Patient Resources

Q: What can I to do to avoid bruising before my cosmetic treatment? (eg. Botox and Filler injections, PRP treatments, Belkyra injections)

A: To reduce the risk of bruising, avoid taking the following for 10 days before your treatment, and 1-2 days after your treatment:

  • Alcohol, particularly red and rose wine
  • Aspirin, NSAIDS (Advil/Ibuprofen, Naproxen, Aleve, Motrin), and other blood thinners – unless necessary for medical conditions
  • NSAID-containing products (Midol, Excedrin, cold medicine) – unless necessary for medical conditions
  • If you need pain medicine in the week leading up to your treatment, take Tylenol if possible
  • Green Tea, Vitamin E pills, Fish Oils, Gingseng, Ginger, Omega 3, Ginko Biloba, Flaxseed Oil, St. John’s Wart, Garlic, Red Yeast Extracts, Chia and Hemp seeds
  • If anything on this list was prescribed by your physician for a medical condition, do not stop taking it without consulting the prescribing physician. Call our office for more information.

Q: What can I do to prepare for my cosmetic treatment?

A:  

  • Cold sore prevention – If you are prone to cold sores, please let our team know before your treatment, and we will provide you with a prescription for Valtrex anti-viral pills. In people prone to cold sores, irritation around the mouth (such as laser treatments or injections) can occasionally trigger a cold sore flare.
  • Avoid dental procedures or cleanings two weeks prior and two weeks after filler injection treatments.
  • Have something to eat and drink prior to arriving so you are not on an empty stomach.
  • Bring a list of all medication, including supplements, and a list of prior cosmetic surgeries and treatments so you can share with us.
  • Please notify us if you are pregnant or breastfeeding, as many procedures cannot be done during this time.
  • Please notify us in advance of your appointment if you have symptoms, or are being treated for an active infection (eg urinary tract infection, ear infection, sinusitis, dental infection)

Q: Is there anything I should or shouldn’t do after my filler treatment?

A: Filler After Care:

  • Overall these treatments are easy to tolerate
  • It is normal to have some redness, bruising and swelling. This will resolve within a few days.
  • You may experience mild discomfort for a few days after your treatment. This can be managed by taking regular or extra-strength Tylenol and applying ice packs. If discomfort persists, please contact our office.
  • Please avoid:
    • Strenuous exercise for 24 hours after filler treatment, as it can trigger bruising
    • Advil (lbuprofen), Asprin and alcohol 24-48 hours after treatment
    • Facials, hot yoga, massages or hot tubs the day of treatment
  • Please do not rub or massage the treated areas unless instructed by your Dermatologist
  • Try to sleep on your back the night of treatment.
  • Results of treatment can take up to 2 weeks for full effect.
  • Please report any worsening or persistent symptoms to your dermatologist. For urgent concerns over the weekend please leave a message at 416-231-0103 and we will call you back.

Q: Is there anything I should or shouldn’t do after my Botox treatment?

A:

  • Try to keep your head upright for 4 hours after injection:
    • eg. avoid yoga, taking a nap, or going for a massage with your face down after your treatment
  • Avoid touching the injection area
  • Avoid strenuous exercise for 12 hours
  • Try to do the following facial exercises on and off for 30 minutes following your treatment (your Dermatologist will show you these during your visit):
    • lifting your eyebrows up and down
    • frowning (scowling) and relaxing
    • closing your eyes tight and relaxing.
    • this can help concentrate Botox to the targeted muscles.

Q: What can I do to prepare for my Sclerotherapy treatment for leg veins?

A:

  • Sclerotherapy is a treatment to reduce the appearance of small varicose veins. You will likely require a series of treatments (approximately 3, maybe more) for maximum results. Here are some guidelines of what to do and not to do before your appointment:

Prior to your sclerotherapy treatment:

  • Avoid medications and supplements that make you bruise (see above)
  • Notify the office if you are pregnant or breastfeeding
  • Avoid air travel 36 hours prior to treatment
  • Avoid shaving your legs on the day of treatment
  • Purchase support hose in advance, and bring them to your appointment
    • These can be purchased from Medichair Pharmacy on Norseman Street, or at Shopper’s Home Health Care
    • These come in a variety of colours and fabrics. Take time to select one or two pairs that you will find most comfortable.
    • If you have veins on your upper thighs be sure to choose full length hose.
    • Support hose with 15-20 mmHg are available without a prescription
    • Support hose with 20-30, and 30-40 mmHg are available with a prescription and can be covered under some health insurance plans. Please contact our office for a prescription if you have coverage.

After your sclerotherapy treatment:

  • Leave the cotton balls and tape applied by your Dermatologist on for three hours after treatment unless they are causing an itchy reaction, then remove the tape.
  • After you remove the tape, wear your support hose daily for two weeks, except to shower and sleep
  • Do not shave your legs for 3-4 days after sclerotherapy.
  • Avoid blood thinners for 3-4 days after unless required for medical reasons
  • Avoid hot baths or Jacuzzis for a few days to avoid dilating veins.
  • It is normal to have some bruising, redness and tenderness post treatment.
  • For itching and/or burning, an antihistamine such as Reactine might help.
  • Bruising around the treated area is also normal and should resolve within one to two weeks.
  • Avoid sun exposure until the treated areas return to your normal-appearing skin
  • It is not uncommon for veins to look darker or redder for two to four weeks after treatment
  • Full healing and results can take up to eight weeks
  • Treatments can be repeated every eight to twelve weeks
  • Painful areas, expanding redness or blistering, should be reported to your Dermatologist.

Q: What is BELKYRA and what can I expect from the treatment?

A:

  • Belkyra (deoxycholic acid) is an injectable treatment that targets and eliminates fat under the chin, as well as other areas (READ MORE)
  • Belkyra is a quick and safe treatment, which can be completed in 15-20 minutes at our clinic
  • Through a series of treatment sessions (usually 2-4 sessions), Belkyra will reduce the fat under your chin.
  • After a treatment with Belkyra, swelling occurs around the treated area. This is a desired effect. The more swelling, the better the treatment results. You can wear a scarf or turtleneck sweater to cover swelling after the treatment.
  • Occasionally, bruising can occur from the injection of Belkyra. To reduce bruising, please follow the guidelines above on “how to reduce bruising”
  • A burning sensation is felt in the area immediately post treatment for 15 to 30 minutes. We will supply you with an ice pack to apply to reduce swelling and tenderness.
  • Tylenol can be taken if needed
  • We recommend waiting 2-3 months between treatment sessions with Belkyra for best results.
  • Gentle massage of the treated area starting two weeks after treatment can help optimize healing and results.

Q: I am having a minor surgical procedure (eg mole removal, or biopsy). How do I take care of my wound afterwards?

A:

Post-Procedure Would Care Instructions:

  1. For a wound with stitches
    • Keep the wound dry for 24 hours after the biopsy
    • After 24 hours remove the bandaide and apply fresh Vaseline or Polysporin OINTMENT twice daily with a fresh bandaide until sutures are removed
    • Change the bandaide and re-apply fresh Vaseline or Polysporin OINTMENT after taking showers or getting wet
    • Avoid full emersion in water by avoiding swimming and/or bathing for 3-4 days after your treatment. (short showers are ok)
    • Please ensure your stitches are removed in 7 days for stitches on the face and 12-14 days for stitches on the body
    • Your Dermatologist will let you know if the stitches should be removed by the dermatologist (this should be scheduled on the day of your procedure) or arranged by you via your family doctor/walk-in clinic.
    • It is normal for the scar to be red for several months following the procedure. This redness should fade slowly over 6-12 months. Apply sunscreen to your scar when outside once sutures are removed.
  2. For a wound without stitches
    • Keep the wound dry for 24 hours
    • After 24 hours remove the bandaide and apply fresh Vaseline or Polysporin OINTMENT twice daily with a fresh bandaide for approximately two weeks until scab heals over and clears
    • Change the bandaide and re-apply fresh Vaseline or Polysporin OINTMENT after taking showers or getting wet
    • Try to avoid full emersion in water by avoiding swimming and/or bathing for 3-4 days following your procedure (short showers are ok)
    • Apply sunscreen to the scar when outside

Q: What do I do after a treatment with Liquid Nitrogen (spray) or electrocautery (heat) (ie for skin tags, age spots, sun spots that were zapped with cold or heat)

A:

  • The lesions treated should crust over and fall off in approximately 7-14 days
  • Apply Vaseline or Polysporin ointment twice daily until the lesions fall off. Do not pick off the scabs.
  • Avoid excessive sun exposure during healing phase
  • It is ok to wear sunblock on these sites when required, as long as the sunscreen does not sting or burn
  • Thicker skin lesions will often require two or more treatments to resolve completely
  • Although these treatments will help improve and clear existing lesions, new lesions may appear in the future

Q: What treatments are covered (insured) by OHIP?

A:

  • The assessment of skin lesions is covered by OHIP. If you and your physician are concerned about your moles or other skin lesions, a referral from your physician can be faxed to our office to arrange a consultation.
  • The treatment removal of skin lesions that are harmful for our health is covered by OHIP. This includes skin cancers, pre-cancerous skin lesions such as actinic keratosis, and moles that are suspicious for cancer.
  • The removal of skin lesions that are benign (non-cancer causing) in nature are not covered by OHIP (eg skin tags, normal moles, small cysts etc). Many people choose to remove these lesions as they may be bothersome. The treatment of these types of lesions are not covered by OHIP. The cost of these treatments ranges between $100 to $400 depending on the size, number, and complexity of the treatment.

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1243 Islington Avenue, Suite 1000 Etobicoke, ON M8X 1Y9