What to do BEFORE Botox
Select an injector who knows what he/she is doing - Good Botox depends on the skill and technique of the Botox injector.
Refrain from having Botox - if you suffer from any Neuromuscular conditions such as Myasthenia Gravis or Easton-Lambert syndrome; are pregnant or nursing.
Be aware - that some tenderness, bruising, temporary headaches can occur however typically resolve quickly.
Report any serious and or immediate allergic reactions - These reactions include itchy rash, swelling, and shortness of breath. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Be transparent with your injector - For your safety, tell your injector as much about your medical history and medications as possible so he/she can determine whether you are a good candidate to receive cosmetic Botox. Tell your injector: What medication, supplements, herbs, etc. you are taking What allergies you have If you have any medical conditions, illnesses, or diseases If you have or will have any medical procedures (i.e. recent Botox, surgery, other treatments, etc.) If you are pregnant, breast-feeding, or trying to conceive Anything else you can think of
Tell your injector if this is your first time getting Botox - Some injectors may be more conservative with first time Botox patients to gauge how the patient will react to the Botox and to give a better long-term result.
Make sure Botox is the right treatment for you - A reputable and experienced Botox injector will know what Botox can do for your skin and what it can't. For instance, you may be better off getting fillers instead of Botox for certain wrinkles on your face, so make sure you and your injector discuss the best therapy for your skin issues.
Ensure your injector understands your preferences - Make sure both you and your injector are clear about what facial areas you want to treat, how you ideally want them to be fixed, and what the ideal result may be. Different people have different aesthetic preferences. For instance, some people prefer little to no movement in the treated area, others prefer maintaining expression; both are fine –just be clear which you prefer!
Have realistic expectations about what Botox can do - Botox results can be drastically good, but your post-Botox results may not be as perfect as you expect them to be. Having realistic expectations about your results will save you from unnecessary disappointment.
Be aware – You may have small reddish bumps that can last a few minutes to an hour post injection.
Stop taking medication that can “thin” the blood (unless prescribed by a physician) - A week before you get Botox injections, avoid: Alcohol Aspirin or NSAIDS (Excedrin, Advil, Aleve or Motrin) St. John's Wart Vitamin E Fish oil or Omega-3s, Ginko Bilboa or Ginseng. This will minimize any potential post-Botox bruising. If you must take pain medication, Tylenol is okay.
Don’t stop taking any prescribed medication (even ones listed above). While your injector wants to avoid bruising you, it is better to have a few small bruises than interfere with your health.
Don't be afraid to ask questions. Make a list of questions you want to ask your injector and bring it with you to your Botox consultation. Ask how much the treatment will cost, how many units of Botox you will need. Ask about side effects, risks, and how you should take care of your skin after Botox and how often someone with your skin condition should get Botox.
What to do DURING Botox Appointment
What you do during Botox is not as important as what you do before and after Botox, but here are some things you should keep in mind for a good treatment session:
Go au naturel - Your skin will be cleansed with rubbing alcohol or an antiseptic before you get Botox, so feel free to show up to your appointment with nothing on your skin. If you wear makeup, they will take it off anyway.
Relax - The Botox will be over before you know it. Stay still and relax.
Use an ice pack - Ice during and after Botox can help reduce any potential signs of bruising.
What to do AFTER Botox
What you do after Botox and how you take care of your skin is very important. Here are some things you should and shouldn't do after getting Botox injections:
Don’t rub or massage the treated area for 24 hours! Rubbing or massaging could cause the Botox spread to other unintended muscles.
Don’t exercise the same day after your treatment. It is best to avoid strenuous physical activity for 24 hours.
Avoid consuming alcohol for several days. Alcohol can increase your risk for bruising.
Don’t get facials, chemical peels, microdermabrasion, etc. for 24 hours. Lying on your face or muscle manipulation can cause the neurotoxin to spread to unintended muscles.
Don’t take the blood thinning medications, herbs or supplements mentioned above. It is best to avoid the for several days post treatment.
Don’t wear hats or headbands for at least 24 hours. The pressure/tension could cause migration of the neurotoxin
Avoid bending over or lying down for 4 hours after your treatment.
Apply a topical vitamin K and arnica ointment should you get a Botox bruise. Green or yellow concealers can also help cover up the bruises.
Go back for your two-week follow up appointment. At your follow up appointment, your injector may determine that a touch up is needed.
Do not hesitate to communicate if you are dissatisfied with your results. Your injector wants you results to be as amazing as you do and most often accommodate you with a simple tweak.
Call your injector or seek medical attention if you experience any complications from the Botox treatment.