Pre:

1. Take Arnika supplements starting 5 days prior to the procedure to help prevent or reduce bruising.
2. Avoid over the counter pain relivers/NSAIDS (aspirin/ibuprofen/aleve), fish oil, omega 3’s, St. John’s Wort, ginkgo biloba, and Vit E for 1 week prior to procedure
3. Avoid alcohol for a few days prior to procedure. *including red wine
4. You can start taking antihistamines (Zyrtec, Allegra, Xyzal or Claritin) 5 days prior to your procedure to potentially help reduce swelling.
5. Start supplementing with collagen peptide powder 1 week prior (Nutrafol or Vital proteins) and continue to supplement for 6 weeks after.
6. If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence. Speak to your physician about medications that may minimize a recurrence.
7. Sanitize your phone prior to your appointment with a lysol wipe. Avoid putting it to your face and try to talk on speaker phone as much as you can the day of.

Post:

1. Immediately after the treatment, the most common reported side effects are temporary redness, and swelling at the injection site. These effects typically resolve within two or three days. Until the initial redness and swelling have resolved, avoid exposure of the treated area to intense heat (sun lamp or sun bathing). If the inconvenience continues beyond two or three days or if other reactions occur, please contact your physician. 
2. Bruising is a fairly common side effect as well. Continue taking your arnica supplements for 1-2 weeks after treatment to help reduce and resolve bruising more quickly.
3. Tylenol (acetaminophen) for discomfort. No NSAIDs (ibuprofen, aspirin) for 24 hours as they can increase bleeding.
4. No makeup on your face for the rest of the after the procedure. You can wear makeup the following day. 
5. Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible). It is also recommended to sleep on a slight incline to reduce the possibility of swelling.
6. Avoid strenuous exercise or anything that increases your heart rate for 24 hours
7. Avoid consuming excess amounts of alcohol or salts to avoid excessive swelling for the first few days after your treatment.  
8. No face down massages for 2 weeks