WHAT IS A DERMAL FILLER?
The most typical product for dermal filler is a colorless hyaluronic acid that is designed to be injected into facial tissue to smooth wrinkles and plump folds. Hyaluronic acid is found naturally in all living organisms, and has the same chemical structure in all species and tissues. In the skin, hyaluronic acid binds water to add volume and pliability. As we age, our skin loses its ability to produce hyaluronic acid.

WHY GET A DERMAL FILLER INJECTION?
Dermal filler is injected into the skin to create volume thereby smoothing wrinkles and providing a fuller shape. These are non-permanent, with results lasting between 3 and 18 months. This is a great non-surgical tool to rejuvenate and contour your face.

HOW LONG DO DERMAL FILLERS LAST?
Results typically last 6-12 months following the injection and therefore will need to be repeated on a regular basis to maintain the effects.

WHAT AREAS CAN BE TREATED WITH DERMAL FILLER?

• Cheeks
• Under eyes
• Nose
• Chin
• Lips
• Jaw line
• Jowels
• Marionette lines
• Nasolabial folds

WHAT ARE THE AVERAGE PRICES?
$600-$800 for a syringe or 1 ml is the typical cost.

WHO IS NOT A CANDIDATE FOR THIS INJECTION?

• Active cold sore or skin infection in the area being treated
• Allergies to lidocaine a numbing agent
• Bleeding disorder or on medications (e.g. aspirin, warfarin/coumadin) that increase risk or make you prone to bleeding
• Pregnant/breastfeeding
• History of scarring or pigmentation disorder
• Autoimmune disorders such as Rheumatoid Arthritis and Lupus
• Permanent implant located in area to be injected
• Using immunosuppressive therapy

WHAT IS THE MOST SERIOUS SIDE EFFECT?
Vascular occlusion:

This small risk is when a blood vessel is inadvertently injected and could result in serious complications due to the blockage of blood flow. The surrounding skin and tissue will start to die without adequate blood supply. It may have permanent vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin.

The signs of vascular occlusion which include immediate, severe pain and a change in skin color, which can look like white spots or blotches. Some bruising and redness is normal but any intense pain or severe bruising is a concern. If this occurs during the procedure we will need to stop. We will then use a medication to dissolve the filler immediately as you may have a vascular occlusion. Each person has a slightly different anatomy and this blood vessel should not be near the location of our injection. Unfortunately, the filler treatment would need to be stopped and you could not be injected again. You would still be charged for the treatment.

WHAT ARE THE POTENTIAL SIDE EFFECTS?

• Swelling/Bruising/Redness: Most people have swelling for the first several days and up to a few weeks. You can use Arnica tablets or gel as well as a cold pack or compress to treat this swelling. You may need to sleep with your head elevated as long as there is swelling
• Lumps/Bumps/Hardening: This generally softens over time but can take several months
• Migration: Dermal fillers may move from the place where it was injected
• Scabbing/Sloughing/Scarring: In less than 1% of treated patients, sloughing of the tissue at the treatment site has been noted

HOW LONG BEFORE I SEE THE FULL BENEFITS?
Average 4-6 weeks to see the final level of correction. After 2 weeks you may need additional dermal filler for injection to reach a higher level of correction. I agree to communicate with my practitioner for evaluation and/or additional correction if needed.

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:
1) Intake Form – Client Contact Info
2) FYA – Intake Form
3) FYA – Consent form – Review but wait to sign in person as you need a witness.
4) FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.

VASCULAR OCCLUSION
This is a serious complication that is rare but can happen.  When the filler is injected into or around an artery it reduces or stops the blood flow. The surrounding skin and tissue will start to die without adequate blood supply.
Signs of vascular occlusion include immediate, severe pain and a change in skin color, which can look like white spots or blotches.  Some bruising and redness is normal but any intense pain or severe bruising is a concern.  A simple test if you are concerned is to perform a capillary refill test by pressing with your finger on the lips for 2 seconds and if after releasing the blood should return to normal after 3 seconds instead of remaining white or dusky.  If this occurs during the procedure we will need to stop.  We will then use a medication to dissolve the filler immediately as you may have a vascular occlusion.  Each person has a slightly different anatomy and this blood vessel should not be near the location of our injection.  Unfortunately, the filler treatment would need to be stopped and you could not be injected again.

1 WEEK PRIOR TO TREATMENT:

• Bruising prevention: Purchase Hyland’s Naturals Arnica 30x – Dissolve one tablet on tongue twice a day. Start 1 week prior to treatment session.   This is a natural supplement to help prevent bruising. Available on Amazon. An alternative is a topical Boiron Arnicare Cream.

DAY OF TREATMENT PLAN:

DO’S:

• Plan to sleep face up and with head elevated on pillows for swelling.
• Plan to take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.
• Bruising prevention: Purchase Hyland’s Naturals Arnica 30x – Dissolve one tablet on tongue twice daily. This is a natural supplement to help with treatment for bruising. Available on Amazon. An alternative is a topical Boiron Arnicare Cream.
• Cold sore history: Start 2 days prior to take your anti-viral treatment and 2 days after to prevent an attack
• Have gentle cleanser on hand to wash your face at night (e.g. Cetaphil® Cerave® or Dove® unscented.)
• Have available cool compress or ice packs with cloth wrap to reduce swelling and pain.

DON’TS:

• Plan on touching the area for first 6 hours following treatment.
• Don’t plan on wearing makeup rest of day to limit infection risks.
• Don’t plan a massage or have significant movement in the treated area. Avoid activities similar to drinking out of a straw, eating a lollipop, or sandwich as this may place pressure on the filler.
• Plan to exercise heavily or anything that increases your heart rate.
• Plan to sleep on your side or stomach.
• Plan to consume excess amounts of alcohol or salt which may increase swelling.

THE FIRST 24 HOURS OR NEXT DAY:

DO’S:

• Have available cool compress or ice packs with cloth wrap to reduce swelling and pain.

DON’TS:

• Don’t plan to apply anything to the skin.  No cleanser, moisturizer, or makeup (including chapstick or lipstick).
• Don’t plan to expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling.  If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

FOR THE FIRST 48 HOURS:

• Avoid plans for strenuous exercise or similar activity to avoid moving the filler or increasing blood flow to the area face. Light activity such as walking is okay.
• Avoid any plans that may involve kissing for first 48 hours to avoid pressure on your lips.
• Avoid plans that involve intense heat (sunbathing, sauna, steam rooms, or exercise heated classes) as high heat can cause swelling to be more pronounced.

FOR THE FIRST WEEK:

DO’S:

• Plan to continue if needed to sleep face up with head elevated in case you still have swelling.

DON’TS:

• Don’t plan an important event due to potential for bruising and swelling.
• Avoid air travel plans as the pressure in the plan can interfere with your fillers and the air on the airplane may dehydrate the skin on lips.
• Don’t plan to take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
• Don’t plan to take herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.
• Do not plan to apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

PLANS FOR THE NEXT 2 WEEKS:

LIP FILLER:

• Avoid any appointments for dental procedures (including cleaning)
• Make time to schedule a return to the office in 2 weeks to see whether a touch-up is necessary.

PLAN FOR THE NEXT 30 DAYS:

DO’S:

• Realize it may take 4 weeks to see the full results.

DON’TS:

• Plan any treatments such as skin care or laser treatments especially treatments that create heat in the treated area.

Vascular occlusion

This is a serious complication that is rare but can happen. When the filler is injected into or around an artery it reduces or stops the blood flow. The surrounding skin and tissue will start to die without adequate blood supply.

Signs of vascular occlusion include immediate, severe pain and a change in skin color, which can look like white spots or blotches. Some bruising and redness is normal but any intense pain or severe bruising is a concern. A simple test if you are concerned is to perform a capillary refill test by pressing with your finger on the lips for 2 seconds and if after releasing the blood should return to normal after 3 seconds instead of remaining white or dusky. If this occurs it will require dissolving medication immediately as you may have a vascular occlusion. Unfortunately, the filler would not be able to be injected again.

It’s also important to note that the pain could take a while to become noticeable because most fillers include lidocaine, which is an anesthetic. It can take several hours to wear off after the injection procedure and that is when you should look for this severe pain.

DAY OF TREATMENT:

DO’S:

• Swelling is common for the first 2-3 days. Try to sleep face up and with head elevated on pillows to stabilize yourself.
• Drink plenty of water or electrolytes. Keeping yourself hydrated aids your body’s healing process. However, avoid using straws which place pressure on your lips.
• You may take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.
• Optional to purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day.
• Cold sore history: Take your anti-viral treatment to prevent an attack.
• Wash your face gently at night with gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.
• Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.

DON’TS:

• Avoid touching the area for first 6 hours following treatment.
• Avoid wearing makeup rest of day to limit infection risks.
• Massage or have significant movement in the treated area. Avoid activities similar to using a straw, eating lollipop, or sandwich as this may place pressure on the filler.
• Exercise heavily or anything that increases your heart rate.
• Sleep on your side or stomach.
• Consume excess amounts of alcohol or salt which may increase swelling.

UNTIL THE NEXT DAY:

DO’S:

• Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
• Now you have the option to purchase Boiron Arnicare Cream and apply 3 times daily to help bruising to resolve at a faster rate.

DON’TS:

• Don’t apply anything to the skin. No cleanser, moisturizer, or makeup (including chapstick or lipstick).
• Expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling. If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

FOR THE FIRST 48 HOURS:

• Avoid strenuous exercise or similar activity to avoid moving the filler or increasing blood flow to the area face. Light activity such as walking is okay.
• Avoid kissing for first 48 hours to avoid pressure on your lips.
• Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
• Avoid intense heat (sunbathing, sauna, steam rooms, or exercise heated classes) as high heat can cause swelling to be more pronounced.

FOR THE FIRST WEEK:

DO’S:

• Continue if needed to sleep face up with head elevated based if you continue to have swelling.

DON’TS:

• Don’t plan an important event due to potential for bruising and swelling.
• Avoid air travel as the pressure in the plan can interfere with your fillers and the air on the airplane may dehydrate the skin on lips.
• Know that your lips may look overfilled or puffy at first due to swelling. Don’t worry this is normal and temporary. Common short-term side effects after a lip injection that you can expect are swelling, bruising, pain or tenderness, itching, lumpiness, or numbness. About 30% of the filler will be reduced.
• Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
• Don’t take herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.
• Lumps in the injected area are normal and typically dissipate over the next several months.
• Continue to use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
• Do not apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

FOR THE NEXT 2 WEEKS:

• Avoid any dental procedure (including cleaning)
• Schedule a return to the office in 2 weeks to see whether a touch-up is necessary. If follow up treatments are necessary, there will be additional charges at the regular rate.

FOR THE NEXT 30 DAYS:

DO’S:

• Enjoy your results and know it can take 4 weeks to see the full results.

DON’TS:

• Receive any skin care or laser treatments especially treatments that create heat in the treated area.

ice for treating frown lines.  In addition, this can be used to treat upper lip spasticity, cervical dystonia, blepharospasm, and more.

WHAT ARE THE POTENTIAL SIDE EFFECTS?
The most common concern is eyebrow or eyelid droop. If this occurs eye drops can be prescribed.

The other possibilities are pain and/or swelling at the injection site, headaches, flu-like symptoms, slouched smiles, drooling, nausea, pain in the injection site, upper respiratory tract infections, irritation in the nose and throat, and dry eyes.

PROCEDURE OVERVIEW
The SkinPen is the first FDA-approved, state-of-the-art microneedling device manufactured in the U.S. and used globally. It is designed to enhance your skin’s radiance, firmness, and youthful appearance. By stimulating natural collagen and elastin production (proteins essential for skin support and elasticity), this quick 60-minute treatment offers noticeable results with minimal downtime. The SkinPen is safe for all skin types.

Unlike treatments like Botox, which relax muscles to reduce wrinkles, microneedling works at the skin’s surface to promote natural healing. This procedure can help address the effects of aging, acne scars, and skin imperfections, giving your skin a healthier and more youthful look. Most patients experience results after as few as three 30-minute sessions. Treatment typically covers the entire face and neck.

HOW DOES THE SKINPEN WITH PRP WORK?
The SkinPen creates approximately 3 million controlled micro-channels in the skin per treatment, stimulating collagen and promoting tissue remodeling without causing scarring. The device activates your skin’s natural wound-healing process, which can continue for months after the procedure. The SkinPen can also be combined with PRP (Platelet-Rich Plasma) therapy, where PRP is applied topically to enhance absorption through microneedling. This treatment is highly effective for addressing sun damage, minimizing acne scars, and improving the overall appearance of aging skin.

Each session lasts around 60 minutes and is different from chemical or heat-based treatments. The SkinPen uses a mechanical cartridge with small needles and a coupled retraction technology, ensuring safety and precision. Over 90 validation studies confirm its safety and effectiveness. The disposable, single-use needle cartridges are sealed ultrasonically to maintain sterility during each treatment.

WHAT IS PRP (Platelet Rich Plasma)?
Platelet Rich Plasma (PRP) is an innovative therapy that uses your own blood to promote healing and tissue regeneration. This treatment involves injecting a concentrated solution of platelets, derived from your own blood, into targeted areas. Platelets contain growth factors and proteins that stimulate the body’s natural healing processes and encourage cell growth. While PRP’s full potential is still being studied, it has shown promise in various medical and cosmetic applications.

HOW PRP WORKS
Platelets are rich in growth factors that help repair and regenerate tissue. In PRP therapy, a blood sample is taken from the patient, and the platelets are concentrated using a centrifuge. Once activated, the platelets release these growth factors, which promote new cell growth, reduce inflammation, and support healing. PRP stimulates collagen production, tightens and strengthens damaged tissues, and enhances overall skin appearance. The procedure typically takes about an hour, with a recommended series of three sessions spaced a month apart, followed by annual maintenance treatments.

KEY BENEFITS OF PRP

• Growth Factors: PRP contains platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), and transforming growth factor-beta (TGF-beta), which promote cell proliferation and collagen repair.
• Tissue Repair: PRP helps stimulate the production of extracellular matrix components necessary for connective tissue health.
• New Blood Vessel Formation: PRP encourages angiogenesis, the formation of new blood vessels, improving tissue health by delivering oxygen and nutrients.
• Anti-Inflammatory Effects: PRP reduces inflammation by releasing substances such as prostaglandins and leukotrienes.
• Cellular Recruitment: Platelets release adhesion molecules that attract other healing cells to the site of injury, further supporting tissue regeneration.

PRP CENTRIFUGE AND KIT SYSTEM
We use the EmCyte Centrifuge with PurePRP® Kits, an advanced system for regenerative therapy. It delivers the highest concentration of regenerative cells by selectively removing wound-inhibiting factors. This results in a more potent PRP product, containing up to 9 billion deliverable platelets—significantly more than typical systems. This concentrated PRP reduces inflammation, accelerates healing, and promotes tissue regeneration while removing red blood cells, which can cause pain and inflammation.

PRP SAFETY AND APPLICATIONS
PRP has been used safely for over 20 years in fields such as orthopedics, sports medicine, neurosurgery, dermatology, and aesthetics. In aesthetics, it is effective for treating fine lines, wrinkles, sagging skin, and hair loss. It’s safe for nearly all skin types, as it uses the patient’s own plasma, reducing the risk of allergic reactions or complications.

WHAT TO EXPECT DURING YOUR FIRST TREATMENT

• Review of Forms: We will review your intake and consent forms before starting.
• Photos: Pre-treatment photos will be taken for future comparison. You may choose to allow us to use them for marketing purposes.
• Numbing Cream: A numbing cream will be applied for comfort.
• Blood Draw: A small amount of blood will be drawn and placed in a centrifuge to isolate the platelet-rich plasma.
• PRP Application: The PRP is either injected or applied topically and combined with microneedling to improve absorption.

TREATMENT DURATION
The entire process takes about 60 minutes, including the blood draw, PRP preparation, and treatment.

WHAT TO EXPECT AFTER YOUR TREATMENT
Microneedling SkinPen:  After the treatment, your skin may appear pink to red, similar to a mild sunburn. This typically subsides within 24 to 36 hours. Some individuals may see rejuvenated skin after just one session, with continued improvements over the next three to six months. While there’s no need for downtime, it is essential to keep your skin clean and avoid using suncreen/makeup for 1-2 days to minimize the risk of infection.

PRP: You may experience slight bruising at the blood draw site. Remove the bandage the next day.

SIDE EFFECTS
Microneedling SkinPen: Common side effects include mild redness and a flushed appearance, similar to a moderate sunburn. You may also experience slight skin tightness and sensitivity in the treated area, but these symptoms usually subside within a few hours. Most patients resume their normal appearance within 24 hours, with minimal signs of the procedure visible after three days.

PRP: Since PRP uses your own blood, there are no allergic reactions, making it a very natural treatment.

CONTRAINDICATIONS/PRECAUTIONS

Microneedling is not recommended for individuals with:

• Keloid scars
• Scleroderma
• Collagen vascular diseases
• Cardiac abnormalities
• Blood clotting disorders
• Active infections (bacterial or fungal)
• Precautions

PRP may not be suitable for individuals with:

• Acute or chronic infections
• Certain skin diseases
• Cancer
• Severe systemic disorders
• Abnormal platelet function
• Chronic liver conditions
• Those on anticoagulation therapy.

RISKS AND COMPLICATIONS
Both microneedling and PRP are generally safe with low risks. However, potential complications may include pain, bruising, bleeding, infection, allergic reactions, or ineffective results.

EXPECTED RESULTS
Results from microneedling with PRP typically become noticeable within four weeks, with further improvements over three to six months. For optimal results, a series of three treatments spaced four weeks apart is recommended, followed by maintenance sessions every six months as needed.

Avoid Alcohol & Smoking:

• Alcohol: Refrain from alcohol for at least two days before your treatment.
• Smoking: Stop smoking at least one week prior to your appointment.

Numbing: If you have numbing cream from prior visit apply your entire face and neck 30 minutes prior to your appointment to expedite your treatment.  Place to the hair line on forehead and near ears.  Also include the area above your eye just below your eyebrow.  Be sure to include your nose.  All the way down your neck to collar bones.  Avoid placing inside your eyes, nose, or mouth as well as avoid your lips.

Medications to Avoid for 1 Week Before Treatment:

• Anti-inflammatories (e.g. ibuprofen, Advil, Motrin, Aleve)
• Blood Thinners: Discontinue blood thinners, herbs, and supplements that thin the blood. If you are taking anticoagulants (e.g. aspirin, Plavix, Coumadin), consult your physician about whether you can safely stop them a week before treatment to reduce the risk of bruising.
• Retin-A, retinol, or vitamin A products
• Herbal supplements such as turmeric, ginger, fish oil, vitamin E, ginseng, and St. John’s Wort

Accutane: Wait at least six months after taking isotretinoin (Accutane) before undergoing microneedling.

24 Hours Prior to Treatment:

Avoid Sun Exposure: Stay out of the sun, as a sunburn can compromise your treatment. If you have a sunburn, please reschedule your appointment.

Get enough rest

Get a good night’s rest the day before the procedure.

Day of Your Treatment:

Stay hydrated

Drink plenty of water or electrolyte drink/supplement, sport drink, coconut water, or soup, especially the day before and the day of the procedure.  Being hydrated allows blood draw to be easier.

Eat well

Eat a healthy breakfast on the day of the procedure, and have a light meal before the procedure.

What to Expect:

• After the treatment, your skin may appear pink to red, similar to a mild sunburn. This is normal and typically subsides within 24 to 36 hours.
• For the first 1-3 days, your skin will feel dry and tight. You may also experience redness, swelling, and minor bleeding.
• There is no need to take time off work unless makeup is required.
• Many people see rejuvenated skin after just one session, with continued improvements for up to three to six months.
• After 2-3 days, you can resume using your regular skincare products, or sooner if it feels comfortable.

Treatment Recovery Timeline:

• Day 1: You may experience redness (erythema), and the severity will depend on the intensity of the treatment.
• Day 2: A pink or red hue will persist, similar to a moderate sunburn. Swelling may increase on the second day.
• Days 3-5: Your skin may still appear slightly pink, but it will start returning to its normal color as swelling subsides.

Day of Your Treatment:

• SCHEDULE: Schedule your next appointment.  A series of 3 treatments a month apart will give you the best results.  Then once very 3-6 months as maintenance.
• EXERCISE: Refrain from vigorous exercise for at least 12 hours after the procedure to prevent irritation.
• Face Mask: May be given or purchased at your appointment.  Pre chill in refrigerator if desired.   At least 6 hours after treatment apply the face mask to help sooth and cool your skin making sure to remove the netting on the skin side and then once applied remove the netting on the outer side.   Leave the mask on for no longer than 15 minutes.  (Pictured below)
• WASHING: Avoid for at least 4 hours but preferably 24 hours after treatment to allow absorption of PRP.   Rinse with warm water only. Gently wash your face, massaging to remove all product, serum, and dried blood.  Avoid soap or hot water.
• CLEANLINESS: Ensure that your pillowcase, headwear, and glasses are clean after treatment to prevent infection.
• HYDRATION AND MOISTURIZATION: Stay hydrated. After you have washed your face regularly apply SKINFUSE LIFT HG which is given to you at your appointment for 24 hours to keep skin moist. (Pictured below)

First 1-2 days After Your Treatment:

• SUNSCREEN: No sunscreen until micro channels close.
• MAKEUP: No makeup until micro channels close.
• WASHING: Gentle cleanser with warm water.
• HEAT:  Avoid hot showers, saunas, and other heat-based treatments until your skin has healed.
• MOISTURIZATION:   Keep your skin hydrated with the Skinfuse Rescue Calming Complex which is given to you at your appointment.  (Pictured below)

First Week After Your Treatment:

• Sun Exposure: Avoid direct sun exposure.
• Toners: Avoid alcohol-based toners to avoid irritation.
• Avoid Certain Medications: Avoid NSAIDs and supplements that may increase bruising.
• PAIN: For discomfort or headaches, take 500 mg of Tylenol/acetaminophen (1-2 pills every 6 hours), unless you have an allergy to Tylenol.

Next 2 Weeks After Treatment:

• Avoid any treatments such as Botox or filler injections (to minimize infection).  These may have been performed at the same time as your microneedling.

If you have any questions please contact us at (206) 486-0753.