Toxin + filler is the most common Lima trip for first-time medical-tourism patients. Both are quick procedures, but the timing matters: toxin needs ~7 days for full effect, filler causes 24–72 hours of swelling. Schedule them right and you can treat both in a 4-day visit comfortably.
This guide is the practical day-by-day for combining toxin + filler, including pre-trip prep, scheduling logic, recovery considerations, and how to extend the trip into a full Lima refresh package if your timeline allows.
Pre-trip prep
Critical for filler results:
- Stop blood-thinning supplements 1 week before (fish oil, vitamin E, ibuprofen, ginkgo, ginseng)
- Avoid alcohol 48 hours before
- Free virtual consultation reviews goals (especially helpful for first-time filler)
- Take photos of your face before — for your own before/after comparison
- Antiviral prophylaxis if HSV history — start 24 hours before lip filler
Day 1 — Arrive + consultation
Land in Lima, transit to Miraflores hotel. Same-day or next-morning consultation with Dra. Geldres. Discuss treatment plan, expectations, brand options for toxin and filler.
If timeline allows: schedule treatments to start morning of day 2 (allows full overnight rest after travel).
Light dinner. No alcohol. Hydrate.
Day 2 — Toxin in the morning, filler in the afternoon
Toxin first (no swelling, immediate, takes 30 minutes). Light lunch.
Filler in the afternoon (lips and/or cheeks; total 30 minutes). Filler causes mild swelling for 24–48 hours — plan a quiet evening.
Critical: stay upright for 4 hours after toxin. Don't lie down or massage face.
Apply cool compress to filler injection sites for 10-15 minute intervals during evening. Hydrate aggressively. Dinner: avoid alcohol, salty food, hot drinks.
Day 3 — Light sightseeing during peak swelling
Filler swelling peaks around 24h post-treatment. Avoid:
- Alcohol
- Salt-heavy meals
- Intense exercise
- Hot showers (warm only)
- Sleeping on your face
Walk along Malecón, light shopping, casual dining. Take photos for your before/after timeline. Soft food is your friend (soup, risotto, grilled fish).
Sun protection: SPF 50+ on lips and face. Sunglasses.
Day 4 — Depart
Most filler swelling resolves by 72h. Same-day flying after Botox is generally fine. Take photos before leaving.
Morning: brunch at Isolina (Barranco), Canta Rana, or hotel restaurant. Pack. Head to LIM for evening flight.
Cost summary
Treatment costs at Elyzea:
- Toxin full face: ~US$229
- 1 syringe lip filler: ~US$243
- Total treatments: ~US$472
- Same in Miami: ~US$1,500–US$2,400 typical
Add round-trip flight + 3 nights hotel + food = ~US$1,200-$1,700 total trip. Compares favorably to Miami treatment alone.
Possible add-ons to extend the trip
Common toxin + filler trip add-ons:
- HydraFacial on departure morning: +$57. Day-of-departure glow
- HIFU on day 2 morning + filler day 3: +$286. Full anti-aging refresh
- Tear-trough filler in addition to lip filler: +$243. Comprehensive face refresh
- Hollywood Peel: +$171. No-downtime celebrity-facial
- IV vitamin therapy on day 1: +$80. Jet-lag recovery
What to do during swelling-peak day
Day 3 strategy when filler is at peak swelling:
- Walk: Malecón cliff path, Larcomar, Indio Mercado
- Eat: soft food places — Antica Trattoria (pasta), Punto Italiano (soup-and-pasta), La Gloria (risotto)
- Avoid: ceviche (acidic), anticuchos (chewy), spicy food
- Hydrate: water, herbal tea, fresh fruit smoothies (no citrus on injected lips)
- Avoid alcohol completely
If you bruise more than expected
Some bruising at filler injection sites is normal. Reduce visibility:
- Arnica gel topically (most pharmacies in Lima carry it)
- Acetaminophen for soreness (NOT ibuprofen)
- Concealer + cool compress for cosmetic coverage
- Sunglasses for under-eye filler bruising
If bruising looks excessive (covering significant area or expanding), message clinic. Vascular complications are rare but need quick assessment.
Frequently asked questions
Will I look strange when I get home?
Filler swelling resolves at 72 hours. Final integrated result at 2 weeks. Toxin starts at day 3, full effect day 14.
Can I get same-day toxin + filler?
Yes. Most clinics including Elyzea schedule them sequentially same day for efficient travel.
What if I want bigger lips than 1 syringe?
Build over multiple visits. 1 syringe + 1 syringe in 6 months is better than 2 syringes in one session.
Can I dissolve filler if I don't like it?
Yes. Hyaluronidase reverses HA filler within 24-48 hours. Available at follow-up if needed.
Can I bring back-up filler product to the US?
No. FDA regulations on injectables. Each treatment must be performed at clinic.
What about masseter Botox?
Possible add-on if you have jaw clenching. Discuss at consultation.
Will my US clinic recognize the brand?
Most reputable clinics globally use Botox, Dysport, or Xeomin. Continuity is straightforward.
Bottom line
Toxin + filler in a 4-day Lima trip is the most common first-timer pattern. Total cost ~$1,200-$1,700 vs comparable Miami: $1,500-$3,000+. Free virtual consultation removes ambiguity. Book it before deciding on US.