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Problem Signals When Patients Should Contact You (Red Flags & Response Guidance).png

 

At a medspa, enhancing confidence and beauty through non-surgical procedures is our top priority only second to patient safety. While most aesthetic treatments like Botox, dermal fillers, laser therapies, and chemical peels are low-risk when performed correctly, it's essential that patients know when something isn't quite right.


That’s why recognizing “problem signals” or red flags after your procedure is crucial. Being informed empowers patients to seek help early, ensuring faster, safer recovery and preventing complications.


Below, we break down what’s normal vs. what’s not for common medspa procedures, and when you should call your provider without delay.

 

Botox & Neuromodulators (Dysport, Xeomin, etc.)

 

✅ What’s Normal:

  • Mild swelling or redness at injection sites (lasting a few hours)
  • Slight headache within 24 hours
  • Small bruises or pinpoint bleeding


🚩 Red Flags:

  • Drooping eyelid or brow (ptosis): Call if this happens, especially if it worsens over 48 hours.
  • Difficulty breathing, swallowing, or speaking: Rare, but a medical emergency—go to the ER.
  • Severe headache, vision changes, or nausea: May signal vascular involvement or allergic reaction.

 

Dermal Fillers (Lips, Cheeks, Jawline, etc.)


✅ What’s Normal:

  • Swelling and bruising for up to a week
  • Tenderness or lumpiness (especially in lips) that softens over time
  • Mild redness or itching


🚩 Red Flags:

  • Severe pain or blanching of the skin: Could indicate vascular occlusion (interrupted blood flow). This is an emergency—call immediately.
  • Prolonged or increasing swelling after 3 days
  • Signs of infection: Heat, redness, pus, or fever
  • Hard lumps or nodules that persist or worsen

 

Laser Treatments (Hair Removal, Resurfacing, IPL)

 

✅ What’s Normal:

  • Redness or mild swelling for 1–3 days
  • Sensitivity similar to a sunburn
  • Peeling or flaking for deeper resurfacing procedures


🚩 Red Flags:

  • Blistering, oozing, or crusting: Could mean a burn or infection.
  • Severe pain beyond mild tenderness
  • Hyperpigmentation or hypopigmentation: Especially if developing within the first week
  • Signs of infection: Spreading redness, pus, or fever


Chemical Peels

 

✅ What’s Normal:

  • Redness, tightness, and flaking or peeling for 3–7 days (depending on the peel depth)
  • Slight tingling or warmth


🚩 Red Flags:

  • Severe burning sensation or pain
  • Blistering or open sores
  • Signs of infection such as yellow discharge, swelling, or fever
  • Prolonged redness (beyond 10 days) or dark patches

 

Microneedling / RF Microneedling

 

✅ What’s Normal:

  • Redness or a flushed appearance for up to 48 hours
  • Mild swelling
  • Skin sensitivity, similar to a sunburn


🚩 Red Flags:

  • Pustules, yellow crusting, or unusual breakout
  • Persistent redness beyond 3–4 days
  • Worsening pain or heat at the treatment site
  • Unusual scarring or texture changes

 

Response Guidance: What to Do If You Notice a Red Flag

 

If you notice ANY red flags: 


🚨Call Your Provider Immediately – Don’t wait it out. Most issues can be managed quickly when caught early🚨


🚨Send Photos – If your medspa offers virtual follow-ups, photos can help assess the problem fast🚨


🚨Avoid Self-Treatment – Do not apply random creams, take leftover antibiotics, or “pop” anything unless instructed🚨


🚨Seek Emergency Care – If you experience difficulty breathing, signs of an allergic reaction, or vision changes, go to the ER🚨

 

Proactive Tip for Patients


At your next appointment, ask your provider:

  • “What are the most common complications?”
  • “What’s normal during healing, and when should I worry?”
  • “Can I have your after-hours contact in case something happens?”
  • Good communication is key to a safe and satisfying experience.


In Summary


Cosmetic procedures at medspas are generally safe and effective, but every treatment comes with potential risks. Knowing the difference between expected side effects and true red flags allows patients to respond confidently and protect their health.


If you're ever in doubt—reach out. It’s always better to ask than to guess.
 

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