It depends on several factors including: which area(s) you are trying to treat (11s, forehead, crow’s feet, etc), the strength of your facial muscles, and how deep your existing lines are. We recommend a complimentary consultation with our nurse injector to create a plan that is right for you.

Not really - it feels like a pinch! The needle is small, thin, and it goes by quickly to decrease the possibility of pain. No numbing agents are needed.

There’s virtually zero downtime with these treatments. Neurotoxins are often referred to as a “lunchtime procedure,” since most patients return directly to work or normal activity immediately. Some redness and swelling may occur at the injection sites, but it usually subsides within a few hours. Very rarely, patients may experience minor bruising.

Neurotoxin injections are very common, low risk procedures. Headache, minor bruising or swelling at the injection site are the most common but still rare side effects. As with any treatment, there are always risks which your nurse injector will walk you through prior to treatment.

Please avoid all blood-thinning medications and supplements for three days before and after your appointment. This includes over-the-counter medication such as aspirin, ibuprofen, Motrin, and Aleve. Also avoid herbal supplements such as garlic, vitamin E, ginkgo biloba, St. John's Wort, and omega-3 capsules.

Please don’t wear any makeup to your appointment. Our injectors need to be able to see your fine lines and wrinkles clearly.

People who are pregnant or nursing are not eligible for neurotoxin treatment.

• Avoid touching your face and wearing makeup on the day of the procedure.

• Avoid significant movement or massage of the treated area unless instructed by the provider.

• Avoid tanning, extensive sun, or heat for 24 hours (no sauna, hot yoga or hot tub).

• Avoid strenuous exercise or anything that increases your heart rate for 24 hours.

• Avoid consuming excess amounts of alcohol or salts to avoid excessive swelling on the day of your treatment.

• Do not lie down or bend over with your head down within 4 hours following your treatment. Please squat rather than bend over at the waist during this time.

• If there is bruising at the injection site, ice the area(s) for 10 minutes on, 10 minutes off, as much as possible for the first 24 hours while awake.

• Avoid facials, massages, and exfoliating the area for one day post-procedure.

• Please wait until the day after treatment before wearing hats or headbands.

• Use Tylenol (acetaminophen) for headache or discomfort. No NSAIDs (ibuprofen, aspirin) for 24 hours as they can increase bleeding.

• Please schedule follow-up 2 weeks post-treatment with your provider for reevaluation and "after" photos. This will help us evaluate the proper dosage for your next treatment.

Neurotoxins last, on average, 3 months. It is recommended at the time of your treatment to schedule your next appointment for maximum benefit.

The most typical side effects are headache, bruising, swelling, and redness. These are temporary and will be resolved.

However, please call or text the office at 717-825-0622 to notify us if you experience any additional side effects.