Pre and Post Care Instructions for Optimal Treatment Results
Maintain Your Results.
INJECTABLES
Botox
Before appointment:
- If you have a special event or vacation, please consider scheduling your appointment at least 4-6 weeks in advance.
- It is recommended to discontinue aspirin, ibuprofen, ginkgo Biloba, garlic, flax oil, cod liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least one week before and after to minimize bruising or bleeding.
- Avoid alcohol, caffeine, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours before and after your appointment as these may increase the risk of bruising and bleeding.
- If you are not feeling well, or develop an illness (cold/flu/covid), cold sore, blemish, rash, etc., in the area to be treated, please reschedule until resolved.
- It is recommended to discontinue retinol 2-3 days before treatment to avoid increased redness or irritation.
- It is recommended that you wait at least two weeks to have Botox/Dysport treatment if you have had treatment with facial laser, ultrasound (Ultherapy), peels, or microdermabrasion. It is also recommended to wait two weeks after treatment to have any of the aforementioned performed.
Post Care:
- Do NOT lie down flat, rub, or touch the treated areas for at least 4 hours.
- Avoid wearing makeup until the day after treatment. Earlier use may cause infection. If you must wear makeup, we recommend high-quality mineral makeup.
- The treatment takes two weeks (14 days) for the full effect. It is recommended that if a touch-up is needed, it be done 14-21 days after the initial treatment.
- Avoid wearing headbands or tight hats after treatment.
- Avoid exercise for 24-48 hours.
Fillers
*Please arrive at least 15 minutes before your appointment if you wish to numb.
Before appointment:
- Please arrive free of makeup on your face.
- It is recommended to take an arnica supplement to reduce bruising starting two days prior.
- If you have a special event or vacation, please consider scheduling your appointment at least one month in advance.
- It is recommended to discontinue aspirin, ibuprofen, ginkgo Biloba, garlic, flax oil, cod liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least one week before and after to minimize bruising or bleeding.
- Avoid alcohol, caffeine, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours before and after your appointment as these may increase the risk of bruising and bleeding.
- If you are not feeling well, or develop an illness (cold/flu/covid), cold sore, blemish, rash, etc., in the area to be treated, please reschedule until resolved.
- Avoid dental procedures two weeks before your appointment, including a routine cleaning.
Post Care:
- Swelling is normal and intermittent for up to 2 weeks.
- Avoid dental work for at least 2 weeks.
- Avoid exercise for 24-48 hours.
- No makeup or lip products until the next day.
- Keep your hair back until the next day.
- Try not to touch the injected area, and wash your hands often.
- No standing water for 24 hours (no lake, pool, bath, river, or ocean).
- Contact the clinic if you have excessive pain, discoloration, or mottled-looking skin.
If you have any questions/concerns, please contact the clinic.
Skinvive
*Please arrive at least 15 minutes before your appointment if you wish to numb.
Before appointment:
- Please arrive free of makeup on your face.
- It is recommended to take an arnica supplement to reduce bruising starting two days prior.
- If you have a special event or vacation, please consider scheduling your appointment at least one month in advance.
- It is recommended to discontinue aspirin, ibuprofen, ginkgo Biloba, garlic, flax oil, cod liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least one week before and after to minimize bruising or bleeding.
- Avoid alcohol, caffeine, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours before and after your appointment as these may increase the risk of bruising and bleeding.
- If you are not feeling well, or develop an illness (cold/flu/covid), cold sore, blemish, rash, etc., in the area to be treated, please reschedule until resolved.
- Avoid dental procedures two weeks before your appointment, including a routine cleaning.
Post Care:
- Swelling is normal and intermittent for up to 2 weeks.
- Avoid dental work for at least 2 weeks.
- Avoid exercise for 24-48 hours.
- No makeup or lip products until the next day.
- Keep your hair back until the next day.
- Try not to touch the injected area, and wash your hands often.
- No standing water for 24 hours (no lake, pool, bath, river, or ocean).
- Contact the clinic if you have excessive pain, discoloration, or mottled-looking skin.
If you have any questions/concerns, please contact the clinic.
Sculptra
*Please arrive at least 15 minutes before your appointment if you wish to numb.
Before appointment:
- Please arrive free of makeup on your face.
- It is recommended to take an arnica supplement to reduce bruising starting two days prior.
- If you have a special event or vacation, please consider scheduling your appointment at least one month in advance.
- It is recommended to discontinue aspirin, ibuprofen, ginkgo Biloba, garlic, flax oil, cod liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least one week before and after to minimize bruising or bleeding.
- Avoid alcohol, caffeine, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours before and after your appointment as these may increase the risk of bruising and bleeding.
- If you are not feeling well, or develop an illness (cold/flu/covid), cold sore, blemish, rash, etc., in the area to be treated, please reschedule until resolved.
- Avoid dental procedures two weeks before your appointment, including a routine cleaning
Post Care:
- Apply an ice pack (wrapped in a clean cloth) to the treated area periodically after treatment to minimize swelling and/or bruising.
- Avoid direct contact with the ice with the skin.
- Thoroughly circularly massage the treated area for 5 minutes, 5x/day for 5 days after each treatment. This helps to distribute the Sculptra and promote a natural-looking correction evenly.
- Minimize the treated area’s exposure to excessive sun and avoid ultraviolet lamp exposure until any initial swelling and redness have disappeared.
- If you have laser treatment, chemical peeling, or any other skin procedure based on the active dermal response after treatment, there is a possible risk of eliciting an inflammatory reaction at the implant site. This also applies if Sculptra is administered before the skin has healed completely after these procedures.
Kybella
*Please arrive at least 15 minutes before your appointment if you wish to numb.
Post Care:
- Do NOT touch, press, rub, massage, or manipulate the treatment area.
- Ice the treated areas for the next 24 hours. Place the ice pack on the area for 20 minutes and remove the ice pack for 20 minutes. Continue this pattern for 24 hours while awake.
- Apply (over the counter) arnica gel to the treatment area to decrease bruising, swelling, and discomfort.
- Take (over the counter) acetaminophen and/or pain reliever if needed to decrease post-treatment discomfort.
- Sleep on your back and with the head elevated for the next 3-5 days after treatment.
- Drink plenty of water and fluids after treatment.
- Avoid vigorous exercise, sun, and heat exposure for 3-5 days after treatment.
- Avoid aspirin, Autrin, ginkgo Biloba, garlic, flax oil, cod liver oil, vitamin A, vitamin E, or any other essential fatty acids at least three days-1 week after treatment. These items may increase bleeding and bruising.
- Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours after your treatment. These items may contribute to increased swelling or irritation.
- Avoid cosmetic treatments such as injectables, laser, ultrasound, peels, facials, or microdermabrasion to the Kybella treatment area for 2 weeks..
- Please report to your provider immediately if you develop an asymmetric smile or facial muscle weakness, skin ulceration in the treatment area, difficulty swallowing, or if any existing symptom worsens.
Cosmelan® MD Peel
How to use your Cosmelan MD Peel
PREP
- Cleanse the skin using circular motions, and remove the cleanser with warm water using facial sponges
- Degrease the skin with mesoestetic® oil removing solution using gauze.
Method – mesoestetic® cosmelan® 1 mask
- With a spatula dispense 3/4 of mesoestetic® cosmelan® 1 mask and apply an even thick layer on the entire face. Avoid the eye contour area.
- Leave the peel on based on your skin type. Please see the chart below
FITZPATRICK MD PEEL I & II Burns easily tans poorly 4-6 hours III & IV Burns minimally, tans easily 6-8 hours V & VI Rarely burns, tans dark easily 8-10 hours
- After the time indicated on the chart, the patient should carefully rinse cosmelan® one mask out with plenty of tepid water. Repeat as often as required to remove the product completely.
- Follow the Cosmelan2® Home Care Protocol on the box that includes your skincare products over the next three months.
- Your HOME CARE KIT includes Cosmelan® 2 Cream, Melan Recovery Cream, Melan 130+ Pigment Control Mesoprotech. You should only need the Melan Recovery Cream for the first few weeks to reduce irritation. The other Homecare kit products should last you 2 1/2 – 3 months.
Cosmelan® MD peel is a depigmenting method that removes spots fully and prevents their reappearance for a short-term outcome while maintaining hyperpigmentations under control for a long-lasting outcome. The cosmelan® method consists of 4-phases that are necessary to achieve the target outcome. Intense depigmentation will be done in the clinic in phase 1 and treatment for home use in phases 2, 3, and 4.
During application time and after removing the mask, the patient must avoid exposure to sources of light and heat.
- Spritz water on the face to prevent the mask from cracking without removing the product.
- For Asian skin types, it is recommended not to leave the mask on for longer than 5 hours.
- Consideration should be taken in accordance with skin sensitivity, the evolution of pigment, and professional expertise with the product.
- Different degrees of peeling vary per patient and the integrity of the skin.
- The patient will be sent home with a detailed home care maintenance protocol.
- Results may vary from patient to patient.
- Mild to moderate erythema, stinging sensation, and tightening of the skin is to be expected after 24 to 48 hours of the cosmelan® one mask application.
- If excess stinging sensation occurs while applying cosmelan® 2 cream, this may be adjusted.
- After the time indicated by the professional, the patient should carefully rinse cosmelan® one mask out with plenty of tepid water. Repeat as often as required to remove the product completely.
- It is normal to experience a feeling of itching or burning and feel the skin smooth and tight, all of which are expected effects. The application of melan recovery reduces these effects and brings back skin comfort. Apply it as many times as considered necessary.
- Compliance with the home schedule is essential to meet the depigmenting objective in the short and long term.
FAQs:
- When to stop using retinol, mandelic, glycolic, and salicylic active ingredients?
One month before the treatment. - When can patients start reapplying other active ingredients apart from cosmelan®?
Three months after treatment. - Should patients combine other active ingredients with cosmelan® 2?
It can cause an allergic reaction that may include redness, rashes, itchiness, and other unknown activities on the skin. - When to stop using Hydroquinone?
6 months before cosmelan® treatment. - How long can patients stay on Hydroquinone during cosmelan® treatment?
Recommended three months with cosmelan® 2 maintenance cream. Alternate the next 3 months without Hydroquinone. - Where should cosmelan® be stored?
Recommended to keep out of sunlight, and in-room temperature is recommended. - What is the shelf life of cosmelan®?
The expiration date is located on the bottom of each cosmelan® pack. - What is the shelf lifone after cosmelan® has been opened?
cosmelan® 1 and cosmelan® 2 are good for three months. - Does cosmelan® oxidize?
cosmelan® 1, and cosmelan® 2 may begin to oxidize (discolor, to become darker) after the product has been opened. - How many people can be treated with the cosmelan® Pack?
One treatment per cosmelan® Pack.
DiamondGlow Facial
Pre-Care Instructions for DiamondGlow Facial
- Avoid Sun Exposure: Stay out of direct sunlight for at least one week before your treatment. If you must be outside, wear a broad-spectrum sunscreen with SPF 30 or higher.
- Discontinue Retinoids: Stop using any retinoid products (like Retin-A, Differin, or Tazorac) at least 3-5 days before your appointment.
- Skip Exfoliants: Avoid using any exfoliating products (including scrubs and chemical exfoliants) for 3-5 days before your facial.
- Avoid Waxing and Hair Removal: Refrain from waxing, threading, or using depilatory creams on your face for at least one week prior to your treatment.
- Stay Hydrated: Drink plenty of water in the days leading up to your facial to ensure your skin is well-hydrated.
- Discuss Medications: Inform your skincare professional about any medications you are taking, as some might make your skin more sensitive to the treatment.
- Skip Other Treatments: Avoid getting any other facial treatments (like chemical peels or laser treatments) for at least two weeks before your DiamondGlow facial.
Post-Care Instructions for DiamondGlow Facial
- Hydrate: Keep your skin well-hydrated by drinking plenty of water and using a gentle moisturizer as recommended by your skincare professional.
- Avoid Sun Exposure: Protect your skin from the sun by wearing a broad-spectrum sunscreen with SPF 30 or higher. Reapply every two hours if you are outside. Gentle Skincare: Use gentle, non-irritating skincare products for at least 48 hours post-treatment. Avoid products with harsh chemicals, fragrances, and alcohol.
- No Exfoliation: Refrain from using any exfoliating products or devices for at least one week after your facial.
- Skip Makeup: Avoid wearing makeup for at least 24 hours post-treatment to allow your skin to breathe and recover.
- Avoid Heat: Stay away from hot showers, saunas, and steam rooms for at least 24 hours after your facial to prevent irritation.
- No Touching: Avoid touching your face to prevent introducing bacteria and causing irritation.
- Follow-Up Care: Follow any additional instructions provided by your skincare professional, including the use of specific products that will help maintain the benefits of your DiamondGlow facial.
- Monitor Your Skin: If you experience any prolonged redness, irritation, or other adverse reactions, contact your skincare professional for advice.
LASERS
Clear & Brilliant
*Please arrive 30 mins before your appointment to numb.
Before Appointment:
- Avoid tanning treatment areas, including tanning beds, spray tan, and sun for a minimum of six weeks.
- Stop using exfoliants (including retinol, and glycolic acid) on the treatment area one week before treatment.
- Avoid makeup on the area to be treated.
- Avoid this treatment if you are pregnant or breastfeeding.
- Avoid chemical or mechanical irritants one week prior to treatment.
Post Care:
- You may have transient redness, swelling, itching, and burning for a few minutes
- up to 48 hours.
- You may apply aloe vera or cold compress.
- Avoid direct sunlight. Use sunscreen with SPF 30 or higher.
- Do not apply makeup until the redness has subsided.
- Avoid hot showers for 24 hours. Use cool water and gentle cleansers for 48 hours.
- Small scabs may develop over 24-48 hours following your treatment. Keep areas well moisturized and allow them to fall off on their own.
- Avoid the use of exfoliants for one week after your treatment.
- Avoid microdermabrasion and acid peels one week after your treatment.
- Avoid chemical or mechanical irritants one week after treatment.
Sublative
*Please arrive 30 mins before your appointment to numb.
Before Appointment:
- Avoid using Accutane for 6-9 months before treatment.
- Avoid tanning treatment areas including tanning beds, spray tan, and sun for a minimum of six weeks.
- Stop using exfoliants in the treatment area one week before, including retinol and acids.
- Avoid makeup on the area to be treated.
- Avoid this treatment if you are pregnant or breastfeeding.
- Avoid this treatment if you have an autoimmune disease, including Lupus.
- You may not proceed with this treatment if you are on blood thinners or medications that cause photosensitivity.
- Dermal fillers or other injectables should not be done within two weeks before treatment.
- Avoid chemical or mechanical irritants one week before treatment.
Post Care:
- You may have redness, swelling, itching, and burning for up to 48 hours.
- Avoid direct sunlight. Use sunblock with SPF 30 or higher that contains zinc or titanium dioxide.
- Do not apply makeup until the redness has subsided.
- Avoid hot showers for 24 hours. Use cool water and gentle cleansers for 48 hours.
- Small scabs may develop 12-24 hours following your treatment. Keep areas well moisturized and allow them to fall off on their own. This is an expected occurrence with this treatment. Avoid the use of exfoliants for two weeks after your treatment.
- Avoid microdermabrasion and acid peels three weeks after your treatment.
- Avoid chemical or mechanical irritants two weeks after treatment.
* Note the probe for this procedure is flat, and our noses are curved; therefore, it may be challenging to deliver appropriate energy to this area.
Vivace
*Please arrive 30 mins before your appointment to numb.
Before Appointment:
- Avoid tanning treatment areas, including tanning beds, spray tan, and sun for a minimum of six weeks.
- Stop using exfoliants (including retinol, and glycolic acid) on the treatment area one week before treatment.
- Avoid makeup on the area to be treated.
- Avoid this treatment if you are pregnant or breastfeeding.
- Avoid chemical or mechanical irritants one week prior to treatment.
Post Care: NO VIVE/PRP
- Avoid vitamin C, retinoids, glycolic, salicylic, alpha, and beta hydroxy acids for one week. Do not wear makeup for at least 6 hours post-treatment. However, we recommend 24 hours.
- Avoid direct sun exposure for one week.
- Refrain from exercise for 24 hours.
- Be sure to use sunscreen daily. We recommend physical sunscreen (containing zinc).
Post Care: WITH VIVE/PRP
- Leave Vive/PRP on the skin for at least 12-24 hours.
- Avoid vitamin C, retinoids, glycolic, salicylic, alpha, and beta hydroxy acids for one week.
- Do not wear makeup for at least 24 hours post-treatment.
- Avoid direct sun exposure for one week.
- Refrain from exercise for 24 hours.
- Be sure to use sunscreen daily. We recommend physical sunscreen (containing zinc).
CO2
*Please arrive 2 hours before your appointment to numb if you haven’t picked up your numbing cream ahead of time. Arrive 2 hours before if taking Ativan RX.
Before appointment:
What do I need to gather before the procedure?
- Mild cleanser (like Cetaphil)
- CO2 Lift Pro masks, CBD oil or cream
- Tylenol or ibuprofen for discomfort. Benadryl for itching
Should I arrange for someone to drive me on the day of the procedure? – You will need a driver if you have taken a pain med or Ativan. Ativan is dispensed through the clinic. Arrive 2 hours before your appointment to take.
How long should I remain at home or indoors before I can venture outside? – If you live by yourself, you should have basic groceries available, so you don’t have to stop or run errands early during the recovery phase. This is typically 3 to 4 days of in-house recovery.
What can I take for the pain after the procedure? – We recommend Tylenol as needed for the pain. Ibuprofen can be taken 24 hours post-treatment. Benadryl also can be used for itching.
Will numbing cream be applied? Yes, numbing cream will be applied 2 hours prior and again 1 hour later before your actual procedure.
How do I take care of my face 7 to 10 days after the procedure? – You can wash your face on day #2, and you can apply your cream or oil right away. Your hands and fingernails should be clean before touching your face. Most scabs start forming on days 2 to 3. If your face feels itchy and hot, you can use cold compresses and Benadryl. If swelling is present, it is recommended to sleep with the head elevated during that time. Some people develop little white bumps on the face, which go away on their own. Makeup can be applied about days 5-7 days after to intact skin. It is recommended to postpone facials until 2 to 4 weeks post-procedure, and no retinol or exfoliating for 2 weeks, and please share with your esthetician your recent procedure as your skin will be more sensitive. You will continue to have areas of redness that can last 2 to 20 weeks. To ensure you get the best results, avoid picking or scratching the scabs while the skin is healing. Proper sun protection is critical. Remember that final results are not until 6-7 months post-procedure.
General Expectatitons:
- Avoid direct sunlight and keep skin moist and cool to aid healing.
- Avoid environmental irritants during the healing process (e.g., dust, dirt, aerosols, cleaning agents).
- Avoid dryness and excessive heat (no high heat on blow dryer)
- Avoid any vigorous exercise for two weeks.
- Stay hydrated, eat healthy foods, and avoid alcohol.
- Redness and a sunburn-type sensation will normally last several hours.
- Neck redness is more persistent and will usually last several days longer than face redness
- The face will normally bronze and peel within 3-5 days (Note: skin below the neck normally requires up to 2 weeks to bronze and peel)
Day of Treatment-
- Keep treated areas covered with topical cream/oil as instructed by your provider.
- Apply cooling compresses (e.g., a bag of frozen peas or wet paper towels frozen in a Ziploc bag. Note: do not apply ice directly to the skin, and do not use towels as detergents may irritate the skin. If desired, you may spray water mist on the skin using distilled or spring water.
- May take an analgesic (e.g., Acetaminophen or Ibuprofen) for discomfort.
First Night – Sleep with head slightly elevated. If experiencing irritation to the eye, may use an eye lubricant.
First Day After Treatment – Avoid direct sunlight and excessive heat. Begin washing face 2-3 times a day with room temperature water and Cetaphil. May take shower and wash hair. Avoid hot water. Re-apply balm or oil to the treated area. Ensure skin remains constantly moist. Vinegar soaks: can be performed every two hours while awake. To soak, leave the balm or oil on and soak the treated area with a clean soft cloth and the following solution: 1 a teaspoon of plain white vinegar to 2 cups of water. This can be mixed up ahead of time and kept in the refrigerator.
Day 2 – The swelling will continue, and skin may bronze and feel gritty. Itching (particularly along the jawline) tends to begin on this day. Continue applying ointment/cream (and cool compresses, if needed). Continue washing face with Cetaphil and room temperature water.
DAY 3-7 – Itching has usually subsided. You may start more aggressive washing with fingertips to promote further exfoliation (do not pick). Use non-irritating sunblock SPF 30+ with zinc oxide (7-9%) and/or titanium dioxide when going outside. You may apply mineral makeup (powder).
DAY 7-28 – Continue appropriate moisturizer until the skin has hydrated back to its normal level (3-4 weeks). You may start a regular skincare program as long as the treated area is healed (no exfoliation). Continue applying nonirritating sunblock (SPF 30+) and use mineral makeup (powder) to protect treated areas (do not use liquid foundation as it may clog pores and irritate new skin). Avoid exposure to excessive sun for up to 4 weeks (hat or clothing must be used to protect treated areas). You may return to exercise programs.
Profound
What to expect after treatment:
Immediately post-treatment the treated area will appear edematous (swollen) and erythematous (red). Pinpoint ecchymosis from microneedle insertions will be observed and Purpura (bruising) may be noticed from the local anesthesia injection points.
Immediately following treatment, ice compress should be used for the first 45 minutes.
For the next 24 hours, continue with cold compress at 20 minutes on – 20 minutes off intervals. It is recommended to sleep with head elevated for the first 2-3 nights post Profound treatment. Erythema (redness) typically resolves within 1-2 days of treatment. Edema and Purpura will typically resolve within 5-7 days post-treatment.
What post-procedure instructions should I follow?:
- Immediately following treatment, the area should be cleansed with saline, then apply the provider’s choice of occlusive dressing: thin coat of antibiotic or healing ointment, Aquaphor®, or equivalent.
- Ice for 45 minutes directly following treatment. Then every 2 hours, for 20-minutes on/off intervals, on the day of treatment. This will help to decrease the likelihood of indurations and extended bruising, and increase comfort.
- 1-week post-treatment and while healing, wash treated area 3-5 times daily with tepid water and gentle cleanser. Avoid washcloths, harsh irritants, and scrubs. Pat dry and do not rub. Keep the area treated as hydrated as possible for one-week post-treatment.
- The area should be covered with clothing or SPF 30 or higher sunblock containing zinc oxide and titanium dioxide at all times. Wait approximately 10 minutes after the application of the sunblock, and then apply a layer of Vaseline or Aquaphor. The area treated should have a consistent glazed-like appearance at all times for one-week post-treatment.
- It is recommended to sleep with the head elevated post-treatment. Change your pillowcase daily or lay a clean towel each night. Avoid sleeping with pets.
- For the first 24 hours post-treatment, it is recommended to avoid rigorous exercise, any activities that would stimulate heat, vasodilation, do not take a hot bath or sit in a sauna, etc.
- For 4 to 6 weeks post-treatment, please avoid sun exposure. If going outside (even getting into a car or going for a walk), please cover the area with clothing and apply a physical UV sunblock (SPF 30+) 20 minutes before going outside.
- Do not pick at the treated area. It is imperative to let the area heal on its own. If the area is picked at and further interruption of the epidermal layer occurs, this can increase the risk of infection, PIH, and other post-procedure complications.
Contact Physician if any concerns about how their skin is responding to treatment or is healing.
IPL
Before Appointment:
- Avoid using Accutane for 6-9 months before treatment.
- Avoid tanning treatment areas, including tanning beds, spray tan, and sun for a minimum of six weeks.
- Stop using exfoliants (including retinol, and glycolic acid) on the treatment area one week before treatment.
- Shave the area closely before every treatment.
- Avoid makeup on the area to be treated.
- Avoid this treatment if you are pregnant or breastfeeding.
- Avoid chemical or mechanical irritants one week prior to treatment.
Post Care:
You may have transient redness, swelling, itching, and burning for a few minutes up to 48 hours. You may apply aloe vera or cold compress.
- Avoid direct sunlight. Use sunscreen with SPF 30 or higher.
- Do not apply makeup until the redness has subsided.
- Avoid hot showers for 24 hours. Use cool water and gentle cleansers for 48 hours.
- Small scabs may develop over areas of pigmentation 24-48 hours following your treatment. Keep areas well moisturized and allow them to fall off on their own.
- This is an expected occurrence with IPL.
- Avoid the use of exfoliants for one week after your treatment.
- Avoid microdermabrasion and acid peels one week after your treatment.
- Avoid chemical or mechanical irritants one week after treatment.
Hair Removal
Before Appointment:
- Avoid UV exposure seven days before your treatment.
- Clients who are sunburned or tanned must wait two weeks before being treated to avoid additional skin damage.
- Avoid sunless tanning products 7-10 days before your treatment. It is recommended that you exfoliate the area to remove any residual color.
- Please shave the area you desire treated within 24 hours of your planned treatment.
- Clients should come to appointments with clean skin in the area to be treated. Avoid chemical peels and other laser procedures in the area to be treated for two weeks before and two weeks after your laser treatment.
- Avoid all alpha hydroxy and beta hydroxy products (AHA/BHA), hydroquinone, and retinol/retinoid for seven days before treatment.
- Clients with any abnormal lesions, moles, or spots on the area to be treated should be cleared by their primary medical provider before treatment.
- Clients must stop waxing, tweezing, and chemical epilation three weeks before treatment.
- Clients who have used Accutane or similar products within the last six months cannot have laser hair removal treatments.
- Clients should not perform physical activity that increases body temperature or blood pressure within 2 hours before and after treatments.
- If you have Botox or dermal fillers in the area to be treated, wait 14 days before and after injection to receive treatments.
- Antibiotics may increase photosensitivity. We recommend that you check with your prescribing physician before receiving laser treatments if you are taking a long-term antibiotic. If you become ill and begin taking an antibiotic, you must be off the medication for seven days before laser treatment.
- You may bring makeup or concealer to re-apply on facial areas or to cover redness post- treatment.
Post Care:
- Avoid extended UV exposure for seven days post-treatment.
- If blisters occur, do not puncture. If the skin is broken, apply an over-the-counter antibiotic ointment until healed.
- Over-the-counter medication such as Tylenol is recommended for post-treatment discomfort.
- You may also apply cool compresses, ice packs, or aloe vera to alleviate discomfort due to heat.
- Avoid using seat warmers immediately after treatment.
- Avoid any additional laser treatments or chemical procedures on the treated area for at least 2 weeks post-treatment or until healing has occurred.
- Using a broad-spectrum UVA/UVB SPF 30 or higher is critical when receiving laser treatments and is recommended for ongoing maintenance.
- To achieve the best results, complete the full treatment schedule at the intervals recommended by your nurse.
- Exfoliate treated areas to minimize the risk of ingrown hairs.
- Avoid strenuous sports activities or hot water/ saunas/ Jacuzzi for up to 24 hours after treatment to minimize irritation and prolonged redness.
- After your treatment, the hair may appear to grow for up to the next few weeks. This is the treated hair being shed from the follicle and is not new growth. Once the hair has fully shed, you may be hair-free for a few days, up to a few weeks following your next treatment.
- Shaving is recommended between sessions and is recommended the day before your next appointment to minimize discomfort. If the areas are not cleanly shaved, we may not be able to treat them.
- You should schedule subsequent sessions typically in four weeks for facial areas and six weeks for other areas of the body. Adhering to this schedule is important to ensure the success of the treatments.
- Electrolysis, waxing, threading, tweezing, or sugaring must be avoided between sessions.
- Shaving or trimming hair may be resumed normally during the duration of treatment.
Side Effects:
Side effects are uncommon but may include: Hyperpigmentation (darkening of the skin), Hypopigmentation (loss of skin pigmentation), mild to moderate burns or blisters, permanent skin discoloration temporary redness, follicular edema (little pink/red “puffiness and small bumps like “goosebumps”), swelling and itching in the treated area, hives, rashes, bruising, and lack of desired results. Clients who are pregnant or have epilepsy cannot be treated. Our nurses cannot treat tattoos as they can be affected by the laser.
Miradry
Before Appointment:
If you say yes to any of the below, please notify the clinic.
- Heart pacemakers and other electronic device implants
- In need of supplemental oxygen
- Known history of intolerance of local anesthesia, including lidocaine and epinephrine
- Pregnancy
- Underlying skin conditions
- Previous axillary surgery
- Using any medications that may hinder treatment administration or post-treatment healing
4-6 DAYS BEFORE TREATMENT:
- Shave both underarms; by the time you come in for your procedure, there will be a little hair growth to identify the area to be treated. If you forget to shave, we recommend you reschedule your procedure date.
1 DAY BEFORE TREATMENT:
- Do not wear any deodorant or antiperspirant.
DAY OF TREATMENT:
- Wear clothes with loose arm holes for easy access to the treatment site (e.g., tank top, sports bra, or camisole).
- Bring a CLEAN top to wear after the procedure.
- Plan for the procedure to last about an hour.
- Please EAT before the procedure.
Post Care:
Immediately ice the treated area using a towel or gauze-wrapped ice packs and use non-prescription anti-inflammatory medication (e.g., ibuprofen) to reduce swelling. Continue as needed over the new few days.
Keep the treated area clean (wash with water and gentle liquid soap) and apply an over-the-counter antibiotic ointment (e.g., Neosporin) to prevent infection.
Avoid shaving or applying antiperspirant/deodorant for the next few days. If deodorant/antiperspirant is still desired after the treatment, discard any partially used product and open a new product.
Wait a few days before resuming rigorous exercise and activity.
Wear clean, loose-fitting tops to avoid underarm irritation for the next few days.
Refer to your consent form for a list of side effects. Your side effects should be resolved daily. If side effects become worse, call your provider.
Non-prescription anti-inflammatory medication such as Ibuprofen will reduce the normal inflammation and discomfort that usually occurs for a few days after the procedure.
Your underarms could be tender for up to two weeks as they heal from the procedure.
Apply an over-the-counter antibiotic ointment to prevent infection. Other minor effects can last several weeks, such as: swelling in the arm or torso; altered sensation (numbness or tingling) in the skin of the treated area or the arm; redness or bruising in the underarm or adjacent area. Other minor effects that may last longer are bumps you can feel under the skin and darkening of the skin. These should gradually disappear over time. Though less common, some small blisters may develop in the treatment area. Keeping these areas clean and applying an over-the-counter antibiotic ointment such as Polysporin can speed the healing process and prevent infection.
Intima
**Please arrive 30 mins before your aapointment to numb external area only
Before appointment:
- Cannot perform laser if on period.
- No history of herpes, IUD, no STDs, or disorders of the uterus or endometrium
- Not trying to get pregnant or pregnant.
- No cervical, uterine, or vaginal infection.
- No cervial or uterine cancer.
- No pelvic inflammatory disease.
- Please discuss any concerns with your health history with your provider before your treatment.
- Shave the entire area before treatment.
Post Care:
- You may experience temporary erythema (redness) and edema (swelling), mild bleeding, tissue retraction, heat and tightening sensations for up to a few hours after the treatment.
- Treatment Area: Wash your skin with a gentle cleanser twice daily and pat dry (do not scrub).
- You may notice light spotting, mild burning, itching, swelling, or cramping for a few days.
- Do not have intercourse for 1 week.
- Do not insert tampons or anything else into the vagina for 1 week.
- Do not use a douche, cleanser, suppositories, or any other products in the vagina for 1 week.
- No Jacuzzis, tub baths, or swimming for 1 week.
- No tanning beds or self-tanning cream for 1 week.
- No heavy exercise for 1 week.
- At-Home Care: Apply hydrocortisone cream as needed for itching.
- Apply antibiotic ointment as needed for any sores or irritated areas.
- You may apply an ice pack as needed for discomfort (no more than 10 minutes per hour with a cotton barrier).
- Hydration and comfort: Keep yourself well hydrated. You may take Tylenol for discomfort.
- Hydrocortisone cream apply to intact healed skin only.
Frax 1940/1550
*Please arrive 1 hour before your appointment to numb, preferably with no makeup.*
PRE-TREATMENT- One month prior
- Avoid sunbathing, tanning beds, and self-tanners
- Wear sun protection – SPF 30+
- Consider using a moisturizing lotion daily
One week before
- Avoid the use of photosensitizing medications, and medications such as Retina A or Glycolic Acid
- Consider utilizing a moisturizer in the 5-7 days before the treatment
One day before
- If you have a history of Herpes Simplex virus infection, you may consider taking antiviral medication as prescribed by your doctor
DAY OF TREATMENT
- Inform your provider if you have changed medications or have had recent sun exposure
- Do not exercise or go to the gym, spa, or sauna immediately before treatment
- Avoid saunas, strenuous exercise, and any activity that may cause excessive heat to the treatment area for ~ 24 hours
- A feeling of dryness/itchiness may be noticed; this is perfectly natural
- Do not scrub or scratch the treated areas
- Regularly apply a moisturizer to the treated area
- Consider an occlusive such as Aquaphor if dryness is significant
- It is recommended not to apply makeup for 24 hours
- Do not apply products that may cause your skin to react negatively (e .g . scrubs, exfoliating agents, products with fragrance or perfumes)
- Do not use peels or aggressive cleansers for 5-10 days – or until crusting/dry skin has cleared
- Inform your doctor immediately if there is continued or severe discomfort, any sign of blistering, or a sudden rash. These are extremely uncommon but require immediate attention
POST-TREATMENT – Immediate post-treatment
- Apply moisturizer and sunscreen (SPF 30+) to all areas treated and avoid sun exposure
Week 1 and 2 post-treatment
- Avoid direct sun if possible but if you cannot avoid direct sun exposure, always use sunscreen (30 SPF+) and reapply every 2 hours
- If you are having additional treatments, avoiding all sun exposure between treatments is strongly recommended
Yag
*No numbing required. Please arrive 15 minutes earlier with no makeup and hair back to wash and take before photos.*
Immediately post-treatment:
- Apply sunscreen (SPF 30+) to all areas treated and avoid sun exposure
Day of Treatment
- Avoid saunas, strenuous exercise, and any activity that may cause excessive heat to the treatment area for 24 hours
- A feeling of itchiness may be noticed; this is perfectly natural
- Do not scrub or scratch the treated areas
- Apply a moisturizer to the treated area
- Do not apply products that may cause your skin to react negatively for 1-2 weeks (eg, scrubs, exfoliating agents, products with fragrances or perfumes)
- If possible, avoid using makeup other than sunscreen and moisturizer for 4-8 hours after treatment
Note: Treated pigment may become darker following the treatment; this is a desired effect and may be covered by make-up
- Inform your doctor immediately if there is continued or severe discomfort or any sign of blistering. This is extremely uncommon but requires immediate attention
Pigment Treatments
- The treated pigment will darken, dry, and slough as the skin renews (7-21+ days)
- Do not scratch or pick at the areas
- Avoid sun exposure for 1 month after the treatment
Vascular Treatments
- Slight redness and itchiness are common for a few minutes to a few hours after the treatments
- Dry skin or peeling may be noted after the treatments (apply moisturizer)
- YAG treatments of small vessels may have erythema (redness) lasting a few days
- If the energy used during the treatment was near the upper limit, consider using strong (group IV) topical glucocorticosteroids immediately after the treatment
Week 1 and 2 post-treatment:
- Avoid direct sun if possible but if you cannot avoid direct sun exposure, always use sunscreen (30 SPF+) and reapply every 2 hours
Numbing Instructions
For fillers, Kybella, and Sculptra, apply numbing cream to the treatment area 15 minutes before your appointment.
For Sublative, Vivace, Clear & Brilliant, and Intima (external) laser apply numbing cream to the treatment area 30 minutes before your appointment.
For Profound, CO2, and Frax 1940 laser apply numbing cream to the treatment area 1 hour before your treatment and again 30 minutes later.
Tixel
*Please arrive 30 mins before your appointment to numb.*
Before Appointment:
- Avoid tanning treatment areas, including tanning beds, spray tan, and sun for a minimum of six weeks.
- Stop using exfoliants (including retinol and glycolic acid) on the treatment area one week before treatment.
- Avoid makeup on the area to be treated.
- Avoid this treatment if you are pregnant or breastfeeding.
- Avoid chemical or mechanical irritants one week before treatment.
Post Care:
- A sensation of heat, like a very strong sunburn, may last for several hours on the day of treatment.
- Redness, swelling, and treatment marks may last for 3 to 10 days, depending on the level of treatment.
- Sloughing of skin with washing on days 3 to 5.
- Avoid direct sunlight. Use sunscreen with SPF 30 or higher.
- Do not apply makeup for 24 hours.
- Avoid hot showers for 24 hours. Use cool water and gentle cleansers for 48 hours.
- Small scabs may develop over 24-48 hours following your treatment. Keep areas well moisturized and allow them to fall off on their own.
- Do not exfoliate until after your skin has healed!
- Avoid the use of exfoliants for 1-2 weeks after your treatment.
- Avoid microdermabrasion and acid peels 1-2 weeks after your treatment.
- Avoid chemical or mechanical irritants 1-2 weeks after treatment.
Avéli
Avéli is indicated for long-term reduction in the appearance of cellulite in the buttocks and thigh areas of adult females as supported by clinical data demonstrating treatment benefits through one year of observation. The most common side effects reported were mild pain within the first 24 hours and bruising and tenderness to the touch which typically resolved within 30 days. Some patients returned to normal activities within one day of the procedure and most within a week. As with any medical procedure, there are risks associated with the procedure. Consult with your physician for full safety information.
What to Expect Post-Procedure
The chart below will guide you through the post-procedure process, helping you understand what to expect in terms of recovery and results.
Within 1-2 days
Minimal downtime is to be expected after the AvéliTM procedure. You may want to take it easy, but most patients return to normal activities within one day after the procedure.
Within 14 days
Wear compressive clothing (e.g., Spanx, Skims, or Assets (from Target)) as much as possible during the first week, and up to 2 weeks after the procedure, to help reduce bruising and swelling. You can engage in light physical activity during the first 14 days, but extreme physical activity should be avoided during healing. Strenuous activity may increase side effects.
Within 30 days
Avoid extended sun exposure and use sunscreen over the insertion points for the first month after the procedure to prevent pigmentation.
Within 90 days
Follow up with your physician if you have any additional questions. Ensure your follow-up appointment is scheduled with your physician to take “After” photos and review your results.
You May Experience
It is normal to experience mild discomfort or pain during the first days after the procedure.
Clear or pink fluid may leak from the insertion points for the first 24 – 48 hours and typically resolves in the first week.
If you feel heat or a burning sensation in the treatment area, you may be surprised but do not be alarmed. Apply an ice pack wrapped in a towel to the area for 10 minutes to help it resolve. Areas of numbness are possible. You may experience mild pain or tenderness when applying pressure to the treatment area (e.g., sitting or lying down). Swelling should resolve and bruising should peak and start to resolve during this period. Most patients see their bruising fully resolve within 30 days of the procedure. Palpable areas of firmness (or softness) are expected.
If the areas are slow to improve, you may perform firm massage with your fingertips for a few minutes a day until resolved.
A minority of patients will experience areas of numbness, but this typically resolves within the first 60 days.
Your Results
We know it’s exciting, but be patient as you begin the healing process. You should see smoother skin where dimples once were as swelling and bruising subsides. By one month post-procedure, you should see a reduction in the appearance of cellulite on your buttocks and/or thighs. Results should be visible in After photos when taken at a three-month follow up appointment.