is a subsequent charge for any “touch–up’s” or additional treatment.
  Please contact us immediately should there be any side effects or questions regarding your treatment with Xeomin.

Skin filler treatment involves the injection of highly purified, individualized doses of hyaluronic acid into unwanted skin folds, creases, lines, and wrinkles.  The skin filler acts by superficially “filling” in and simply smoothing out unwanted skin lines with a biologically natural product.  The procedure must be performed by an appropriately licensed and trained physician or mid-level provider pursuant to physician supervision and according to prevailing state law.  The following Self-Care instructions have been developed specifically for our patients.

BEFORE TREATMENT

• For one week before treatment, please avoid the following medications: Aspirin, Advil, Motrin, Ibuprofen, Aleve, Naprosyn, Excedrin (all OTC pain pills except Tylenol), Vit. E, Vit.A (RetinA, Renova, Tretinoin, Tazorac, Differin, Triluma), Gingko Biloba, Omega-3 fatty acids, cod liver oil, CoQ10, garlic and ginger.
• If you are taking any blood-thinning medications as per doctor’s orders (such as Coumadin, Warfarin, Plavix, Lovenox),do not discontinue without first consulting the prescribing physician. If you continue to take these medications the chances of developing an injection-related hematoma (blood clot) which can leave a dark spot if it becomes entrapped in the filler implant is higher. The dark spot may remain until the filler is naturally dissolved.
• Do not schedule any social events for the next 3-7 days as you may have bruising and/or swelling lasting this long or longer. You can cover up bruising with makeup.
• Arrive for your appointment wearing no makeup if possible. You will be able to apply makeup after your treatment although we recommend waiting at least 24 hrs.

AFTER TREATMENT

• Keep the treated areas clean.  Light make-up coverage is acceptable if desired.
• You may apply ice for 5 minutes every 1⁄2 hour if there is any pain or swelling.  Any bruising will eventually resolve on its own, typically within one to two weeks.
• If post-injection bruising is noticed, consider using the OTC homeopathic natural remedy Arnica Montana, which has been shown to rapidly relieve and even prevent bruising.  Arnica is available at most health food stores and is safe (free of reported side-effects).
• As always, wear at least SPF 30 sun block when appropriate and try to avoid exposure to intense, direct sunlight & heat (example: sun lamp steam, sauna) for at least two to three days.
• Do not take aspirin containing products (see above) for the next 24 hours. These agents may increase bruising/bleeding at the injection site. Again, Tylenol may be taken.
• Avoid alcohol intake beyond a single drink, glass of wine, or beer for approximately 24 hours after treatment.  You may sleep with an extra pillow if desired to minimize swelling overnight.
• As always, tobacco and illicit drugs are discouraged.
• Discontinue Retin-A (Tretinoin) for 3-5 days after treatment. It is best to wear no makeup or lipstick until the next day. Earlier use can cause pustules.
• One side may heal faster than other side. You may have bumps or nodules of filler under the skin that can last 4-8 months after the injection. If they are particularly troublesome you can massage them, we can also give a small injection to help dissolve them faster.
• Keep in mind that evidence shows that having a follow-up treatment before the product has fully dissipated tends to enhance the lasting effect of skin fillers.
• Wait at least a week (preferably 2-3 weeks) after your injection before having other procedures done in the same anatomic area; example: microdermabrasion, laser treatment, chemical peel, etc.
• Please notify us with any further concerns/questions.  Note that you can optionally schedule a follow-up visit to evaluate results after the initial swelling has dissipated.  Typically hyaluronic fillers can be reshaped for up to two weeks post-injection.

Pre-Injection Instructions:

• Medications and Supplements:
  Avoid taking blood-thinning medications such as aspirin, ibuprofen, and other NSAIDs for at least one week before your treatment to reduce the risk of bruising and bleeding.
  Stop taking supplements like vitamin E, fish oil, St. John’s Wort, and ginkgo biloba for the same duration.
• Alcohol and Tobacco:
  Refrain from consuming alcohol for at least 24-48 hours before your appointment, as it can increase bruising.
  Smoking can delay healing and increase the risk of complications. Try to quit or reduce smoking before and after the procedure.
• Health and Skin Condition:
  Ensure you are in good health on the day of your injection. Reschedule your appointment if you are sick or have an active infection, especially near the injection site.
  Inform your provider about any known allergies, skin conditions, or previous complications with dermal fillers or botulinum toxin injections.
• Skincare:
  Avoid using retinol-based products or performing any aggressive skin treatments (like peels or laser) on the treatment area for a week before your appointment.
  Come to your appointment with clean skin, free of makeup, moisturizers, or lotions.

Post-Injection Instructions:

• Immediate Care:
  Apply a cold pack to the treated area for 10 minutes every hour for the first few hours post-treatment to reduce swelling.
  Avoid touching, massaging, or applying pressure to the treated area for at least 24 hours to prevent displacing the filler.
• Activities and Exercise:
  Refrain from strenuous activities, heavy lifting, and vigorous exercise for 24-48 hours after your treatment to minimize swelling and bruising.
  Avoid significant movements or positions that put pressure on the injected areas, especially when Radiesse is used for buttock augmentation.
• Heat Exposure:
  Stay away from direct sunlight, tanning beds, saunas, and hot tubs for at least 48 hours after your treatment. Heat can exacerbate swelling and redness.
• Alcohol and Smoking:
  Avoid alcohol consumption for at least 24 hours post-treatment to reduce the risk of bruising and swelling.
  Smoking can impair healing. Continuing to avoid or quit smoking post-treatment is advisable.
• Skin Care:
  You may gently wash the treated area with a mild cleanser and water the next day. Avoid using harsh or exfoliating products until the skin has fully recovered.
  Use a high SPF sunscreen to protect the treated areas from sun exposure. Sun damage can affect the longevity and appearance of your Radiesse results.
• Follow-up and Touch-ups:
  Attend any scheduled follow-up appointments with your provider to assess your results and discuss if any touch-ups are needed.
  Report any unusual side effects or concerns to your provider immediately. These may include significant swelling, asymmetry, pain, or signs of infection.
• For Radiesse Body & Buttocks:
  Avoid pressure on the treated area, strenuous activities, and submersion in water for at least 48 hours.
  Recommend oral nonsteroidal anti-inflammatory medications as needed.
  Keep Tegaderm in place for 48 hours post-procedure.
  Perform active circular massage twice a day for the seven days following the procedure.
• Final Results:
  Remember, the final results of Radiesse may take a few weeks to fully manifest as swelling subsides and the product integrates with your tissue.