BOTULINUM TOXIN PRE-PROCEDURE INSTRUCTIONS

1. For optimal results and to decrease the chance of bruising at the injection site, please avoid all blood thinning medications and supplements for 1 week prior to your botulinum toxin appointment. Avoid taking Aspirin and non-steroidal anti-inflammatory medications (NSAIDS) such as such as Ibuprofen, Motrin and Aleve. In addition, very high doses of some Vitamins and supplements can thin your blood and increase the chance of bruising. Please notify your provider if you are taking Coumadin, Plavix, or any other blood thinners for a medical condition.
2. You may not be pregnant or nursing.
3. During your treatments, notify our staff of any changes to your medical history, health status, or personal activities that may be relevant to your treatment.

BOTULINUM TOXIN POST-PROCEDURE INSTRUCTIONS

1. Try to exercise your treated muscles for 1-2 hours after treatment (practice frowning, raising your eyebrows or squinting). This helps to work botulinum toxin into your muscles. Although this is thought to help, it will NOT impact your treatment negatively if you forget to do this.
2. DO NOT rub or massage the treated areas for 4 hours after your treatment. DO NOT do strenuous exercise for 4 hours after treatment. Also AVOID facials or saunas for 4 hours after your treatment. This will minimize the risk of raising your blood pressure and therefore minimize the risk of temporary bruising. Feel free to shower and go about most other regular daily activities.
3. DO NOT lie down for 4 hours after treatment. This is to avoid the risk of pressure on the treated areas (from your pillow) and to avoid the risk of having the area rubbed accidentally.
4. Be assured that any tiny bumps or marks will go away within a few hours. If you need to apply make-up within 4 hours after treatment, only use a GENTLE touch to avoid rubbing the treated area.
5. Results of your treatment may take up to 14 days to take full effect. Please wait until the 14 days has passed before assessing if you are pleased with the result.
6. MOXXI would like to see you for a 2 week follow up assessment appointment. This will ensure we are able to see how your facial muscles reacted to your treatment. If you require more product to fine tune/adjust your treatment results, it will be applied during this appointment at an additional cost. For medical reasons, your results will be photographed and documented in your confidential patient file.
7. Because botulinum toxin requires a special technique in order to customize the injections to your individual muscular structure, it is important that your muscle actively recovers BUT that your skin is not creasing to the point from where you started.
8. Botulinum toxin is a temporary medication, and you may find that your treatment results will last approximately 3-4 months. To maintain the effects of botulinum toxin, we would like to see you within that timeframe. Please ensure you schedule this appointment before you leave today.

VOTIVA PRE-PROCEDURE

• Shave the area one day prior to treatment as long and dense hairs may affect the treatment.
• Empty the bladder prior to the treatment procedure.

VOTIVA POST-PROCEDURE

• Immediately following a Votiva procedure, the area should be gently cleaned, and the patient should urinate to prevent possibility of UTI
• Avoid very hot water for 2 days after the treatment
• Avoid mechanical contact with the treated area for 2 days
• After each treatment session, the patient should be advised to contact the provider if there is any indication of infection, excessive swelling, redness, pain, or any other unusual or untoward symptom.

SCUPTRA PRE- AND POST-PROCEDURE INSTRUCTIONS

After each treatment session with Sculptra Aesthetic there are a few easy things you will need to help with the treatment results. You can print out this instruction sheet and keep it handy so you remember to do these things every day:

• HAVE AN – ice pack ready: Within the first 24 hours of treatment, apply a cloth-wrapped ice pack to the treated area for a few minutes at a time. Never apply ice directly to the skin. The cold will help reduce common swelling.
• GIVE YOURSELF – facial or body massages: Massage the treated area for 5 minutes 5 times a day for 5 days after treatment as recommended by your medical provider.
• AVOID – excess sunlight and UV exposure: Protecting your skin from the sun is always important, but after treatment, excessive sunlight and UV lamp exposure should be avoided until any initial swelling and redness go away. Your medical provider will provide guidelines on sunscreen protection and how to avoid excessive sunlight.

Call your doctor if you have any questions or concerns after treatment. Also, report any side effects to your doctor. Be sure to keep any follow-up appointments that may be scheduled.
Remember, Sculptra Aesthetic works by gradually replacing lost collagen. It provides improvements subtly without making it look like you’ve had work done.

SCULPTRA POST-PROCEDURE INSTRUCTIONS

• DO massage the treated areas 5 times a day for about 5 minutes for 5 days after treatment.
• DO hold ice packs on the treated areas gently for about 3-5 minutes a few times that day.
• Feel free to wear makeup a few hours after.
• Treated areas may be red, swollen, and bruised for the first 2-7 days.
• Do NOT get a facial or massage for 2 weeks after your filler procedure.
• Avoid strenuous workouts and alcohol for 24 hours if possible.
• If bruising occurs, continue Arnica supplements, DO apply topical Arnica gel, drink fresh pineapple juice, and/or take Bromelain supplements to help bruising resolve faster.
• Bruising can be covered with makeup.
• A few days after treatment, you will look as you did before treatment. This is normal, over time, Sculptra will replace lost collagen.

Follow-Up Treatment:

• Follow up treatments should be scheduled about every 4-6 weeks.
• Visible results may not be seen until 2-3 sessions have been completed.
• Results can last more than two years.

PRP HAIR RESTORATION PRE-PROCEDURE INSTRUCTIONS

• If you are taking any blood thinners, please let the doctor know immediately, as they may represent a contra-indication to this treatment. These medications include Plavix, Coumadin and Heparin.
• You may use Tylenol (acetaminophen) as needed prior to the treatment.
• If you are taking broad beta-blockers such as Inderal (Propranolol), please contact the doctor as this medication may need to be changed to a select beta-blocker in advance of the treatment.
• If possible, please refrain from, or minimize, smoking three days prior to and one day after the treatment. Smoking may impact healing and oxygen delivery to the scalp; therefore, your results may be improved the longer you are able to stop smoking before and after the treatment.
• Prescription medications (including heart and blood pressure medication) should be taken as prescribed right up to, and including, the day of and the day after your treatments.
• Minimize alcoholic consumption the day prior to your PRP treatment

…THE MORNING OF YOUR TREATMENT…

• Shower the morning of your treatment and wash your hair very thoroughly using a FRAGRANCE-FREE SHAMPOO. Do not apply sprays, gels, or any other styling products to your hair. If you wear a hair system, please remove it prior to shampooing and do not wear it before your PRP treatments.
• Recommendation for shampoo: VaniCream Free & Clear Shampoo from Amazon ($9.99)
• Eat regularly the morning of your treatment and please drink approximately 16 oz of water at least 2 hours prior to your treatment.
• Sedation is not required for PRP treatments and local numbing will not be given due to the risk for shock loss.

PLATELET-RICH PLASMA POST-PROCEDURE INSTRUCTIONS

Please carefully read 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.

1. DO NOT touch, press, rub or manipulate the treated area(s) for at least 8 hours after your treatment.
2. AVOID Advil, Aleve, Aspirin, Ibuprofen, Motrin, Naprosyn, (all non-steroidal anti-inflammatory agents), Vitamin A, Vitamin E, Gingko Biloba, Garlic, Flax Oil, Cod Liver, Essential Fatty Acids (EPA, DHA), for at least 1 week prior to and 2 weeks after your treatment. Remember, our goal is to create inflammation. These listed medications will limit or prevent inflammation, which can diminish your results. If you must take Aspirin for cardiac reasons, you certainly may do so, but this may limit your results.
3. It is normal to experience bruising, redness, itching, swelling and/or soreness that may last from 2-5 days following your procedure. If you experience any pain or discomfort, you may take Tylenol or other Acetaminophen-containing products as directed. We would prefer if you could refrain from applying ice to the injected area as ice acts as an anti-inflammatory. 
4. DO NOT wet your hair for at least 48 hours after your treatment. 
5. After 24 hours, use shampoo that is pH balanced.
6. DO NOT use any hair products for at least 6 hours after your treatment. 
7. AVOID saunas, steam rooms, swimming for 2 days after your treatment. 
8. AVOID vigorous exercise, sun and heat exposure for at least 2 days after your treatment. 
9. AVOID alcohol, caffeine, and cigarettes for 3 days after treatment. Smokers do not heal well, problems recur earlier, and results may take longer. 
10. AVOID resuming Minoxidil (Formula 82M, Rogaine®) or hair coloring or straightening for 3 days. 
11. Continue increased water intake the first week after your treatment

PLATELET-RICH PLASMA (PRP) PENILE REJUVENATION PRE-PROCEDURE

• Drink plenty of water 2 hours before your blood is drawn. The goal is to drink 1⁄2 your body weight in ounces of water each day
• Eat a no fat diet 12 hours before your blood is drawn. Avoid any food for 4 hours before procedure.

Two Weeks Before the PRP Penile Rejuvenation Shot

• Refrain from use of excessive or unnecessary blood thinners.

One Week Before the PRP Penile Rejuvenation Shot

• Use of any Nonsteroidal anti-inflammatory drugs (NSAIDs) including over-the-counter medications like Ibuprofen (Motrin, Aleve) and Aspirin, as well as prescription medications like Naproxen is not recommended, as these medications may interfere with platelet function.
• Use Acetaminophen (Tylenol) for pain relief, when necessary.

Three Days Before the PRP Penile Rejuvenation Shot

• If you have a history of genital herpes, notify the physician, who will prescribe a course of antiviral prophylactic treatment.
• Take a course of Arnica Homeopathic tablets until a day after treatment to decrease the occurrence of bruising.
• You will need to cancel your appointment if you have an active outbreak of Human Papillomavirus (HPV) or genital herpes.

PLATELET-RICH PLASMA (PRP) PENILE REJUVENATION POST-PROCEDURE

• Use a penis pump twice a day for 10 minutes for two weeks to help increase blood circulation.
• Showering and cleansing the treatment area are allowed, once medication has worn off. A gentle cleanser may be used on the treatment area.
• Refrain from strenuous exercise for 24 hours.
• Comfort Measures:
• Acetaminophen may be used for discomfort. Refrain from NSAIDs for seven days.
• Antihistamines, like Benadryl and Zyrtec, may be used for minor itching.
• For up to 48 hours following treatment, cool packs or ice can relieve minor discomfort and reduce swelling and bruising. Ice for a maximum of 20 minutes per hour. After 48 hours, switch to hot packs.
• Arnica gel may be used for bruising.