The elegance and artistry of BOTOX in Seattle is redefined here.
BOTOX Cosmetic is a wonderful cost-effective Wrinkle Remover for both Men and Women. It’s simple and really works well. Dominique Well ARNP, our expert injector has lots of experience and knows how to place BOTOX to create a natural refreshed look. She uses the principle of less is more to achieve a Natural, Healthy, Youthful look and is one of the most sought after Seattle Botox specialists.
The standard starting dosage for BOTOX is 20 Units per area according to Allergan, at Well Medical Arts we have a 20 unit minimum on Botox and Xeomin appointments.
Our West Seattle BOTOX Cosmetic clinic can smooth moderate to severe frown lines, forehead wrinkles and crow’s feet for up to 4 to 6 months. The beauty of a BOTOX Cosmetic treatment is that it’s a simple and quick process. A few tiny injections, and within days there is a noticeable improvement in the moderate to severe lines on the face. You can even do it on your lunch break. There’s no recovery time needed.
We price BOTOX competitively at $13.00 a unit.
10 Tips to Minimize the Risk of Bruising After Wrinkle Reducers & Dermal Fillers
Cosmetic injectable treatments, such as wrinkle reducers and dermal fillers, can work wonders in filling out lines and wrinkles, but they can cause temporary bruising and swelling. Many patients ask us how to minimize or prevent bruising and the good news is that there is a lot you can do before and after your appointment to minimize any unsightly coloring– and in some cases prevent it all together.
No injector can guarantee that you will not bruise from injectable treatments, but to avoid having any serious side effects it is always best to go to the most expert injector in your area. Also, to be on the safe side, please don’t plan any special events for at least 2 weeks after your injectable appointment. Remember, treatments can take anywhere from 1 to 2 weeks for results to fully settle in, so unless something is really off, most minor problems will resolve in that time by just being patient.
If you are just having a wrinkle reducer treatment (Botox, Dysport, or Xeomin) these suggestions are still good to follow even though bruising is less common. However, dermal fillers like Juvederm, Restylane, Radiesse, Sculptra and Bellafill are slightly more invasive and following these instructions will help to prevent bruises or reduce the appearance, quicker.
Here are a few pre and post treatment tips that can help you avoid any unnecessary bruising:
#1 Avoid Aspirin & NSAIDS
Aspirin, NSAIDS (Motrin, Ibuprofen, Naproxen, Aleve, Advil), and NSAID-containing products (Midol, Excedrin, cold medicine) are the most potent of the “bruisers”. All of these medications stun your platelets, which are the cells in your bloodstream that stop bleeding and bruising when your blood vessels and capillaries are damaged. If your platelets can’t do their job in sealing off the tiny capillaries that are disrupted during injectable treatments, your likelihood of getting a bruise is much higher than normal. Avoid all of these medications for at least a week prior to your treatment. If you need pain medication, please consider Tylenol as a substitute.
#2 Avoid Wine & Alcohol
Wine and alcohol also have some anti-platelet effects and increase your chances of bruising in the same way that Aspirin and NSAIDS do. We hate to ruin any fun plans, but avoiding alcohol the night before and the night you have your injectable treatment really helps to prevent bruising.
#3 Avoid Green Tea, Vitamin E, and Herbal Supplements
High doses of Green Tea, Vitamin E, Fish Oil, Gingseng, Omega 3 Fatty Acids, Ginko Bilboa, Flaxseed Oil, and herbal supplements like St. John’s Wart, Garlic, Red Yeast Extract and many others, act like mild versions of prescription blood thinners and definitely increase your chances of bruising. In particular, Green Tea Extract is known to be one of the most potent “bruisers” on the market, so make sure you curb it well before any injectable treatment. Because there are so many herbal supplements that have unpredictable effects on bleeding and bruising, we recommend stopping ALL supplements at least one week before your treatment.
#4 Skip the Gym
No exercise except for walking for 24-48 hours after your treatment. Keep your heart rate under 100. Do not do any inversions in yoga or do hot yoga. Damaged capillaries need two things to repair themselves after an injection; functional platelets and minimal blood flow. Exercise and physical activity increases your heart rate, blood pressure, and the flow of blood through arteries, veins and capillaries, including the ones that get damaged during injectable treatments. Also, avoid squeezing or massaging the treated areas for several hours after treatment as this could subtly change the results. If you were treated with the injectable Sculptra, please disregard this note and massage as you were instructed.
#5 Choose a Qualified Injector
This seems like a no-brainer, but be careful. There are no enforceable regulations on who is allowed to inject wrinkle reducers and dermal fillers, so there are tons of unqualified injectors out there. Be particularly cautious about getting injected in clinics offering extremely low prices because they tend to rely heavily on counterfeit products.
Apply a cold pack to the treatment area before and after your injection. Cold applied to the skin constricts blood vessels and constricted blood vessels are smaller and less likely to get in the way of the needle. An added bonus, the cold will desensitize the area so you will feel less pain.
#7 Numbing Cream
If your injector applies numbing cream about 20-30 minutes before starting the injections, it will help prevent bruising and make you more comfortable during the treatment. Some anesthetic creams constricts blood vessels slightly making bruising less likely. When you make your appointment, ask if you should come in early if you want to get numbing cream.
#8 Anti-Bruising Supplements
You can try taking two supplements that have been shown to prevent bruising; Arnica and Bromelain. Take Arnica pills 4 days before and after the procedure to aid in potential bruise reduction. Arnica is an herbal dietary supplement that has been used for centuries to reduce bleeding and inflammation. Place four pills underneath your tongue, twice a day. If you do bruise, you can take it each day until bruising has subsided. Bromelain is helpful in reducing any swelling after the procedure and may be taken three days prior to your treatment and continue for one week after. Bromelain is a pineapple-based enzyme that also helps to reduce inflammation and bruising.
Arnica and Bromelain are both available in our clinic for purchase, and there is enough in the bottle for several treatments. If you have ever had a cold sore around the mouth or near the injection site be sure to talk to your practitioner before treatment, so that they can properly prescribe you Valtrex or another anti-viral medication to prevent an outbreak.
#9 Sun Protection
No excessive sun or heat until any initial swelling and redness have resolved. Proper and frequent use of sunscreen is always important. The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor of SPF 30 or more. Wear a hat when outdoors. I have created a list of some of my favorite sunscreens to help you find a good quality product.
#10 Plan accordingly
Another important part of getting injections is timing. Try to make your appointments at least two weeks prior to a big event just in case you have swelling or bruising. You should also make sure they are within your budget when you do get the treatment. There are times you might need more areas treated and sometimes less, depending on how your body responds. Injectables work differently on everyone, so you may not get the same results in terms of how long the treatments last as your friend.
What happens if you bruise?
If you do bruise, there is help. First of all, continue icing the bruised areas once you get home as long as you can. Next, take your Arnica and Bromelain as directed. A high-level concealer will also come in handy to hide those temporary bruises. If the bruise is on your lip, then lipstick should do the trick. The intensity and duration of your filler or Botox side effects will depend on the treatment aggressiveness and your individual healing characteristics, but normally can last for one to two weeks after the treatment.
Understand where you want the injections.
Finally, now that you have taken the plunge on facial injections, be careful not to get carried away. Some people go overboard with wrinkle reducers and dermal fillers and develop an artificial look to their face. A good injector will actually tell you they will not do the treatment on you at a certain point. If you feel like your face looks “done,” then you have done too much. You should look like a refreshed version of yourself!
Botox cosmetic consumer important safety information
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of both moderate to severe crow’s feet lines and frown lines between the eyebrows in adults.
IMPORTANT SAFETY INFORMATION
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:
- Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
- Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activitiesThe dose of BOTOX® Cosmetic is not the same as, or comparable to, any other botulinum toxin product.There has not been a confirmed serious case of spread of toxin effect when
- BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, or both at the same time.
- Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
- Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
- Tell your doctor about all your muscle or nerve conditions, such as amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to breast-feed (it is not known if BOTOX® Cosmetic passes into breast milk).
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received
BOTOX® Cosmetic in the past.
Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin, such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.
For more information refer to the Medication Guide or talk with your doctor. To report a side effect, please call Allergan at 1-800-433-8871.