Botox & Dermal Fillers

Botox is a minimally invasive procedure that has helped millions of people fight wrinkles and rejuvenate their appearance. Botox is a simple, non-surgical prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe wrinkles and lines. Administered in low doses, the effects are confined only to the injection regions and are a reliable way to rejuvenate the skin’s appearance.

In addition to its cosmetic purposes, Botox is an approved treatment by the FDA for migraines and facial paralysis. By interrupting the flow of pain transmission between the brain and nerves, Botox injections can greatly reduce the frequency of headaches and chronic migraines. In the case of facial paralysis, Botox can relax muscles to prevent involuntary facial movements. These procedures are often covered by insurance.

The Balance and Ear Center is proud to offer Botox injections for both cosmetic and medical purposes. Call us today to schedule your appointment!

Guy getting Botox injection

Before Treatment Instructions

Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin, and high doses of vitamin E for 7-10 days prior to the procedure, as these may cause an increased risk of bleeding and bruising at the treated site(s). Regular multi-vitamin and Tylenol® are permitted (if not contraindicated).

Avoid alcoholic beverages for 24 hours prior to the procedure as this can increase the risk of bleeding and bruising at the treated site(s).

Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.

Take Tylenol® 1 hour prior to your appointment to help with any discomfort you may have if you have concerns about discomfort.

Sunburn skin is difficult to treat so avoid exposure to the sun.

Eat a small meal or a snack before your appointment.

Always inform your doctor of all medications, including supplements you may be taking as well as your medical history.

Aftercare Instructions

Follow these aftercare instructions to encourage optimal treatment results. They can also minimize the risk of bruising and spreading to other areas.

On the day of your injection procedure:

Woman getting Botox injection
  • Gently exercise your face by frowning, smiling, raising your eyebrows, etc.
  • Relax for the rest of the day
  • Maintain a normal heart rate
  • Avoid touching, rubbing, or applying physical pressure on the affected area
  • Leave the treated area alone

Return to your normal activities. Botox and filler injections don’t require any recovery time.

Wait 24 hours to exercise. If exercise is part of your daily routine, wait at least 24 hours to work out. Physical activity increases blood flow. This could potentially spread the toxin to unintended areas and reduce its effectiveness at the injection site. It also increases the risk of bruising. Exercise also contracts your muscles, which may decrease the toxin’s effectiveness. However, it’s safe to do the facial exercises above. These movements can help the effects of Botox and filler show up sooner.

Go makeup-free for 24 hours. Applying makeup will rub the skin, potentially dispersing the toxin.

Sit up for the first 4 hours after the procedure. Bending or lying down might spread the toxin and promote bruising.

Ask your doctor about medications. Some medications might increase your risk of bruising. Be sure to ask your doctor when it’s safe to start taking them again.

Wait at least 24 hours after your injection before consuming alcohol.


You would not be considered a candidate for Botox® if you have any of the following:

  • Myasthenia Gravis
  • Allergy to Botulinum Toxin
  • Neuromuscular disorder
  • Pregnant or breastfeeding

When to see a doctor

After getting Botox or a filler procedure, it’s typical to have redness, tenderness, and swelling. These side effects usually disappear in 1 day. Bruising is also common. You can apply a pack of ice for relief. The bruising should go away in about 2 weeks. Although side effects are rare, they warrant immediate medical attention. If you notice any of the following effects, get medical help:

  • Muscle weakness
  • Trouble swallowing
  • Difficulty speaking
  • Difficulty breathing
  • Poor bladder control
  • Vision changes

Call us today to schedule a consultative appointment at 804-288-3277


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Balance and Ear Center

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Friday: 7:30 am - 2:30 pm

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