A successful Dysport injection isn't just about the procedure itself; it's heavily influenced by the preparation taken beforehand. By understanding how certain medications, supplements, and lifestyle factors can impact the treatment, patients can significantly reduce the risk of side effects such as bruising and swelling. Careful adherence to pre-care instructions ensures a more predictable and satisfying result, allowing the treatment to settle effectively.
Medications and Supplements to Discontinue
To prepare for Dysport injections, a primary focus is on avoiding any substances that can thin the blood. This minimizes the risk of bleeding and bruising at the injection sites. The recommended timeframe for discontinuing these items varies, but most providers advise a window of 7 to 14 days before your appointment.
Over-the-Counter Pain Relievers
- Aspirin: A common blood thinner that should be avoided. Note: If you are on a daily aspirin regimen prescribed by a doctor, do not stop without their approval.
- NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): This group includes ibuprofen (Advil, Motrin) and naproxen (Aleve).
- Excedrin™: Often contains aspirin and should be avoided.
Prescription Anticoagulants
- Warfarin (Coumadin), Eliquis, Xarelto: Prescription blood thinners should not be stopped without explicit approval and guidance from your prescribing physician.
Herbal Supplements and Vitamins Many natural supplements have blood-thinning properties and can increase the risk of bruising. It is best to stop these approximately one to two weeks before your procedure.
- Vitamin E: A well-known blood thinner.
- Fish Oil (Omega-3 supplements): Can increase bleeding risk.
- Ginkgo Biloba: Known for its blood-thinning effects.
- Garlic Supplements: Can also increase bleeding.
- St. John's Wort: This herbal supplement should be avoided.
- Turmeric, Ginger, Flax Seed Oil: These are also often cited as blood-thinners.
Lifestyle and Skincare Considerations
Beyond medications and supplements, certain behaviors and topical products can also impact your Dysport results and recovery. Making some temporary adjustments can help ensure a smoother process.
- Alcohol Consumption: Avoid alcoholic beverages for at least 24 to 48 hours prior to your treatment. Alcohol can dilate blood vessels and thin the blood, increasing the chances of bruising and swelling.
- Strenuous Exercise: Refrain from high-intensity workouts for 24 hours before your injection. Elevated heart rate and blood pressure can increase the risk of bruising.
- Harsh Skincare Products: Discontinue topical products that can irritate the skin 2-3 days before your appointment. This includes tretinoin (Retin-A), retinols, glycolic acid, and other aggressive chemical exfoliants. Avoid waxing, bleaching, or tweezing the treatment area during this time.
- Excessive Sun Exposure: Do not have a sunburn or excessive sun exposure on the day of your treatment, as it can increase skin sensitivity. Always use sunscreen to protect the treated area before and after the procedure.
Medical History and Contraindications
There are certain medical conditions and other factors that may prevent you from being a candidate for Dysport. A thorough consultation with your provider is essential.
- Allergies: Do not get Dysport if you have a known allergy to botulinum toxin products or cow's milk protein.
- Neuromuscular Disorders: Patients with conditions affecting nerves and muscles, such as myasthenia gravis or Lambert-Eaton syndrome, are generally not candidates for botulinum toxin injections.
- Pregnancy and Breastfeeding: Dysport is not recommended for women who are pregnant, breastfeeding, or planning to become pregnant.
- Active Skin Infections: Any infection, rash, or cold sore at the proposed injection site will require your appointment to be rescheduled.
- Previous Botulinum Toxin Use: You must inform your provider about any other botulinum toxin products (like Botox or Xeomin) you have used in the past, including when you received them.
Dysport vs. Botox: Key Pre-Treatment Differences
| Feature | Dysport (AbobotulinumtoxinA) | Botox (OnabotulinumtoxinA) |
|---|---|---|
| Recommended Pre-Care | Avoid blood thinners (meds & supplements), alcohol, harsh topicals for 1-2 weeks. | Avoid blood thinners (meds & supplements), alcohol, harsh topicals for 1-2 weeks. |
| Required Units for Equiv. Effect | Requires more units due to a more diluted formula; often a 2.5:1 to 3:1 ratio. | Requires fewer units due to higher concentration. |
| Diffusion | Spreads more readily, making it effective for larger areas like the forehead. | Stays more localized, ideal for smaller, more precise areas like crow's feet. |
| Typical Onset of Action | Results begin to appear in 2-3 days. | Results typically begin to appear in 5-7 days. |
What to Do Before Your Appointment
While focusing on what to avoid, it's also important to follow these simple preparatory steps:
- Stay Hydrated: Drink plenty of water in the days leading up to your treatment.
- Eat a Meal: Have a substantial meal and stay well-hydrated before your appointment to prevent lightheadedness.
- Arrive with Clean Skin: Come to your appointment with a clean face, free of makeup and skincare products.
- Communicate with Your Provider: Always have an open discussion with your doctor about your complete medical history and all medications or supplements you are taking.
Conclusion
Preparing properly for your Dysport injection is a vital part of the process that contributes significantly to a safe and effective outcome. By abstaining from blood-thinning medications and supplements, avoiding alcohol and strenuous exercise, and adjusting your skincare routine, you can minimize potential side effects and maximize your results. Always remember to consult with your healthcare provider to discuss your specific medical history and create a safe pre-treatment plan tailored to your needs. This careful attention to detail will ensure a smoother procedure and a satisfying, refreshed appearance. For further reading, consult the full prescribing information for Dysport.
