Pre & Post Treatment Care

Clinic: Specialty Wellness & MedSpa
Contact: 469-442-4442

Proper preparation helps minimize side effects and enhances your treatment results.

Scheduling and Planning

• If you have an upcoming special event, photo session, or vacation, schedule your appointment at least 4–6 weeks in advance to allow full results and any touch-up if needed.
• Avoid scheduling your treatment within 2 weeks of dental procedures, facial surgery, or vaccinations, as inflammation may interfere with your results.

One Week Before Treatment

• Avoid blood-thinning medications and supplements, unless prescribed by your physician:
  • Aspirin, ibuprofen (Advil, Motrin), naproxen, ginkgo biloba, garlic, flaxseed oil, cod liver oil, Vitamin A, Vitamin E, fish oil, and other essential fatty acids.
    These can increase your risk of bruising or bleeding at the injection site.
• If you are under medical care, consult your provider before stopping any medication.

48–24 Hours Before Treatment

• Avoid alcohol, caffeine, and intense exercise for at least 24 hours prior to your appointment to minimize bruising and swelling.
• Stay well hydrated and eat a light meal or snack before arriving to avoid lightheadedness.
• Avoid facials, chemical peels, laser treatments, or microneedling for at least 5 days before your neuromodulator appointment.
• If you are prone to cold sores and will be treated near the lips, inform your provider—an antiviral medication may be prescribed.

Day of Appointment

• Arrive with a clean face — no makeup, lotion, sunscreen, or serum.
• Avoid wearing hats or tight headbands.
• Inform your injector if you:
  • Are pregnant, breastfeeding, or trying to conceive.
  • Have any active skin infection or rash in the treatment area.
  • Have a history of neuromuscular disorders (e.g., myasthenia gravis, ALS, Lambert-Eaton syndrome).

Optional Pre-Treatment Enhancement

• Taking over-the-counter Zinc (Zinc Gluconate 30–50 mg daily) for a few days before treatment may enhance the longevity and effectiveness of neuromodulators.

Clinic: Specialty Wellness & MedSpa
Contact: 469-442-4442

Following these steps ensures optimal results and minimizes side effects.

Immediately After Treatment (First 4 Hours)

• Do not lie flat for at least 4 hours after your injections.
• Avoid touching, rubbing, or massaging the treated areas. This includes applying makeup or skincare products.
• Avoid leaning forward or bending excessively.
• Stay upright and perform gentle facial expressions (frowning, smiling, raising eyebrows) every 10–15 minutes for the first hour. This helps the product bind effectively to your muscle receptors.

First 24 Hours

• Avoid strenuous exercise (light walking is fine).
• Do not consume alcohol or caffeine.
• Avoid tight headwear, baseball caps, or goggles that apply pressure to the treated area.
• Do not schedule facials, massages, saunas, steam rooms, or tanning beds for at least 24 hours.

First 48 Hours

• Continue avoiding:
  • Intense exercise or excessive sweating.
  • Heat exposure (hot yoga, steam, saunas, sunbathing).
• You may gently cleanse your face using mild, non-abrasive cleansers and pat dry — no scrubbing.

First 7 Days

• Avoid chemical peels, laser treatments, microneedling, or facial waxing.
• Minor redness, swelling, or small bumps at the injection site are normal and should subside within a few hours.
• Bruising may occur and can take 3–7 days to resolve; applying cold compresses for 10 minutes several times daily can help.
• Arnica or bromelain supplements may also reduce bruising and swelling.

 Results and Follow-Up

• Neuromodulator results typically begin to appear in 3–7 days, with full results visible at 10–14 days.
• If you notice asymmetry or persistent muscle activity after 14 days, schedule a touch-up visit between days 14–21 for adjustment.
• Results generally last 3–4 months, depending on your metabolism, dosage, and treated area.
• Repeated treatments at consistent intervals help maintain smoother, longer-lasting results.

1 Week Before Treatment

• Avoid blood-thinning medications and supplements (unless prescribed) to reduce the risk of bruising:
  • Aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), ginkgo biloba, garlic, flaxseed oil, fish oil, Vitamin E, and other essential fatty acids.
• Avoid alcohol and caffeine for 24 hours before your appointment.
• Do not schedule treatment within 2 weeks of a major event, as mild swelling or bruising can occur.
• If you have a history of cold sores (Herpes Simplex virus), notify your provider — antiviral medication (e.g., valacyclovir) may be prescribed as a preventive measure.
• Avoid dental work (cleanings, fillings, whitening) for 1 week before and after your Lip Flip.

Day of Treatment

• Arrive with a clean face — no makeup, lip balm, or lotion on or around the lips.
• Eat a small meal or snack prior to treatment to avoid lightheadedness.
• Avoid intense exercise right before your appointment.
• Let your provider know if you:
  • Are pregnant, breastfeeding, or planning pregnancy.
  • Have had recent filler or neurotoxin treatments near the mouth.
  • Have any muscle or nerve conditions.

Immediately After Treatment

• Do not rub, touch, or apply pressure to the treated area for at least 4 hours.
  • Avoid resting your face on your hands or pressing lips tightly together.
• Avoid lying flat or bending forward for 4 hours after treatment to prevent product migration.
• Do not apply makeup, lipstick, or lip balm for 24 hours.
• Avoid intense exercise, saunas, or hot tubs for 24 hours.
• Avoid drinking through a straw or using suction for 24 hours, as this may interfere with the placement of the neurotoxin.
• Do not massage or manipulate the treated area.
• You may use a cool compress (not ice directly) if mild swelling or discomfort occurs.

First 24–48 Hours

• Avoid alcohol, caffeine, and salty foods, which can contribute to swelling.
• Minor bruising, tenderness, or slight swelling is normal and typically resolves within a few days.
• If bruising appears, Arnica gel or oral Arnica tablets can help reduce discoloration.
• You may take Tylenol (acetaminophen) for mild discomfort; avoid NSAIDs (ibuprofen, aspirin) unless prescribed.
• Do not schedule dental work, facials, or massages for at least 1 week after treatment.

First Week

• Results begin to appear in 3–5 days, with full effects visible at around 10–14 days.
• You may notice a mild “tight” or “different” feeling when speaking, drinking, or smiling during this adjustment period — this is normal and temporary.
• Avoid excessive movement of the lips (whistling, sucking through straws, or smoking) for 24–48 hours to allow the neurotoxin to settle.
• Avoid laser or heat-based treatments near the treated area for 1 week.

RESULTS AND TREATMENT PLAN

• Visible improvement typically occurs within 1 week, with the lip appearing slightly fuller and more defined.
• Maximum results are seen at 2 weeks post-treatment.
• Effects last approximately 2–3 months, and touch-up sessions are recommended to maintain results.
• Many patients combine Lip Flip with Dermal Fillers for enhanced lip shape and balance — your provider can recommend the best plan for your aesthetic goals.

WHEN TO CALL OUR OFFICE

Contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience:

• Severe pain, redness, or swelling at the injection site
• Difficulty swallowing, speaking, or breathing
• Asymmetry that does not improve after 14 days
• Unusual bruising, lumpiness, or signs of infection (warmth, pus, or drainage)

Scheduling & Planning

• If you have a special event, photo session, or vacation, schedule your appointment at least 4 weeks in advance to allow time for any swelling or bruising to subside and for the filler to settle naturally.
• Avoid scheduling your filler treatment within 2 weeks of dental work, vaccinations, or other facial procedures (e.g., lasers, microneedling, peels).

One Week Before Treatment

• Avoid blood-thinning agents and supplements to reduce bruising and bleeding:
  Aspirin, ibuprofen (Advil, Motrin), naproxen, ginkgo biloba, garlic, flaxseed oil, cod liver oil, fish oil, Vitamin A, Vitamin E, and other omega fatty acids.
  (Consult your physician before stopping any prescribed medication.)
• If you have a history of cold sores (Herpes Simplex virus), please inform your provider — antiviral medication (e.g., valacyclovir) may be prescribed prior to lip or perioral filler to prevent recurrence.
• Optional: Begin taking Arnica montana or Bromelain supplements 2–3 days prior to your appointment to help minimize bruising and swelling.

24–48 Hours Before Treatment

• Avoid alcohol, caffeine, and vigorous exercise for at least 24 hours prior to treatment.
• Stay hydrated and eat a light meal before your visit to prevent dizziness.
• Avoid active skincare products (retinol, glycolic acid, or exfoliants) and any skin irritation near the injection site.

Day of Appointment

• Arrive with a clean face — no makeup, lotions, or sunscreen.
• For lip treatments, please arrive 30 minutes early for numbing.
• Avoid wearing tight headwear or anything that applies pressure to the face.
• Inform your injector if you are pregnant, breastfeeding, or have any active infection, rash, or dental concerns.

Following these guidelines helps ensure optimal filler results and minimizes complications.

Immediately After Treatment (First 24 Hours)

• Mild swelling, redness, or tenderness is normal and may last up to 2 weeks.
• Avoid touching, pressing, or massaging the treated areas for 24 hours.
• Do not apply makeup, lipstick, or lip balm for 12 hours.
  • You may use Aquaphor or other sterile ointments to keep lips hydrated.
• Keep your hair away from your face, and ensure your hands and pillowcases are clean.
  • Change your pillowcases and sheets the night of your treatment.
  • Do not allow pets to sleep with you that night.

For Lip Filler Treatments

• Avoid sucking through a straw, heavy kissing, or pressing your lips firmly together for 24 hours.
• When using your phone, use speaker mode to avoid contact with the treated area.
• Do not apply pressure or heat to your lips (no saunas, hot yoga, or facials).

24–48 Hours After Treatment

• Avoid intense exercise, excessive heat exposure, or alcohol consumption.
• Avoid baths, pools, lakes, hot tubs, or ocean water — no standing or contaminated water for 24 hours to reduce infection risk.
• Do not have dental work or vaccinations for 2 weeks after filler treatment.
• If you experience tenderness, mild pain, or swelling:
  • You may take Tylenol (acetaminophen) for discomfort.
  • Arnica or Benadryl (diphenhydramine) may help with swelling or bruising.
  • Cold compresses can be gently applied for 10 minutes at a time to minimize swelling (avoid direct ice contact with skin).

First 7–14 Days

• Swelling and bruising may fluctuate and are normal during the healing phase.
• Avoid massaging the area unless specifically instructed by your injector.
• Sleep with your head elevated for the first 1–2 nights to reduce swelling.
• You may gently resume skincare and makeup after 24 hours if there is no open skin.
• Avoid facials, peels, or laser treatments for at least 2 weeks.

RESULTS AND FOLLOW-UP

• Final filler results are typically visible in 2 weeks after swelling subsides and the filler integrates naturally into the tissue.
• Filler longevity varies by product and area:
  • Lips: 6–9 months
  • Cheeks, jawline, chin: 9–18 months
  • Nasolabial folds and under eyes: 9–12 months
• Schedule a follow-up appointment at 2 weeks for assessment and, if necessary, minor touch-ups.

WHEN TO CALL OUR OFFICE

Please contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience any of the following:

• Severe or increasing pain (beyond mild tenderness).
• Pale, white, blotchy, or lacy discoloration in or near the treated area (may indicate vascular compromise).
• Coldness, numbness, or skin changes near the injection site.
• Sudden swelling or redness that worsens after 24 hours.
• Signs of infection (fever, drainage, or excessive warmth).

Scheduling and Planning

• If you have a special event or vacation, schedule your appointment at least 4 weeks in advance to allow for healing and optimal collagen response.
• Avoid scheduling Sculptra® treatments within 2 weeks of dental work, vaccinations, or other facial procedures.

One Week Before Treatment

• Avoid blood-thinning medications and supplements to reduce bruising and bleeding:
  • Aspirin, ibuprofen (Advil, Motrin), naproxen, ginkgo biloba, garlic, flaxseed oil, cod liver oil, fish oil, Vitamin A, and Vitamin E.
    (Consult your physician before stopping any prescribed medications.)
• Optional: Begin Arnica montana supplements 2–3 days prior to help minimize bruising.
• Avoid retinoids, peels, or exfoliating products for several days before your appointment.

24–48 Hours Before Treatment

• Avoid caffeine and alcohol for at least 24 hours prior to treatment, as these can increase bruising or swelling.
• Avoid intense physical exercise on the day of your appointment.
• Stay well hydrated and eat a light meal before your visit to reduce lightheadedness.

Day of Appointment

• Arrive with a clean face — no makeup, lotion, sunscreen, or serum.
• Inform your provider if you:
  • Are pregnant, breastfeeding, or trying to conceive.
  • Have a history of keloid formation, autoimmune disease, or active infection.
  • Have recently had any other injectables, lasers, or facial procedures.

Immediately After Treatment (First 24 Hours)

• Mild redness, swelling, tenderness, or bruising at the injection sites is common and typically resolves within a few days.
• Apply ice packs or cool compresses intermittently (10 minutes on, 10 minutes off) for the first 24 hours to reduce swelling.
• Avoid direct UV exposure or heat (saunas, tanning beds, hot yoga) until swelling and redness have resolved.
• You may gently wash your face with a mild cleanser and lukewarm water the evening after your treatment.
  • Pat dry — do not rub the treated area.

Massage Protocol: 5–5–5 Rule

For the best Sculptra® results and to ensure even product distribution:
Massage the treated areas for 5 minutes, 5 times per day, for 5 days after your procedure.

• Always wash your hands thoroughly before massaging.
• Use gentle, circular motions over the treated areas.
• A small amount of your regular moisturizer may be used to reduce friction.

First Week

• Temporary fullness right after your injection may diminish within a few days as swelling subsides — this is normal.
  The true results appear gradually as your body begins producing new collagen.
• Avoid strenuous exercise and excessive heat for 24–48 hours.
• Avoid facials, laser treatments, or exfoliating products for at least 1 week.
• Continue applying sunscreen daily (SPF 50+) and limit direct sun exposure.

RESULTS AND TREATMENT PLAN

• Early improvement may be visible after your first treatment, but collagen rebuilding takes time.
• Full results typically develop gradually over 6–12 weeks following each session.
• Most patients require a series of 3–4 treatments spaced 4–6 weeks apart for best results.
• Maintenance sessions every 12–18 months help sustain collagen stimulation and volume enhancement.

WHEN TO CALL OUR OFFICE

Contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience:

• Increasing pain, severe swelling, or nodules under the skin
• Skin discoloration or blanching (white or gray areas)
• Signs of infection (warmth, drainage, fever)
• Persistent lumps or asymmetry after several weeks

1 Week Before Treatment

• Hydrate generously: drink at least 64 oz (2 liters) of water daily for 3–5 days prior.
  Adequate hydration ensures optimal PRF yield and platelet concentration.
• Avoid blood-thinning medications and supplements (unless prescribed):
  • Aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), ginkgo biloba, garlic, flaxseed oil, fish oil, Vitamin E, or other essential fatty acids.
  • These can increase bruising and bleeding.
• Avoid alcohol and caffeine for 24–48 hours before your appointment.
• Do not smoke or use nicotine products for at least 3 days before and after treatment; nicotine reduces platelet effectiveness and healing.
• Discontinue active skincare products (retinoids, acids, or exfoliants) 3–5 days before facial treatments.
• If treating under the eyes, come well rested and avoid salty foods the day before to reduce puffiness.
• If you have a history of cold sores (Herpes Simplex virus), inform your provider — antiviral prophylaxis may be recommended.

Day of Treatment

• Eat a light meal before your appointment to avoid lightheadedness during blood draw.
• Arrive with a clean face — no makeup, lotion, or sunscreen.
• Avoid heavy exercise immediately before your session.
• Inform your provider if you:
  • Have been ill, are pregnant, breastfeeding, or have an active infection.
  • Are taking antibiotics, steroids, or other medications that may affect platelet function.

Immediately After Treatment

• Mild redness, swelling, or tenderness at the injection sites is normal and may last 24–72 hours.
• Do not touch, press, or massage the treated area for at least 8 hours.
• Avoid makeup, sunscreen, or skincare products for 12–24 hours.
• Do not wash your face for at least 6–8 hours.
• Apply cool compresses intermittently to reduce swelling if needed (10 minutes on / 10 minutes off).
• Do not take NSAIDs (ibuprofen, aspirin, naproxen) for 5 days post-treatment — mild inflammation is part of the collagen-stimulating process.
  • You may take Tylenol (acetaminophen) if discomfort occurs.

First 24–48 Hours

• Avoid:
  • Strenuous exercise or sweating
  • Hot showers, saunas, or steam rooms
  • Direct sun exposure or tanning
  • Alcohol and smoking
• Sleep on your back with your head slightly elevated to reduce swelling.
• You may experience mild bruising or fullness — this will subside as the gel integrates.

Days 3–7

• Swelling and tenderness will continue to improve.
• Do not massage or manipulate the area unless instructed by your provider.
• You may gently cleanse your face and apply light moisturizer as usual.
• Avoid active skincare products (retinoids, acids, or exfoliants) until day 5–7.
• Continue daily broad-spectrum SPF 50+ sunscreen to protect healing tissue.
• For under-eye or facial treatments, temporary unevenness or “firmness” is normal as PRF integrates and collagen remodeling begins.

After 1–2 Weeks

• Most swelling resolves fully.
• You’ll begin to notice skin softening, plumping, and brightening as new collagen and fibrin networks form.
• Results continue to improve gradually over the next 4–8 weeks.
• PRF remains active for up to 12 days, releasing growth factors that rebuild skin structure and elasticity.

⏳ RESULTS AND TREATMENT PLAN

• Initial improvement may be visible within 1–2 weeks.
• Full results develop over 4–8 weeks as collagen and elastin rebuild.
• A series of 2–3 treatments spaced 4–6 weeks apart is typically recommended for best results.
• Maintenance treatments every 6–12 months help preserve rejuvenation and skin health.
• EZ Gel PRF can be combined with microneedling, laser, or dermal fillers for enhanced outcomes.

WHEN TO CALL OUR OFFICE

Contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience:

• Severe or increasing pain after 24 hours
• Excessive swelling, redness, or warmth (possible infection)
• Pale or blotchy skin (circulatory concern)
• Persistent bruising or lumps that do not resolve after 2 weeks
• Fever or other systemic symptoms

1 Week Before Treatment

• Hydrate well — begin drinking at least 64 oz (2 liters) of water daily for several days prior to treatment.
  Hydration significantly improves the quality and yield of your plasma.
• Avoid blood-thinning medications and supplements, unless prescribed:
  • Aspirin, ibuprofen (Advil, Motrin), naproxen, ginkgo biloba, garlic, flaxseed oil, cod liver oil, fish oil, Vitamin E, and other essential fatty acids.
    These can increase the risk of bruising or bleeding.
• Avoid alcohol and caffeine for 24–48 hours prior to treatment.
• Avoid smoking or nicotine products for at least 3 days before and after — nicotine constricts blood vessels and reduces platelet function.
• Avoid retinoids, acids, and exfoliants on treatment areas (if for skin) for 3–5 days before your appointment.
• If treating the scalp, wash your hair the night before or morning of your appointment — do not use hair products such as sprays, gels, or oils on the day of treatment.
• If you have a history of Herpes Simplex (cold sores) and are receiving PRP/PRF to the face or lips, notify your provider. Antiviral prophylaxis (e.g., valacyclovir) may be prescribed.

Day of Appointment

• Eat a healthy meal before your visit — low blood sugar can increase lightheadedness during blood draw.
• Arrive with clean skin or scalp. No makeup, lotion, sunscreen, or hair products.
• Wear comfortable clothing and avoid restrictive necklines or hats if treating face or scalp.
• Avoid strenuous exercise immediately before your appointment.
• Let your provider know if you:
  • Are pregnant, breastfeeding, or taking blood thinners.
  • Have active infection, rash, or inflammation in the treatment area.
  • Have chronic medical conditions affecting healing (e.g., diabetes, autoimmune disorders).

Immediately After Treatment

• Mild redness, swelling, tenderness, or pinpoint bruising may occur and typically resolves within 24–72 hours.
• Do not touch, rub, or massage the treated area for at least 8 hours.
• Avoid makeup or skincare products (other than those recommended) for 12–24 hours.
• Do not wash your face or scalp for at least 6–8 hours post-procedure.
• You may apply cool compresses to minimize swelling or discomfort — avoid direct ice contact.
• Do not take NSAIDs (ibuprofen, aspirin, naproxen) for at least 5 days after treatment, as they can interfere with the natural inflammatory and regenerative process.
  • Tylenol (acetaminophen) is safe to use if needed for discomfort.

First 24–48 Hours

• Avoid:
  • Strenuous exercise or sweating
  • Hot showers, saunas, or steam rooms
  • Sun exposure or tanning
  • Alcohol and smoking
• Keep the area clean and avoid touching or applying heavy creams or makeup.
• Redness and mild swelling will gradually subside.

If You Received PRP/PRF for Facial Rejuvenation (e.g., “Vampire Facial”)

• Mild peeling, dryness, or tightness may occur for several days.
• Cleanse gently with a mild cleanser and apply a hydrating, fragrance-free moisturizer.
• Avoid active skincare (retinol, acids, vitamin C, exfoliants) for 5–7 days.
• Do not pick or peel flaking skin.
• Always use SPF 50+ sunscreen when outdoors.

If You Received PRP/PRF for Hair Restoration

• Do not wash your hair for 24 hours.
• After 24 hours, wash gently with a mild shampoo and cool or lukewarm water.
• Avoid hair dyes, chemical treatments, and heat styling for 72 hours post-procedure.
• Avoid wearing hats or tight headwear for 24 hours.
• Do not use topical minoxidil (Rogaine) or medicated scalp products for 3 days unless otherwise directed.
• Mild tenderness at injection sites is normal; use Tylenol if needed.

If You Received PRP/PRF for Sexual Wellness (O-Shot / P-Shot)

• Avoid sexual activity, hot tubs, and swimming for 48 hours.
• Expect mild soreness or spotting for 1–2 days.
• Keep the area clean and avoid friction or pressure until tenderness resolves.
• Do not apply creams or ointments unless directed by your provider.
• Results develop gradually over several weeks as collagen and vascularity increase.

RESULTS AND TREATMENT PLAN

• Results appear gradually as your body regenerates new collagen and tissue.
  • Facial rejuvenation: visible glow and improved texture within 2–4 weeks; continued improvement for up to 3 months.
  • Hair restoration: reduction in shedding after 1 month, new growth noticeable around 3–6 months.
  • Intimate wellness: improved sensitivity and function in 4–6 weeks.
• For best results:
  • A series of 3–4 treatments spaced 4–6 weeks apart is recommended.
  • Maintenance treatments every 6–12 months help sustain collagen stimulation and results.

WHEN TO CALL OUR OFFICE

Contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience:

• Persistent redness, swelling, or pain beyond 3 days.
• Signs of infection (warmth, yellow discharge, or fever).
• Severe bruising, rash, or allergic reaction.
• Dizziness or lightheadedness that does not resolve after the procedure.

Scheduling & Planning

• If you have a special event, photo session, or vacation, schedule your appointment at least 4 weeks in advance to allow time for any swelling or bruising to subside and for the filler to settle naturally.
• Avoid scheduling your filler treatment within 2 weeks of dental work, vaccinations, or other facial procedures (e.g., lasers, microneedling, peels).

One Week Before Treatment

• Avoid blood-thinning agents and supplements to reduce bruising and bleeding:
  Aspirin, ibuprofen (Advil, Motrin), naproxen, ginkgo biloba, garlic, flaxseed oil, cod liver oil, fish oil, Vitamin A, Vitamin E, and other omega fatty acids.
  (Consult your physician before stopping any prescribed medication.)
• If you have a history of cold sores (Herpes Simplex virus), please inform your provider — antiviral medication (e.g., valacyclovir) may be prescribed prior to lip or perioral filler to prevent recurrence.
• Optional: Begin taking Arnica montana or Bromelain supplements 2–3 days prior to your appointment to help minimize bruising and swelling.

24–48 Hours Before Treatment

• Avoid alcohol, caffeine, and vigorous exercise for at least 24 hours prior to treatment.
• Stay hydrated and eat a light meal before your visit to prevent dizziness.
• Avoid active skincare products (retinol, glycolic acid, or exfoliants) and any skin irritation near the injection site.

Day of Appointment

• Arrive with a clean face — no makeup, lotions, or sunscreen.
• For lip treatments, please arrive 30 minutes early for numbing.
• Avoid wearing tight headwear or anything that applies pressure to the face.
• Inform your injector if you are pregnant, breastfeeding, or have any active infection, rash, or dental concerns.

Following these guidelines helps ensure optimal filler results and minimizes complications.

Immediately After Treatment (First 24 Hours)

• Mild swelling, redness, or tenderness is normal and may last up to 2 weeks.
• Avoid touching, pressing, or massaging the treated areas for 24 hours.
• Do not apply makeup, lipstick, or lip balm for 12 hours.
  • You may use Aquaphor or other sterile ointments to keep lips hydrated.
• Keep your hair away from your face, and ensure your hands and pillowcases are clean.
  • Change your pillowcases and sheets the night of your treatment.
  • Do not allow pets to sleep with you that night.

For Lip Filler Treatments

• Avoid sucking through a straw, heavy kissing, or pressing your lips firmly together for 24 hours.
• When using your phone, use speaker mode to avoid contact with the treated area.
• Do not apply pressure or heat to your lips (no saunas, hot yoga, or facials).

24–48 Hours After Treatment

• Avoid intense exercise, excessive heat exposure, or alcohol consumption.
• Avoid baths, pools, lakes, hot tubs, or ocean water — no standing or contaminated water for 24 hours to reduce infection risk.
• Do not have dental work or vaccinations for 2 weeks after filler treatment.
• If you experience tenderness, mild pain, or swelling:
  • You may take Tylenol (acetaminophen) for discomfort.
  • Arnica or Benadryl (diphenhydramine) may help with swelling or bruising.
  • Cold compresses can be gently applied for 10 minutes at a time to minimize swelling (avoid direct ice contact with skin).

First 7–14 Days

• Swelling and bruising may fluctuate and are normal during the healing phase.
• Avoid massaging the area unless specifically instructed by your injector.
• Sleep with your head elevated for the first 1–2 nights to reduce swelling.
• You may gently resume skincare and makeup after 24 hours if there is no open skin.
• Avoid facials, peels, or laser treatments for at least 2 weeks.

RESULTS AND FOLLOW-UP

• Final filler results are typically visible in 2 weeks after swelling subsides and the filler integrates naturally into the tissue.
• Filler longevity varies by product and area:
  • Lips: 6–9 months
  • Cheeks, jawline, chin: 9–18 months
  • Nasolabial folds and under eyes: 9–12 months
• Schedule a follow-up appointment at 2 weeks for assessment and, if necessary, minor touch-ups.

WHEN TO CALL OUR OFFICE

Please contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience any of the following:

• Severe or increasing pain (beyond mild tenderness).
• Pale, white, blotchy, or lacy discoloration in or near the treated area (may indicate vascular compromise).
• Coldness, numbness, or skin changes near the injection site.
• Sudden swelling or redness that worsens after 24 hours.
• Signs of infection (fever, drainage, or excessive warmth).

Kybella is an injectable treatment used to target and reduce submental fat (under the chin). To ensure the best results and minimize potential side effects, it’s important to follow these pre-care instructions:

1. Consultation and Medical History Review:
   • Initial Consultation: Schedule a consultation with our medical team to assess whether Kybella is suitable for you. During this consultation, we will review your medical history and discuss any relevant health conditions, including thyroid issues or other concerns in the treatment area.
   • Discuss Previous Treatments: Inform us about any previous cosmetic treatments in the area to be treated, as well as any history of facial surgeries or injections.
2. Avoid Blood-Thinning Medications:
   • If possible, discontinue blood-thinning medications (such as aspirin, ibuprofen, or other anti-inflammatory drugs) for 5-7 days before the treatment to minimize the risk of bruising. Always consult with your healthcare provider before stopping any medications.
3. Avoid Alcohol and Recreational Drugs:
   • Refrain from consuming alcohol for at least 48 hours before your appointment. Alcohol can increase the risk of swelling, bruising, and discomfort following the treatment.
4. Avoid Strenuous Exercise:
   • Avoid vigorous physical activity or exercise for at least 24 hours before your treatment. Intense activity can increase blood flow to the treated area, increasing the risk of bruising or swelling.
5. Shave and Clean the Area:
   • If necessary, shave the treatment area (under the chin) before your appointment to ensure a clean surface for the injections.
   • Cleanse your skin thoroughly before arriving at your appointment to minimize the risk of infection.
6. Inform Us of Any Allergies:
   • Be sure to inform your provider of any known allergies, especially to deoxycholic acid, the active ingredient in Kybella. This ensures your safety during the procedure.

After receiving Kybella injections, follow these post-care instructions to maximize results and minimize discomfort:

1. Expect Swelling and Bruising:
   • Swelling, bruising, and tenderness are common side effects after Kybella treatment. These effects typically peak within the first 2-3 days and may last up to 1-2 weeks. Applying an ice pack wrapped in a cloth to the treated area for 15-20 minutes at a time can help reduce swelling and discomfort.
2. Avoid Touching or Massaging the Treated Area:
   • Do not massage, rub, or touch the treatment area for at least 24-48 hours post-treatment to avoid irritating the injected area and to allow the product to work effectively.
3. Avoid Strenuous Activity:
   • Avoid heavy physical activities or intense exercise for 24-48 hours post-treatment. This can help reduce the risk of further swelling and allow the treatment to settle effectively.
4. Avoid Heat Exposure:
   • Avoid saunas, hot tubs, or any heat treatments for at least 48 hours following treatment. Excessive heat can increase swelling and irritation in the treated area.
5. Sleep with Your Head Elevated:
   • Elevate your head with an extra pillow when sleeping for the first 2-3 nights. This can help reduce swelling and encourage a more comfortable recovery.
6. Pain Management:
   • You may experience mild discomfort or pain at the injection site. Over-the-counter pain relievers like acetaminophen can help alleviate any discomfort, but avoid anti-inflammatory medications (like ibuprofen) as they may increase bruising and swelling.
7. Hydrate and Maintain a Healthy Diet:
   • Drink plenty of water to support the body’s natural healing process and maintain hydration. A healthy, balanced diet can also promote skin recovery and overall well-being.
8. Avoid Alcohol and Blood Thinners:
   • Refrain from drinking alcohol or using blood-thinning medications (such as aspirin or ibuprofen) for 48-72 hours after the procedure to reduce the risk of bruising and swelling.
9. Sun Protection:
   • Since the treated area may be sensitive, apply sunscreen with an SPF of 30 or higher to the treated area daily, especially if you are outdoors. Minimize sun exposure as much as possible for 1-2 weeks after treatment to avoid irritation and further swelling.
10. Follow-Up Appointments:
    • Depending on the amount of fat being treated and your specific goals, additional Kybella sessions may be needed. A follow-up appointment will be scheduled to evaluate your progress and determine whether further treatments are necessary. Please keep your follow-up appointment for optimal results.
11. Monitor for Severe Reactions:
    • While side effects like swelling, bruising, and discomfort are normal, if you experience any severe reactions such as difficulty swallowing, numbness, severe pain, or signs of infection (e.g., fever, redness, pus), contact us immediately for further evaluation.

PDO (Polydioxanone) Thread Lift is a minimally invasive treatment that lifts and tightens sagging skin by stimulating collagen production. To ensure the best possible results and reduce the risk of complications, follow these pre-care instructions:

1. Consultation and Health History Review:
   • Initial Consultation: Schedule a consultation with our medical team to assess if PDO thread lifting is right for you. We will review your medical history, including any existing skin conditions, allergies, or other factors that could affect the procedure.
   • Medications and Supplements: Inform us about any medications or supplements you’re currently taking, particularly blood thinners (such as aspirin, ibuprofen, or other anti-inflammatory medications), as they may increase your risk of bruising or bleeding during the procedure.
2. Avoid Blood Thinners:
   • Discontinue blood-thinning medications (such as aspirin, ibuprofen, or other anti-inflammatory drugs) for 7 days prior to your treatment. Always consult your doctor before stopping any medication.
3. Avoid Alcohol and Caffeine:
   • Refrain from consuming alcohol for 48 hours before your PDO thread treatment. Alcohol can increase the risk of bruising and swelling and interfere with the healing process.
   • Avoid caffeine for 24 hours before your treatment, as it can increase sensitivity and may lead to more swelling or bruising.
4. Avoid Smoking:
   • Stop smoking for at least 48 hours before the procedure. Smoking impairs circulation, which can affect the healing process and the final results of your PDO thread lift.
5. Shave or Cleanse the Area (if applicable):
   • If the treatment area requires shaving or cleansing (such as the face), shave or cleanse the area before your appointment to ensure a clean treatment surface.
6. Arrive with Clean, Makeup-Free Skin:
   • On the day of your procedure, arrive with clean, makeup-free skin. This helps minimize the risk of infection and allows the practitioner to perform the procedure in a sterile environment.
7. No Facial Treatments Prior:
   • Avoid facials, peels, or other skin treatments at least 1-2 weeks before your PDO thread lift, as these treatments can irritate the skin and make it more sensitive.

After your PDO thread lift, following the correct aftercare will help ensure the best results, minimize side effects, and encourage proper healing. Here are the post-care instructions:

1. Avoid Touching or Massaging the Treated Area:
   • Do not touch, rub, or massage the treated area for at least 1 week after the procedure. This helps to avoid displacement of the threads and reduces the risk of infection.
2. Avoid Strenuous Activity:
   • Avoid vigorous exercise and strenuous physical activity for 7 days post-treatment. Excessive movement can put unnecessary strain on the treated area and may disrupt the threads.
3. Avoid Heat Exposure:
   • Avoid saunas, hot tubs, steam rooms, and excessive sun exposure for at least 1 week after treatment, as heat can cause the skin to swell or irritate the treated area.
4. Sleep Position:
   • For the first 5-7 nights, sleep on your back with your head elevated using pillows. This will help reduce swelling and prevent putting pressure on the treated area.
5. Avoid Alcohol and Smoking:
   • Avoid alcohol and smoking for at least 48-72 hours after the procedure to support the healing process. Both alcohol and nicotine can impair circulation and delay recovery.
6. Cold Compress:
   • Apply a cold compress to the treated area for 15-20 minutes at a time during the first 24 hours to reduce swelling and bruising.
7. Avoid Facial Treatments:
   • Do not have facials, peels, or laser treatments for 4-6 weeks after your PDO thread lift, as these treatments may disrupt the threads and affect the final results.
8. Swelling, Bruising, and Tenderness:
   • Swelling, bruising, and tenderness in the treated area are common after the procedure. These symptoms typically subside within 1-2 weeks. You can take over-the-counter pain relievers (like acetaminophen) to alleviate discomfort, but avoid anti-inflammatory medications like ibuprofen, as they may increase bruising.
9. Avoid Dental Work or Facial Massages:
   • Avoid dental work and any form of facial massage for at least 3-4 weeks after the procedure, as these activities can put pressure on the threads and cause discomfort or disrupt the results.
10. Hydrate and Maintain a Healthy Diet:
    • Drink plenty of water and eat a nutritious diet rich in vitamins and minerals that promote skin healing, such as vitamin C and zinc. This helps support collagen production and encourages the skin to heal smoothly.
11. Monitor for Complications:
    • While minor swelling and bruising are normal, contact us if you experience severe pain, infection (fever, redness, pus), or thread protrusion (threads visible under the skin). These may require medical attention.
12. Results and Follow-Up:
    • The full effects of PDO threads may take 4-6 weeks to fully appear as the collagen in the treated area builds. The results can last 6-12 months depending on the type of threads used, your lifestyle, and your body’s natural aging process. Follow-up treatments may be needed to maintain your results.

1 Week Before Treatment

• Avoid blood-thinning medications and supplements, unless prescribed, to reduce risk of bruising:
  • Aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), ginkgo biloba, garlic, flaxseed oil, fish oil, Vitamin E, and other essential fatty acids.
• Avoid alcohol and caffeine for 24–48 hours before treatment.
• Do not receive other medical injections, dental procedures, or laser treatments in the target area within 1 week of your neurotoxin session.
• If you are pregnant, breastfeeding, or have an active infection, inform your provider — treatment will need to be postponed.
• Stay well hydrated and ensure you have eaten a small meal before your appointment to prevent lightheadedness.
• If being treated for migraines or hyperhidrosis, wear loose-fitting clothing to access treatment areas comfortably.

Day of Treatment

• Arrive with clean skin — no makeup, lotion, deodorant, or creams on the area to be treated.
• Avoid strenuous activity right before your session.
• Inform your provider if:
  • You have had recent illness, fever, or antibiotic use.
  • You have received previous neurotoxin injections within the last 3 months.
  • You have a history of neuromuscular disorders (e.g., myasthenia gravis, Lambert-Eaton syndrome).

Immediately After Treatment

• Mild tenderness, swelling, or small red bumps may occur at injection sites — this typically resolves within 30–60 minutes.
• Avoid touching, rubbing, or massaging the treated area for at least 4 hours to prevent product migration.
• Avoid lying flat or bending forward for 4 hours after treatment.
• Do not apply heat, ice, or pressure directly to the area.
• You may experience temporary weakness, soreness, or heaviness in the treated muscles — this is normal and will resolve as your body adjusts.
• Avoid strenuous exercise, saunas, or hot showers for 24 hours.

First 24–48 Hours

• Avoid:
  • Massage, chiropractic adjustments, or physical therapy on treated areas.
  • Tight clothing, headwear, or straps pressing on injection sites.
  • Alcohol and caffeine, which may increase swelling.
• You may take Tylenol (acetaminophen) if mild soreness occurs; avoid NSAIDs unless prescribed.
• Stay hydrated and rest as needed.

For TMJ / Bruxism Treatments

• Avoid excessive chewing (e.g., gum, hard foods) for 24 hours.
• Some mild muscle weakness or fatigue while chewing may occur temporarily.
• Relief from jaw tension and headaches typically begins within 5–10 days and continues to improve over 2 weeks.

For Chronic Migraine Treatments

• You may experience temporary pressure or mild headache at injection sites.
• Relief typically begins within 7–14 days, with progressive reduction in migraine frequency and intensity.
• Keep a headache log to track improvement and duration of results.

For Trapezius / Neck Muscle Treatments

• Mild soreness or stiffness is normal for 1–3 days.
• Avoid strenuous upper body exercise for 24 hours.
• Use gentle stretching or light massage (after 48 hours) if approved by your provider.
• Patients typically experience improved posture and relief of shoulder/neck tension within 7–10 days.

For Hyperhidrosis (Excessive Sweating)

• Avoid applying deodorant or antiperspirant for 24 hours post-treatment.
• Do not shave or apply fragrance in the treated area for 48 hours.
• Avoid intense exercise or heat exposure for 24–48 hours.
• Results begin to appear in 5–7 days, with full effect at 2–3 weeks.
• The area will remain dry for an average of 4–6 months before retreatment may be needed.

RESULTS AND FOLLOW-UP

• Results vary depending on the treated area and individual response:
  • TMJ / Migraine / Trapezius: improvement typically begins in 5–14 days.
  • Hyperhidrosis: dryness begins within 1–2 weeks.
• Maximum benefit occurs by 2–3 weeks post-treatment.
• Effects last an average of 3–6 months, after which retreatment may be recommended.
• Repeated treatments may provide longer-lasting relief as muscles or glands adapt to relaxation.

WHEN TO CALL OUR OFFICE

Contact Specialty Wellness & MedSpa immediately at 469-442-4442 if you experience:

• Severe pain, redness, or swelling that worsens after 48 hours
• Difficulty swallowing, speaking, or breathing
• Generalized muscle weakness or drooping that spreads beyond the treated area
• Signs of infection (warmth, discharge, or fever)