Your Guide to Downtime and Treatments Around the Holidays

We have one week until September, and as crazy as it sounds, it will soon be time to plan ahead for your medical spa treatments for the holiday season. I’m a Christmas FREAK! I seriously love the holidays. My birthday is December 27th so maybe that has something to do with it. My mom wasn’t a fan and would generally put up the tree reluctantly, and take it down Christmas afternoon. (Sad face). For me and my daughter, November 1st means it’s practically Christmas. It means we can start watching Christmas movies, and as soon as Thanksgiving dinner is finished, we feel it’s completely acceptable to start playing Rockin’ Around the Christmas Tree. I know people are generally heavily divided on this topic: some are like us and all the decorations go up on Thanksgiving weekend, and others would rather avoid it altogether.

Whichever camp you are in, chances are you at least plan ahead for your family events and holiday parties. Hair appointments have to be scheduled weeks out during October to December, new outfits get bought because family photos are probably a must, and the same is true for your skin care and injectable treatments: you gotta plan ahead!

So here’s your guide to how much downtime you should allow for each type of treatment to make sure your face is picture perfect by the holidays. Keep in mind everyone heals differently! And also remember our injectors’ schedules can book 2-4 weeks out October-December. So book ahead to avoid disappointment!

Botox, Dysport, Xeomin:

Botox, Dysport and Xeomin can take up to 10 days for results to set in. And if you desire a little tweaking after that initial appointment, our injectors need 10 days from the first injection appointment until extra units can be added. So this appointment should be set for at least 2 weeks before you want your optimal results.


Filler results are immediate. Unfortunately, the reduction of bruising and swelling is not. There is downtime associated. Any time a needle goes into skin there is soft tissue injury, and there’s a chance of bruising and swelling. We always tell our clients that if you don’t want people seeing ANY sign of bruising or swelling, give yourself a 7-14 day timeframe before you need to look your best.

We also recommend taking SinEcch. SinEcch is an oral version of Arnica which has been proven in research studies to reduce post-operative bruising and swelling. We have the post-injectable packs here and you take the first dose just after your appointment.

Some treatment areas are more prone to bruising than others, such as areas that are more vascular, with thinner skin, like the lip area or tear troughs. So many variables go in to whether a person will bruise after having injections: are you prone to bruising? Did you drink alcohol the day before? Do you take medicine that thins the blood? What area is being treated? So filler appointments, just like Botox, should be set at least 2 weeks prior to when you want your optimal results. (Note: if we are talking about a wedding, that’s a different story. You need to have your appointments set more like 6-8 weeks prior to all pictures and events).

Laser Resurfacing:

Give yourself 5-14 days to heal from this, depending on the intensity of your laser treatment (for Halo give yourself 2 weeks to be completely healed). For me, my down time was 5-7 days for Halo, but for others it can be a full 2 weeks. Your skin will go through stages: from redness, to tightness, to dry and flaky. Some people experience swelling. So give yourself leeway between treatment day and whenever you need to look your best.


Downtime for this depends on how much sun damage you have to start with. The visible pigment will become much darker after the treatment and will begin flaking off within a few days. (We call it chocolate chip cookie face!) You can’t rush the sloughing…If you try to scrub at it, you will hypo-pigment, meaning the new skin underneath will appear white or pink for quite awhile if you don’t allow it to heal properly. Give yourself at least 2 weeks downtime to be picture perfect.

Skin Pen and Skin Pen with PRP: Downtime with these treatments is much more minimal. Most people only experience redness and dryness, if that. Skin Pen is our new microneedling device and is much more effective than our older Micro Pen. That said, it's effectiveness also increased the downtime slightly from about 1 day to closer to 3 days. Sometimes there may also be small patches of dry or flaky skin for a little longer. Again, if you need to be picture-perfect, give yourself 7 days to heal, to be on the safe side.

Microblading: You’ll look great when you leave this appointment, but you will need to treat your brows with ointment for 7 days after. The brows will look great, you’ll just be shiny for a week!

No Downtime Treatments:

HydraFacial MD: This multi-step treatment does it all, and treats it all: hyperpigmentation, acne, dry skin, redness, fine lines and texture. They can be done every week if you’re working on a particular skin issue, or once a month for skin maintenance.

MicroPeel: A great, three-step procedure that combines dermaplaning, a custom chemical peel and a cryogen ball with antibacterial properties.