Before and after cosmetic procedures

These instructions apply to the following treatments:

• Botulinum toxin (Botox®)

• Hyaluronic acid fillers

• Skin boosters & biostimulators

• Medical Exfoliants


BEFORE TREATMENT (for all of the treatments listed above):

  • If possible, avoid alcohol, nicotine, and blood-thinning medications (e.g., aspirin, ibuprofen, vitamin E, omega-3 fatty acids) for 3–5 days before treatment. It is recommended that you consult your primary care physician.
  • Do not undergo any dental procedures, vaccinations, or other cosmetic treatments (e.g., laser, microneedling) for at least 2 weeks before your treatment.
  • Please let us know about any known allergies, medications, or chronic conditions.
  • Please come to your appointment without makeup.
  • If you are prone to cold sores around the lips, please take a medically prescribed preventive medication (e.g., acyclovir) 1–2 days before your lip treatment.
  • Pregnancy and breastfeeding are absolute contraindications.

AFTER TREATMENT:

BOTULINUM TOXIN:

  • No massage, no pressure, and no makeup in the treatment area for 6 hours.
  • No exercise, sauna, tanning bed, or hot showers for 24 hours.
  • Do not lie down or bend over for the first 4 hours after treatment.
  • The effects begin to appear after 3–5 days, and the final results are visible after about 14 days.
  • A follow-up appointment is recommended after 14 days.

HYALURONIC ACID FILLERS / SKIN BOOSTERS / BIOSTIMULATORS:

  • Mild swelling, redness, or bruising are normal and usually subside after a few days.
  • Gently cool the area with a clean cooling pad (avoid direct contact with ice).
  • No makeup, exercise, sauna, or tanning bed for 48 hours.
  • No facials, massages, or invasive treatments in the treatment area for 10–14 days.
  • Drink plenty of water, especially after skin booster treatments.
  • Biostimulators may require massage according to the instructions (e.g., Radiesse, Ellansé).

MEDICAL PEELS:

  • No makeup for at least 24 hours.
  • No exercise and no exposure to heat (sauna, hot showers) for 48 hours.
  • Use a soothing skincare product (such as Cicaplast Baume B5+) and a very high sun protection factor (at least SPF 50+) every day.
  • Avoid sun exposure for at least 2 weeks.
  • Don't pick at flaky skin—let it peel off naturally.
  • Do not use any other active products (retinol, acids) for 7–10 days.

Please feel free to contact us at any time if you have questions, concerns, or experience any unusual reactions.

Refined Medical Aesthetics by Dr. Neri
Translation notice: This English version has been translated from the original German content. In case of discrepancies, the German version shall prevail.