Pre-Treatment Guide  
How to get the best out of your treatment  
For almost any procedure involving injectables, and for your general overall skin health, we advise you avoid excessive sun exposure. But what other steps can you take to improve the outcome of your procedure?  
Before your Botox or dermal filler appointment  
With any injectable treatment, there is a possibility of bruising. Bruising can be minimised by avoiding medications and products that thin the blood, such as aspirin, fish oil, ibuprofen and alcohol. While we can NEVER guarantee that you will not bruise or swell, we do our best to make the experience as easy as possible. Whilst the vast majority of patients will not bruise, there are a few “at home” things you can do help: 
Avoid fish oil, aspirin, ibuprofen and alcohol for a few days prior to your procedure/treatment. These substances are natural blood thinner and will make you more likely to bruise. 
You can pre-treat yourself with both oral and topical Arnica, a homeopathic remedy. Arnica can lessen or reduce the chance and severity of a bruise. 
If you are a person who bruises easily, if you have thin skin, or if you are on blood-thinners, you are more likely to bruise. 
What To Do, & What To Avoid, Before Your Treatment 
In order to reduce the amount of bruising and/or swelling from the injection sites, you can also follow the instructions below. 
Avoid blood thinning over-the-counter medications such as Aspirin, Motrin, Ibuprofen, and Aleve for 1 week prior. Please consult your general practitioner if you are taking Aspirin for medical reasons! 
Avoid supplements including St. Johns Wort, ginko biloba, primrose oil, garlic, ginseng, and Vitamin E for 1 week 
Avoid topical products such as Tretinoin (Retin-A), Retinols, Retinoids, Glycolic Acid, or any "Anti-Aging" products for 3 days prior 
Avoid waxing, bleaching, tweezing, or hair removal cream on the area to be treated for 3 days prior 
Do not drink alcoholic beverages for 24 hours prior to treatment 
If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores. Please let Dr Goyal know if you are prone to cold sores. 
Do not use dermal fillers or Botox if you are pregnant or breastfeeding, are allergic to any ingredients, or suffer from neurological disorders. Please inform us if you have any questions about this prior to your treatment 
Day of your treatment 
Arrive with a clean face -wahsed and without makeup.  
In order to maximise your comfort during the procdure, a topical anaesthetic may be applied. In some cases, a local numbing medication will be injected into or around the area (s) to be treated. 
Don't forget to bring your read glasses (if you need them) for the consent form.  
During Your Procedure  
Dr Goyal does several things during the procedure to make it as easy as possible for you. We all want to look our best and most natural, and many of us are wary of needles. We understand that. In order to help your treatment be as comfortable as possible, Dr Goyal may use topical numbing cream, locally injected anaesthesia (lidocaine), ice and numbing agents present in the fillers themselves. Along with his experience and advanced techniques, using these measures when needed can help to make treatments much more comfortable. You can also request additional pain-relief measures be taken during your treatment if needed. 


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