1. Avoid aspirin 2 weeks prior and NSAIDS 10 days prior to treatment. Contemplate arinica montana pre and post injection.
2. Consultation: History taken, Brief physical exam of wrinkles completed and performed. Consent reviewed and signed.
3. Some physicians use topical anesthetics while others don't. Some use ice and some don't.
4. Frown lines require 5-7 injections with 16-24 units. Forehead lines require anywhere from 4-20 with 8-20 units depending on lines and distribution.
5. Post injection restrictions vary: some ice and recommend elevation. Limited physical exertion may be advised with no excercise for 4-6 hours. Avoidance of the recumbent position for 406 hours. Repeated use of the injected muscles is commonly recommeded. Do not rub or massage injected areas.
6. Botox will take effect in 3-5 days (some claim 24hrs) and last 3-5 months.
7. If this is your first injection, you may experience forhead heaviness and swelling.
8. Injection swelling resolves within 2-3 hours. Bruising, if it occurs tends to last 5 days.


