How to Prepare For Your Appointment

Here is a list of medications to discontinue 7 days before treatment. Check with your doctor first since some of these drugs are necessary for medical reasons.

NOTE: If you are on Warfarin/Coumadin or Plavix, stay on it! Just know that your risk for bruising may be increased.

Please Stop: Aspirin, Exedrin, Ibuprofen (Motrin, Aleve, Advil), St. John’s Wart, Omega 3 Fatty acids, Vitamin E, Ginko Bilboa, Ginseng, Garlic Pills.

If you need pain medication, Tylenol is fine to use.

Avoid drinking alcohol 1-2 days prior to your appointment to minimize risk of bruising.

If you ever had a cold sore around your mouth or near the area you’d like injected, it is advised that you take an anti-viral medication such as Valtrex to avoid potentially exacerbating an outbreak.

You may take Arnica Montana tablets one day prior to and the morning of your injections. You can purchase Arnica at any Whole Foods or Trader Joes. Do not use if you have high blood pressure of heart problems.

Please be mindful that bruising is always a risk regardless if you follow all the recommendations provided. Although meticulous care will be taken to avoid incidence of bruising, there are no guarantees that it will not occur. Therefore it is recommended that you avoid doing any injectables close to an event such as a wedding, where your appearance may be of the utmost importance to you. It is best to choose a date where you will have downtime in case you have noticeable redness, swelling or bruising post-treatment.

If you’re planning on attending an important event, it is recommended that you plan to have your treatments 3-4 weeks prior to the event to allow healing time in case of bruising.

What To Expect During Your Visit

You will be asked to wash your face in order for Roberta to assess your facial features and skin.

Pre-injection photos will be taken at that time.

Roberta will formulate a beauty plan that you can both agree on that works best for you.

A topical numbing cream will be applied to the areas to be treated for 15-30 mins prior to treatment. Ice packs are optional and are available to the patient if desired.

During the injection process, you may feel little stings or pressure. It may last a few seconds and is generally tolerable. Juvederm is premixed with Lidocaine therefore you may feel numbness in the tissues injected, even after the numbing cream fades.

You may see redness of the skin, mild to moderate swelling, and/or bruising may occur with every injection.

A small vibrating device may used after the procedure to ensure uniform distribution and smoothness.

Ice may be offered to help reduce swelling, discomfort, and to help slow/heal possible bruising.

Post-injection photos will be taken and your results will be discussed with Roberta.

Post Care Instructions

You may take Arnica Montana as instructed by the manufacturer label. Roberta can provide you with complimentary Arnica tablets as well: Dissolve 1-2 tablets under tongue 4 times a day.

Continue to avoid medications containing Aspirin products as well as alcohol to avoid bruising for another 24-48 hours. Tylenol may be taken if necessary.

If you received Botox, you must remain upright for at least 4 hours.

Avoid working out or going to the gym after your treatment to minimize risk of infection. You may resume all normal activity the following day.

Avoid extreme sun exposure, tanning/tanning beds following your treatment for at least a week. Wear SPF 30 or higher.

Avoid squeezing, massage, or pressure to the face for at least a week.

For swelling or bruising, you may apply ice packs/cold compress to affected area for 5 minutes every hour.

Although Roberta recommends that you try to avoid wearing make-up following a procedure, if you insist on doing so, apply it lightly with careful attention in avoiding injection sites as much as possible.

Allow 3-7 days for Botox to activate. There is no need to move your facial muscles for it to work…it will kick in on its own.

Allow at least a week for bruising or swelling to go down. Certain areas may appear puffier than others and may appear asymmetrical. This is temporary. Allow time for your tissues to heal and for the product to settle. Treated areas will soon appear more natural over time.

Remember, 1cc of Juvederm (1 syringe) is equivalent to 1/5 teaspoon so many patients find that more product may be necessary to achieve their goals. This is perfectly fine! Injecting product in layers gradually provides patients with a more natural appearance. Drastic changes overnight can be overwhelming, so remember…taking baby steps is totally fine 🙂


Adverse Experiences That May Occur After Your Chemical Peel

It is common and expected that your skin will be red, possibly itchy and/or irritated. It is also possible that other adverse experiences may occur. Although rare, the following experiences have been reported by patients after having a peel: breakout of skin or acne, rash, swelling, or burning.

Please call the office immediately should you experience any unexpected reactions after the procedure.

For Vitalize/Rejuvenize Peels Only

Although most people experience peeling off their facial skin, not every patient notices that their skin peels after a procedure. Lack of peeling is NOT an indication that the peel was unsuccessful. If you do not notice actual peeling, please know that you are still receiving benefits of the peel; such as, stimulation of collagen production, improvement of skin tone and texture, and diminishment of fine lines and pigmentation. Some reasons that may cause a patient to have minimal to no peeling are: having peels on a regular basis or short intervals between peels, frequent use of AHA’s, Retin-A, or other peeling agents, and/or severely sun damaged skin.

Post Peel Instructions & Guidelines

Expect skin to be yellow in color for 1 to 2 hours after the peel. This is temporary and will fade with absorption.

Do not wash your face until next morning after the peel.

Avoid strenuous exercise in the first 24 hours. If skin redness persists avoid for at least 2-5 days.

Apply sunscreen of at least an SPF 30 daily and avoid direct sunlight for 1 week.

Cleanse, moisturize and use SPF products recommended by your skin care specialist.


In approximately 48 hours the skin will begin to peel around the mouth. The peeling lasts for 3 to 5 days with each day becoming less and less. DO NOT PICK OR PULL THE SKIN. Allow the skin to peel and shed at its own pace. 

When washing your face do not scrub, do not use a washcloth or any type of facial brush.

You can resume the regular use of anti-aging and exfoliating creams once the peeling has completely subsided. This means no flaking or irritation of the skin is apparent.

Wait until peeling completely subsides before having any other facial procedure performed.

If you have any further questions or concerns during the process of your peel please call or text Roberta at (818)-400-6090.