MEDICATION – common medicines such as aspirin and anticoagulants can affect your body's clotting ability predisposing you to bleed and easy bruising. Steroid treatments and non-steroidal anti-inflammatories can affect clotting and cause easy bruising. Even over-the-counter medications such as vitamin E, and fish oil. Garlic, Tumeric, St Johns Wart and omega-3 fatty acids can increase the risk. The best thing is to AVOID any of these medicines for at least 7 days prior to any treatment unless medically indicated (such as aspirin). It is important to discuss your medications and medical history with your doctor prior to having any cosmetic treatment. ALCOHOL– drinking alcohol can increase clotting time and increase the risk of bruising. If you want to help decrease the risk of getting a bruise do not consume alcohol for at least 7 days prior to treatment (and for 7 days afterwards). ARNICA – taking arnica supplements prior to (5-7 days) and after any treatment can help to reduce the risk VITAMINS – increasing your intake of vitamin K, vitamin D and Zinc can all help to reduce the risk of bruising COOLING – Cooling the skin with ice or a cool compress both during injections and following the treatment can reduce the risk of a bruise developing or getting worse OTHER FACTORS Medical History – certain medical conditions can cause increased bruising such as liver and hematological disease, old age, vitamin deficiencies such as Vitamin C and Iron deficiency. Unfortunately, a bruise can still develop despite our best intentions. However, there are certain situations when a needle is required and the risk of a bruise must be accepted. A bruise can happen with the very best cosmetic physicians, and if one does occur it is important to care for it to speed up the healing time. Bruising after injections can sometimes be scary for the patient (and look awful) but rest assured even the biggest bruise (or hematoma which is a collection of blood under the skin) will resolve naturally without any intervention. Effective aftercare and patience are key in these situations. BRUISE TREATMENT Apply a cool compress to the skin for the first 24 hours to encourage vasoconstriction. Using a cool compress for 10 minutes every hour will help to minimise any bruise formation. Do not massage or apply heat to the area as this may make the bruise larger and cause more trauma to the area. Avoid any heat-inducing activities after treatment (even if no bruise is evident) as this can increase blood pressure and blood flow to the area. This includes heavy exercise, hot spas and showers and steam rooms. Apply vitamin E, vitamin K and/or arnica healing cream. This can help to fade a bruise and aid in the healing process. Arnica and bromelain (derived from pineapple) supplements can also reduce bruising and swelling.

A few simple guidelines before your treatment can make a difference Always arrive make-up free with a clean face to your appointment. If you develop a fever, cold flu, or develop a cold sore, blemish, rash, etc. in the area to be treated prior to your appointment, you must reschedule (we will not treat you). It is recommended, if you have a special event or vacation coming up that you schedule your treatment at least 2 weeks in advance (we prefer 3-4). If you are being treated in the lip area and have a history of Herpes (cold sores) with outbreaks of more than 4 we recommended that you are pretreated with medication. Discontinue the use of anti-inflammatory drugs (steroidal and non-steroidal) such as Aspirin, Motrin (or any other Ibuprofen drugs) at least 3 days to 1 week before your treatment. With PRP, we "want" inflammation this is one of the mechanisms of how PRP does its work. If you are or have been on Systemic use of Corticosteroids (steroids) within 2 weeks of treatment, we cannot treat you. Consult your primary physician for approval to discontinue the use of steroids and receive treatment. Arnica supplements prior to (5-7 days) and after any treatment can help to reduce the risk of bruising. Discontinue use of any other blood thinning agents such as Vitamin E, Vitamin A, Gingko Biloba, Garlic, Tumeric, Flax Oil, Cod Liver Oil, Essential Fatty Acids (EFA's and DHA's) etc. at least 3 days to 1 week before and after treatment to minimize bruising and bleeding. It is recommended that you avoid: Alcohol, caffeine, Niacin supplement, spicy foods, and cigarettes 3 days before and after your treatment. (All of these may increase the risk of bruising)

PRE-TREATMENT INSTRUCTIONS FOR PLATELET RICH PLASMA (PRP) & MICRONEEDLE A few simple guidelines before your treatment can make a difference Always arrive make-up free with a clean face to your appointment. If you develop a fever, cold flu, or develop a cold sore, blemish, rash, etc. in the area to be treated prior to your appointment, you must reschedule (we will not treat you). It is recommended, if you have a special event or vacation coming up that you schedule your treatment at least 2 weeks in advance (we prefer 3-4). If you are being treated in the lip area and have a history of Herpes (cold sores) with outbreaks of more than 4 we recommend that you are pretreated with medication. Discontinue the use of anti-inflammatory drugs (steroidal and non-steroidal) such as Aspirin, Motrin (or any other Ibuprofen drugs) at least 3 days to 1 week before your treatment. With PRP, we "want" inflammation this is one of the mechanisms of how PRP does its work. If you are or have been on Systemic use of Corticosteroids (steroids) within 2 weeks of treatment, we cannot treat you. Consult your primary physician for approval to discontinue the use of steroids and receive treatment. Arnica supplements prior to (5-7 days) and after any treatment can help to reduce the risk of bruising. Discontinue use of any other blood thinning agents such as Vitamin E, Vitamin A, Gingko Biloba, Garlic, Tumeric, Flax Oil, Cod Liver Oil, Essential Fatty Acids (EFA's and DHA's) etc. at least 3 days to 1 week before and after treatment to minimize bruising and bleeding. It is recommended that you avoid: Alcohol, caffeine, Niacin supplement, spicy foods, and cigarettes 3 days before and after your treatment. (All of these may increase the risk of bruising) POST-TREATMENT INSTRUCTIONS FOR PLATELET RICH PLASMA (PRP) & MICRONEEDLE Please read carefully and follow these Instructions after your PRP treatment. There are minimal restrictions after your PRP injections allowing you to return to your daily activities almost immediately Do NOT touch, press, rub, or manipulate the treated area (s) for at least 8 hours after your treatment. AVOID Aspirin, Motrin, Ibuprofen, Aleve (all non-steroidal and steroidal anti-inflammatory agents), Gingko Biloba, Garlic, Flax Oil, Tumeric, Cod liver Oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days - 1week prior to and after your treatment. Remember, we are creating inflammation. If you experience discomfort or pain you may take Tylenol or other Acetaminophen products. You may apply Ice if you wish to the injected area for 20-30 minutes after the procedure but we would prefer if you can refrain from this. Do not wash or take a shower for at least 6 hours after your treatment. Do not use any lotions, creams, or make-up for at least 6 hours after your treatment AVOID vigorous exercise, sun and heat exposure for at least 3 days after your treatment AVOID: Alcohol, caffeine, and cigarettes for 3 days before and after your treatment. Refrain from direct sun exposure or tanning bed for two weeks post-procedure. Smokers do not heal well and problems occur earlier and results may take longer. Maintain a healthy diet and drink at least 64 oz. of water on the day of the treatment. Continue water intake the first week after. It is normal to experience: bruising, redness, itching, soreness, and swelling that may last from 3-10 days following your procedure. Please call our office should you have any questions or concerns regarding your PRP treatment or aftercare.

Always arrive make-up free with a clean face to your appointment. A few simple guidelines before your treatment can make a difference If you develop a fever, cold flu, or develop a cold sore, blemish, rash, etc. in the area to be treated prior to your appointment, you must reschedule (we will not treat you). It is recommended, if you have a special event or vacation coming up that you schedule your treatment at least 2 weeks in advance (we prefer 3-4). If you are being treated in the lip area and have a history of Herpes (cold sores) with outbreaks more than 4 times a year we recommended that you are pretreated with medication. Discontinue the use of anti-inflammatory drugs (steroidal and non-steroidal) such as Aspirin, Motrin (or any other Ibuprofen drugs) at least 3 days to 1 week before your treatment. If you are or have been on Systemic use of Corticosteroids (steroids) within 2 weeks of treatment, we cannot treat you. Consult your physician for approval to discontinue the use of steroids and receive treatment. Arnica supplements prior to (5-7 days) and after any treatment can help to reduce the risk of bruising. Discontinue use of any other blood thinning agents such as Vitamin E, Vitamin A, Gingko Biloba, Tumeric, Garlic, Flax Oil, Cod Liver Oil, Essential Fatty Acids (EFA's and DHA's) etc. at least 3 days to 1 week before and after treatment to minimize bruising and bleeding. It is recommended that you avoid: Alcohol, caffeine, Niacin supplement, spicy foods, and cigarettes 3 days before and after your treatment. (All of these may increase the risk of bruising)

Always arrive make-up free with a clean face to your appointment. Remain upright for 4 hours after injection (you may lie in a reclined position, just do not lay flat or on your side. Do not wear a headband or hat where the band goes across your forehead if you have had injections between the brows or in the forehead. Refrain from aerobic exercise that increases your heart rate greatly (running, swimming, bicycling, etc…) for 24 hours following injections. Walking or other low-impact forms of exercise are fine. Do not massage or manipulate injected areas for 24 hours after injections. Washing your face and applying make-up are fine. Please avoid using a Clarisonic facial cleanser, have a facial, put your face in a massage cradle, or be face down in a chiropractor’s chair for 24 hours following the injection. Refrain from using ibuprofen, aspirin, fish oil supplements, Tumeric, or vitamin E for 24 hours following injection. The most common side effect is a headache with Botox injections. You may use Tylenol to relieve this. If you are a chronic headache sufferer and have prescription headache medication, you may take it as prescribed by your doctor. Botulinum Toxin will gradually take effect over 7-10 days with an optimum result at 2 weeks. If this is your first Botox injection, we recommend scheduling a follow-up appointment 2 weeks after your injection. Please call the office if you have any questions or concerns.

There are minimal restrictions after your thread lift allowing you to return to your daily activities almost immediately. AVOID Aspirin, Motrin, Ibuprofen, Aleve (all non-steroidal and steroidal anti-inflammatory agents), Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Tumeric, Vitamin E, or any other essential fatty acids at least 3 days - 1week prior to and after your treatment to help with bruising. If you experience discomfort or pain you may take Tylenol or other Acetaminophen products. You may apply Ice if you wish to the injected area. Wash your face gently and don’t pull, or manipulate the areas. Follow the verbal directions of how to massage if needed. Makeup and lotions are fine. AVOID vigorous exercise, sun and heat exposure for at least 3 days after your treatment AVOID: alcohol, caffeine, and cigarettes for 3 days before and after your treatment Smokers do not heal well and problems recur earlier and results may take longer. Maintain a healthy diet. It is normal to experience: bruising, redness, itching, soreness, and swelling that may last from 3-10 days following your procedure. Sometimes the body may “spit or push out” a suture. It is not an allergic reaction. If that happens, just pull it out with tweezers. Nothing bad will happen, the inflammatory result has already taken place. Please call our office should you have any questions or concerns regarding your PDO treatment or aftercare.

There are minimal restrictions after your thread lift allowing you to return to your daily activities almost immediately. AVOID Aspirin, Motrin, Ibuprofen, Aleve (all non-steroidal and steroidal anti-inflammatory agents), Gingko Biloba, Garlic, Flax Oil, Cod liver Oil, Vitamin A, Tumeric, Vitamin E, or any other essential fatty acids at least 3 days - 1week prior to and after your treatment to help with bruising. If you experience discomfort or pain you may take Tylenol or other Acetaminophen products. You may apply Ice if you wish to the injected area. Wash your face gently and don’t pull, or manipulate the areas. Follow the verbal directions of how to massage if needed. Makeup and lotions are fine. AVOID vigorous exercise, sun and heat exposure for at least 3 days after your treatment AVOID: alcohol, caffeine, and cigarettes for 3 days before and after your treatment. Smokers do not heal well and problems recur earlier and results may take longer. Maintain a healthy diet. It is normal to experience: Bruising, Redness, Itching, Soreness, and Swelling that may last from 3-10 days following your procedure. Sometimes the body may “spit or push out” a suture. It is not an allergic reaction. If that happens, just pull it out with tweezers. Nothing bad will happen, the inflammatory result has already taken place. Please call our office should you have any questions or concerns regarding your PDO treatment or aftercare. POST-FILLER CARE INSTRUCTIONS Avoid significant movement or massage of the treated area. unless instructed by the provider. Allow the area injected to "rest" for 72 hours for the filler to set. Avoid strenuous exercise for 24 hours. Avoid extensive sun or heat for 72 hours due to swelling. Avoid consuming excessive amounts of alcohol or salts to avoid excess swelling. If you have swelling you may apply a cool compress for 15 minutes each hour. Use Tylenol for discomfort. Try to sleep face up and slightly elevated if you experience swelling.

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