"Pre" and "Post" Treatment Care

The purpose of this page is inform anyone interested of the best practices. Whether you are planning to have a procedure done in the near future or you recently had a treatment, this page will serve as a great resource to quickly and easily answer any questions you may have. At MD Esthetics, we take patient safety very seriously, which is why we make sure to provide all of this comprehensive information!

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Pre-Treatment | General Intructions

  • Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising)
  • Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment. Medications and supplements such as aspirin, vitamin E, Ginkgo 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.
  • Schedule your Botox and Dermal Filler appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Results from the Dermal Filler and Botox injections will take approximately 4 to 7 days to appear. Bruising and swelling may be apparent during that time.
  • Discontinue Retin-A 2 days before and 2 days after treatment.
  • Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on the area.
  • If you have a history of cold sores please let your provider know, they may put you on an anti-viral medication 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.
  • You are not a candidate if you are pregnant or breastfeeding.

Post-Treatment | Botox

  • Do NOT manipulate the treated area for 3 hours following treatment.
  • Do NOT receive facial/laser treatments or microdermabrasion after Botox injections for at least 10 days. Ask your provider if you are not sure about the time frame of certain services.
  • Some providers believe that smiling and frowning right after Botox treatments helps the Botox find its way to the muscle into which it was injected after treated.
  • Do NOT lie down for 4 hours after your Botox treatment. This will prevent the Botox from tracking into the orbit of your eye and causing drooping eyelid.
  • It can take approximately 4 to 7 days for results to be seen. If the desired result is not seen after 2 weeks of treatment, you may need additional Botox. You are charged for the amount of product used. Therefore, you will be charged for a product used during any touch-up or subsequent appointments.
  • Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep the Botox in the injected area and not elsewhere.

Post-Treatment | Dermal Filler

  • Avoid significant movement or massage of the treated area. Unless instructed by the provider.
  • Avoid strenuous exercise for 24 hours.
  • Avoid extensive sun or heat for 72 hours.
  • Avoid consuming excess amounts of alcohol or salts to avoid excess swelling.
  • If you have swelling you may apply a cool compress for 15 minutes each hour.
  • Use Tylenol for discomfort.
  • Try to sleep face up and slightly elevated if you experience swelling.
  • Take Arnica to help the bruising and swelling, start at least 2 days prior to injections.
  • Please contact MD Esthetics with any questions or concerns

Treatment Instructions | KYBELLA®

Pre-Care Instructions:
Before receiving Kybella®, tell your service provider about all of your medical conditions and review all contraindications. During the course of your treatments, notify our staff of any changes to your medical history, health status, or personal activities that may be relevant to your treatment.
Medications and Supplements may thin your blood and increase the chance of bruising. Consult with your primary doctor prior to stopping or altering medications and supplements.

Contraindications:
Kybella® should not be used in patients who are pregnant, nursing, trying to get pregnant, have experienced this hypersensitivity in the past, those with severe allergies, and should not be used in areas of active inflammation or infection (cysts, pimples, rash). You should not get this procedure if you currently have or have a history of: nerve damage, facial paralysis, facial movement issues, difficulty swallowing, bleeding problems, and/or prior or planned surgery, cosmetic treatments or medical conditions on or near my face, neck or chin. These conditions may be contraindications to receiving the treatment. These symptoms must be disclosed.

Post-Care Instructions:
  • Common reactions include: As discussed during the consultation and noted in the informed consent, the most common anticipated reactions can include swelling, bruising, pain, numbness, redness, and areas of hardness, in the treatment area. Rare and more serious side effects may include infection at the injection site, and ulceration, scarring, Alopecia (hair loss treated area), and nerve injury.
  • To avoid severe bruising: If bruising occurs, you may apply topical Arnica gel to help bruising resolve faster. Avoid alcohol consumption for a minimum of 6 hours and refrain from taking blood thinners such as Aspirin for several days. You may elect to take over the counter oral pain medication or anti-inflammatory can be taken, and applying ice to the treatment area, to manage discomfort. You may also ice the area post treatment but must do so very carefully. Use an ice pack with the fabric side against the skin, or wrap a soft plastic ice pack in a wet thin towel. Apply the ice pack approximately 15 seconds on, and 15 seconds off. Icing too vigorously can cause frostbite and scarring. You may apply a cold compress to the area for 20 minutes per hour, and you may do this hourly for up to 3 days.
  • To maximize your results and prevent adverse effects:
    • Avoid exercise for at least 24 hours.
    • Avoid rubbing, massaging, or scrubbing injection sites for 24 hours after treatment.
    • Sleep with your head elevated on at least 2 and preferably 3 pillows.
  • Facial treatments: Avoid facials, chemical peels, or laser treatments for 14 days after the Kybella® treatment. Facials, chemical peels, laser, and light treatments may be done immediately prior to Kybella® treatment. HA fillers such as JUVÉDERM® XC and/or Botox may be injected before Kybella®; if you have any questions regarding this, please ask your provider.
  • Skin care: You may apply your normal skin care regimen and sunscreen normally.
  • Follow up Appointment: A minimum of 2 treatments, however up to 5 treatments may be required for optimal results. The second treatment and future subsequent treatments are recommended to be done every 2 months. If the desired level of correction has not occurred after the second treatment, additional Kybella® treatments may be needed. If you have any questions, prospective adverse reactions, or concerns regarding your Kybella® treatment, you must contact MD Esthetics.

Treatment Instructions | PRP with Microneedling

Pre Care Instructions:
  • Avoid excessive Alcohol, Aspirin, NSAIDs (ibuprofen, Aleve) Garlic, Gingko Biloba, Fish Oils and Vitamin E for 5-7 days prior to your treatment unless recommended by your physician. This may help to decrease the risk of bruising during your treatment but is not contraindicated.
  • Stop using topical retinoids 1 week prior to treatment
  • Avoid sun exposure 2 weeks prior to the treatment
  • For Cold Sore sufferers - it is recommended to take anti-viral medication the day before, the day of, and the day after your treatment.
    • Valtrex - Take as directed
    • Please let us know if you need a prescription
What to Expect after your Treatment:
  • Immediate pinpoint bleeding can occur, which should resolve within 24 hours
  • Minor redness and swelling may occur for 1-2 days
  • Minor peeling and flakiness can occur after a few days. Don’t pick at the loose skin.
  • Call MD Esthetics if you experience excessive redness, swelling, pain, or drainage as these might indicate an infection

Post Care Instructions:
  • The initial 72 hours post-procedure are the most critical  
  • Avoid direct sun and heat for 3-4 weeks. This includes simple day to day tasks such as gardening, cooking over a hot stove for a long period of time, sitting next to a bonfire or fireplace, etc.
  • Discontinue use of any Alpha-Hydroxy products 5 days after treatment. You may resume your home care regimen when skin is no longer flaking and peeling.
  • Use hydrating and reparative products. Products rich in soothing and healing ingredients are best to encourage new healthy cell growth. Peptides, antioxidants, stem cells, vitamins A, C and E, and growth factors work very well.
  • Use physical sunscreen with an SPF 30 or higher. Re-apply every 30 to 90 minutes. Do NOT go outside without sun protection      (even on a cloudy day).
  • Do not apply your regular make-up and SPF for a minimum of 24 hours after your treatment
  • Do not use make up brushes for 72 hours
  • Itching, redness, and swelling are normal parts of the healing process. These symptoms rarely persist longer than 24-72 hrs.
  • Do NOT scratch or peel the skin as this may cause permanent scarring
  • Limit exercise the first week
  • Drink plenty of water
  • Call MD Esthetics with any questions or concerns

Approved Post Care Products:
  • ​Aftercare & Redness:
    • Ha Cu Recovery Cream or Skinbetter Science Alto Defence Serum
  • Cleansers:
    • Cetaphil or CeraVe Gentle Skin Cleanser
  • ​Anti-Itch:
    • Oral Benadryl (NEVER USE TOPICAL BENADRYL CREAM OR GEL)
    • Calamine Lotion (NOT CALADRYL)
  • Moisturizers:
    • Cetaphil or CeraVe Moisturizing Cream, Fragrance-Free 

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