Pre-care: Anti-wrinkle smoothing

Before treatment …
 Avoid alcoholic beverages for 24 hours prior to
procedure as this can increase the risk for
bleeding and bruising at the treated site(s).

 Avoid Aspirin, Ibuprofen, Advil, St. John’s
Wort, oral Vitamin E, and non-steroidal anti-
inflammatory drugs (unless medically
necessary) for 1 – 2 weeks prior to your
treatment as they may promote the risk of
bruising and bleeding in the injection area. 

 If you are currently taking anti-coagulation
medications (Warfarin, Coumadin, Heparin,
Lovenox, Enoxaparin, Lepirudin, Refludan,
Ticlopidine Ticlid, Clopidogrel, Plavix,
Tirofiban, Aggrastat, Eptifibatide, Integrilin),
discuss the use of these medications with
your healthcare provider prior to your

 Oral Arnica can be taken to minimize risk of
swelling and bruising. Take Arnica the day
before your treatment.

 Avoid waxing, bleaching, tweezing, or the use
of hair removal creams in the area(s) to be

 Avoid any topical skincare products that may
irritate your skin such as glycolic acid, salicylic
acid or retinoic (retinols) acids for at least 24
hours prior to the treatment.

 If you are prone to cold sores (oral herpes
simplex), take your prescribed medication
(Famvir, Famciclovir, Valtrex, Valacyclovir,
Acyclovir) as prescribed in the 24 hours prior
to your treatment or as directed by the
clinical team.

 If you have any recent skin injection, active
acne or cold sore in the treatment area, please
call our clinic immediately to reschedule your

 Sunburn skin is difficult to treat so avoid
exposure to the sun.

 Eat a small meal or a snack before your

 Always inform your clinician of all medications,
including supplements you may be taking as
well as your medical history.

 If possible, please attend your appointment
wearing no makeup.

 Inform your clinician if you have a history of
medication allergies, history of anaphylaxis,
and any other medical problems.

 The ideal time to schedule this procedure is at
LEAST 2 weeks before a big event.

You would not be considered a candidate for
Botox® if you have any of the following:
 Myasthenia Gravis
 Allergy to Botulinum Toxin
 Neuromuscular disorder
 Pregnant or breastfeeding
 Allergy to human albumin