
Physician‑Led Guidelines for All Treatments at Botox Oahu
To get the maximum benefit from and to minimize any complications from this treatment please follow the following guidelines recommended by Dr Schaefer
Dermal Fillers
🌺Before & Aftercare Instructions

Dermal fillers restore volume, smooth lines, and enhance facial contours for a natural, refreshed appearance. These before and aftercare guidelines help minimize bruising and support even, balanced settling of the product. Following them ensures the best possible aesthetic outcome.
🩺 Universal Pre‑Treatment Guidelines
💊 Avoid Blood Thinners (5–7 Days Prior) Aspirin, Ibuprofen, Advil, Aleve, Motrin, and other NSAIDs increase bruising risk. If you take prescription anticoagulants (Coumadin, Dabigatran, Apixaban), please notify us.
🚭 Avoid Alcohol & Smoking (48 Hours Prior) Both increase bruising and slow healing.
🌿 Consider Arnica Montana Topical or oral Arnica can reduce bruising for patients prone to it.
🧴 Arrive With Clean Skin No makeup, sunscreen, moisturizer, or oils. We will cleanse again before treatment.
🧊 Optional: Numbing Cream Apply Lidocaine 30 minutes before your appointment. If you don’t have any, we can provide it in‑office at no charge.
🌟 Dermal Filler - Before Care
If you are receiving lip filler and have a history of cold sores, you will need antiviral medication before and after treatment.
Plan your appointment at least 2 weeks before major events, as swelling and bruising can take time to settle.
Avoid scheduling dental work, facials, or facial massage within 24 hours before treatment.
If you are prone to swelling, you may take Tylenol beforehand (not NSAIDs).
Arrive well‑hydrated — hydration improves filler integration and comfort.
🌈 Universal Aftercare Guidelines
✨ Mild Redness or Swelling Is Normal This typically resolves within a few hours.
🙅 Avoid Rubbing or Massaging Treated Areas Unless specifically instructed for your procedure.
🏃 Avoid Exercise & Lying Flat (4–6 Hours) This prevents product migration and reduces swelling.
🍷 Avoid Alcohol for 24 Hours Alcohol increases fluid retention and bruising.
🌿 Continue Arnica if Needed Avoid applying directly to injection sites.
💊 Resume Blood Thinners After 24 Hours Unless otherwise directed by your physician.
🌤️ Dermal Fillers - After Care
Avoid strenuous exercise for 1 week to allow filler to settle properly.
Swelling, firmness, or small bumps are normal and may take 1–2 weeks to smooth out.
If a small bump bothers you, you may gently massage it daily unless instructed otherwise.
Avoid dental work, facials, microcurrent, gua sha, or facial massage for 1 week.
Avoid saunas, steam rooms, and hot yoga for 72 hours.
For lip filler: expect more swelling than other areas; sleeping with your head elevated the first night may help.
If a bump persists, schedule a follow‑up with Dr. Schaefer to determine whether additional filler or reversal is appropriate.
📞 When to Contact Us
Call or text (808) 261‑1121 if you experience:
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Significant or unexpected swelling
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Asymmetry or drooping
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Difficulty swallowing or speaking
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Any symptoms that concern you
Your safety is our priority.
✅ Why Patients Choose Botox Oahu
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Physician-led care with 25+ years of experience
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FDA-approved treatments and medical-grade protocols
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Fast, discreet appointments with minimal wait times
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Amazing results with unbeatable prices.
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5-star reviews on Google & Yelp
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Located in Aina Haina with free parking
Ready to look and feel your best?
🛡️ Physician-Led 💲 Transparent Pricing ⭐ 5-Star Rated ⏱️ < 15-Minute Waits
