• Avoid Aspirin, Vitamin E, and Fish Oils for at least a week before.
• Avoid NSAIDS for at least a week before.
• Avoid alcohol for a few days before.
• Do not schedule routine procedures (such as dental work, colonoscopy, etc.) within two weeks before and two weeks after treatment.
• Do not receive any vaccine within two weeks before and two weeks after treatment.
• Take Arnica if tendency to bruise.
• Eat pineapple or drink pineapple juice (contains bromelain) if tendency to bruise.
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to a recurrence. Speak to us about medications that may minimize a recurrence.
• Contraindications:
     • Immune system diseases
     • Pregnancy / Breastfeeding
     • Coagulation diseases
     • Cutaneous neurofibromatosis
     • Various acute infectious diseases (i.e., Influenza, etc.)
     • Inflammation of the skin in areas to be treated
     • A non-absorbable implant (Silicone) in the zone of treatment
     • Oncology (chemotherapy)
     • Tendency toward Keloid scarring
     • Bleeding Disorders and some diseases of the blood
     • Any vaccine within two weeks of treatment
     • Any dental work within two weeks of treatment

• You may have minor discomfort from fillers, but if you experience severe pain contact us immediately as this may be a sign of a serious complication.
• Swelling and bruising are normal and can last up to two weeks.
• Avoid touching the treated areas within six (6) hours following treatment. Do not massage the injection sites the day of the injections. After that, the area can be gently washed.
• You may shower and place make-up the following day.
• Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappears.
• Avoid exercise and alcohol for 24 hours after treatment.
• Take anti-inflammatories if you have any pain; this should be enough. You might develop a headache as a consequence of the injections. Avoid NSAIDS to prevent further bruising.
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to a recurrence. Speak to us about medications that may minimize a recurrence.
• Pineapple and Arnica Montana will help decrease the appearance of bruising.

• Swelling and bruising are normal and can last up to two (2) weeks.
• You may shower and place make-up the following day.
• Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappears.
• Take anti-inflammatories if you have any pain; this should be enough. You might develop a headache as a consequence of the injections. Avoid NSAIDS to prevent further bruising.
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to a recurrence. Speak to us about medications that may minimize a recurrence.
• Pineapple and Arnica Montana will help decrease the appearance of bruising.
• Pain at the insertion points is normal and may last several days after treatment. Please contact us for any pain beyond two (2) weeks.
• Effects should be noticeable immediately after treatment. However, maximum effect will occur in four- six months.
• Avoid:
     • Excessive movement or animation of the area injected for two (2) weeks.
     • Massage or manipulation of the tissue for two (2) weeks.
     • Aesthetic treatments including RF, IPL, Laser, or Microneedling for two (2) months.
     • Strenuous exercise for one (1) week after facial treatments and two (2) weeks after body treatments.
     • Steam rooms, saunas, hot tubs, or any water source that could be unclean or excessive in temperature for two weeks

• You may have minor discomfort from Sculptra, but if you experience severe pain contact us immediately as this may be a sign of a serious complication.
• Swelling and bruising are normal and can last up to two weeks.
• Massage the injected areas as demonstrated for five (5) minutes, five (5) times a day, for five (5) days.
• You may shower and place make-up the following day.
• Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappears.
• Avoid exercise and alcohol for 24 hours after treatment.
• Take anti-inflammatories if you have any pain; this should be enough. You might develop a headache as a consequence of the injections. Avoid NSAIDS to prevent further bruising.
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to a recurrence. Speak to us about medications that may minimize a recurrence.
• Pineapple and Arnica Montana will help decrease the appearance of bruising.
• Expect the fullness to return to baseline within one- two days. Follow up injections every month for a total of three sessions is routine. Results will not be noticeable until two-three months after the last treatment. Results last for at least two years.

• Avoid lying down for four hours following treatment.
• No exercise for 24 hours post treatment.
• Facial exercise in the area of treatment is recommended.
• Avoid manipulation of the area the day of the procedure. No facials or massaging the treated areas.
• You won’t start to notice results for 3-5 days and it takes two weeks for full effect.
• A touch-up may be needed in two weeks.
• The benefits should last 3-4 months.
• Contact the practitioner as soon as possible at two weeks if you have not received the desired effect.

• Immediately after the treatment, you will experience redness, mild swelling and sometimes pinpoint bleeding.
     • You will notice most of the swelling on the first morning after treatment, particularly under the eyes.
     • Swelling usually lasts one to two days.
     • To minimize swelling, apply cold compresses to the treatment area and sleep elevated the first night.
• Heat sensation can be intense for 2-3 hours after treatment.
• You may notice that your skin appears bronzed or little dark dots will appear on the treated area starting the next morning. The fractional laser may leave a grid-like pattern on your skin, which is completely normal. Your skin may feel dry, peel, or flake. You may notice a “sandpaper” texture a few days after treatment. This is the treated tissue working its way out of your body as new fresh skin is regenerated.
     • This dead skin is a normal result of laser treatment and should start improving 3-4 days after the treatment.
     • Most patients complete this process 5-7 days after a treatment on the face (on off-face areas, such as hands/arms, where healing is slower, the process may take up to 2 weeks).
     • Some patients can experience itchy skin during the healing process. Moisturizing can reduce this sensation.
• Icepacks can help alleviate the heat sensation and reduce swelling.
• Avoid cleansing your face and applying makeup on the day of treatment.
• If your skin feels dry or tight, apply a gentle moisturizer.
• Avoid partaking in activities that will heat up your skin, such as going in a hot tub/jacuzzi/sauna, or strenuous exercise.
• First Few Days:
     • Continue gentle cleansing and moisturizing over the next few days.
     • Avoid scrubbing, rubbing, or using exfoliants for 1 week.
     • Apply sunscreen daily and you can use makeup if needed starting the day after treatment.
• First Week of Healing:
     • Keep treated area clean
     • Avoid smoking, excessive alcohol consumption, excessive exercise, sweating, swimming, or
exposing skin to heat and sun.
• Skin Care Products:
     • All of your skin care products should be non-irritating and non-clogging for the first week or so after a Clear + Brilliant treatment.
     • Moisturizer should be applied one to two times per day.
     • Post care products are provided and should be used as directed.
• Your skin will be sensitive for the first week or two after treatment.
     • Do not use products that will cause irritation during this time.
     • Do not use any scrubs, toners, glycolic acid, retinoids (RetinA or retinol), or bleaching creams
(hydroquinone) until your skin has healed.
• Normal Skin Care Regimen:
     • Once the pin-point scabs have healed, you may resume your routine skin care and make-up products, as long as they are tolerable to you.
• Sunscreen:
     • It is very important that you use sunscreen to prevent discoloration and sun damage to the skin while it is healing.
     • Use sunscreen daily for at least 3 months after your last treatment.
     • The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection
factor (SPF) of 30 or more.
     • Apply sunscreen 20 minutes before going outside and reapply sunscreen every 2 hours.
     • If direct sun exposure is necessary, wear a hat and clothing that covers the treated area.
• Abnormal Healing:
     • If you notice any pimples, blisters, cuts, bruises, crusting/scabs, areas of raw skin, ulcerations, active bleeding, increased discomfort or pain, pigment changes (lighter or darker than usual complexion) or any other problems, please contact us as soon as possible.

• Immediately after the treatment, you will experience redness, mild swelling and sometimes pinpoint bleeding.
     • You will notice most of the swelling on the first morning after treatment
     • Swelling usually lasts one to two days.
     • To minimize swelling, sleep elevated the first night.
• Your skin may feel dry, peel, or flake. This is the treated tissue working its way out of your body as new fresh skin is regenerated.
     • This dead skin is a normal result of microneedling treatment.
     • Most patients complete this process 5-7 days after a treatment.
     • Some patients can experience itchy skin during the healing process. Moisturizing can reduce
this sensation.
• Do not pick, scratch or scrub your face
• Avoid:
     • NSAIDS (ibuprofen, motrin, advil)
     • Do not apply ice, arnica or bromelain
     • These agents may interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation.
• Heat sensation can be intense for 2-3 hours after treatment.
• Avoid partaking in activities that will heat up your skin, such as going in a hot tub/jacuzzi/sauna, or strenuous exercise.
• Do not wash face any earlier than four hours after treatment.
• First Few Days:
     • Continue gentle cleansing and moisturizing over the next week.
     • Avoid scrubbing, rubbing, or using exfoliants for one week.
     • Apply sunscreen daily and you can use makeup if needed starting the day after treatment.
• Avoid smoking, excessive alcohol consumption, excessive exercise, sweating, swimming, or exposing skin to heat and sun.

For best results: Combine an at-home skin care regimen to maintain smoother, healthier looking skin.

‍What is a “peel?"
‍• Accelerated cell renovation of the top layers of skin with diverse objectives including cleaning, nourishing, moisturizing, diminishing aging effects, anti-acne, depigmentation and reducing the appearance of pore size. As the peel penetrates the pores, minor discomfort may occur but disappears quickly.

‍Instructions:
• One week prior to peel:
     • Discontinue use of any retinoids, hydroquinone, benzoyl peroxide or topical acne medications.
     • Use gentle soap for cleansing.
• Two weeks prior:
     • Refrain from waxing, laser or any other procedures.

‍Precautions:
• You may experience redness & excessive flaking of the superficial layer of the skin. This will be more severe (like a sunburn) if pre-peel instructions are not followed. This will gradually diminish over 2-3 days and the skin will return to normal.
• There is a small incidence of the reactivation of “cold sores” (herpes infection) in patients with prior history of herpes. If you are prone to cold sores, let our office know immediately and we will prescribe you proper medication before treatment.
• For relief of drying side effects, follow post care instructions closely.

• Do not pick or pull your skin at any time following your peel as it can cause scarring.
• Your skin will take 4-10 days to completely peel depending on the strength of the peel or the treatment that you received.
     • Peeling of off-face areas, such as hands/arms, where healing is slower, the process may take up to 3 weeks.
• Avoid scrubbing, rubbing, or using exfoliants for two weeks.
• Do not use any scrubs, toners, glycolic acid, retinoids (RetinA or retinol), bleaching creams (hydroquinone), or any acne medication until your skin has healed.
• Gentle cleansing and moisturizing over the next week.
     • Reapply moisturizer as needed throughout the day
     • Your skin should never be so dry that it is cracking or sore
• Post care products are provided and should be used as directed.
• Keep skin well hydrated by drinking at least three 8-ounce glasses of water per day.
• Refrain from waxing, tanning or using sunbeds for three weeks.
• Avoid partaking in activities that will heat up your skin, such as going in a hot tub/jacuzzi/sauna, or strenuous exercise for 48 hours.
• Sunscreen:
     • It is very important that you use sunscreen to prevent discoloration and sun damage to the skin while it is healing.
     • Use sunscreen daily for at least 3 months after your last treatment.
     • The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection
factor (SPF) of 30 or more.
     • Apply sunscreen 20 minutes before going outside and reapply sunscreen every 2 hours.
     • If direct sun exposure is necessary, wear a hat and clothing that covers the treated area.
• Abnormal Healing: If you notice any pimples, blisters, cuts, bruises, crusting/scabs, areas of raw skin, ulcerations, active bleeding, increased discomfort or pain, pigment changes (lighter or darker than usual complexion) or any other problems, please contact us as soon as possible.

• After treatment it is common to feel irritation as well as redness. Some crusting may form on the areas treated.
• If the area is still irritated by the end of the day, a clean baggie of frozen peas works well. The peas defrost quickly so usually no chance of skin damage.
• It is important to remember:
     • Wash with gentle cleanser and fingertips
     • Pat dry
     • No Terry Cloth
     • Use Moisturizing SPF of 30 or more every day
     • Do not get areas wet: eg wash face at vanity/shower with back to water if face treated, keep hands out of water is hands treated. Crusts will become soggy and slough to quickly, crusts are natures Band-Aids.
     • Crusts will slough in 5-7-10-14 days depending on individual (hands on the longer side)
     • Do no use any harsh or anti-aging products while crusted
     • Absolutely no picking or scratching!
     • No procedures in the areas of treatment for 30 days
     • After crusts have sloughed and skin is smooth you may resume your skin regime as suggested by your therapist
     • Areas may continue to be pink until completely healed
     • Continue to wear SPF of 30 or more....forever!
‍