42 West

Open Date as November first. November first. November first.

Frequently Asked Questions (FAQs)

Botox is a freeze-dried purified protein that works to relax muscles by temporarily blocking the message that is sent from your brain to your muscles which makes a wrinkle. The way that it does this is by working its way into the nerve endings and trimming off just one receptor which takes about 4 months for your body to remake. 

Stop taking medications that can thin your blood if you have permission to from your primary care provider. About a week before you get you treatment. Stop taking: Aspirin, ibuprofen, Excedrin, St. John’s Wart, Vitamin E, Fish oil or Omega-3’s, Ginko Biloba and Ginseng. This will minimize post Botox bruising. Avoid drinking alcohol a few days before you get your treatment. 

Injections can cause small amounts of swelling, a temporary bump, redness, bruising, a mild to moderate headache, and sensations such as tingling or mild itching after treatments. These effects are so common they can be considered a normal part of the process. 

The initial effects will show in the first 2-5 days. The peak effect on the muscles is at 14 days, but the result will continue to improve for 4 weeks or more. The benefits start to wear off after 3-4 months on average. 

  • Temporary eyelid drooping or double vision
  • Burning and/ or pain at injection site
  • Bruising, swelling, and/or hematoma
  • Headache and flu-like symptoms
  • Migration to non-target areas
  • Twitching, itching and/or numbness at injection site
  • Facial asymmetry (unevenness)
  • Discoloration and/or scab/scar formation
  • Incomplete or no response
  • Skin, respitatory or other infection
  • Allergic reaction
  • Unknown or unreported side effect
  • May cause birth defects in pregnant women
  • Muscle and tissue damage. 
  • Remain upright for a minimum of 4 hours following treatment
  • Do small extra contractions of the muscles treated every 20 minutes for the first hour following your treatment. 
  • When cleansing, avoid pressure and use gentle strokes away from the eyes. 
  • Avoid facial massages, facial waxing, or electrical stimulation of the face for two weeks following neuromodulator treatment. 
  • Avoid wearing tight caps or garments in the area that has been injected. 
  • Avoid alcohol and exposure to UV and extreme heat i.e sauna, steam, sun best, very hot showers, and strenuous exercise. 
  • Do not apply make-up for approximately 6 hours unless it is mineral based. 
  • Wash your hands immediately post procedure. 
  • Do not touch your face in the areas injected for 6 hours following injection. 

Injectable hyaluronic acid (HA) is a type of temporary dermal filler. Hyaluronic acid is found naturally through out the body. In the skin hyaluronic acid attracts water, which allows the skin to become more hydrated. The skin loses valuable collagen, elastin, and hyaluronic acid as it ages. To counteract the signs of aging we use dermal fillers. 

  • An allergy to eggs
  • If you are pregnant or breast-feeding. 
  • If there are any active infections in the treatment area
  • If there are any other contraindications including neuromuscular weakness/ disorders including ALS, and Myasthenia gravis. 
  • NO fillers are to be injected within 2 weeks of any dental work or dental cleaning. 
  • If you have delayed wound healing, or immunosupression.
  • If you have cancer or have had chemotherapy in the past 6 months. 
  • If you have uncontrolled conditions including diabetes.
  • If you have a history of Rheumatoid arthritis with nodules. 
  • If you are on blood thinners you will need to contact your primary care physician to see about discontinuing blood thinners for one week prior to treatment due to the potential severity of bruising and swelling post treatment. You should also avoid the following for one week prior to dermal filler treatment
  • Aspirin
  • Non-steroidal andi-inflammatory medications (NSAID”s)
  • Fish oil
  • Magnesium
  • Omega’s 
  • Ginko Biloba, Ginseng, Garclic
  • Alcoholic beverages, Flax, and  COQ10,


  • Erythema
  • Swelling/Edema
  • Pain 
  • Tenderness at injection sites
  • Bruising
  • Itching 
  • Hematoma
  • Bumps
  • Lumps
  • Tyndall Effect- a blue hue to the skin where filler may have been placed too superficially. 


  • Delayed local hypersensitivity 
  • Granulomatous reaction
  • Abcess like swelling
  • Arterial embolism
  • Venous occlusion
  • Acneiform eruptions
  • Blindness
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