Pre & Post Treatment Care

Tox (Botox, Dysport, Jeuveau, Xeomin)

PRE TREATMENT

  • Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Ginko Biloba, St. John’s Wort and high doses of vitamin E for 7-10 days prior to procedure, as these may cause increase risk of bleeding and bruising at the treated site(s). Regular multi-vitamin and Tylenol® is permitted (If not contraindicated).
  • Avoid alcoholic beverages for 24 hours prior to procedure as this can increase the risk for bleeding and bruising at the treated site(s).
  • Avoid waxing, bleaching, tweezing, or the use of hair removal creams in the area(s) to be treated.
  • Take Tylenol® (if not contraindicated) 1 hour prior to your appointment to help with any discomfort you may have, if you have concerns about discomfort.
  • Sunburn skin is difficult to treat so avoid exposure to the sun.
  • Eat a small meal or a snack before your appointment.
  • NO VACCINES 2 weeks before or after your treatment
  • Always inform your doctor of all medications, including supplements you may be taking as well as your medical history.

PRECAUTIONS

You would not be considered a candidate for toxin if you have any of the following:

  • Myasthenia Gravis
  • Allergy to Botulinum Toxin
  • Neuromuscular disorder
  • Pregnant or breastfeeding
  • Allergy to human albumin

POST TREATMENT

  • Avoid makeup and use gentle cleansers for 12 hours.
  • Consider taking a 10mg Zinc supplement daily, as there is data to support this helps with the duration of your treatment.
  • The results of your treatment can take up to 14 days to take full effect. Usually patients notice a change in 4-5 days. It takes time for the muscles to lose strength and the lines to fade following treatment. Please wait until 14 days have passed before assessing if you are pleased with the results.  It is normal to have uneven results within the first 14 days, most of the time this corrects itself.
  • Do not touch or rub injected site for 4 hours following treatment. Avoid exercise and sweating for 48 hours and no lying down for 4 hours after treatment.
  • Avoid heat exposure, tanning beds, saunas, hot tubs for 48 hours.
  • There can be a slight chance of bruising at the treated site, this is temporary. Be assured that any tiny bumps or marks will go away within a few hours of treatment.
  • Avoid any type of facial, microderm abrasion, or massage for 14 days after treatment.
  • Avoid Ibuprofen, Advil or Motrin, Tylenol is acceptable to take if experiencing discomfort (if not contraindicated)
  • Botox/Dysport/Jeuveau/Xeomin is a temporary procedure and at first, you may find that your treatment results will last approximately 3-4 months. If you maintain your treatment appointments with the frequency recommended by your clinician, the duration of each treatment results may last longer than 4 months.
  • Your satisfaction is important to us! We would like you to return to the office in 2 weeks for a follow-up assessment appointment, especially after your first treatment. This will ensure we are able to see how your facial muscles react to your treatment.

Filler

PRE TREATMENT

  • Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for at least 7-10 days before your appointment, unless medically necessary.
  • You may take Tylenol® (if not contraindicated) one hour before your appointment to prevent any discomfort you may experience. If you have concerns about discomfort.
  • Take Arnica Tablets in the days leading up to your appointment, this will help with bruising and swelling.  A minimum of 7 days is ideal.
  • Drink plenty of water prior to and after appointment.
  • If you are taking prescription blood thinners such as Coumadin or Plavix, you should check with the prescribing doctor to see if you are able to stop these medicines for 7-10 days before your appointment and at least 2 days after the procedure has been done.  DO NOT stop these medications without the prescribing doctors permission.
  • If you have any history of Herpes Simplex (cold sores) on your face, make sure you inform us at least one week prior to your appointment; this will allow us adequate time to prescribe a medication to prevent an outbreak.
  • Avoid dental procedures (including cleaning) 2 weeks pre filler and 2 weeks post filler
  • NO VACCINES 2 weeks before or after your treatment
  • Come to your appointment with a clean face.
  • Eat a small meal or a snack before your appointment.
  • Bruising and swelling will be worse for the first 24-48 hours after you receive your dermal filler injections. Refrain from exercising for the remainder of the day following your injection(s). You may want to refrain from going to any special events during this time.

POST TREATMENT

  • The majority of reactions to dermal fillers are redness, swelling, bruising and tenderness after the injections. These usually subside a few days after the treatment, but can last 1-2 weeks. If any of these symptoms persist longer than a week, or if you develop other symptoms, please contact our office.
  • Please do NOT massage the areas we injected.  
  • If you had facial filler, do not lay on your side or put pressure on the areas for a few days minimum.
  • Cold compresses may be used after the treatment to reduce swelling and decrease soreness (20 min’s at a time, every few hours). You may take Tylenol (if not contraindicated) every 4-6 hours after the treatment to help with any discomfort you may have.
  • Make-up may be applied a few hours after the treatment, if no complications are present, such as open wounds, bleeding or infection.  Please use new makeup and clean applicators for the first 24 hours.
  • In the first 48 hours following treatment, limit exposure to sunlight or UV lamps. Extensive sun or heat exposure and alcoholic beverages may cause a temporary increase in redness, bruising or swelling at the injection sites. If there is persistent swelling or redness after the injections, you should limit exposure to sunlight or UV lamps until these symptoms subside (for at least 5-7 days). If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.
  • Patients should avoid strenuous exercise for 48 hours to prevent moving the filler or increasing blood flow to the face.
  • Avoid taking aspirin (unless medically necessary) or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for 5 days after the treatment, as these may cause an increased risk of bleeding or bruising at the injection sites.
  • Avoid excessively touching the treated areas for about 48 hours after the injections. The treated areas can be washed with a gentle cleanser such as Societe or Dove® unscented.
  • Stay hydrated.
  • Avoid laser treatments to the treated area for a minimum of 6 weeks, avoid chemical peels/skin care treatments for 2 weeks.
  • Avoid dental procedure (including cleaning) 2 weeks post filler
  • Your satisfaction is important to us! We would like you to return to the office in 2-4 weeks to see whether a touch-up is necessary.  Your injector will advise you of the ideal time to follow up based on the filler that was injected.  Some filler can take 4 weeks to settle. If follow up treatments are necessary outside of the 2-4 week touch up policy, there will be additional charges at the regular rate.

Dissolving Filler

PRE TREATMENT

  • Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses of vitamin E for at least 7-10 days before your appointment, unless medically necessary.
  • You may take Tylenol® (if not contraindicated) one hour before your appointment to prevent any discomfort you may experience. If you have concerns about discomfort.
  • Take Arnica Tablets in the days leading up to your appointment, this will help with bruising and swelling.  A minimum of 7 days is ideal.
  • Drink plenty of water prior to and after appointment.
  • If you are taking prescription blood thinners such as Coumadin or Plavix, you should check with the prescribing doctor to see if you are able to stop these medicines for 7-10 days before your appointment and at least 2 days after the procedure has been done.  DO NOT stop these medications without the prescribing doctors permission.
  • If you have any history of Herpes Simplex (cold sores) on your face, make sure you inform us at least one week prior to your appointment; this will allow us adequate time to prescribe a medication to prevent an outbreak.
  • Avoid dental procedures (including cleaning) 2 weeks pre filler and 2 weeks post filler
  • Come to your appointment with a clean face.
  • Eat a small meal or a snack before your appointment.
  • Bruising and swelling will be worse for the first 24-48 hours after you receive your dermal filler injections. Refrain from exercising for the remainder of the day following your injection(s). You may want to refrain from going to any special events during this time.
  • You may require more than one session to achieve the desired result.  Dissolving depends greatly on the brand of filler you had, how much was used, and how long ago it was done.

POST-TREATMENT INSTRUCTIONS

  • Avoid ice, you may apply heat and massage for the first 24 hours
  • Avoid any heat-inducing activities for 24 hours, as this will make you swell more.
  • Do not perform strenuous exercise for 24 hours.
  • Avoid alcohol for 24 hours.
  • Do not apply oil-based makeup for 24 hours.
  • Avoid blood thinning medication such as Aspirin & Ibuprofen for 7 days (unless medically necessary)
  • Use a topical treatment to soothe the skin such as Arnica.

WHAT TO EXPECT: 

Below are all normal side effects and should self-resolve within a few days.

  • Redness
  • Swelling
  • Pain
  • Itching
  • Bruising (Bruising may occasionally be more significant than with dermal filler injections).
  • Tenderness

 

More severe complications may include:

Hyalase administration can result in anaphylaxis (a severe allergic reaction) which in itself is life-threatening and requires immediate medical attention.

Symptoms of a severe allergic reaction can include

  • Shortness of breath.
  • Wheezing.
  • Coughing.
  • Difficulty swallowing.
  • Swelling of the tongue or eyelids.
  • Hoarseness of the voice.
  • Stomach pain, nausea or diarrhea.

If you have any of the above severe symptoms, please report to your nearest Emergency Department or call 911 for an ambulance.  Please contact our office as soon as possible.  If you are going to have this reaction, it will likely happen while you are in the office.

MANAGEMENT:

Swelling

Swelling is a normal response to Hylenex. Swelling may appear asymmetrical, but this is normal and not an indication of the end result. The swelling should subside within a couple of days.

Swelling Relief

  • Apply a warm compress to the area for 10 minutes every hour on treatment day.
  • Take an antihistamine (e.g. 10mg loratadine)
  • Try sleeping on your back, slightly elevated, to prevent pressure build-up on the face

Bruising

Bruising is a common and expected side effect. This is not due to poor technique and will not alter the final result of your treatment. In order to reduce bruising, it is important to adhere to the aftercare regime.

Bruising Relief

  • Avoid any medications containing NSAIDs, aspirin, vitamin E and ginseng for the week prior and the week following treatment, unless medically necessary and after discussion with your doctor/nurse.
  • Apply a warm compress to the area for 10 minutes every hour on treatment day.
  • Apply topical Arnica to the affected area.

FAQs

How long until I will see results?

Although some of the effects can be immediate, it can take up to 2 weeks for the final results to be seen and the procedure may need to be repeated.

Further dissolving with Hylenex may need to be performed, this is best done 14 days after the initial treatment.

How long after the Hyaluronidase can I get Dermal Filler?

Further treatment with dermal filler to the corrected area can be performed no sooner than 14 days after the last treatment with Hyalase.

Sculptra

After each treatment session with Sculptra Aesthetic there are a few easy things you will need to help with the treatment results. You can print out this instruction sheet and keep it handy so you remember to do these things every day:

  • HAVE AN – ice pack ready: Within the first 24 hours of treatment, apply a cloth-wrapped ice pack to the treated area for a few minutes at a time. Never apply ice directly to the skin. The cold will help reduce common swelling.
  • GIVE YOURSELF – facial massages: Massage the treated area for 5 minutes 5 times a day for 5 days after treatment as recommended by your physician
  • AVOID – excess sunlight and UV exposure: Protecting your skin from the sun is always important, but after treatment, excessive sunlight and UV lamp exposure should be avoided until any initial swelling and redness go away. Your doctor will provide guidelines on sunscreen protection and how to avoid excessive sunlight.

Call our office if you have any questions or concerns after treatment. Also, report any side effects to your doctor. Be sure to keep any follow-up appointments that may be scheduled.

Remember, Sculptra Aesthetic works by gradually replacing lost collagen. It provides improvements subtly without making it look like you’ve had work done.

Post-Sculptra Instructions:

  • DO massage the treated areas 5 times a day for about 5 minutes for 5 days after treatment.
  • DO hold ice packs on the treated areas gently for about 3-5 minutes a few times that day.
  • Feel free to wear makeup a few hours after.
  • Treated areas may be red, swollen, and bruised for the first 2-7 days.
  • Do NOT get a facial or massage for 2 weeks after your filler procedure.
  • Avoid strenuous workouts and alcohol for 24 hours if possible.
  • If bruising occurs, continue Arnica supplements, DO apply topical Arnica gel, drink fresh pineapple juice, and/or take Bromelain supplements to help bruising resolve faster.
  • Bruising can be covered with makeup. i.e. Dermablend (CVS or Macy’s) or Colorescience Corrective Palette.
  • A few days after treatment, you will look as you did before treatment. This is normal, over time, Sculptra will replace lost collagen.

Follow-Up Treatment:

  • Follow up treatments should be scheduled about every 4-6 weeks.
  • Visible results may not be seen until 3 sessions have been completed.
  • Results can last more than two years.

PRF/PRP

PRE TREATMENT

If you develop a fever, cold, or flu symptoms, or develop a cold sore, blemish, or rash, etc. in the area to be treated prior to your appointment, you must reschedule (we will not treat you).

It is recommended, if you have a special event or vacation coming up that you schedule your treatment at least 2 weeks in advance (we prefer 3-4).

If you are being treated in the lip area and have a history of herpes (cold sores) with outbreaks more than 4 times a year some practitioners recommended that you are pretreated with medication. **Please let us know that you need a prescription if you do not have this medication on hand. **

Discontinue use of anti-inflammatory drugs (steroidal and non-steroidal) such as Aspirin, Motrin (or any other Ibuprofen drugs) at least 3 days to 1 week before your treatment.  If medically prescribed, please consult with your prescribing provider.

With PRF, we “want” inflammation this is one of the mechanisms of how PRF does its work. If you are or have been on systemic use of corticosteroids (steroids) within 2 weeks of treatment, we cannot treat you. Consult your physician for approval to discontinue the use of steroids and receive treatment.

Discontinue use of any other blood thinning agents such as Vitamin E, Vitamin A, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Essential Fatty Acids (EFA’s and DHA’s), etc. at least 3 days to 1 week before and after treatment to minimize bruising and bleeding; if medically prescribed please check with your prescribing provider before discontinuing.

The success of this treatment is dependent on your cellular health.  Please be sure to hydrate well and eat healthy food leading up to your appointment.

It is recommended that you avoid: Alcohol, caffeine, Niacin supplement, spicy foods, and cigarettes 3 days before and after your treatment. (All of these may increase the risk of bruising).

POST TREATMENT

There are minimal restrictions after your PRF injections allowing you to return to your daily activities almost immediately.

Continue to hydrate and eat well after your treatment.  The body needs support!  Water + protein = your best friend.

Do not touch, press, rub, or manipulate the treated area (s) for at least 8 hours after your treatment.

Avoid blood thinners and NSAIDs for 2 weeks following your treatment to minimize the risk of bruising.

If you experience discomfort or pain, you may take acetaminophen/Tylenol as directed.

You may apply ice to the injected area for 20-30 minutes after the procedure for comfort.  We recommend using ice only if absolutely needed, as it is better to let the treatment settle naturally.

Do not wash or take a shower for at least 6 hours after your treatment.

Do not use any lotions, creams, or make-up for at least 6 hours after your treatment.

Avoid vigorous exercise and sun and heat exposure for at least 3 days after your treatment.

It is normal to experience bruising, redness, itching, soreness, and swelling that may last 3-14 days following your procedure.

SkinPen Microneedling

PREPARING FOR YOUR SKINPEN PROCEDURE

  • The treated area may be pink and mildly inflamed (similar to the appearance of a mild sunburn) for 24-48 hours following your SkinPen procedure.
  • Your physician will advise you to keep your skin clean of cosmetics or sunscreen for the remainder of your day post-procedure.
  • If you are prone to herpes simplex infections, such as cold sores, ask your physician whether prophylaxis therapy is appropriate prior to the procedure.
  • If you have been overexposed to the sun (sunburn) the day preceding your appointment, please call our office to reschedule your appointment.
  • This procedure may not be performed on active breakouts or open lesions. Please consult your physician prior to your SkinPen procedure to address any such issues.
  • Wait at least six months post isotretinoin use before your SkinPen procedure, as isotretinoin use may impair wound healing and increase risk of scar tissue formation.
  • Allow 48 hours after spray or self-tanning lotions before your SkinPen procedure.
  • Avoid sun exposure for 24 hours prior to the procedure.
  • Discontinue the use of topical products containing Retinol or Vitamin A for 24 hours prior to your SkinPen procedure.
  • If you are on autoimmune therapy, ask your physician if you should refrain from taking any medications prior to your SkinPen procedure

POST SKINPEN PROCEDURE GUIDELINES

  • Avoid strenuous exercise or excessive perspiration for 72 hours post-procedure, as excess blood flow and sweat can cause discomfort and irritation to compromised skin.
  • Avoid use of any topical products not provided by your skincare professional for specific use with this procedure. This includes but is not limited to cosmetics, cleansers, sunscreens, moisturizers, etc.  Unexpected complications may occur when products not proven safe for use with microneedling are applied post-procedure.  In lieu of cleansing your skin, you may rinse with cool water (or a vinegar soak) as needed.
  • RESCUE calming complex can be applied as needed after the first 24 hours to help soothe the skin.
  • Strictly avoid sun exposure as you will not be wearing sunscreen. You may return to sunscreen use 24 hours after the procedure. Continue to minimize sun exposure for 72 hours following the procedure.
  • Skincare products with active ingredients can be restarted after one week.

SkinPen Microneedling + PDRN

PREPARING FOR YOUR SKINPEN + REJURAN PROCEDURE

Your upcoming SkinPen treatment will now include Rejuran Healing Essence, a powerful topical booster derived from PDRN (polydeoxyribonucleotide)—a regenerative compound sourced from salmon DNA. This advanced formula enhances post-procedure healing, boosts collagen production, improves skin texture, and reduces inflammation.

Please follow these guidelines to ensure the best results:

  • Expect the treated area to appear pink and mildly inflamed, similar to a light sunburn, for 24–48 hours post-treatment.

  • Do not apply cosmetics, SPF, or skincare products for the remainder of the day post-procedure unless directed by your provider.

  • If you are prone to cold sores or herpes simplex infections, ask your provider about starting prophylactic antiviral medication prior to treatment.

  • If you are experiencing active acne breakouts, open lesions, or sunburn, please call the office to reschedule your appointment.

  • You must wait at least 6 months after using isotretinoin (Accutane) before having microneedling performed, due to its effects on wound healing.

  • Avoid sun exposure, spray tans, or self-tanning lotions for 24–48 hours prior to your appointment.

  • Discontinue retinol or Vitamin A products 24 hours before your treatment.

  • If you are on autoimmune therapy, consult your physician about any necessary modifications to your medication.

WHAT TO EXPECT WITH REJURAN + MICRONEEDLING

Rejuran Healing Essence is applied immediately after microneedling to allow deep penetration into the skin. Because this product is cell-regenerative and anti-inflammatory, you may experience:

  • Accelerated healing and reduced redness compared to microneedling alone

  • A softer, smoother texture and a noticeable boost in glow within days, this peaks around week 3

  • In some cases, MENDS (microscopic epidermal necrotic debris)—tiny dark spots that look like specks or freckles—may appear a few days after treatment. These are completely normal and are part of the skin’s natural renewal process. They typically flake off within 3–7 days.

POST-SKINPEN PROCEDURE GUIDELINES

To protect your results and support your healing, follow these instructions:

  • Avoid strenuous exercise, sweating, or saunas for 72 hours post-treatment, as perspiration can irritate the skin.

  • Use only the post-care products provided or approved by your provider. Do not apply any other skincare (makeup, cleansers, moisturizers, sunscreen, etc.) for the first 24 hours.

  • Instead of cleansing, you may rinse with cool water or do a gentle vinegar soak if needed.

  • After the first 24 hours, you may begin applying RESCUE Calming Complex or other recommended products to soothe the skin.

  • Avoid sun exposure completely for the first 24 hours. You may begin wearing sunscreen after 24 hours but continue to minimize sun exposure for at least 72 hours.

  • You can resume your normal skincare regimen (including active ingredients like retinol) after 7 days, unless otherwise advised.

If you have any questions before or after your appointment, don’t hesitate to contact us. We’re here to support you every step of the way on your journey to radiant, healthy skin!

SkinPen Microneedling + IPL

PRE-TREATMENT INSTRUCTIONS

For 2 weeks before treatment:

• Avoid direct sun exposure, tanning beds, and self-tanning products on the treatment area.
• Do not have Botox, filler, chemical peels, or microneedling on the same area for at least:
– Botox/peels: 14 days prior
– Filler: 4 weeks prior
• Discontinue the following skincare products 5–7 days prior:
– Retinoids/Retin-A/Tretinoin
– AHA/BHA exfoliating acids (glycolic, lactic, salicylic)
– Benzoyl peroxide
– Hydroquinone
• No waxing, depilatory creams, or facial lasers on the treatment area for 7 days.
• Avoid blood-thinning supplements for 72 hours if medically permitted (fish oil, vitamin E, turmeric, garlic).
• Avoid alcohol for 24 hours before treatment.
• Increase water intake for 48 hours before treatment.

Cold sore history:
If you are prone to cold sores, notify us in advance. An antiviral prescription may be recommended.

Please arrive with clean skin:
No makeup, lotions, oils, deodorant, perfume, or SPF.

POST-TREATMENT INSTRUCTIONS

You can expect redness, heat, tightness, and mild swelling the day of treatment. Brown spots and vascular areas may appear darker over the next several days before sloughing off. This is normal.

Important:
Use only the products approved/recommended by your provider. Active or irritating products will delay healing.

FIRST 24 HOURS

• Do not touch or pick at the skin.
• Avoid sweating, exercise, saunas, and steam rooms for 48 hours.
• Avoid makeup for 24 hours or until the skin is no longer warm and sensitized.
• Use only a gentle cleanser and tepid water or the vinegar solution if recommended 1tbsp of distilled white vinegar + 2-4 cups of water. Pat dry; do not rub.
• Apply the post-treatment products provided or recommended by your provider.  You can start using the rescue calm as needed.

Use the face mask provided to you on the day after your treatment.

Do not use ice directly on the skin.
Do not use any exfoliating pads, scrubs, or brushes.

DAYS 2–7

• You may experience dryness, flaking, or a sandpaper-like texture. This is expected.
• Continue gentle cleansing and moisturizing twice daily.
• Avoid the following until you are told to resume (usually around days 5–7):
– Retin-A / Tretinoin / Retinoids
– AHA/BHA acids (glycolic, lactic, salicylic)
– Benzoyl peroxide
– Vitamin C (unless your provider approves a specific formulation)

Do not pick or peel flaking skin. Allow it to shed naturally.

SUN PROTECTION (CRITICAL)

• Avoid direct sun exposure for a minimum of 7–10 days.
• Use a mineral/physical sunscreen SPF 30 or higher after 24 hours.
• Hats and shade protection are strongly recommended.

Sun exposure after treatment will increase the risk of hyperpigmentation and interfere with your results.

EXPECTED COURSE

• Redness: 1–3 days
• Dryness/flaking: 3–7 days
• Pigment darkening (“peppering”): 3–5 days
• Improvement continues over the next 4–6 weeks as collagen forms

A series of treatments is recommended for best results.

CONTACT THE OFFICE IF YOU EXPERIENCE:

• Increasing redness or warmth after 72 hours
• Blistering or open wounds
• Yellow drainage or signs of infection
• Persistent discomfort or worsening swelling

Morpheus8 + CoolPeel Combo

COMBO TREATMENT PRE-CARE

Morpheus8 + CoolPeel CO₂

To ensure the safest and most effective outcome, please follow these instructions for 2 weeks prior to treatment:

Avoid Before Treatment

No tanning or sun exposure (including tanning beds or spray tan) for 14 days.

Discontinue the following skincare products for 5–7 days:

  • Retinoids / Retin-A / Tretinoin
  • AHA/BHA exfoliating acids (glycolic, salicylic, lactic acids)
  • Benzoyl peroxide
  • Hydroquinone or other bleaching agents
  • Do not wax or use depilatory creams on treatment areas for 7 days.
  • No Botox, peels, microneedling, or other skin procedures on the treatment area:
  • Botox/chemical peels: 2 weeks prior
  • Filler: 4 weeks prior *unless approved by injector

Do

  • Increase water intake.  Daily intake for most people is 3 quarts a day.  Aim for that, always.
  • Ensure you are consuming adequate protein.  Protein = healing.  Protein = results.
  • Avoid alcohol for 24 hours prior.
  • If you are prone to cold sores, notify the provider in advance. An antiviral may be prescribed.
  • Arrive with clean skin (no makeup, lotion, deodorant, perfume, or SPF).

COMBO POST-CARE

Important Instruction:
Because this treatment includes both radiofrequency (Morpheus8) and fractional CO₂ (CoolPeel), the skin may feel hot for several hours.

Do not apply Aquaphor, Vaseline, or any occlusive product until the heat sensation has completely resolved.
Occlusives trap heat and may worsen inflammation after this combination treatment.

First 24 Hours After Treatment

Normal responses include redness, heat, tightness, and mild swelling.

Keep the skin clean and avoid touching the treated area.  Clean skin with a mixture of distilled white vinegar and water (2-4 cups of water + 1 tbsp distilled white vinegar).  Keep this mixture in the fridge, you will use it to clean and as a cool compress.

Gentle cool compresses may be used to reduce heat (do not apply ice directly to the skin).  Use the vinegar mixture on a towel as a cool compress.

Avoid sweating, exercise, saunas, or steam rooms for 48-72 hours.

Do not apply makeup for 3–5 days

Cleansing:

You can switch to a gentle cleanser after 48 hours, or continue with the vinegar through the healing process

Use a gentle cleanser free of active ingredients.

Pat dry; do not rub.

Moisturizing:

Do not use anything occlusive for at least 24 hours.  Begin using a LIGHT layer of Aquaphor to keep the skin moist after 24 hours.  This is important to prevent pigment caused by scabbing.

After 48-72 hours you can switch to the SOS cream (if purchased), if not, continue with Aquaphor until the texture has subsided.

Days 2–7

The skin may feel dry, rough, or have light flaking. This is expected.

Apply a physical sunscreen (SPF 30 or higher) daily.

Avoid:

Retinoids / Tretinoin

Chemical exfoliants (AHA/BHA)

Scrubs or exfoliating devices

Picking, peeling, or scratching

Days 7–14

Active skin care can be resumed only when instructed by your provider, typically around days 7–10.

Continue gentle moisturizer and sunscreen daily.

Improvement will continue as collagen remodels over the next several weeks.

Normal Expected Reactions

Redness or mild swelling

Pinpoint scabbing (micro-crusting)

Rough or “sandpaper” texture

Notify the Office If You Experience:

Blistering

Increasing redness or warmth after 72 hours

Yellow drainage or signs of infection

Persistent discomfort

Results

This combination treatment targets collagen at multiple skin levels:

Morpheus8 treats deeper tissue (dermal remodeling).

CoolPeel CO₂ resurfaces the top layers for improved texture.

You may see improvements in fine lines, pore size, texture, scarring, and laxity. Full results develop over 6 months; a series may be recommended for best outcomes.

Morpheus8

Pre-Treatment Instructions

2–4 Weeks Before

  • Use retinol, vitamin C, and SPF daily for best results.

    • If you do not purchase from us, please share the details of your home care products.

  • No tanning (sun, self-tanner, tanning beds, spray tans) for at least 2 weeks.

  • Avoid treatments that may irritate the skin (waxing, depilatories, strong exfoliants) for 1–2 weeks prior.

  • If you have a history of cold sores or herpes, contact our office for an antiviral prescription.

7 Days Before

  • Stop prescription-strength retinol products.

  • Discontinue the following: aspirin, ibuprofen, Excedrin, Motrin, ginkgo biloba, ginseng, flax oil, cod liver oil, fish oil, vitamin A, vitamin E, and other essential fatty acids.

  • If pain relief is needed, Tylenol is preferred.

  • Avoid alcohol and limit caffeine for a few days prior to treatment.

Day Before

  • Shave excess hair in the treatment area (night before appointment).

Day of Treatment

  • Arrive with a clean face (no makeup, lotion, SPF, or skincare products).

  • Avoid coffee/caffeine to maximize numbing agent effectiveness.

  • Hydrate well and ensure adequate protein intake to support healing.

Products Provided / Recommended

  • Use Aquaphor or Alastin Skin Nectar for the first 2–3 days.

  • Optional add-ons:

    • Revision NectiFirm Advanced – improves loose neck skin/double chin.

    • Revision Vitamin C+ – stimulates collagen post-treatment.

    • Retinol

Multiple treatments over several months may be needed to achieve desired results.

Post-Treatment Instructions

Expected Reactions

  • Redness for 1–3 days (longer with aggressive settings)

  • Mild to moderate swelling

  • Mild to moderate sunburn sensation

  • Possible crusting/peeling for 2–7 days

  • Temporary breakouts or brown spots are normal

  • Tiny scabs may appear 1–3 days post-treatment — do not pick or scratch

Days 1–2

  • Vinegar wash 4× daily:

    • Mix 2 cups water + 1 tbsp distilled white vinegar

    • Soak clean 4×4’s in solution, keep refrigerated between uses

  • Apply thin layer of Skin Nectar (or Aquaphor) after each vinegar wash

  • Keep area clean; avoid hot tubs, saunas, pools, or environments with high bacteria risk

  • No strenuous activity, sweating, or anything that raises heart rate

Days 3–5

  • Switch to gentle cleanser (or continue vinegar wash up to 7 days if preferred)

  • AM: Skin Nectar → Vitamin C → Moisturizer → SPF

  • PM: Skin Nectar → Vitamin C → Moisturizer

  • Avoid makeup for 48 hours; when using, apply gently

Day 5+

  • Add retinol at night if skin is no longer sensitive (after Vitamin C, before moisturizer)

  • Continue hydrating and protein-rich diet to support healing

  • Avoid skin irritants (retinoids, benzoyl peroxide, glycolic/salicylic acids, astringents) for 5–7 days until skin calms

General Post-Care

  • Sun protection: Apply SPF 30+ at all times starting 48 hours after treatment

  • Sleep with head elevated on clean pillowcases to reduce swelling

  • Use OTC arnica (oral immediately, topical after 24–72 hrs) for bruising/swelling

  • Benadryl or Zyrtec can help with swelling/itching if needed

  • OTC 1% hydrocortisone can be applied after 2 days for itching (2–3× daily, thin layer)

  • Contact the office if you notice:

    • Signs of infection (increased redness, swelling, warmth, pus)

    • Severe or worsening pain

    • Excessive swelling

    • Blisters

CO2 Laser

Pre Treatment

  • Avoid prolonged sun exposure (2-4 weeks ideally) 
  • Use a sunblock with Titanium / Zinc and SPF 30+ 
  • Suspend the use of spray tanning / bronzer Suspend all sun exposure (3-7 days) 
  • Suspend the administration of Accutane® (4-6 months) 
  • Start an antiviral prophylaxis treatment for those with a history of viral infections / cold sores (3 – 7 days) at the direction of the provider *contact office if needed
  • Suspend the use of aspirin / blood thinners (7 days), must be cleared to stop by PCP/Cardio
  • For patients prone to hyperpigmentation, pre-treating with a melanin suppressor may be necessary 
  • Hydrate and moisturize daily 
    • Increase water intake to 64oz. per day or more 
    • Moisturize the skin twice daily 
    • Both will help treatment efficacy and healing times
  • Eat healthy meals and consume proper amounts of protein to allow for better healing and results, do not skip eating on the day of your treatment
  • Suspend the use of topical retinols (3-4 days)

Post Treatment Care: Mild (CoolPeel) 

  • DRINK PLENTY OF WATER and eat the appropriate amount of protein for your body weight
  • Swelling, redness, and a mild to moderate sunburn sensation are common post treatment and should be expected
    •  Mild and traditional CoolPeel treatments (1 – 3 days) 
  • Immediately after treatment, consider using a handheld fan to help remove any excess heat 
    • A cool compress may be used, especially in the periorbital area, to help minimize excessive inflammation DO NOT USE ICE PACKS
  • After 24 hours, use a light skin care product (hyaluronic acid) 
    • Keep the area moisturized with a thin layer of Aquaphor and a Hyaluronic Acid until the sand paper texture resolves 
    • If burning is noted for more than a few minutes after applying the product, wash off with a mild cleanser and rinse with cold water and notify your provider 
  • Day 2 – 5+, as directed, wash the treatment area with cool water and mild soap / gentle cleanser and blot dry (AM and PM) 
    • Do not scrub the treated area 
    • Apply post treatment products (and/or ointment), as directed 
    • Do not use any topical products that have not been discussed with the provider
    • Reapply every 3 – 4 hours or as needed to maintain a moist environment.  Your skin must stay moist otherwise you will scab and may develop dark spots from it.
  • Avoid exercise, sweating, excessive heat, saunas, hot tubs, etc (2 – 4 days) 
  • Avoid the use of scrubs / exfoliants (5 – 10 days) 
  • Minimize exposure to pets and objects that may contain pet dander 
    • Do not allow pets to lick the treated area 
  • Wash your hands frequently and avoid touching the treated area 
  • Avoid sun exposure to reduce the risk of hyperpigmentation 
    • 24+ hours post treatment, use sunblock with Zinc and/or Titanium Minimize alcohol intake to help limit bruising and other complications 
  • To lessen the potential for swelling, sleep with head slightly elevated (one extra pillow)
    • Use a clean pillow case and change it frequently 
  • Mineral makeup may be applied a few days after treatment 
    • Mild and/or traditional CoolPeel treatments (2 – 5 days)
  • The goal is to hydrate without irritating, support the skin barrier, and avoid clogging or heat trapping in the first 24–48 hours.

Post Treatment Care: Moderate / Aggressive (CoolPeel Fusion or Moderate Fusion) 

  • DRINK PLENTY OF WATER and eat the appropriate amount of protein for your body weight
  • Swelling, redness, and a mild to moderate sunburn sensation are common post treatment and should be expected 
    • Redness and swelling may last longer with very aggressive treatments (3-7 days)
  • Immediately after treatment, consider using a handheld fan to help remove any excess heat 
    • A cool compress may be used, especially in the periorbital area, to help minimize excessive inflammation DO NOT USE ICE PACKS
    • Cool compress for aggressive treatments (where weeping, oozing, or bleeding are noted) is achieved by soaking gauze in the vinegar solution, ringing out some of the solution, and laying the gauze directly on your skin (recipe below)
  • With aggressive treatments, pinpoint bleeding, weeping and oozing may be present 
    • 12-24 hours post treatment or once the heat has dissipated, apply a thin layer of Aquaphor
      • Bandages/wraps are not necessary 
    • Vinegar soaks should be applied as soon as a few hours post treatment and as often as every 2 hours
      • Vinegar soak recipe: 1-2 cups water, 1 TBS white distilled vinegar 
      • Store in the refrigerator between uses to aid in the cooling effect
      • Thoroughly moisten gauze/clean towel with the vinegar solution and apply the to the entire affected area, ensure all the treated tissue is in contact with and covered by the gauze/towel 
  • To lessen the potential for swelling, sleep with head slightly elevated (one extra pillow)
    • Use a clean pillow case and change it frequently 
  • Day 2 – 5+ (48 hours post treatment +) 
    • Wash the treatment area with a gentle cleanser and blot dry (AM and PM) 
      • Do not scrub the treated area 
    • Apply post treatment products (and/or ointment), as directed on your post-procedure aftercare kit instructions. 
      • Once the weeping, oozing, and pinpoint bleeding stops and there are no longer areas where crusting or buildup of the drainage occurs between soaks, you may move to a lighter and less occlusive product 
      • If burning is noted for more than a few minutes after applying the product, wash off with a mild cleanser and rinse with cold water and notify your provider 
      • Do not use any topical products that have not been discussed with the provider 
      • Reapply every 3 – 4 hours or as needed to maintain a moist environment
  • Avoid exercise, sweating, excessive heat, saunas, hot tubs, etc. (5-7 days) 
    • If the treatment area feels flush during the activity, consider postponing the activity) 
  • Minimize exposure to pets and objects that may contain pet dander 
    • Do not allow pets to lick the treated area 
  • Wash your hands frequently and avoid touching the treated area 
  • Avoid sun exposure to reduce the risk of hyperpigmentation 
    • Once the skin is intact (no more weeping/oozing/bleeding), use sunblock with Zinc and/or Titanium when sun exposure can not be avoided 
  • Minimize alcohol intake to help limit bruising and other complications 
  • Mineral makeup may be applied a few days after treatment (once the weeping/oozing/bleeding has stopped) 
  • Avoid the use of scrubs / exfoliants for 2-4 weeks or as directed by your provider

IPL

PRE CARE

  • Avoid sun exposure for 2 to 3 weeks prior to treatment and use SPF 30 daily to ensure coverage against UVB and UBA rays.
  • Do not use self-tanning products for 2 to 3 weeks prior to and/or post treatment.
  • Discontinue use of Tretinoin type products (Renova, Tretinoin, Retin A, Retin A Micro, Tri-Luma, Solage, etc.) at least 5 days prior to treatment.
  • Accutane must be discontinued for a minimum of 6 months before treatment.
  • Discontinue use of Hydroquinone 3 days prior to treatment.
  • Photosensitizing medications, such as doxycycline or minocycline, must be discontinued at least 14 days prior to treatment.
  • If you have a history of cold sores, begin prophylactic treatment with Valtrex or similar no later than the day prior to IPL.
  • Notify the center if you develop a cold sore, acne, open lesions in the area being treated, or experience any type of illness prior to your treatment.
  • Avoid, if possible, Ibuprofen and non-steroidal anti-inflammatories for 3 days prior to and/or post treatment.
  • Longevity of Botox and fillers done any time within 6 months prior to face treatment may be affected. Botox and/or fillers within 2 weeks prior to IPL is not recommended.

POST CARE

  • You may experience a sunburned sensation immediately following treatment. Although rare, some light swelling is possible.  Redness can last a few days.
  • You may use a cold compress for the first 24 hours if needed.  Using a fan or applying a cool compress will not reduce the efficacy of your treatment.
  • Darkening of freckles and other areas is normal. If this occurs, do not pick or exfoliate the areas. They will flake off or lighten on their own over the next week if on the face and over the next several weeks if on the body.
  • If you experience a burn, gently cleanse the area and use hydrocortisone cream on the area several times a day for the next week. If the mark opens, also use antibiotic ointment over the hydrocortisone cream. Please notify us immediately of any burns.
  • Use SPF 30 or higher daily on treated area if exposed.
  • Avoid excessive heat or friction, such as heavy exercise and saunas, for 2-3 days.
  • Your skin will be fragile for 2-3 days, use gentle cleansers, do not rub the skin, and avoid hot water during this time.
  • You may generally resume normal skin care regimen after three days following treatment but we recommend that you hold any actives for 5-7 days.
  • Make-up may be applied the same day of your treatment, if the skin is not broken.

Laser Hair Removal

PRE TREATMENT

  1. Area must be shaved 1-3 days prior to your appointment.
    • A 5 o’clock shadow is good, depending on your hair growth shave accordingly and aim for this
    • Bikini services, don’t shave the part where you want to keep the hair
  2. No makeup/lotion/deodorant on the day of your appointment (on treatment area).
  3. Stay out of direct sunlight for at least 4 weeks prior to your appointment.
  4. Do not use self-tanner or spray tan products for at least 2 weeks before your treatment to avoid potential injury.
  5. Avoid drinking more than 2 alcoholic beverages 24 hours before your treatment .
  6. Avoid waxing/threading/tweezing in the area for at least 6 weeks prior. Shaving is ok!
  7. Do not use Retin-A two weeks before treatment.

POST TREATMENT

  1. Redness & Bumps are normal.
    Immediately after your treatment, redness & bumps at the treatment area are common; these may last up to 2 hours or longer. It is normal for the treated area to feel like a sunburn for a few hours. You should use a cold compress if the sensitivity continues. If there is any crusting, apply an antibiotic cream. Darker pigmented skin may have more discomfort than lighter skin & may persist longer.
  2. Cleanse the area treated gently.
    The treated area may be washed gently with a mild soap. Skin should be patted dry & not rubbed during the first 48 hours.
  3. Dead hairs will begin to shed 5-30 days after your treatment.
    Stubble, representing dead hair being shed from the hair follicle, will appear within 5-30 days from the treatment date. that is normal & they will fall out quickly.
  4. Exfoliate to speed up hair shedding.
    Anywhere from 5-30 days after the treatment, shedding of the hair may occur & this may appear as new hair growth. It is not new hair growth, but the dead hair pushing its way out of the follicle. You can help the hair come out by washing with a washcloth & shaving.
  5. Avoid the sun.
    Use sunscreen (spf 25 or higher) at all times throughout the treatment period & for 1-2 months following.  If you are exposed to sun between treatments, it must be a min of 4 weeks before.
  6. Do not pick/scratch/wax/thread/tweeze the area.
    Avoid picking or scratching the treated skin. do not use any other hair removal methods or products, other than shaving, on the treated area during the course of your laser treatments, as it will prevent you from achieving the best results.
  7. Hair growth varies.
    On average, most will experience a level of hairless happiness after 4-6 sessions which will result in not even checking for stubble.
  8. Do not wax, tweeze or use hair removal creams at anytime during treatment.
  9. If itchy, use hydrocortisone cream.
  10. It is possible that lymph nodes may become inflamed with the first two treatments, this is normal.

DMK Enzyme Therapy

Pre-Treatment Instructions

1 Week Before Treatment:

  • Avoid active skincare ingredients (retinol, glycolic acid, salicylic acid, benzoyl peroxide, and exfoliants).
  • Discontinue any at-home peels or harsh scrubs.
  • Avoid sun exposure and tanning beds—excess sun exposure can increase skin sensitivity.
  • Stop using antibiotics (if applicable) as they can make the skin more reactive.

48 Hours Before Treatment:

  • Stay well-hydrated and drink plenty of water.
  • Avoid waxing, threading, or laser treatments in the treatment area.
  • Do not apply any self-tanners or bronzing products.

Post-Treatment Care

Immediately After Treatment:

  • Mild redness and tightness are normal—this will subside within a few hours.
  • Your skin may feel dry or slightly flaky. This is part of the skin-rejuvenation process.
  • No makeup for 24 hours to allow the skin to breathe and heal.

First 3 Days After Treatment:

  • Use only DMK-recommended post-care products to support healing.
  • Avoid hot showers, saunas, or excessive sweating.
  • Do not pick, scrub, or exfoliate peeling or flaking skin.
  • Avoid direct sun exposure and always wear SPF 30+ sunscreen.

1 Week After Treatment:

  • Resume a gentle skincare routine.
  • Continue using DMK home-care products to enhance and maintain your results.
  • Schedule your next treatment as recommended to achieve optimal skin revision.

The Perfect Derma Peel

Pre-Treatment Instructions

For The Perfect Derma™ Peel
Please read and follow these instructions carefully to ensure the best possible results.

1–2 Weeks Before Your Peel

  • Discontinue use of retinoids, retinols, tretinoin (e.g. Retin-A), AHAs, BHAs, or exfoliating products 1 week before your appointment

  • Avoid waxing, threading, or facial hair bleaching for 2 weeks.

  • Do not undergo other facial treatments such as lasers, microneedling, dermaplaning, or facials on the area to be treated.

  • Stop using acne medications like benzoyl peroxide, salicylic acid, or topical antibiotics 1 week before your appointment, unless instructed otherwise by your provider.

  • Avoid excessive sun exposure and tanning beds for at least 10 days.

  • Let us know if you are on Accutane (isotretinoin), antibiotics, or steroids.

  • Notify us if you have an active cold sore or herpes simplex history. You may need an antiviral before treatment.

  • Do not shave the treated area for a few days before.

  • Avoid aspirin, NSAIDs (Advil, ibuprofen, Aleve), and alcohol to reduce risk of bruising or irritation unless prescribed for medical reasons.

Day of Treatment

  • Arrive with clean skin — no makeup, lotion, perfume, or SPF on the face or treated area.

  • Wear comfortable clothing that allows easy access to the treatment area.

  • Bring a hat or sun protection for after your appointment.

  • Expect some tingling or stinging during application—it is normal and temporary.

Important Reminders

  • Let us know if you’re pregnant, breastfeeding, or have any major health changes.

  • Bring a list of your current medications and skincare products.

  • Plan for some social downtime post-peel (typically 5–7 days of visible peeling).

Post-Treatment Instructions

DAY 1 – 2  The treated areas will feel tight and may appear slightly darker.

The day of the peel application is considered “Day 1”. The peel solution should remain on the treated areas for at least 6 hours. During the first 6 hours, DO NOT wash, touch, rub or apply make-up to the treated areas.

The Perfect Derma Moisturizer with 1% hydrocortisone (included in Patient Home Care Kit) may be used after 6 hours if:

  • The skin feels excessively irritated
  • Patient Fitzpatrick Type 4-6 or has melisma or hyperpigmentation
  • The Perfect Derma Plus booster was added to the peel treatment

If you are not experiencing any irritation or discomfort, the peel solution can remain on until your evening cleansing or it may be left on overnight.

DAY 2 ( A.M.) Gently wash and dry the treated areas. Vigorously apply the 1st Post-Pell Towelette to the treated areas. Let dry thoroughly. Towelette solution should be left on for 30 minutes before applying Mineral Perfection/Tinted SPF 30 or SPF 30. Make up may be applied if desired.

DAY 2 (P.M) 30-60 minutes before bedtime, gently wash and dry the treated areas. Vigorously apply the 2nd Post Peel Towelette to the treated areas. Leave the solution on overnight.

If you are experiencing irritation or discomfort, apply a small amount of the Perfect Derma Moisturizer 2-3 times daily. You may also apply a cold compress against the irritated for relief. If there is no significant irritation, do not use any moisturizing products on the treated areas until peeling begins (usually day 3) Avoid excessive sweating, sauna, or heavy exercise during peel process.

DAY 3-6 Peeling generally begins on Day 3.

After peeling begins apply The Perfect Derma Moisturizer (included in the Patient Home Care Kit) to the treated areas 2-3 times a day to control the peeling and relieve the tightness. This moisturizer should be used for one week for Caucasian patients and two weeks for Asian, Hispanic and African American patients. If the Perfect Derma Moisturizer runs out 1% hydrocortisone cream may be substituted. DO NOT rub, pick or pull on the peeling skin, let the peeling occur naturally. Rubbing picking or pulling may cause scarring.

Gently wash (DO NOT SCRUB) and dry the treated areas morning and night, and apply The Perfect Derma Moisturizer, Mineral Perfection/Tinted SPF 30 or an SPF 30 should be applied every 2 hours during sun exposure.

Day 7+ The peeling process is generally complete.

Mild sloughing may still be occurring in some treated areas. Continue to protect the skin with SPF 30 Sun Screen

If you should have any concerns during the peel process, contact our office.

Noon Peels

PRE-TREATMENT CARE

To prep your skin for optimal results and reduce sensitivity, please follow these guidelines:

7–10 Days Before Treatment

Discontinue prescription-strength retinoids, glycolic/salicylic acids, or harsh exfoliants.

Avoid waxing, depilatories or other irritating treatments in the treatment area.

No sun exposure or tanning (including beds or self-tanner).

Hydrate your skin well and drink plenty of water.

If prone to cold sores, start an antiviral 1–2 days prior (notify us if needed).

Day of Treatment

Arrive with a clean, makeup-free face.

Avoid caffeine and alcohol to reduce potential inflammation.

Do not apply moisturizer, SPF, or active ingredients the morning of your treatment.

POST-TREATMENT CARE

Your skin may be pink and tight after your peel, and light flaking or dryness is normal. Support the healing process with proper aftercare:

Days 1–3

AM & PM Routine:

Cleanse gently with C Cleansing Foam or CosmoClear.

Apply your recommended ampoule (Anti-Aging, AcNo Complex, or HydroCalming) – gently press into the skin.

Use Lacto-10 or Lacto-S for hydration.

Finish with Igloo Moist 24/7 and SPF (in AM only).

Peel-Specific Instructions:

If J-Peel or S-Peel was applied, do not wash the face for at least 6 hours post-treatment.

Mild flaking or shedding may occur — do not pick or exfoliate.

Avoid makeup for at least 24 hours or until your skin feels calm.

Do not use retinol, acids, or acne medications for 5–7 days unless directed.

Continue daily for 7+ days:

Keep the skin protected with SPF 30+ at all times.

Use hydrating and barrier-repair products consistently.  Consider SOS as a barrier-repair moisturizer.

Avoid hot water, saunas, steam rooms, and excessive sweating for 48–72 hours.

MAINTENANCE + BOOSTERS

For best results, complete a series of 4–5 treatments spaced 2–4 weeks apart.

Add-ons like Retinol Charisma, TrioLift Mask, or Igloo Mask may be recommended for enhanced outcomes.

Ask your provider about custom at-home regimens to maintain your glow between sessions.

Hydro Facial

PRE CARE

  • Avoid sun exposure for 1 week prior to treatment and use SPF 30 daily to ensure coverage against UVB and UBA rays.
  • Do not use harsh exfoliants for 1 week prior to treatment.
  • Discontinue use of Tretinoin type products (Renova, Tretinoin, Retin A, Retin A Micro, Tri-Luma, Solage, etc.) at least 2 or 3 days prior to treatment.
  • Discontinue use of Hydroquinone 2 or 3 days prior to treatment.
  • If you have a history of cold sores, consider beginning prophylactic treatment with Valtrex or similar no later than the day prior to Aqua Facial.
  • Botox and fillers injected up to 2 weeks prior is not recommended.
  • Notify the center if you develop a cold sore, acne, open lesions in the area being treated, or experience any type of illness prior to your treatment.

POST CARE

  • You may resume normal skin care regimen 2 days after treatment. If skin still feels irritated, test spot your skin care products first.
  • Discontinue Retin A for 2 days following.
  • Avoid unprotected sun exposure and/or tanning beds for at least 2 days post treatment.
  • Use sunscreen SPF 30 or higher daily.
  • Make-up may be applied post treatment.

Facial

PRE CARE
Discontinue the use of topical medications or products that may be irritating to the skin, such as scrubs, retinols, AHA, BHA and acne products, 1 week prior to treatment.

Do not wax in the treatment area immediately prior to treatment.

If you have a history of cold sores and are having a chemical peel or similar, we may recommend prophylactic antiviral therapy in the form of Valtrex. If so, notify our office for a prescription and follow the directions for your prescription.

Avoid treatment with injectable neurotoxins (Botox and Dysport) for 2 weeks preceding your Medical Facial. Treatment with injectable neurotoxins immediately afterwards is ok.

Avoid direct sun exposure or tanning beds 5-7 days prior.

Arrive with no makeup on, and a clean face.

If you have open lesions, active cold sores, facial dermatitis or facial irruptions you are not a good candidate for a CHEMICAL PEEL until fully healed.

If you are currently on Accutane, or have been recently, please let our office know.

POST CARE

There is usually no downtime is associated with Medical Facials, and treatments can be repeated as often as necessary to keep skin looking fresh. Although rare, there is a possibility that skin will be red, itchy and/or irritated.

Post treatment skin care at home is very important. We recommend Societe Skincare and will recommend appropriate products for your skin type and concerns.

No makeup for 24 hours after.

No direct sunlight for 24-48 hours.

No picking or touching face.

No sweating for 24 hours (light workouts), if you had a chemical peel wait 48 hours.

Wear a minimum of SPF 30, daily.

No retinols, AHA’s or BHA’s for 72 hours.

If you received a chemical peel, please follow these additional instructions as well:

Treat the skin gently – DO NOT exfoliate!  You may experience mildly red, dry, or flaking skin for several days or more after your peel.

Do not pick or pull at peeling skin.  The dead skin will naturally slough off.

PRX

Pre Care

If you are taking Retinol or Retin-A, you must come off of it for a minimum of 5 days before your first treatment.  Please HYDRATE yourself well in the days leading up to (and day of) your appointment.

If you have any of the following please contact our office:

  • History of skin cancer
  • Lupus or other significant autoimmune disease
  • Currently taking steroids
  • Take antihistamines regularly
  • Pregnant or breastfeeding
  • Irritated skin
  • Herpetic and/or cutaneous eruptions (acne)

Post Care

Do Not Wash or Rinse:

Avoid washing or rinsing your face for at least 6-8 hours after treatment to allow the solution to fully absorb and work.

Avoid Touching the Treated Area:

Do not touch, pick, or scratch the treated skin to prevent irritation or infection.

Avoid Sun Exposure:

Keep treated skin protected from direct sunlight. Use a broad-spectrum sunscreen with SPF 30 or higher whenever outdoors.

No Makeup:

Refrain from applying makeup for at least 12 hours post-treatment.

Continue Moisturizing:

Keep the skin hydrated with moisturizer to maintain results and reduce any dryness or peeling.

Gentle Cleansing:

Use a gentle, non-abrasive cleanser as recommended by your provider.

Avoid Harsh Products:

Do not use exfoliants, retinoids, or other harsh skincare products for at least 7 days after the treatment.

Avoid Heat and Sweating:

Stay away from saunas, steam rooms, and intense physical activities that may cause excessive sweating for 48 hours.

Protect Your Skin:

Continue to use sunscreen daily to protect the skin and prevent pigmentation issues.