Pre & Post Care

Neurotoxin (Botox, Dysport, Xeomin)

  • 3–7 Days Before Treatment

    • Avoid sun exposure and sunburns.

    • Discontinue retinoids, tretinoin, AHA/BHA acids, and irritating skincare products.

    • Avoid waxing and hair removal treatments in the treatment area.

    • Avoid chemical peels, lasers, and advanced skincare procedures.

    • Stay well hydrated.

    24–48 Hours Before Treatment

    • Avoid alcohol and limit caffeine.

    • Avoid anti-inflammatory medications unless medically necessary.

    Day of Treatment

    • Arrive with clean skin free of makeup, sunscreen, and skincare products.

    • Inform your provider of any active breakouts, rashes, infections, or cold sores.

  • First 24 Hours

    • Expect redness and warmth similar to a mild sunburn.

    • Do not touch or pick the treated skin.

    • Avoid makeup.

    • Use only provider-approved skincare products.

    • Avoid direct sun exposure.

    First 24–48 Hours

    • Use a gentle cleanser and moisturizer.

    • Avoid sweating, exercise, saunas, and hot showers.

    • Avoid alcohol and caffeine when possible.

    First 3–5 Days

    • Avoid retinoids, exfoliants, and active ingredients.

    • Avoid facials, chemical peels, waxing, and laser treatments.

    • Continue gentle skincare and SPF 30+ daily.

    What to Expect

    • Redness typically resolves within 24–72 hours.

    • Mild flaking or dryness may occur.

    • Improvements develop gradually over several weeks.

Dermal Fillers

  • Before Treatment

    • Schedule treatment at least 2 weeks before major events.

    • Avoid aspirin, ibuprofen, vitamin E, fish oil, and other blood-thinning supplements for 7 days.

    • Avoid alcohol for 24 hours.

    • Stay hydrated and eat a healthy meal before your appointment.

    Day of Treatment

    • Arrive with a clean face free of makeup and skincare products.

    • Avoid excessive sun or heat exposure.

    • Inform your provider of any active skin infections or cold sores.

    Medical Considerations

    • Inform your provider if pregnant or breastfeeding.

    • Disclose any history of facial herpes.

    • Notify your provider of previous filler treatments and complications.

  • First 24 Hours

    • Apply cold compresses to reduce swelling.

    • Avoid touching or massaging treated areas.

    • Avoid makeup.

    • Stay hydrated.

    First 24–48 Hours

    • Avoid strenuous exercise and heavy lifting.

    • Avoid alcohol and excessive salt intake.

    • Avoid saunas, hot tubs, and tanning beds.

    General Care

    • Mild swelling, tenderness, redness, and bruising are normal.

    • Sleep with your head elevated.

    • Avoid facial massages and treatments for 2 weeks.

    Contact Your Provider Immediately If You Experience

    • Severe pain.

    • Vision changes.

    • Pale or white skin near the injection site.

    • Signs of infection.

Filler Dissolving (Hyaluronidase)

    • Avoid alcohol for 24–48 hours.

    • Avoid blood-thinning medications and supplements when medically appropriate.

    • Stay hydrated.

    • Avoid excessive sun exposure.

    • Inform your provider of allergies, especially to hyaluronidase or bee stings.

    • Avoid touching or massaging treated areas for at least 6 hours.

    • Avoid makeup and skincare products for 12–24 hours.

    • Stay hydrated.

    • Avoid strenuous exercise and alcohol for 24–48 hours.

    • Sleep with your head elevated the first night.

    What to Expect

    • Mild redness, swelling, bruising, and tenderness.

    • Temporary discomfort at injection sites.

    Seek Medical Attention If You Experience

    • Difficulty breathing.

    • Hives.

    • Severe swelling or redness.

    • Signs of an allergic reaction.

PRP/PRF Injections

  • 7 days before treatment: 

    Avoid NSAIDs and anti-inflammatory medications such as ibuprofen, Advil, Motrin, Aleve, naproxen, and aspirin unless prescribed by your medical provider. 

    Avoid blood-thinning supplements when possible, such as fish oil/omega-3, vitamin E, garlic, ginkgo biloba, turmeric, and similar supplements. 

    Do not stop any prescribed blood thinner, aspirin, or medication without approval from your prescribing provider. 

    48 hours before treatment: 

    Avoid alcohol, as it may increase bruising and affect platelet function. 

    Drink plenty of water and focus on good hydration. 

    Avoid excessive caffeine if you are prone to dehydration or lightheadedness with blood draws. 

    Day of treatment: 

    Arrive with clean skin and no makeup, lotion, or skincare products on the treatment area. Eat a light meal before your appointment to reduce the chance of feeling lightheaded during your blood draw. 

    Let your provider know if you are pregnant, breastfeeding, have an active infection, have a history of bleeding disorders, are immunocompromised, or have had any recent illness. Inform your provider of all medications, supplements, allergies, recent cosmetic treatments, or recent dental work. 

  • For the first 24 hours: 

    Do not touch, rub, massage, or press on the treated areas unless instructed by your provider. Avoid makeup on or near the treated area. 

    Avoid strenuous exercise, heavy sweating, saunas, hot tubs, steam rooms, and excessive heat. Avoid alcohol. 

    Keep the treated area clean. 

    Sleep with your head slightly elevated if you are prone to swelling. 

    For 3–7 days after treatment: 

    Continue to avoid NSAIDs and anti-inflammatory medications such as ibuprofen, Advil, Motrin, Aleve, naproxen, and aspirin unless medically necessary or prescribed. 

    Tylenol/acetaminophen may be used for discomfort if you are able to take it safely. 

    Avoid harsh skincare products, exfoliants, retinoids, acids, scrubs, and active ingredients around the treated area until the skin feels calm. 

    Avoid facial massage, gua sha, facial rollers, and other pressure-based treatments. 

    Avoid dental work, facials, lasers, peels, waxing, or other cosmetic treatments unless cleared by your provider. Bruising & Swelling Tips 

    Bruising and swelling can occur and are usually temporary. 

    A cool compress may be used gently for short periods if recommended by your provider. Do not apply heavy pressure. 

    Arnica may be used if approved by your provider. 

    Stay well hydrated and avoid excess sodium if you are prone to swelling. 

    When to Contact the Clinic 

    Please contact Onyx Aesthetics & Hormone Clinic right away if you experience: 

    Increasing pain that does not improve, severe or worsening swelling, significant redness, warmth, or drainage, fever or chills, skin discoloration, blistering, or unusual changes to the treated area, any symptoms that feel concerning or abnormal 

Microneedling

  • General Guidelines (3–7 Days Before Treatment) 

    Avoid excessive sun exposure and do not attend your appointment with sunburned skin. Discontinue the use of retinoids (Retin-A, tretinoin), exfoliating acids (AHA/BHA), and other irritating skincare products for at least 3–5 days prior. 

    Avoid waxing, threading, or hair removal creams in the treatment area for 5–7 days before treatment. 

    Avoid chemical peels, laser treatments, or other advanced skincare procedures for at least 1–2 weeks prior. 

    Stay well-hydrated by drinking plenty of water. 

    24–48 Hours Before Treatment 

    Avoid alcohol and limit caffeine intake. 

    Avoid anti-inflammatory medications (such as ibuprofen, aspirin, naproxen) unless medically necessary. Do not discontinue prescribed medications without physician approval. Avoid topical products that may increase skin sensitivity. 

    Day of Treatment 

    Arrive with clean skin free of makeup, lotions, sunscreen, or skincare products. 

    Avoid shaving the treatment area the day of the procedure if it may cause irritation. Inform your provider if you have any active skin conditions such as acne breakouts, rashes, infections, or cold sores. 

    Medical Considerations 

    Inform your provider if you are pregnant or breastfeeding. 

    Inform your provider if you have a history of keloid scarring or poor wound healing. Inform your provider if you are taking blood thinners, isotretinoin (Accutane), or any prescription medications affecting the skin. 

    Notify your provider of any allergies or sensitivities. 



  • Immediately After Treatment (First 24 Hours) 

    Expect redness, warmth, and mild swelling similar to a sunburn. Do not touch, rub, or pick at the treated area. Avoid applying makeup for at least 24 hours. Use only gentle, provider-approved products. Avoid direct sun exposure and apply sunscreen if going outdoors. 

    For optimal results, if PRP was added to your treatment, please leave it on your skin for at least 6–8 hours before washing your face. 

    First 24–48 Hours 

    Cleanse the skin gently with a mild cleanser. 

    Apply a gentle hyaluronic acid serum and moisturizer to keep the skin hydrated. 

    Avoid sweating, exercise, saunas, and hot showers. 

    Avoid alcohol and caffeine if possible. 

    First 3–5 Days 

    Avoid retinoids, exfoliants, acids, and active skincare ingredients. 

    Avoid facials, chemical peels, waxing, or laser treatments. 

    Do not pick, scratch, or exfoliate peeling skin. 

    Continue using gentle cleanser, HA serum, moisturizer, and broad-spectrum SPF 30 or higher. 

    First 5–7 Days 

    Avoid prolonged sun exposure and tanning. 

    Resume normal skincare only once the skin has fully healed and is no longer sensitive. 

    What to Expect 

    Redness and sensitivity typically resolve within 24–72 hours. 

    Mild flaking or dryness may occur as the skin renews. 

    Improvements in skin texture and tone develop gradually over several weeks. 

    Multiple treatments may be recommended for optimal results. 

    WHEN TO CONTACT YOUR PROVIDER 

    Signs of infection such as increased redness, warmth, swelling, or pus. 

    Severe pain, prolonged swelling, or unusual skin reactions. 

    Any concerns about healing or unexpected side effects. 

    ADDITIONAL INFORMATION 

    Consistent treatments and proper skincare will enhance results. 

    Always follow your provider’s specific recommendations based on your skin type and treatment plan.