lady

 

Forms to complete/review prior to visit online:
  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a
    witness.
  • FYA – Consent photography/videography – Review but wait to sign in
    person as you need a witness.
  • FYA – Post treatment instructions – Review.
Don’t plan within 4 hours of treatment following:
  • Lying down.
  • Massage, facials, chemical peels, haircut/styling.
  • Wearing a hat or goggles on your face.
  • Exercise involving activities such as running, jumping, weight
    training, yoga, or sexual activity.
  • Exposure to heat such as boating, beach, sun bathing, sauna, or
    hot yoga.
  • Drinking alcohol
  • Important meeting or event as you may have some swelling and
    bruising.
Things to purchase (optional):

Bruising prevention medications: Bruising in the
area injected is normal and often expected, especially if treated
around the eyes. Bruising can last up to several weeks. You may want
to purchase either Hyland’s Naturals Arnica tablets or Boiron
Arnicare Cream online at Amazon or local store to be taken before
and after your treatment.

Pain medication: Tylenol/acetaminophen – Take 500 mg
tablets – 1-2 pills every 6 hours is the recommended dosage. Used to
treat any headaches or discomfort as long as you do not have any
allergies to Tylenol.

Don’t take for 2 weeks before treatment:

Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin,
celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve.

If you are on anticoagulants such as plavix/clopidogril,
dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, or
warfarin/coumadin you will not be able to receive this treatment due
to the risk of bleeding. If you are taking aspirin check with your
provider if it is possible to stop this medication for 2 weeks prior
to your treatment. If you are not able to stop aspirin then you are
not a candidate for these treatments.

Herbal supplements such as turmeric, ginger, cayenne peppers, fish
oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon,
ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto,
goldenseed, grapeseed extract, licorice, milk thistle, dong quai,
bromelain, aloe, evening primrose.

Don’t plan 2 weeks before treatment:

For area of treatment – waxing, microneedling, microdermabrasion,
facials, bleeching, tweezing.

Avoid a sunburn in area of treatment.

Immediately before treatment:

Eat a small meal/snack and drink 12 ounces of an electrolyte drink
such as coconut water or sport drink to avoid dehydration and
fainting.

Call the office immediately if you need to reschedule or cancel. (206) 486-0753

FOR THE FIRST 30 minutes:  

Wait for 30 minutes before applying makeup, facial lotion, or sunscreen.
When applying, be gentle and push up towards scalp not down on towards chin.

FOR THE FIRST 4 HOURS:

DO’S:

  • Remain upright.
  • You may take Tylenol/acetaminophen for any headaches or discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Avoid any important meetings or events as you will have small bumps at injection sites.

DON’TS:

  • Don’t lay flat or sleep on your side. Avoid lying on your face such as during a massage.
  • Don’t massage or manipulate the injection sites. The medication may move to muscles not intended to be treated.
  • Avoid facials, chemical peels, pressure from ice packs, rubbing from makeup application, haircut/styling especially avoiding shampooing.
  • Avoid wearing a hat or goggles that place pressure on your face.
  • Don’t exercise heavily. Muscle straining will possibly move the neurotoxin. Don’t put your head down such as in yoga due to risk of eyebrow droop. Avoid sexual activity.
  • Don’t expose your face to heat to avoid damaging the medication. For example, hair dryer, sun, fireplace, oven/stove, BBQ, sauna or hot yoga.
  • Don’t drink alcohol as your chances of bruising are higher.

FOR THE FIRST 24 HOURS:

DO’S:

  • You may take Tylenol/acetaminophen for any headaches or discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Bruising in the area injected is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Call the office immediately if you experience any problems. (206) 486-0753
  • Know that it may take up to 2 weeks to notice full benefits.
  • Enjoy the new, refreshed younger and happier you.
  • Put a reminder in your calendar in 3 months to repeat the treatment. Those who exercise more often may need more frequent treatments.
  • Although rare infections can occur requiring antibiotics. Look for signs of infection such as redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.

DON’TS:

  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.
  • Don’t massage or manipulate the injection sites.
  • Avoid facials, chemical peels, pressure from ice packs, rubbing from makeup application, haircut/styling especially avoiding shampooing.
  • Don’t exercise heavily. This will allow the medication to bind to the muscles and nerves. Don’t put your head down such as in yoga due to risk of eyebrow droop. Avoid sexual activity.
  • Don’t drink alcohol as this may cause bruising.
  • Avoid wearing a hat or goggles that place pressure on your face.

Vascular occlusion

This is a serious complication that is rare but can happen. When the filler is injected into or around an artery it reduces or stops the blood flow. The surrounding skin and tissue will start to die without adequate blood supply.
Signs of vascular occlusion include immediate, severe pain and a change in skin color, which can look like white spots or blotches. Some bruising and redness is normal but any intense pain or severe bruising is a concern. A simple test if you are concerned is to perform a capillary refill test by pressing with your finger on the lips for 2 seconds and if after releasing the blood should return to normal after 3 seconds instead of remaining white or dusky. If this occurs it will require dissolving medication immediately as you may have a vascular occlusion. Unfortunately, the filler would not be able to be injected again.
It’s also important to note that the pain could take a while to become noticeable because most fillers include lidocaine, which is an anesthetic. It can take several hours to wear off after the injection procedure and that is when you should look for this severe pain.

DAY OF TREATMENT:

DO’S:

  • Swelling is common for the first 2-3 days. Try to sleep face up and with head elevated on pillows to stabilize yourself.
  • Drink plenty of water or electrolytes. Keeping yourself hydrated aids your body’s healing process. However, avoid using straws which place pressure on your lips.
  • You may take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.
  • Optional to purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day.
  • Cold sore history: Take your anti-viral treatment to prevent an attack.
  • Wash your face gently at night with gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.
  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.

DON’TS:

  • Avoid touching the area for first 6 hours following treatment.
  • Avoid wearing makeup rest of day to limit infection risks.
  • Massage or have significant movement in the treated area. Avoid activities similar to using a straw, eating lollipop, or sandwich as this may place pressure on the filler.
  • Exercise heavily or anything that increases your heart rate.
  • Sleep on your side or stomach.
  • Consume excess amounts of alcohol or salt which may increase swelling.

UNTIL THE NEXT DAY:

DO’S:

  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Now you have the option to purchase Boiron Arnicare Cream and apply 3 times daily to help bruising to resolve at a faster rate.

DON’TS

  • Don’t apply anything to the skin. No cleanser, moisturizer, or makeup (including chapstick or lipstick).
  • Expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling. If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

FOR THE FIRST 48 HOURS:

  • Avoid strenuous exercise or similar activity to avoid moving the filler or increasing blood flow to the area face. Light activity such as walking is okay.
  • Avoid kissing for first 48 hours to avoid pressure on your lips.
  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Avoid intense heat (sunbathing, sauna, steam rooms, or exercise heated classes) as high heat can cause swelling to be more pronounced.

FOR THE FIRST WEEK:

DO’S:

  • Continue if needed to sleep face up with head elevated based if you continue to have swelling.

DON’TS:

  • Don’t plan an important event due to potential for bruising and swelling.
  • Avoid air travel as the pressure in the plan can interfere with your fillers and the air on the airplane may dehydrate the skin on lips.
  • Know that your lips may look overfilled or puffy at first due to swelling. Don’t worry this is normal and temporary. Common short-term side effects after a lip injection that you can expect are swelling, bruising, pain or tenderness, itching, lumpiness, or numbness. About 30% of the filler will be reduced.
  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.
  • Lumps in the injected area are normal and typically dissipate over the next several months.
  • Continue to use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Do not apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

FOR THE NEXT 2 WEEKS:

  • Avoid any dental procedure (including cleaning)
  • Schedule a return to the office in 2 weeks to see whether a touch-up is necessary. If follow up treatments are necessary, there will be additional charges at the regular rate.

FOR THE NEXT 30 DAYS:

DO’S:

  • Enjoy your results and know it can take 4 weeks to see the full results.

DON’TS:

  • Receive any skin care or laser treatments especially treatments that create heat in the treated area.

Vascular occlusion

This is a serious complication that is rare but can happen. When the filler is injected into or around an artery it reduces or stops the blood flow. The surrounding skin and tissue will start to die without adequate blood supply.

Signs of vascular occlusion include immediate, severe pain and a change in skin color, which can look like white spots or blotches. Some bruising and redness is normal but any intense pain or severe bruising is a concern. A simple test if you are concerned is to perform a capillary refill test by pressing with your finger on the lips for 2 seconds and if after releasing the blood should return to normal after 3 seconds instead of remaining white or dusky. If this occurs it will require dissolving medication immediately as you may have a vascular occlusion. Unfortunately, the filler would not be able to be injected again.

It’s also important to note that the pain could take a while to become noticeable because most fillers include lidocaine, which is an anesthetic. It can take several hours to wear off after the injection procedure and that is when you should look for this severe pain.

DAY OF TREATMENT:

DO’S:

  • Swelling is common for the first 2-3 days. Try to sleep face up and with head elevated on pillows to stabilize yourself.
  • Drink plenty of water or electrolytes. Keeping yourself hydrated aids your body’s healing process. However, avoid using straws which place pressure on your lips.
  • You may take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.
  • Optional to purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day.
  • Cold sore history: Take your anti-viral treatment to prevent an attack.
  • Wash your face gently at night with gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.
  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.

DON’TS:

  • Avoid touching the area for first 6 hours following treatment.
  • Avoid wearing makeup rest of day to limit infection risks.
  • Massage or have significant movement in the treated area. Avoid activities similar to using a straw, eating lollipop, or sandwich as this may place pressure on the filler.
  • Exercise heavily or anything that increases your heart rate.
  • Sleep on your side or stomach.
  • Consume excess amounts of alcohol or salt which may increase swelling.

UNTIL THE NEXT DAY:

DO’S:

  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Now you have the option to purchase Boiron Arnicare Cream and apply 3 times daily to help bruising to resolve at a faster rate.

DON’TS:

  • Don’t apply anything to the skin. No cleanser, moisturizer, or makeup (including chapstick or lipstick).
  • Expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling. If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

FOR THE FIRST 48 HOURS:

  • Avoid strenuous exercise or similar activity to avoid moving the filler or increasing blood flow to the area face. Light activity such as walking is okay.
  • Avoid kissing for first 48 hours to avoid pressure on your lips.
  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Avoid intense heat (sunbathing, sauna, steam rooms, or exercise heated classes) as high heat can cause swelling to be more pronounced.

FOR THE FIRST WEEK:

DO’S:

  • Continue if needed to sleep face up with head elevated based if you continue to have swelling.

DON’TS:

  • Don’t plan an important event due to potential for bruising and swelling.
  • Avoid air travel as the pressure in the plan can interfere with your fillers and the air on the airplane may dehydrate the skin on lips.
  • Know that your lips may look overfilled or puffy at first due to swelling. Don’t worry this is normal and temporary. Common short-term side effects after a lip injection that you can expect are swelling, bruising, pain or tenderness, itching, lumpiness, or numbness. About 30% of the filler will be reduced.
  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.
  • Lumps in the injected area are normal and typically dissipate over the next several months.
  • Continue to use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Do not apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

FOR THE NEXT 2 WEEKS:

  • Avoid any dental procedure (including cleaning)
  • Schedule a return to the office in 2 weeks to see whether a touch-up is necessary. If follow up treatments are necessary, there will be additional charges at the regular rate.

FOR THE NEXT 30 DAYS:

DO’S:

  • Enjoy your results and know it can take 4 weeks to see the full results.

DON’TS:

  • Receive any skin care or laser treatments especially treatments that create heat in the treated area.

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

YOU ARE NOT A CANDIDATE IF YOU HAVE ANY OF THE FOLLOWING:

  • Pregnant or nursing
  • Have difficulty swallowing
  • Nerve injury or weakness in the lower face
  • Infection in the area
  • Prior chin surgical implant
  • Excessive skin laxity
  • Taking blood thinners

THINGS TO PURCHASE (OPTIONAL):

  • Bruising Prevention: Bruising in the area injected is normal and often expected. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Pain medication: Tylenol/acetaminophen – Take 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage. Okay to take as long as you do not have any liver dysfunction or allergies. Avoid Advil/ibuprofen as this may cause more swelling.
  • Zyrtec or Benadryl (an antihistamine) available at home for itching that may result from the procedure.
  • Ice pack or cold compresses available for swelling to be used for 15 minutes 4 times a day.
  • A chin strap to prevent swelling

DON’T TAKE FOR 2 WEEKS BEFORE TREATMENT:

  • Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin, celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve as these will increase your bruising/swelling.
  • If you are on anticoagulants such as plavix/clopidogril, dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, warfarin/coumadin, or aspirin you will need to ask your medical prescriber if you are able to stop this medication for 2 weeks prior to your treatment. If you are not able to stop temporarily then you are not a candidate for these treatments.
  • Herbal supplements such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.

DON’T FOR 1 WEEK BEFORE TREATMENT:

  • Have a waxing, bleeching, tweezing, or hair removal treatment in area being treated.

24 HOURs PRIOR TO TREATMENT:

  • Avoid drinking alcohol as bruising will be increased.
  • Avoid caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, and spicy foods

1 HOUR PRIOR TO TREATMENT:

  • To avoid discomfort, you may take 1 gram (Two 500 mg tablets) of acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment.
  • Eat a small meal/snack and drink 12 ounces of an electrolyte drink such as coconut water or sport drink to avoid dehydration and fainting.
  • Wash your face and neck but do not apple or remove all makeup, creams, gels, or lotions in treatment area.

THE NEXT WEEK AFTER TREATMENT

  • Plan your procedure so that you can have 4 full days before returning to work or important social engagements.
  • Be aware you will have swelling that may last for a few weeks after the procedure.
  • Call the office immediately if you need to reschedule or cancel. ‭(206) 486-0753‬

FOR THE FIRST 24 hours:

  • Avoid extreme temperatures that may cause increased swelling.
  • Avoid alcohol, caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, and spicy foods to reduce swelling
  • Use an ice pack/cold compress such as frozen peas in plastic bag or crushed ice. Avoid heavy bag of ice. Wrap ice pack in a soft thin towel. Apply the ice pack approximately 20 minutes and remove for 20 minutes. Perform this regularly every hour.
  • Drink plenty of water
  • You may note some difficulty swallowing based on the swelling around your throat. Eat easy to swallow foods such as soups and smoothies as opposed to meats and bread.

THE NEXT DAY:

  • Okay to apply makeup, moisturizer, sunscreen, or concealer to cover bruise.

FOR THE FIRST 4 days:

DO’S:

  • Plan your procedure so that you can time to rest before returning to work or important social engagements.
  • Expect to see some redness in area treated.

 DON’TS:

  • Participate in strenuous activity.
  • Consume alcohol or sodium to avoid excess swelling.
  • Expose yourself to excessive heat

FOR THE FIRST 5-14 DAYS BASED ON SWELLING:

DO’S:

  • Sleep with your head elevated on at least 2 and preferably 3 pillows to reduce swelling
  • Bruising in the area injected is normal and often expected. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Pain medication: Tylenol/acetaminophen – Take 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage. Avoid Advil/ibuprofen as this may cause more swelling.
  • Use an ice pack/cold compress such as frozen peas in plastic bag or crushed ice. Avoid heavy bag of ice. Wrap ice pack in a soft thin towel. Apply the ice pack approximately 20 minutes and remove for 20 minutes. Perform this at least several times a day.
  • Take Zyrtec or Benadryl (an antihistamine) for itching that may result from the procedure.
  • Wear a chin strap to avoid swelling is optional.
  • You may apply your normal skin care regimen and sunscreen normally.
  • You may shower and wash your face with a gentle cleanser.
  • Call the office immediately if you experience any problems/difficulty swallowing, crusting or scabbing, asymmetry of your smile or any other unusual symptoms. ‭(206) 486-0753‬
  • Although rare infections can occur requiring antibiotics. Look for signs of infection such as redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.

DON’TS:

  • Do not scratch, pick or traumatize the area in any way.
  • Do not massage or manipulate the injection site.
  • Have a chemical peel, laser procedure, or facial performed in this area.

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

DON’T PLAN WITHIN 4 HOURS OF TREATMENT FOLLOWING:

  • Exercise involving activities such as running, jumping, weight training, yoga, or sexual activity.
  • Drinking alcohol

THINGS TO PURCHASE (OPTIONAL):

  • Pain medication: Tylenol/acetaminophen – Take 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage. Used to treat any headaches or discomfort as long as you do not have any allergies to Tylenol.

DON’T TAKE FOR 2 WEEKS BEFORE TREATMENT:

  • Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin, celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve.
  • If you are on anticoagulants such as plavix/clopidogril, dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, or warfarin/coumadin you will not be able to receive this treatment due to the risk of bleeding. If you are taking aspirin check with your provider if it is possible to stop this medication for 2 weeks prior to your treatment. If you are not able to stop aspirin then you are not a candidate for these treatments.
  • Herbal supplements such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.

IMMEDIATELY BEFORE TREATMENT:

  • Eat a small meal/snack and drink 12 ounces of an electrolyte drink such as coconut water or sport drink to avoid dehydration and fainting.
  • Call the office immediately if you need to reschedule or cancel. ‭(206) 486-0753‬

FOR THE FIRST 24 HOURS: 

DO’S:

  • You may take Tylenol/acetaminophen for any headaches or discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Bruising in the area injected is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Put a reminder in your calendar in 1-2 months to repeat the treatment.
  • Although rare infections can occur requiring antibiotics. Look for signs of infection such as redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.

DON’TS:

  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.
  • Don’t massage or manipulate the injection sites.
  • Don’t exercise heavily. If you have bleeding or a hematoma it will become worse.
  • Don’t drink alcohol as this may cause bruising.

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – If also receiving other treatment. Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

DON’T TAKE FOR 3 DAYS BEFORE TREATMENT:

  • Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin, celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve.
  • If you are on anticoagulants such as plavix/clopidogril, dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, or warfarin/coumadin you will not be able to receive this treatment due to the risk of bleeding. If you are taking aspirin check with your provider if it is possible to stop this medication for 3 days prior to your treatment. If you are not able to stop aspirin then you are not a candidate for these treatments.
  • Herbal supplements such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.

IMMEDIATELY BEFORE TREATMENT:

  • Eat a small meal/snack and drink 12 ounces of an electrolyte drink such as coconut water or sport drink to avoid dehydration and fainting.
  • Call the office immediately if you need to reschedule or cancel. ‭(206) 486-0753‬

DO NOT SCHEDULE if you have any of the following:

  • Cobalt allergy
  • Sensitivity to vitamin B12
  • Leber’s disease, which affects the optic nerve
  • Kidney problems
  • Hypokalemia, or low potassium levels
  • Deficiencies in other nutrients, particularly folic acid and iron

OR THE FIRST SEVERAL DAYS:

  • Note side effects can occur but are often very mild.
  • Most common symptoms are pain/redness or itching at the injection site and ild diarrhea.

These side effects will pass as time goes by.

  • Nausea
  • Vomiting
  • Indigestion
  • Mild diarrhea
  • Feeling tired
  • Headache
  • Pain, redness, or itching at the site of the injection
  • Swelling sensation in the body
  • Temporary itching of the skin

FOR THE FIRST FEW WEEKS:

  • It may take a few weeks before your vitamin B12 levels and symptoms (such as extreme tiredness or lack of energy) start to improve.
  • You may take Tylenol/acetaminophen for any discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Call the office immediately if you experience any problems. ‭(206) 486-0753‬
  • Be sure to schedule your next treatment which is typically once a week for 4-8 weeks and then monthly based on your deficiency level.

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Sculptra® is an injectable poly-L-lactic acid (PLLA) indicated for use in people with healthy immune systems for the correction of shallow to deep nasolabial fold contour deficiencies, fine lines and wrinkles in the cheek region, other facial wrinkles, and other areas of the body.

Sculptra helps replace the lost collagen in the skin to help to create a subtle, refined correction of wrinkles

Sculptra helps stimulate gradual restoration of the collagen framework

Sculptra is eventually broken down by the body

Lasts up to 2 years with high levels of patient satisfaction

Optimal areas that can be treated:

Cheek Wrinkles

Nasolabial Folds

Pyriform Fossa

Marionette Lines

Pre-Auricular Wrinkles

Submalar Wrinkles

Chin Wrinkles

Neck Wrinkles

Chest Wrinkles

Hip Dip

Butt

We recommend 2 treatment regimens of SCULPTRA 6 weeks apart and then a yearly update.

For optimal results you should have 4 treatment sessions scheduled 3-4 weeks apart.

Risks: This list is not meant to be inclusive of all possible risks associated with Sculptra injections, as there are both known and unknown side effects associated with any medication or procedure. 

Most common are injection site swelling, tenderness, redness, pain, bruising, bleeding, itching and lumps

Other side effects may include small lumps under the skin that are sometimes noticeable when pressing on the treated area. 

Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported.

Infection: Infections can occur which in most cases are easily treatable but in rare cases a permanent scarring in the area can occur.

Pain: Mild or moderate pain.  Possible but only short term side effects at the injection site for a several days to a few weeks.

Vascular occlusion: This small risk is when a blood vessel is inadvertently injected and could result in serious complications due to the blockage of blood flow. The surrounding skin and tissue will start to die without adequate blood supply.   You may have permanent vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin.   

Contraindications to treatment:

-Severe allergies with a history of severe reactions (anaphylaxis) or multiple severe allergies. Use of SCULPTRA may result in an allergic reaction. 

-Are allergic to any ingredient of SCULPTRA: “poly-L-lactic acid” (PLLA), carboxymethylcellulose (USP) or non-pyrogenic mannitol (USP).

-Autoimmune disorder

-History of keloid formation or hypertrophic scarring

-Pregnant, lactating, breastfeeding, or under 18 years of age

-Active skin issues at site of injections such as skin sores, cysts, pimples, rashes, hives or infection. 

-Allergies to lidocaine a numbing agent

-Bleeding disorder or on medications (e.g. aspirin, warfarin/coumadin) that increase risk or make you prone to bleeding. 

-Permanent implant located in area to be injected

-Using immunosuppressive therapy

Optional treatment for bruising: Purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day. Or you can purchase a cream – Boiron Arnicare Cream and apply 3 times daily.

Have available cool compress or ice packs with cloth wrap to reduce swelling and pain.  

Don’t plan to expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling. 

Avoid for 1 week prior to treatment to minimize bruising: 

NSAIDS also known as nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve). 

Some herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.    

Avoid for 2-3 weeks after treatment any laser, IPL, or skin tightening treatments.

Numbness: Your treatment is mixed with lidocaine a numbing agent and you may note numbness or weakness in the treated area for the next 1-2 hours which is normal. If this persists let us know immediately.

Massage: Using your fingers make a circular motion for 5-5-5: 5 minutes – 5 times daily – 5 days

Make-up may be applied a few hours after treatment if there are no complications such as open wounds or bleeding.

You may take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.

Optional treatment for bruising: Purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day. Or you can purchase a cream – Boiron Arnicare Cream and apply 3 times daily.

Do NOT get a facial or massage for 2 weeks after your procedure.

Wash your face gently at night with gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.

For the first 24 hours – Avoid or minimize hard (strenuous) exercise and exposure to extensive sun, UV lamps, indoor tanning beds/booths, or extreme temperatures.  Any of these may cause temporary redness, swelling, pain and/or itching at the injection site. Light activity such as walking is okay.

Apply ice or an ice pack wrapped in cloth (avoid putting ice directly on your skin) to the treatment area to help reduce swelling. 15 minutes every hour while awake if possible. 

Results are not immediate but rather slowly. 

Call immediately (‭206-486-0753‬)or seek medical attention if…

You develop symptoms such as unusual pain, vision changes, a white appearance of skin near the injection site, or any signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion) during or shortly after the procedure

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