Q: What are facial neurotoxins?

A: Facial neurotoxins are injectable aesthetics treatments that temporarily improve facial symmetry and soften facial lines.

Q: How do facial neurotoxins work?

A: They temporarily paralyze muscles by

blocking nerve impulses that control muscles.

Q: What facial neurotoxins do you use?

A: We use Botox.

Q: What should you do in preparation of a Botox treatment?

A:

1. Do not wear makeup on the day of treatment
2. No sun-tanning or self-tanners 4 weeks prior to treatment
3. Includes spray tans, tanning lotions, tanning beds, sun exposure, etc.
4. medication‘s to avoid;

Aspirin
NSAIDs (ibuprofen, naproxen)
Vitamin E supplements
Fish oil/omega-3 supplements
Ginkgo biloba
Other anticoagulants (only if cleared by prescribing medical provider)
5. Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories,
6. Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories, etc.)
7. Notify the clinic with any changes to your health history or medications since your last appointment
8. If you have a history of herpes or cold sores, notify your provider. You may require an anti-viral prescription prior to treatment.

9. Avoid alcohol 24 hour prior to Botox treatment and 24 hour post treatment.

Q: What you should do, consider, or avoid when seeking Botox treatment?

A:

1. For at least 4 hours after injection, you have to remain in an upright position; actively contract the muscles treated (e.g. frown or grimace); and refrain from vigorously rubbing or massaging the treated area.
2. Antibiotics may potentiate the effects of Botox.
3. Clients taking aminoglycosides or medications that interfere with neuromuscular transmission may have a potentiated effect.
4. Thick sebaceous skin may have very deep wrinkles making them a poor candidate A natural eyelid ptosis may be more susceptible
to drooping of the eyelid.
5. Botox does not diffuse over scar tissue (the appearance of scar tissue may diminish the following injection of Botox into
neighboring wrinkles).
6. Due to bruising potential, you should schedule Botox injections at least 2 to 3 weeks prior to an important event.
7. No alcoholic beverages 24 hours prior to Botox injections.

Q: What are some risks associated with Botox treatments?

A:

1. Temporary eyebrow or eyelid drooping and/or double vision may occur if the Botox affects the muscles which move the eye and eyelid.
2. Temporary lip ptosis (drooping) if Botox is used around the mouth area.
3. Transient muscle twitching in the treated area.
4. Transient headache.
5. Infection. Whenever the skin barrier is penetrated infection is possible. Should any type of skin infection occur antibiotics may be necessary.

Q: How long will it take to see the full effect of your Botox treatment?

A: The full effects of the treatment may take up to 14 days following the treatment.

Q: What are dermal fillers?

A: They are injectable substances that can smooth out folds and wrinkles, add volume to the lips, and contour facial features that have lost their fullness.

Q: What type of dermal fillers do you use?

A: We use hyaluronic acid injections.

Q: What are some potential risks or complications with hyaluronic acid dermal fillers?

A:

1. Post-treatment discomfort: swelling, redness, bruising, and discoloration.
2. Post-treatment infection associated with any transcutaneous injection.
3. Allergic reaction
4. Reactivation of herpes (cold sores)
5. Lumpiness, visible yellow or white patches have been reported.
6. Granuloma formation
7. Localized Necrosis and/or sloughing, with scab and/or without scab if blood vessel occlusion occurs.

Q: Do you remove dermal fillers?

A: Yes, we are able to dissolve hyaluronic acid dermal fillers. However, it is recommended to wait 2-4 weeks after your treatment.

Q: How quickly will I see results from having my dermal fillers dissolved?

A: It can take between 24-48 hours to see results.

Q: After having your hyaluronic acid dermal fillers dissolved , how soon can you have the impacted area re-filled?

A: It is recommended to wait at least a week.

Q: What should you avoid doing after a dermal filler treatment?

A:

1) Avoid applying makeup for the first 48 hours.

2) Avoid direct sun/UV light exposure for the first 48 hours.

3) Avoid high temperatures, saunas, steam, sweating, and hot drinks for the first 48 hours.

4) Avoid strenuous exercise that increases your heart rate/blood pressure for the first 48 hours.

5) You can apply a cold compress to your lips for swelling, itching, and pain that occurs in the first 48 hours. Avoid using an ice pack or ice cubes as they may freeze the filler.

6) Avoid facials, massages, or other treatments near your lips for the first three days.

7) Avoid itching or picking your lips, especially around the filler insertion sites. They should disappear within a few days.

Q: What should I do to treat expected swelling, redness, and bruising after dermal filler treatment?

A: Use Arinca in ointment, gel, or tablet form. You can also use Tylenol for pain.

Q: What are the benefits of Vitamin B12 injections?

A: Vitamin B-12 helps maintain good health and has been shown to be beneficial in helping to: Reduce stress, fatigue, improve memory and cardiovascular health, and maintain good body weight. It can also assist the body in converting proteins, fats, and carbohydrates into energy and is necessary for healthy skin and eyes. Amino Acids help the liver to cleanse the body of toxins and assist the body in metabolizing fat and cholesterol. They may also be helpful in reducing fatigue and the symptoms of allergies.

Q: What are some possible side effects for Vitamin B12 injections?

A:

Common side-effects

1. Mild diarrhea, upset stomach, or nausea.

2. A feeling of pain and a warm sensation at the site of the injection.

3. A feeling, or a sense, of being swollen over the entire body, headache, and joint pain.

Uncommon and dangerous side effects include:
1. rapid heartbeat.

2. chest pain.
3. heart palpitations.
4. flushed face.
5. restlessness.
6. muscle cramps and weakness.
7. difficulty breathing and swallowing dizziness.
8. confusion.
9. rapid weight gain.
10. tight feelings in the chest.
11. hives, skin rashes.
12. shortness of breath when there is no physical exertion and unusual wheezing and coughing.

Uncommon side effects are much more serious than the common side effects of Vitamin B12 injections, and such side effects should be reported to a physician to be evaluated for seriousness.

Q: How many post follow-up appointments do I receive with my dermal filler and Botox treatments?

A: Your treatment includes one free follow-up appointment. The appointment has to occur two weeks after your treatment. If your appointment is scheduled after two weeks, you will be charged $40 for your visit.

Q: What if I would like to schedule an additional follow-up appointment.

A: You can book an additional follow-up appointment for $40.