From Awards to Savings

This campaign has now officially ended.

STEP 2 - FILL IN YOUR INFORMATION

First Name*

Please complete this required field.

Last Name*

Please complete this required field.

Phone number*

Sign up for SMS alerts from Revance Aesthetics by ticking this box. Text STOP to unsubscribe.

Please complete this required field.

Email*

Sign up for email alerts from Revance Aesthetics by ticking this box. Unsubscribe anytime.

Please complete this required field.

Postal code*

Please complete this required field.

Select Product that have been used for Treatment?*

DAXXIFY®

Teoxane RHA® Collection

Both

Please complete this required field.

Is this your first DAXXIFY® and/or the Teoxane RHA® Collection treatment?*

Yes

No

Please complete this required field.

STEP 3 - UPLOAD RECEIPT
Simply snap a photo of your treatment receipt using your phone. If you didn't receive a receipt, please contact your provider directly. To qualify, your receipt must clearly show proof of payment for a completed Daxxify® and/or the Teoxane RHA® Collection treatment within the promotional period. (Please Note: The maximum file size allowed is 5MB. Accepted file formats include JPG, PDF, and PNG. You may upload up to 5 receipts or files in total.)

Please complete this required field.

*By submitting your information, you acknowledge and agree to the terms and conditions of From Awards to Savings Terms and Conditions. You also consent to receive future marketing communications from us. You may opt out at any time by following the unsubscribe instructions included in our communications. For information on our privacy practices and commitment to protecting your privacy, please review our Privacy Policy .

IMPORTANT SAFETY INFORMATION for DAXXIFY® injection

DAXXIFY® may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of DAXXIFY®:

• Problems swallowing, speaking, or breathing due to weakening of associated muscles can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.

• Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms that include loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.

Do not receive DAXXIFY® if you are allergic to any of the ingredients in DAXXIFY® (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as rimabotulinumtoxinB (MYOBLOC®), onabotulinumtoxinA (BOTOX®/BOTOX® Cosmetic), abobotulinumtoxinA (DYSPORT®), incobotulinumtoxinA (XEOMIN®) or prabotulinumtoxinA-xvfs (JEUVEAU®); or have a skin infection at the planned injection site.

DAXXIFY® dosing units are not the same as, or comparable to, any other botulinum toxin product.

Tell your healthcare provider about all your medical conditions, including any side effects from botulinum toxin products, including dry eye; breathing, swallowing, bleeding, or heart problems; plans to have surgery; weakness of forehead muscles; drooping eyelids; have had surgery on your face; are pregnant or breastfeeding or plan to become pregnant or breastfeed.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Using DAXXIFY® with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your healthcare provider that you have received DAXXIFY® in the past.

Especially tell your healthcare provider if you have received any other botulinum toxin product in the last 4 months or any in the past, and exactly which product you received (such as BOTOX®, BOTOX® Cosmetic, MYOBLOC®, DYSPORT®, XEOMIN®, or JEUVEAU®). DAXXIFY® may cause serious side effects, including allergic reactions (such as itching, rash, redness, swelling, wheezing, trouble breathing, or dizziness or feeling faint), heart problems (such as irregular heartbeat and heart attack), and eye problems (including dry eye, reduced blinking, and corneal problems). Tell your healthcare provider or get medical help right away if you experience a serious side effect. No serious adverse events of distant spread of toxin effect associated with dermatologic use of DAXXIFY® have been reported in clinical studies at the dose of 40 Units for glabellar lines. The most common side effects of DAXXIFY® include headache, eyelid drooping, and loss of ability to move the muscles in your face.

These are not all the possible side effects of DAXXIFY®. For more information, see the full Prescribing Information including Boxed Warning, and refer to the Medication Guide or talk with your doctor.
To report side effects associated with DAXXIFY®, please call 1-877-373-8669. You may also report side effects to the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

APPROVED USE

DAXXIFY® is a prescription medicine that is injected into muscles and used in adults to temporarily improve the look of moderate to severe frown lines between the eyebrows.

DAXI-001723.2