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What to Expect During Your First Botox and Dermal Fillers Treatment

If you’ve been considering Botox or dermal fillers to rejuvenate your appearance, you’re probably wondering what to expect during your first appointment. Whether you’re looking to smooth out wrinkles, restore volume, or enhance your features, understanding the process can help you feel more comfortable and confident.


At Cosmetica Medical, we want to ensure that your first appointment is as smooth and stress-free as possible. Here’s a detailed breakdown of what you can expect when you come in for your first Botox or dermal filler treatment.


1. Consultation: Getting to Know You


Your appointment will begin with a thorough consultation. This is a crucial part of the process, as it allows us to understand your aesthetic goals and evaluate your skin. During this time we will:


  • Ask about your goals and concerns: We’ll discuss what you’d like to achieve with Botox or dermal fillers and what areas of your face or body you want to treat. Whether you're aiming to reduce wrinkles, restore volume, or enhance facial contours, we’ll tailor a plan that suits your unique needs.

  • Review your medical history: It’s essential to let us know if you have any medical conditions, allergies, or medications you’re taking. This helps us determine if Botox or dermal fillers are suitable for you. We’ll also discuss any past cosmetic treatments you’ve had and any concerns you might have about the procedure.

  • Evaluate your facial anatomy: We’ll assess the areas of your face to decide where Botox or dermal fillers will be most effective. This could involve examining your skin’s elasticity, bone structure, and muscle activity to create a personalised treatment plan.


Two women converse on a green couch. One in blue scrubs holds a tablet, three cups on the table. Yellow pillows and teal decor in the background.

2. Treatment Planning: Designing Your Custom Treatment


Once we have a clear understanding of your goals, we’ll discuss the most appropriate treatment for you. Botox and dermal fillers are used for different purposes:

  • Botox is used to relax muscles that cause dynamic wrinkles, such as forehead lines, crow's feet, and frown lines.

  • Dermal Fillers are used to restore volume in areas like the cheeks, under the eyes, lips, and jawline. They can also be used to smooth out static wrinkles, such as smile lines and marionette lines.


We will explain which areas of your face will benefit most from treatment and how the products will be injected. We’ll also walk you through the expected results and any potential side effects.


Woman receiving a forehead injection from a gloved hand. She appears calm, eyes closed. Syringe held steadily. Neutral gray background.

3. Preparation: Getting Ready for Your Botox or Dermal Filler Procedure


Before starting your Botox or dermal filler injections, there are a few things we’ll do to ensure your comfort and safety:

  • Cleansing the skin: We’ll cleanse the treatment area to remove any dirt, oil, or makeup.

  • Marking the injection sites: For dermal fillers, we may mark the areas where the product will be injected to ensure precise placement. Botox injections usually require fewer marks, but we’ll still outline the target areas.

  • Numbing the area (if needed): Although Botox and dermal filler injections are relatively quick and minimally painful, we can apply a topical numbing cream to make the procedure as comfortable as possible. For some dermal fillers, such as those used for lips, numbing injections may be used as well.

    Open jar of white numbing cream with a silver lid slightly tilted. The background is plain white, highlighting the smooth texture of the cream.

4. The Injections: Quick, Precise, and Comfortable


Both Botox and dermal filler injections are quick procedures. Here’s what you can expect during the injections:

  • Botox: A fine needle is used to inject Botox into the targeted muscles. The injections are quick and typically take only a few minutes. Most people describe the sensation as a small pinprick or a slight stinging. The treatment is generally well-tolerated, and any discomfort is brief.

  • Dermal Fillers: Dermal fillers are injected into the skin using a fine needle or cannula. For more precise areas like the lips or under-eye area, a small needle may be used. Dermal filler injections are slightly more involved and may take a little longer than Botox, depending on the number of areas being treated. You may feel a slight pressure or fullness as the filler is administered, but the procedure is typically well-tolerated.


Person receiving a facial injection from gloved hands in a clinical setting. Calm expression, close-up focus on syringe and lips.

5. Post-Treatment: What to Expect Right After Your Appointment


After your Botox or dermal filler injections, there are a few things to keep in mind:

  • Botox: There’s no downtime after Botox, so you can resume normal activities immediately. However, we advise avoiding touching or massaging the treated areas for the first 24 hours to prevent the Botox from migrating. You should also refrain from intense exercise and lying down for at least 4 hours post-treatment.

  • Dermal Fillers: You may experience mild swelling, redness, or bruising at the injection sites, particularly if the treated areas are more delicate, like the lips. These side effects are typically short-lived and should subside within a few days. Applying ice to the treated areas can help reduce swelling.


Both treatments will require minimal downtime, and you should be able to go about your day as usual.

However, it’s important to avoid certain activities for the first 24-48 hours, such as:

  • Avoiding direct sunlight and heat (e.g., hot showers, saunas).

  • Refraining from strenuous physical activity that could cause excessive sweating.

  • Not massaging or rubbing the treated areas.


A woman lies relaxed on a clinic bed, receiving a facial injection from a professional in blue gloves. The mood is calm and professional.

6. Results: When Will You See the Full Effect of Botox or Dermal Fillers?


  • Botox: You may start to notice the effects of Botox within 3-5 days, but the full results typically appear within 7-10 days. The muscle-relaxing effects of Botox last for 3-4 months, at which point you can return for a touch-up treatment if desired.

  • Dermal Fillers: Results from dermal fillers are immediate, though there may be some temporary swelling that masks the full effect. As the swelling subsides, you’ll see the final results, which can last anywhere from 6 months to 2 years, depending on the type of filler used and the area treated.


7. Follow-Up: Maintaining Your Results

While both Botox and dermal fillers offer long-lasting results, they are not permanent. After your initial treatment, we’ll schedule a follow-up appointment to assess the results and determine if any touch-ups are needed. Regular maintenance treatments can help you maintain a youthful, refreshed look.




At Cosmetica Medical, we’re dedicated to making your first Botox or dermal filler appointment as comfortable and rewarding as possible. If you’re ready to enhance your appearance or achieve a more youthful, rejuvenated look, we’re here to guide you every step of the way.


Feel free to use the button above to book a no obligation consultation. We can discuss your goals and any questions you may have, without the pressure to go through with any treatments. We look forward to helping you achieve your aesthetic goals!





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