Botox and Xeomin injections

Have you ever wanted to look years younger?

Now, with the help of our trained providers, you can!

Vanishing Veins Northwest is now offering Botox and Xeomin injections. This is a noninvasive, nonsurgical procedure to temporarily reduce or erase the appearance of unsightly lines and wrinkles.

For more information or to schedule an appointment, please use our online request form or call us at 425-277-8346 (VEIN).

Pre-Treatment Instructions


In an ideal situation it is prudent to follow some simple guidelines before treatment with botulinum toxin (Botox®, Xeomin) that can make all the difference between achieving a fair result or great result. We realize this is not always possible; however, minimizing these risks is always desirable because they may reduce the risk of some possible side effects associated with the injections.

  • Patient must be in good health with no active skin infections in the areas to be treated.
  • Patient should not have a fear of needles (needle phobia).
  • Avoid alcoholic beverages at least 48 hours prior to treatment Alcohol may thin the blood, which will increase the risk of bruising.
  • Avoid anti-inflammatory / blood thinning medications ideally, for a period of two (2) weeks before treatment.  Medications and supplements such as aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), rofecoxib (Vioxx), and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections. Similarly, vitamin E, fish oil, Gingko Biloba, St. John’s Wort, also have blood-thinning properties. The prescribing provider for any anticoagulants (blood thinning medications) need to be contact by the patient to see if the anticoagulation medication(s) can be safely stopped before botulinum toxin injections. These medications can be resumed 24 hours after the procedure.

Schedule an appointment for botulinum toxin injection at least 2 weeks prior to any special event, i.e., wedding, vacation, etc. It is not desirable to have a very special event occurring and be bruised from an injection, which could have been avoided.

Post Treatment Instructions


The guidelines for after injection of botulinum toxin (Botox®, Xeomin) have been followed for years and are still employed today to prevent the possible side effect of drooping eyelids or eyebrows (ptosis). These measures should minimize the possibility of ptosis.

  • Do NOT massage, applying pressure, or any other manipulation of the face and/or other treated areas for 8 hours following treatment with botulinum toxin. During this period do NOT undergo a facial, a peel, or micro-dermabrasion.
  • Do NOT lie down, lean forward, bath, or shower for 8 hours after botulinum treatment. You MUST keep your head UPRIGHT during this time.
  • Avoid creating heat to the skin from activities such as exercise, sunbathing, cooking over a hot stove, or exposure to other hot environments for 24 hours after treatment. Also, avoid straining, lifting anything over 20 lbs. and alcoholic beverages for 24 hours following treatment. It is now known that it takes the toxin a minimum of 2 hours to bind itself to the nerve to start its work. These activities can increase blood circulation to that area and can wash away the botulinum toxin from where it was injected.  The toxin is fragile. Heating the treated areas within the first 24 hours can inactivate the protein or make it less effective.
  • You may choose to try performing gentle facial exercises WITHOUT touching the face.  Beginning immediately after the procedure, you may practice 5 repetitions of holding the following positions. Hold each facial expression for a few seconds during each repetition: frowning, raising your eyebrows, or squinting. Perform these exercises only during the first 1-hour after treatment. These exercises stimulate the binding of the toxin to the muscles.  It will NOT negatively impact your treatment if you choose not to do them.
  • Any welts, bumps, or marks will go away within a few hours. Bruising will resolve like other bruises, most will resolve within one week. There is occasionally some mild pain, swelling, itching, or redness at the site of injection. Redness may last for 1 – 2 days, rarely longer. Cold compresses may be used 10 minutes on, 10 minutes off to reduce swelling 2 – 3 times per day during the first 1 – 2 days, if needed. However, as a reminder, do not use cold compresses for the first 8 hours after the procedure. Also, remember to always have a towel or other intervening material between your skin and the ice to avoid frostbite. Do NOT apply ice directly to the skin.
  • For the next 24 hours after treatment, do NOT use aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), rofecoxib (Vioxx), and other NSAIDS. Also, do NOT use vitamin E, fish oil, Gingko Biloba, St. John’s Wort. These medications have blood-thinning properties and can increase the chance of bruising.
  • The desired results can take up to 10 days to take full effect although many people will recognize the benefits in 2 – 4 days after treatment.  If there is concern that the treatment was less effective than expected, then it is recommended that the patient not contact the office any sooner than 10 days, to allow the toxin sufficient time to work. Contact the office no later than 14 days after treatment if desired effect was not achieved.
  • The skin of the treated areas, such as the forehead, often lose the ability to sweat for a duration that parallels the duration of muscle relaxation (3 – 6 months).
  • If you experience hives; difficulty breathing; feeling like you might pass out; swelling of your face, lips, tongue, or throat after your treatment, then please call the office or proceed to nearing ER.
  • Botulinum toxin injection is a temporary procedure. In most people, the benefits last about 3 months. Sometimes a few wrinkles may start to return in 2 – 3 months. The effectiveness of botulinum toxin injection will last longer, sometimes up to 6 months, with successive treatments.

Important to note:

  • The effects of your treatment will last for approximately 3 months or more.
  • It can take 2-10 days for patient’s to see the full effect of treatment.
  • Botulinum (Botox or Xeomin) toxin is very safe, however as with any medical procedure there are possible risks and side effects.
  • Botulinum toxin(Botox or Xeomin) can be used to temporarily reduce or erase the appearance or wrinkles.  It may also be used to reduce pain that can be caused by muscles in the head and neck.