BOTOX®, Xeomin®, Juvederm™ family, and PRP (Platelet Rich Plasma) Pre and Post Care Instructions

  1. Your first appointment will be for discussing your aesthetic goals and options, treatment will generally be scheduled separately.  A baseline picture may be taken of you for your file. If you prefer treatment the same day and all is appropriate to proceed, I can usually accommodate that as well.
  2. CB Skin Secrets only uses FDA approved BOTOX® Cosmetic and Juvederm™ family XC (gels with lidocaine included for comfort) from Allergan, Xeomin® from Merz, in addition to your own platelets and plasma with PRP, Platelet Rich Plasma.  No substitutions are made for generics or illegal foreign agents.
  3. Prior to injection, please notify me if you have a rash or infection near or at the planned injection site or a history of issues with injections as we may need to rethink or reschedule your treatment.  Risk of allergic reaction, serious injury or problems is low but all patients will vary in discomfort and results.
  4. 5-7 days prior to treatment avoid blood thinning agents such as Aspirin, Motrin, Aleve, fish oil, Vitamin E, ginko biloba and 48hours for alcohol. Tylenol is OK to use. Please notify me if you are using prescription or non-prescription blood thinners.  Bruising is most common around the eyes and sides of the mouth.  I make every effort to avoid bruising, but there are several small vessels in these areas. Bruising is usually minimal but may take around 2 weeks to resolve.  Please consider avoiding caffeine a few hours before the procedure for more comfort.
  5. BOTOX® and Xeomin® will take effect in anywhere from 5 days to 2 weeks.  Juvederm family fillers are present immediately, but will take 1-2weeks to “settle”.  Since everybody is different, your treatment is tailored specifically for you. I would like to see you back in 2 to 4 weeks for a quick check of your treatment outcome.  Any refinements to your dose will be done at that time at $9 per unit in a few cases, but more often small touch ups are complimentary and without further charge for Botox ® , Xeomin® , Juvederm™ family fillers unless an additional vial(s) is(are) purchased or another treatment type is done.  Platelet Rich Plasma, PRP, shows some volume immediately but collagen production takes 4-7weeks and may continue for months.  A second PRP treatment is generally recommended at 3-8weeks and a discount is given for it.  A longer series may be needed for desired results. I encourage you to strive for and expect improvement rather than perfection.
  6. You should return in 2-4 weeks after BOTOX®, Xeomin®, Juvederm™ family fillers and after 3-8weeks for PRP. Sometimes it can be difficult to match expectations with results, but I will try to accurately inform you of what to expect.  I appreciate your trust.  At your follow up visit we will also take your “After” photo.  This photo will Not be shared without your signed permission, but is key to demonstrating changes you may not see from day to day so is still needed for your chart.
  7. Following your injection treatment, please do not lie down for 4 hours or wear a restricting garment over the area (hats, goggles).  Ice is ok for 20 minute intervals as needed for swelling after Botox®, Xeomin®, or Juvederm™ family fillers.  Heat, cold or pressure to the treated area is avoided for 7 days after PRP.  Swelling resolves in~4days typically.
  8. If you would like to reapply makeup, please do so gently over the treated area after at least an hour.  Please avoid heavy exercise or sweating for the first 24 hours after treatment and also avoid any compression of the area. I HIGHLY recommend Colorescience products for ALL mineral spf protection and coverage.
  9. There are several other treatments and products available which can be used concurrently with BOTOX®, Xeomin®, Juvederm™ family fillers or PRP.  If you have aesthetic goals that you haven’t met, ask me what other treatments may be right for you as the order of procedures may need adjusted.
  10. Allergan, the manufacturer of BOTOX®, reports average duration of results of 4 months.  Duration and effect with Xeomin® was found to be nearly identical in a head to head study. Still, results may vary from patient to patient, at subsequent visits and by treatment site. Maintaining regular injection intervals helps optimize your aesthetic result and prevents returning to your original pre treatment condition.  After your 6th treatment, you will receive $150 towards any light or laser treatment free with your next session!  Juvederm™ Ultra XC, lasts up to 1yr, Ultra Plus XC will last up to 18months, Volbella XC up to 1yr, Vollure XC up to 1.5 years and Voluma XC up to 2years but some volume effects for each will diminish sooner.   PRP results can last years.
  11. If you have any questions or concerns, please contact Dr. Stacey E. Whitehead at CB Skin Secrets 402-915-2756 during clinic hours and leave a message or email me at  All contacts will be returned as able but if there is an urgent concern, please contact your primary Doctor, Urgent Care if there is an emergency, call 911 or go to the ER.