7 days before:

• Avoid over-the-counter blood thinners (Aspirin, Ibuprofen, Motrin, Advil, Aleve, Midol, Vitamin E, Ginko Biloba, St. Johns Wart, Fish Oil, Omega 3s or any other anti-inflammatory drug)  

• Do not drink alcoholic beverages 24 hours pre and post treatment to avoid extra bruising

• Inform our clinical team if you have a history of cold sores to receive advice on possible antiviral therapy prior to treatment.

• Do not use Botox if you are pregnant or breastfeeding.  Do not use Botox if you are allergic to any of its ingredients (eggs) or suffer from any neurological disorders.

• Please inform us if you have any questions prior to treatment

3 days before:

• Avoid topical products such as Tretinoin (Retin-A) Retinols, Retinoids, Glycolic Acid, Alpha-Hydroxy Acid or any other “anti-aging” products.  

• Avoid waxing, bleaching, tweezing or the use of hair removal cream to areas being treated

Day of Treatment:

• Arrive at Pure Reflection with a “clean face”.  Please DO NOT wear make-up.

During Treatment:

• You may experience a mild amount of tenderness, crunching or a slight stinging sensations with each injection

Post Treatment:

• You may experience some tenderness at the treatment sites that can last for a few hours or a few days

• Redness and swelling are normal

• You may have bruises in the areas treated

• It is best to try and exercise your treated muscles for 1-2 hours after treatment (practice frowning, raising eyebrows & squinting.) This helps to work the Botox into your muscles.

• Stay upright for 4 hours following treatment. DO NOT rest your head or lay down, you must sit upright

• You may gently apply an ice pack for a brief period of time or take Acetaminophen/Tylenol for discomfort

• Once any pinpoint bleeding (if any) from the injection sites have subsided, you may begin to wear make-up

• Avoid placing excessive pressure on the treated areas for the first few days; when cleansing or applying make-up to your face, be very gentile

• Remember to be gentle when touching the newly treated areas

• Avoid exercise or strenuous activities for remainder of the treatment day. You may resume other normal activities immediately.

• Avoid extended UV exposure until any redness/swelling has subsided. Apply sunscreen SPF 30 or higher

• Wait 24 hours (or as directed by clinician) before receiving any skincare or laser treatments

• You will not see an immediate improvement in the treatment area. Most patients start seeing benefits as early as 3 days and up 14 days after Botox injections.  The results last 3-4 months. However, results do vary and supplemental “touch up” treatments may be required to achieve and maintain optimal results as early as 2 weeks.