PRE & POST-CARE

Botox Post-Care Instructions

Post-Care Instructions
  1. Visible bumps may be seen at the injection sites. These are normal and may last up to a few hours.
  2. Botox will start to work in 2-7 days and peak in about 2 weeks. Please note, if additional product is needed, it will not be injected until 14 days after your initial injection.
  3. Do not lie down for 4 hours post injection.
  4. Do not massage the treatment area.
  5. Do not do strenuous exercise for 24-48 hours following your injection.
  6. Do not get a massage, microdermabrasion or any other activity that may elevate your core body temperature.
  7. If forehead was treated, do not wear hat or headband for 48 hours.
  8. You may cleanse your face normally this evening but please do not massage the injected area. If you routinely use an electric brush or ultrasonic scrubber, do not use tonight. Also, do not use any abrasive exfoliates or scrubs.
  9. Bruising may be seen. This happens in a small percentage of treatments but will not affect your treatment results. There also may be some discomfort associated with it. Bruising should resolve within one week. The use of Arnica Montana (available at health food stores) may help with bruising. It is available both topically (as a gel) or orally.
  10. Cosmetic, moisturizers, lotions may be used 1 hour after treatment, but do not apply extreme pressure or do anything that may cause discomfort.
  11. Exercising the muscles in the treated area may help the product get into the muscle fast, but has no effect on the overall efficacy of the treatment. (You can “make faces” up to 10 times per hour for the first few hours after treatment).
  12. Headaches may be a possible side effect. Ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) may be used as needed.
  13. Sensitivity or blurry vision is possible for 2-3 days post treatment. Wear sunglasses and moisturize eyes with moisturizing eye drops.
  14. Flu-like symptoms are rare, but may last 2-3 days. Fluids, rest and Tylenol may be used for pain.
  15. Any symptoms or problems other than those listed above should be reported to Fallen Leaf Medical Spa at # 865-288-0646 after business hours email connect@fallenleafmed.co, this email is linked directly to our personal phones. 

MEDICATION GUIDE BOTOX® BOTOX® Cosmetic (Boe-tox) (onabotulinumtoxinA) for Injection

BOTOX and BOTOX Cosmetic may cause serious side effects that can be life threatening, including:

  • Problems breathing or swallowing
  • Spread of toxin effects

These problems can happen hours, days, to weeks after an injection of BOTOX or BOTOX Cosmetic. Call your doctor or get medical help right away if you have any of these problems after
treatment with BOTOX or BOTOX Cosmetic:

1. Problems swallowing, speaking, or breathing. These problems can happen hours, days, to weeks after an injection of BOTOX or BOTOX Cosmetic usually because the muscles that you use to breathe and swallow can become weak after the injection. Death can happen as a complication if you have severe problems with swallowing or breathing after treatment with BOTOX or BOTOX Cosmetic.

  • People with certain breathing problems may need to use muscles in their neck to help them breathe. These people may be at greater risk for serious breathing problems with BOTOX or BOTOX Cosmetic.
  • Swallowing problems may last for several months. People who cannot swallow well may need a feeding tube to receive food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already have swallowing or breathing problems before receiving BOTOX or BOTOX Cosmetic have the highest risk of getting these problems.

2. Spread of toxin effects. In some cases, the effect of botulinum away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of botulism include:

  • loss of strength and muscle weakness all over the body
  • double vision
  • blurred vision and drooping eyelids
  • hoarseness or change or loss of voice (dysphonia)
  • trouble saying words clearly (dysarthria)
  • loss of bladder control
  • trouble breathing
  • trouble swallowing

These symptoms can happen hours, days, to weeks after you receive an injection of BOTOX or BOTOX Cosmetic. These problems could make it unsafe for you to drive a car or do other dangerous activities. See “What should I avoid while receiving BOTOX or BOTOX Cosmetic?”

There has not been a confirmed serious case of spread of toxin effect away from the injection site when BOTOX has been used at the recommended dose to treat chronic migraine, severe underarm sweating, blepharospasm, or strabismus, or when BOTOX Cosmetic has been used at the recommended dose to treat frown lines and/or crow’s feet lines.

BOTOX is a prescription medicine that is injected into muscles and used:

  • to treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults when another type of medicine (anticholinergic) does not work well enough or cannot be taken.
  • to treat leakage of urine (incontinence) in adults with overactive bladder due to neurologic disease when another type of medicine (anticholinergic) does not work well enough or cannot be taken.
  • to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day.
  • to treat increased muscle stiffness in elbow, wrist, and finger muscles in adults with upper limb spasticity.
  • to treat increased muscle stiffness in ankle and toe muscles in adults with lower limb spasticity.
  • to treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in adults.
  • to treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years and older.

BOTOX is also injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough. BOTOX Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time (temporary). BOTOX Cosmetic is a prescription medicine that is injected into the area around the side of the eyes to improve the look of crow’s feet lines in adults for a short period of time (temporary). You may receive treatment for frown lines and crow’s feet lines at the same time. It is not known whether BOTOX is safe or effective in people younger than:

  • 18 years of age for treatment of urinary incontinence
  • 18 years of age for treatment of chronic migraine
  • 18 years of age for treatment of spasticity
  • 16 years of age for treatment of cervical dystonia
  • 18 years of age for treatment of hyperhidrosis
  • 12 years of age for treatment of strabismus or blepharospasm BOTOX Cosmetic is not recommended for use in children younger than 18 years of age. It is not known whether BOTOX and BOTOX Cosmetic are safe or effective to prevent headaches in people with migraine who have 14 or fewer headache days each month (episodic migraine). It is not known whether BOTOX and BOTOX Cosmetic are safe or effective for other types of muscle spasms or for severe sweating anywhere other than your armpits.

Do not take BOTOX or BOTOX Cosmetic if you:

  • are allergic to any of the ingredients in BOTOX or BOTOX Cosmetic . See the end of this Medication Guide for a list of ingredients in BOTOX and BOTOX Cosmetic .
  • had an allergic reaction to any other botulinum toxin product such as Myobloc® , Dysport® , or Xeomin®
  • have a skin infection at the planned injection site
  • are being treated for urinary incontinence and have a urinary tract infection (UTI)
  • are being treated for urinary incontinence and find that you cannot empty your bladder on your own (only applies to people who are not routinely catheterizing)

Tell your doctor about all your medical conditions, including if you:

  • have a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome). See “What is the most important information I should know about BOTOX and BOTOX Cosmetic?”
  • have allergies to any botulinum toxin product
  • had any side effect from any botulinum toxin product in the past
  • have or have had a breathing problem, such as asthma or emphysema
  • have or have had swallowing problems
  • have or have had bleeding problems
  • have plans to have surgery
  • had surgery on your face
  • have weakness of your forehead muscles, such as trouble raising your eyebrows • have drooping eyelids
  • have any other change in the way your face normally looks
  • have symptoms of a urinary tract infection (UTI) and are being treated for urinary incontinence. Symptoms of a urinary tract infection may include pain or burning with urination, frequent urination, or fever.
  • have problems emptying your bladder on your own and are being treated for urinary incontinence
  • are pregnant or plan to become pregnant. It is not known if BOTOX or BOTOX Cosmetic can harm your unborn baby.
  • are breast-feeding or plan to breastfeed. It is not known if BOTOX or BOTOX Cosmetic passes into breast milk. Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal products. Using BOTOX or BOTOX Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX or BOTOX Cosmetic in the past. Especially tell your doctor if you:
  • have received any other botulinum toxin product in the last four months
  • have received injections of botulinum toxin, such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA) in the past.


Be sure your doctor knows exactly which product you received.

  • have recently received an antibiotic by injection
  • take muscle relaxants
  • take an allergy or cold medicine
  • take a sleep medicine
  • take anti-platelets (aspirin-like products) and/or anti-coagulants (blood thinners)


Ask your doctor if you are not sure if your medicine is one that is listed above. Know the medicines you take. Keep a list of your medicines with you to show your doctor and pharmacist each time you get a new medicine.

  • BOTOX or BOTOX Cosmetic is an injection that your doctor will give you.
  • BOTOX is injected into your affected muscles, skin, or bladder.
  • BOTOX Cosmetic is injected into your affected muscles.
  • Your doctor may change your dose of BOTOX or BOTOX Cosmetic, until you and your doctor find the best dose for you.
  • Your doctor will tell you how often you will receive your dose of BOTOX or BOTOX Cosmetic injections.

BOTOX and BOTOX Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX or BOTOX Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities. See “What is the most important information I should know about BOTOX and BOTOX Cosmetic?”

BOTOX and BOTOX Cosmetic can cause serious side effects. See “What is the most important information I should know about BOTOX and BOTOX Cosmetic?” Other side effects of BOTOX and BOTOX Cosmetic include:

  • dry mouth
  • discomfort or pain at the injection site
  • tiredness
  • headache
  • neck pain
  • eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your
  • eyelids, and dry eyes.
  • urinary tract infection in people being treated for urinary incontinence
  • painful urination in people being treated for urinary incontinence
  • inability to empty your bladder on your own and are being treated for urinary incontinence. If you have difficulty fully emptying your bladder after getting BOTOX, you may need to use disposable selfcatheters to empty your bladder up to a few times each day until your bladder is able to start emptying again.
  • allergic reactions. Symptoms of an allergic reaction to BOTOX or BOTOX Cosmetic may include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.


Tell your doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of BOTOX and BOTOX Cosmetic. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA1088.

Active ingredient: botulinum toxin type A
Inactive ingredients: human albumin and sodium chloride

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide.
This Medication Guide summarizes the most important information about BOTOX and BOTOX
Cosmetic. If you would like more information, talk with your doctor. You can ask your doctor or
pharmacist for information about BOTOX and BOTOX Cosmetic that is written for healthcare
professionals.

Neveskin Slimming Pre and Post-Care Instructions

  1. Do not eat sugar or carbohydrates 2 hours before and after a Neveskin slimming session.   This applies to all kind of sugars (pasta, rice, bread, chewing gum, stevia, cereals, fruit…). The cold weakens and retracts the adipocyte (fat storage cell) and consuming sugar will return immediate energy to these cells, so the apoptosis (cell death) effect will be less efficient and can even be canceled.
  2. Do not exercise for 2 hours before a session. It will be harder to cool the body down and complete the slimming effectively.
  1. Exercise is encouraged immediately after a session in order to stimulate the lymphatic system.  The lymphatic system takes 15 days to complete an entire cycle. Results will improve over the 2 weeks following the session. Additional slimming sessions can be completed 2 weeks after a treatment.
  2. IT IS VITAL TO DRINK PLENTY OF WATER AFTER A SESSION IN ORDER TO FLUSH THE CELLULAR DEBRIS THROUGH THE LYMPHATIC SYSTEM AND OUT OF THE BODY. AT A MINIMUM 1.5L OF WATER SHOUD BE CONSUMED DAILY FOLLOWING THE SESSION.
  3. For best results, maintain the best possible diet and lifestyle to accompany the treatment.

As the body the body flushes the lymphatic system, it is not unusual to have your urine become more concentrated around day 3. This may result in a strong odor and a darker than normal appearance.

 

 

Dermal Filler Post-Care Instructions

  1. A cold compress may be applied immediately after treatment to reduce swelling.
  2. A few hours after treatment the area can be gently washed with soap and water.
  3. Until there is no redness or swelling, avoid exposure of the treated area to intense heat (sun lamp or sun bathing).
  4. If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another occurrence. Speak to your physician about medications that may minimize a recurrence.
  5. Avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort, and high doses of Vitamin E supplements for one week after treatment. These agents may increase bruising and bleeding at the injection site.
  6. Some visible lumps may occur temporarily following the injection.
  7. If you are considering laser treatment, chemical peels, Microdermabrasion or Hydro Plus treatments, wait 2 weeks to schedule appointment.
  8. If you develop fever, redness, pain call or text our office.
  9. IF YOU DEVELOP VISION CHANGES, REPORT TO THE EMERGENCY ROOM IMMEDIATELY.
  10. Follow-up in 2 weeks or sooner if needed.

Dermaplaning Pre and Post-Treatment Instructions

  1. Please let your provider know if you are on any medications (topical and/or oral), have any medical conditions, or are being treated by a physician for any conditions.
  2. Let your provider know if you have been diagnosed with cold sores or herpes simplex.
  3. Wait 7 days after receiving Botox or Dermal Fillers to receive Dermaplaning treatments.
  4. One week prior to treatment:  do not shave, wax, have chemical peels or aggressive exfoliation
  5. 3 days before treatment: Avoid topical products such as Tretinion (Retin-A), Retinols, Retinoids, Glycolic Acid, Alpha Hydroxy Acid, Salicylic Acid, Hydroquinone or other “Anti-Aging”, “Acne”, and “Bleaching” products.

Please do not wear make-up, if possible.

  1. There is no pain or discomfort during the Dermaplaning procedure. It is best to relax and allow your provider to move and manipulate the position of your head and face.
  2. Try to remain still. Gum chewing is prohibited during the treatment and talking will be restricted by your provider at certain key times during the treatment.
  1. You may experience slight peeling for the first few days. Slight windburn sensation and/or blotchiness is normal for the first few days.
  2. After the treatment, some skin care products can be irritating for the first 2 days. Use a gentle, non-active cleanser and apply moisturizer at least twice daily for a minimum of 7 days post treatment.
  3. Every morning apply an SPF of 30 or higher. Reapply often.  Be careful of sun exposure and seek shade as much as possible.
  4. Do not pick, scratch, or aggressively rub the treated area.
  5. Applying serums can be beneficial as absorption levels will be elevated.
  6. First 24 hours: avoid chlorine; avoid wearing heavy makeup;
  7. Discontinue use of all harsh topical products for 72 hours following treatment.
  8. Avoid excessive heat for 3 days post treatment, i.e. heavy workouts, steam rooms or saunas, etc.
  9. Avoid facial waxing for 7 days.
  10. No scrubs, polishers, or aggressive brushes should be used for 7 to 14 days.
  11. Avoid Dermal Fillers or Botox for 2 to 4 weeks based on area.
    1. Dermaplaning can scratch or nick or the skin.
    2. Hair will grow back within 4-6 weeks at the same rate and texture as before the treatment.

Some patients may experience redness, irritation, dryness, post treatment acne flares, or folliculitis (inflammation of hair follicles).

Blemishes and/or cold sores may result after this treatment.

Microneedling Post-Care Instructions

Total healing time depends on the depth of the treatment, skin type, and skin condition.  Some patients may heal completely in 24 hours, while others may take up to 3 days.

  1. Your skin will be red and flushed for 12 hours to 3 days.  You may also experience mild swelling, tightness, and/or peeling.
  2. Unexpected complications may occur when products that aren’t proven safe for use with microneedling are used since micro-channels created during the procedure may remain open for up to 24 hours.

Please call the office at #865-288-02646 after business hours e-mail connect@fallenleafmed.co, if you have increased swelling, redness, heat, new numbness, and any additional discomforts after 3-4 days post treatment.

  1. Apply a generous layer of iS Clinical shield or Aquaphor to prevent the skin from drying out post-procedure.
  2. After 18 hours, you may apply your regular skin moiturizer to the procedure area.
  3. Wash your face with bottle water if possible.
  4. Use a mild moisturizer over the next week, morning and evening when you feel dry (your microneedling technician will provide product recommendations).
  5. After 24 hours, use a sunscreen SPF 30 or higher for 2 weeks
  6. Tylenol may be used for pain management.  No more than 3000mg per 24 hours.
  7. You may ice as needed 15 minutes per hour.
  8. Make sure your pillow case is clean.
  9. Use an alcohol wipe to sterilize your phone after your treatment.
  1. Avoid any vigorous or strenuous activity for 24-48 hours that may raise your heart rate which dilates blood vessels, as this may interfere with proper healing processes.
  2. No harsh cleansers for a week (your microneedling technician will provide product recommendations).
  3. Do not submerge in water for 48 hours.
  4. Do not shave for 1-2 days post treatment.
  5. Do not use sunscreen for 24 hours.  Avoid the sun for 48 hours. This includes tanning beds.   No spray tans for 2 weeks.
  6. Absolutely no NSAIDS (Aspirin, Ibuprofen, Naproxen, Celecoxib, Motrin, Aleve) or anti-inflammatories for one week.   If you are a cardiac patient, you may continue aspirin.
  7. Do not use a heat pack.
  8. No Retin-a for 2 weeks prior and after treatment.
  9. Do not apply any makeup for 24 hours

Post-Peel Care Instructions

THE DAY OF THE PROCEDURE (DAY 1)
What to expect: mild to moderate redness, mild swelling, irritation, itching, tightness.

  • Do not scratch, pick or peel the skin.
  • Sun exposure must be avoided.

Peeling may begin and increases through this period.

  • Do not scratch, pick, or peel the skin. Flaking skin falls off on its own.
  • Redness underneath peeling may be visible.
  • Sunburn-like redness, irritation, itching and tightness can continue during this period.
  • Sun exposure should be avoided and an iS Clinical sunscreen applied throughout the
    daytime.
  • If going outside, a sunscreen should always be applied.
  • The skin is still very sensitive, especially to the sun, heat, and exercise.
  • Skin improvement(s) may be visible.
  • Peeling or flaking may still be visible in some areas and can last up to ten (10) days.
  • Changes are still occurring, and the skin requires appropriate care, as recommended
    by your skincare professional, to optimize desirable final results.
  • CLEANSING COMPLEX
  • SHEALD RECOVERY BALM
  • iS CLINICAL CREAM-BASED
    SUNSCREEN
  • CLEANSING COMPLEX
  • SHEALD RECOVERY BALM
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