Neuromodulator (Botox & Dysport) Pre & Post-Procedure Instructions 

Pre-Injection Care Instructions 

• Avoid the use of Aspirin, NSAIDS, Ginkgo Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week before and after injection as they will increase your risk of bruising. 

• Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid extra bruising 

• You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising 

• Do not apply products that are potentially irritating for 2 -3 days before and after treatment (examples- tretinoin/Retin-A, glycolic acid, benzoyl peroxide, hydroquinone) 

• Inform your provider if you have a history of cold sores to receive advice on antiviral therapy prior to treatment 

• Do not use Botox or Dysport if you are pregnant or breastfeeding, are allergic to any of its ingredients, or have a history of neurologic disorders. Please inform your provider if you have any questions about this prior to the treatment 

Day of Treatment 

• You may use topical anesthetic medication in office before your scheduled appointment (please arrive 15 minutes prior to procedure) 

• Arrive with a clean face. Please do not wear makeup. 

• You may experience a mild amount of tenderness or stinging during and following injection 

• Redness and swelling are normal. Some bruising may also be visible 

Post Care Instructions 

• It is best to try to exercise your treated muscles for 1-2 hours after treatment (e.g. practice frowning, raise your eyebrows, and squint). This may help to work the product into your muscles. 

• Stay in a vertical position for 4 hours following injection. Do not rest your head or lie down; sit upright. 

• Ice (but avoid firm pressure) for 15 minutes 3 times the day of treatment 

• You may take Acetaminophen/Tylenol if you experience any mild tenderness/discomfort 

• Do not massage treated areas after treatment 

• After treatment there will be moderate swelling and redness with possibility of bruising. You may apply or take Arnica tablets to help decrease the amount of bruising 

• Avoid extended UV exposure until any redness/swelling has subsided. 

Apply SPF. 

• Avoid strenuous exercise for 24 hours to reduce bruising. You may resume other normal activities/routines immediately 

Medication & Comfort 

• You should take the scheduled tylenol, gabapentin, and celecoxib for pain relief as prescribed. Breakthrough pain with the opiate medications. 

• Pain medications may cause drowsiness, upset stomach, and constipation. 

• Take pain medications with food. 

• Do not drink alcohol or drive while taking prescribed pain medication. 

• Refills are only available during office hours – 9am to 5pm, Monday through Friday. If you feel you need more pain medication, please call during those times.