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: +$100. 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.
Fillers at Elyzea — product selection and placement matters
The visible difference between great filler results and disappointing ones is rarely the brand of product — it is the product selected for the specific anatomical zone and the placement technique. hyaluronic acid fillers in Lima, Peru (Juvederm, Restylane, Belotero) come in different densities calibrated for different layers (deep cheek vs lip vs tear trough / dark circles treatment in Lima, Peru). Calcium hydroxylapatite (Radiesse) and poly-L-lactic acid (Sculptra) are biostimulators with different durability and biological response profiles. The right product for the right placement is what produces natural, anatomically appropriate results. At Elyzea, Dra. Geldres is a board-certified plastic surgeon with detailed knowledge of facial anatomy and the product behavior of each filler family — and she will recommend the product that fits your specific concern, not "the filler we have on hand."
Botox in Lima, Peru standards at Elyzea
Botox injection (botulinum toxin type A — branded products include the one widely searched as "Botox," plus Dysport, Xeomin, and Jeuveau) is delivered at Elyzea by Dra. Geldres herself, a board-certified plastic surgeon. The dosing is calibrated to your specific muscle activity and goals — natural-looking softening of dynamic lines without the "frozen" appearance that comes from over-dosing or poorly placed injections. The brand of toxin is named at consultation, the unit count is transparent, and a 2-week follow-up confirms the intended effect. Cost varies by total units; quoted at consultation. The standard maintenance schedule is every 3–4 months, often paired with HIFU annually for combined dynamic + structural improvement.
Related conditions
The two most common reasons US patients fly to Lima for injectables are wrinkle treatment in Lima, Peru (toxin) and lip enhancement in Lima (filler). Both are covered in detail on their dedicated pages.
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.