The patient shall provide her plastic surgeon with a list of her medications and have a medical check-up. The botulinum toxin is contraindicated with some drugs and cannot be administered to patients with certain diseases.
It is important to tell the plastic surgeon about breastfeeding or actual/planned pregnancy.
Some injection-related discomfort is frequent, but temporary; in general, local anesthesia is not required. The treatment is very well tolerated in the vast majority of cases.
The treatment begins to show results after a couple of days, one week at most. It takes about 3 weeks to achieve full effect and lasts for about 4 to 6 months. Thereafter, it is recommended to repeat the treatment to maintain the desired effect.
In the hours following the injection, the product can migrate and negatively affect other muscles; thus, the patient should not do physical activities and bend the head forward during the first three hours after the surgery. The use of cold compresses may reduce pain. It is not recommended to massage the treated areas so as to ensure the injected product does not migrate.