BOTOX® & DYSPORT®

What are neurotoxins?

Neurotoxins are substances that affect nerve cells, often by preventing the release of neurotransmitters. In the context of cosmetic procedures, they are used to temporarily relax muscles and reduce the appearance of wrinkles.

Which neurotoxins are commonly used for cosmetic purposes?

Botox (onabotulinumtoxinA) and Dysport (abobotulinumtoxinA) are commonly used neurotoxins in aesthetic medicine.

How do neurotoxins work for cosmetic purposes?

Neurotoxins block the nerve signals that cause muscles to contract, leading to temporary muscle paralysis. This effect smoothens wrinkles and lines caused by repetitive muscle movements, like those seen in expressions.

What areas can be treated with neurotoxins?

Neurotoxins are commonly used to treat dynamic wrinkles, such as frown lines, forehead lines, and crow's feet. They can also be used for non-cosmetic purposes, such as treating medical conditions like migraines or excessive sweating.

How long do the effects of neurotoxins last?

The duration of the effects varies, but typically neurotoxin results last for three to six months. Regular maintenance treatments are often recommended to sustain the desired effect.

Is the injection process painful?

Discomfort is usually minimal. The needles used for neurotoxin injections are very fine, and many formulations contain a local anesthetic to enhance patient comfort.

How quickly will I see results after neurotoxin injections?

Patients typically start noticing the effects within a few days, with full results becoming evident within 1-2 weeks.

Are there any side effects associated with neurotoxin injections?

Common side effects include temporary redness, swelling, and bruising at the injection site. More serious side effects are rare but can include eyelid drooping or asymmetry.

Can neurotoxin treatments be combined with other cosmetic procedures?

Yes, neurotoxin treatments are often combined with dermal fillers, laser therapy, or other cosmetic procedures to achieve a more comprehensive facial rejuvenation.

Who is a good candidate for neurotoxin injections?

Generally, individuals in good health seeking to reduce the appearance of dynamic wrinkles caused by muscle contractions are good candidates. Pregnant or breastfeeding women and individuals with certain neuromuscular disorders may not be suitable candidates.

Are neurotoxins reversible?

While the effects of neurotoxins are not immediately reversible, they are temporary. Over time, the effects wear off, and muscle function returns to normal.

How long does a neurotoxin injection session take?

The actual injection process is relatively quick and typically takes around 10 to 20 minutes, depending on the number of areas being treated.

Botox- $14 / $13 CC per unit

Dysport- $4.75 / $3.75 CC per unit

The purpose of this consent form is to provide written information regarding the risks, benefits and alternatives of treatment with botulinum toxin (i.e., Botox, Dysport and similar agents). This material serves as a supplement to the discussion you have with your Crawford Cosmetics provider. It’s important that you fully understand this material, so please read this information thoroughly. If you have any questions regarding the procedure, ask your Crawford Cosmetics provider prior to signing this consent form.

TREATMENT GOALS AND DESCRIPTION OF PROCEDURE Repeated muscle contractions from frowning, squinting, or eyebrow raising can cause skin to furrow and fold, gradually resulting in unwanted facial lines. Botulinum toxin is a neuromodulator produced by the bacterium Clostridium, which blocks nerve impulses to temporarily relax muscles and reduce facial lines. Common areas of treatment include glabellar frown lines located between the eyes, forehead lines, crow’s feet (lateral areas of the eyes), and radial lip lines (smoker’s lines). Botulinum toxin is diluted to a controlled amount, and injected into the muscles with a very thin needle, as to be almost painless. Patients may feel a slight burning sensation while the solution is being injected. The procedure takes about 10-15 minutes and the results become fully apparent in 2-10 days.

TREATMENT RESULTS Most patients are pleased with the results of their treatment. However, like any aesthetic procedure, there is no guarantee that you will be completely satisfied. There is no guarantee that wrinkles and folds will disappear completely, or that you will not require additional treatment to achieve the results you seek. Botulinum toxin lasts temporarily and additional treatments will be needed periodically to maintain the full effects, generally every 3-4 months. The duration of your results depends on many factors including but not limited to: age, sex, tissue conditions, sun exposure, and your general health and lifestyle conditions.

AFTERCARE INSTRUCTIONS Following your procedure, we’ll provide you with verbal and/or written after care instructions. These include, but may not be limited to the following: 1) Maintain an erect posture and avoid manipulating the injection areas for 3 hours post-treatment; 2) Avoid heavy lifting, straining and vigorous exercise for 6 hours post-treatment; 3) Abstain from facial laser treatments, microdermabrasion, facial peels, chemical peels and microneedling for atleast10 days;4) If at any time you suspect you’re having an unexpected side effect, adverse reaction or complication, contact us immediately, and obtain help in an appropriate medical setting (i.e., Crawford Cosmetics, your primary care provider, specialist, urgent care, or acute care facility). I will adhere to the after care instructions supplied to me during my visit.

POTENTIAL RISKS AND COMPLICATIONS Before undergoing this procedure, understanding the risks is essential. The following risks may occur, but there may be unforeseen risks and risks that are not included on this list. Some of these risks, if they occur, may necessitate hospitalization, and/or extended outpatient therapy. There are certain inherent and potential risks and side effects in any invasive procedure, and in this specific instance such risks include but are not limited to: 1) Post treatment discomfort, swelling, redness, and bruising; 2) Double vision; 3) A weakened tear duct; 4) Rarely, post treatment bacterial, and/or fungal infection requiring further treatment; 5)Allergic reaction;6) Flu-like symptoms; 7)Occasional numbness of the forehead lasting up to 2-3 weeks; 8) Transient headache; 9) Minor temporary droop of eyelid(s) (ptosis) in approximately 2% of injections, this usually lasts 2-3 weeks; 10) Heaviness in the brow and upper eyelids, due to decreased frontalis muscle tone.

PREGNANCY AND CONTRAINDICATED CONDITIONS I am not aware that I am pregnant. I am not trying to get pregnant. I am not lactating (nursing). I do not have any significant neurologic disease including but not limited to myasthenia gravis, multiple sclerosis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis (ALS), or Parkinson’s. I do not have any known allergies to the toxin ingredients, or to human albumin.

ALTERNATIVE THERAPY I understand that this is an elective procedure with the goal of improved aesthetic appearance and that the main alternative to therapy is to observe and not receive any treatment. Other available therapies might include sun protection, moisturizers, microneedling, skin resurfacing, or surgery.

PAYMENT I understand that this service is not covered by insurance, and payment is my responsibility and is expected at the time of treatment.

RIGHT TO DISCONTINUE TREATMENT I understand that I have the right to discontinue the procedure at any time.

RELEASE OF LIABILITY I hereby indemnify Crawford Cosmetics, PLLC from any liability relating to the procedures that I have volunteered for. I understand that any treatment performed is between me and the doctor/healthcare provider who is treating me and I will direct all post-treatment questions or concerns to the treating clinician. Furthermore, I hereby indemnify the facility/meeting room/hotel where this treatment is being performed from any liability relating to the procedures that I have volunteered for.

CONSENT TO TREATMENT I hereby voluntarily consent to treatment with botulinum toxin injections for facial dynamic wrinkles, as performed by my Crawford Cosmetics provider. I have read the above and understand it. I state that I read and write in English. I am not under the influence of drugs or alcohol. The treatment has been fully explained to me and my questions have been answered satisfactorily. I accept the risks and complications of this elective procedure and I understand that no guarantees are implied as to the outcome of the procedure. Please note this consent is valid for all future botulinum toxin injections I choose to receive from Crawford Cosmetics.

Neurotoxins take up to 2 full weeks to be fully effective. If this is your first time visiting us, please schedule a 2 week follow up. At this appointment you will be re-evaluated and if necessary you may receive a complimentary top off up to 4 units. Results peak from 2-7 weeks, and slowly start to wear off. We suggest pre-scheduling your appointments every 3-4 months, or at the first sign of movement as appointments book up quickly.

Precare instructions-

Schedule your Botox appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Results from Botox injections will take approximately 4 to 14 days to appear. Also bruising and swelling may be apparent in that time period.

Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the chances of lightheadedness during your treatment.

Avoid the use of Aspirin, NSAIDS, Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week pre injection as they will increase your risk of bruising.

Do not drink alcoholic beverages 24 hours before your treatment to avoid extra bruising.

You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising.

Do not use Botox or Dysport if you are pregnant or breastfeeding, are allergic to any of its ingredients, or have a history of neurologic disorders. Please inform your provider if you have any questions about this prior to the treatment.

You may use topical anesthetic medication in office before your scheduled appointment.

Arrive with a clean face. Please do not wear makeup.

You may experience a mild amount of tenderness or stinging during and following injection.

Redness and swelling are normal. Some bruising may also be visible.

Post Care

Avoid the use of Aspirin, NSAIDS, Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week post injection as they will increase your risk of bruising.

Do not drink alcoholic beverages 24 hours before your treatment to avoid extra bruising.

It is best to try to exercise your treated muscles for 1-2 hours after treatment (e.g. practice frowning, raise your eyebrows, and squint). This helps to work the product into your muscles.

Do not massage or apply any firm pressure to treated areas after treatment

Stay in a vertical position for 4 hours following injection. Do not rest your head or lie down; sit upright.

You may take Acetaminophen/Tylenol if you experience any mild tenderness/discomfort

After treatment there will be moderate swelling and redness with possibility of bruising. You may apply or take Arnica tablets to help decrease the amount of bruising

Avoid strenuous exercise for 24 hours to reduce bruising. You may resume other normal activities/routines immediately.

No heat on your face for 24 hours such as hot water, saunas, sun exposure, blow dryers, and vigorous exercise.

Common side effects are heaviness, numbness, headaches, eyelid edema, dry eye, and tiredness. These typically go away within 2 weeks, if they do not, please contact Crawford Cosmetics at 248-285-9876, or email info@crawfordcosmetics.com

For serious side effects, such as symptoms of an allergic reaction, please call 911 or go to the nearest emergency room.

Our goal is to provide quality aesthetic treatments to all our clients in a timely manner. No-shows, late arrivals, and cancellations inconvenience not only our providers, but our other clients as well. Please be aware of our policy regarding missed appointments. Your appointments and well-being are very important to us. We understand that sometimes unexpected issues arise.

Appointment Cancellation

Our policy enforces a late cancellation fee for cancellations made with less than a 72-hour notice. It is important to understand that you will forfeit your deposit for any appointment cancelled inside the 72-hour cancellation window. If you no call/no show, in addition to forfeiting your deposit, you will be charged a fee of $100. We take No call/No shows very seriously. We make all efforts to avoid these fees for you by sending multiple texts and email reminders that allow ample time to cancel or reschedule your appt with us.

When you book your appointment, you are holding a space on our calendar that is no longer available to our other clients. To hold this appointment, we require a credit card on file, and partially refundable $75 deposit for appointments under 30 mins ($67.50 will be refunded), and $200 partially refundable deposit for appointments over 30 mins ($180 will be refunded). Shorter appointments with our estheticians require a smaller deposit and are partially refundable. Other appointment deposits many vary. The deposit will be applied toward the cost of your treatment and is partially refundable if you do not receive treatment at the time of your appointment. In order to be respectful of your fellow clients, please notify your Crawford Cosmetics provider as soon as you know you will not be able to make your appointment.

Please note, if you are more then 10 minutes late for your scheduled appointment, your appointment will be automatically cancelled, you will lose your deposit, and will be charged the additional no show fee of $100.

If cancellation is necessary, we require that you call, text, or cancel online at least 72 hours in advance. Appointments are in high demand, and your advanced notice will allow another client access to that appointment time. As we are closed over the weekend, if you have a Monday appointment, we require that you cancel the Wednesday before by 5pm. If you have a Tuesday appointment, we require that you cancel the Thursday before by 5pm at the latest. Appointments are in high demand, and your advanced notice will allow another client access to that appointment time.

How to Cancel Your Appointment

If you need to cancel your appointment and are enrolled in text message reminders, you can reply "no" to the reminder text that you will receive 4 days prior to the appointment. Other options are: cancel online, call or text the scheduling line, Port Huron (248) 285-9876 or Royal Oak (248) 221-1895, during regular business hours, or text your Crawford Cosmetics provider. If necessary, please leave a detailed voicemail message and we will return your call as soon as possible. Please note, if you cancel your appointment through our automatic text message reminder or online, you must reach out to us for the refund, as is not returned automatically and remains on file unless a refund is requested.

Late Cancellations vs. No-Shows

A cancellation is considered late when the appointment is cancelled with less than 72 hours' notice. A no-show is when a client misses an appointment without cancelling.

It is important to understand that you will forfeit your deposit for any appointment cancelled inside the 72hour cancellation window. If you no call/no show, in addition to forfeiting your deposit, you will be charged a fee of $100. These fees will automatically be applied to the credit card on file. If the credit card is rejected, any fee that is owed must be paid in full prior to booking any future appointments.

I confirm that I have read, understand and agree to the above policy.