Safety, honestly.

Neurotoxin (Botox, Xeomin)

How common	What	What happens
Common	Small bruise, swelling, tenderness at injection points, mild headache	Settles within hours to a few days. Nothing to do.
Uncommon	Heavy brow, slight asymmetry	Wears off with the product, usually within weeks. Often correctable at the two-week review.
Rare	Drooping eyelid (ptosis)	Temporary. Prescription eye drops can lift it while it resolves.
Very rare	Flu-like symptoms, allergic reaction	Contact us the same day.

Dermal filler (hyaluronic acid)

How common	What	What happens
Common	Swelling, bruising, tenderness, small lumps for a few days	Settles within one to two weeks. Cold compress helps.
Uncommon	Persistent lumps, asymmetry, migration	Massage, time, or dissolving with hyaluronidase.
Rare	Infection, delayed nodules	Antibiotics or dissolving. Contact us early.
Rare and serious	Vascular occlusion: filler enters or compresses a blood vessel	A medical emergency. Skin turns pale or mottled, pain out of proportion. Treated immediately with hyaluronidase. See below.

Energy devices (RF microneedling, laser, cryolipolysis, EMS)

How common	What	What happens
Common	Redness, warmth, mild swelling, numbness after cryolipolysis	One to three days. Sunscreen is mandatory after skin treatments.
Uncommon	Pigment changes, prolonged redness	Usually resolves. Skin type is assessed before every device treatment.
Rare	Burns, blistering, paradoxical fat growth after cryolipolysis	Reported. Discussed at consultation.

Hyaluronic acid filler can be dissolved. The enzyme that does it is called hyaluronidase. A clinic that injects filler and does not keep it in the room is not equipped for the procedure it is selling.

What you should watch for after filler

• Skin that turns white, grey or mottled purple, especially in a patch away from the injection site.
• Pain that gets worse instead of better, or that seems out of proportion.
• Any change to your vision. This is an emergency: go to the nearest emergency department and call us on the way.

If any of those happen, call the studio at (561) 205-2118 straight away. Outside opening hours, call 911 or go to the nearest emergency department. Do not wait to see if it settles.

Tell us at the consultation if any of these apply. Some are absolute, some just change the plan.

• Pregnancy, trying to conceive, or breastfeeding
• Active infection, cold sore or rash in the treatment area
• Neuromuscular conditions such as myasthenia gravis (neurotoxin)
• Known allergy to the product or to lidocaine
• Blood-thinning medication, including aspirin taken daily
• Autoimmune conditions or immunosuppressant medication
• Keloid scarring (permanent makeup, microneedling)
• Isotretinoin in the last six months (energy devices)
• Metal implants or a pacemaker in the treatment area (RF and EMS devices)
• Recent dental work or vaccination: we wait two weeks for filler

The week before injectables

• Stop fish oil, vitamin E, ginkgo, St John's wort and ibuprofen if you can. They increase bruising.
• Do not stop prescribed blood thinners. Ask the prescriber first.
• No alcohol for 24 hours before.
• Eat beforehand. Fainting is more common on an empty stomach.
• Arrive with a clean face, no makeup.
• Reschedule if you have a cold sore, a rash or feel unwell.

The first 24 hours after injectables

• Stay upright for four hours after neurotoxin. No lying down, no rubbing, no headbands.
• No exercise, sauna or alcohol for 24 hours.
• No makeup on injection points for 12 hours.
• Cold compress for swelling after filler. Ten minutes on, ten off.
• Sleep on your back for two nights after filler.
• No dental work, facials or massage on the area for two weeks.

After skin and device treatments

• Nothing on the skin for 24 hours except what we give you.
• Mineral sunscreen every morning for two weeks. No exceptions.
• No retinoids, acids or exfoliation for five to seven days.
• No heat: sauna, hot yoga, hot showers on the face, for 48 hours.
• Do not pick at flaking skin.