Pre And Post Procedure Care Instructions

Please reference these pre and post procedure instructions

Pre CO2RE

Please bring a big hat and sunglasses to your appointment

  1. Hydrate! We recommend for seven days pre-treatment, you moisturize your skin morning and night, and drink at least eight glasses of water each day to ensure you are properly hydrated to optimize your results.
  2. Avoid any prolonged sun exposure for at least one month prior to your treatment. If you are unable to avoid sun exposure apply Zinc Oxide Sunscreen of at least 30 SPF.
  3. Stop the use of Retinol and Retinoid three to four days prior to treatment.
  4. If instructed by Physician use brightener prior to treatment.
  5. Prophylaxis Antiviral medication will be prescribed for patients undergoing a deeper peel or that have a history of cold sores. This medication will need to be taken the day of your treatment *If you have a history of cold sores it is imperative to let your Physician know prior to your treatment.
  6. Arrive on time for your treatment with clean skin. Please avoid the use of makeup, lotions, powders, perfumes, hairspray, gel, and deodorant on or around the areas being treated.
  7. Plan to schedule a follow up visit one week after your treatment.
  8. Apply numbing cream one hour prior to your visit.

Medications: (Please inform the physician of any allergies)
Physician will mark and discuss medications that are required for your treatment.

____ Numbing Cream RX. Needs to be applied one hour prior to your treatment.
____ Valcyclovir. Take twice a day for one week starting on the morning of treatment.
____ Doxycycline. Take one pill twice a day with food starting on the morning of treatment.
____ Xanax. Take one pill one hour prior to treatment if prescribed please ensure transportation to and from your treatment.
____ Tylenol 3. Take one to two pills one hour prior to treatment if prescribed please ensure transportation to and from your treatment.
____ Extra Strength Tylenol. Take one to two pills one hour prior to treatment.

Pre Filler

All injectable treatments can result in temporary bruising and swelling. Plan accordingly and please do not schedule treatments prior to a big event. To help minimize the above, please do the following:


10 days prior to your filler treatment:

Unless specifically instructed by your Practitioner, avoid the following blood thinners: Aspirin, Ibuprofen (Aleve, Motrin, Advil), Vitamin E, St. John’s Wort, Gingko Biloba, Fish Oil, Ginseng, Garlic. (Tylenol is ok)

Alcohol intake 1 week prior to filler treatment has been associated with increased bruising.

Post CO2RE

      • The treated area should be cared for delicately until the healing process is complete. This is essential to prevent additional trauma to the treated area seven days following your treatment.
      • Getting a Cold Sore during your healing process in considered an EMERGENCY. If you get a Cold Sore, call our office immediately. *If you have a history of cold sores this should have been discussed prior to your procedure and preventative medication should have been prescribed.
      • Wash your face with a gentle cleanser. Examples: Cerave, Cetaphil, or Dove Sensitive Skin.
      • Acetic Acid Soaks on days one and two. (White Vinegar and Water). Mix 2 TBSP White Vinegar with 16 OZ of Cold Water. Soak a soft washcloth with the mixture and rest on the treated area for 5 to 10 minutes, you can repeat two to three times a day. (This will reduce the risk of infection and helps with pinpoint bleeding.)
      • Lactic Acid Soaks on days three and four. (Whole Milk Compress) Place ice cubes in a small basin with whole milk. Soak a soft washcloth in the mixture and rest on the treated area for 5 to 20 minutes, you can repeat two to three times a day. (This will reduce inflammation, itchiness, and is very soothing)
      • Apply Aquaphor multiple times throughout the day for dryness.
      • Apply Stratacal twice a day until it runs out. (You will be given a Post Care Kit to take home. Please follow the instructions provided in the kit.)
      • Swelling will occur and peak on day two or three. This is completely normal.
      • You can take Zyrtec in the morning and Benadryl in the evening as needed for active swelling and itching as needed.
      • Redness can last week’s, depending on the intensity of treatment.
      • The crusts will flake off over a period of five to seven days. (Mostly while in the shower)
      • As the skin heals, you must use a Physical only Sunscreen (Titanium Dioxide or Zinc Oxide) of at least 30 SPF daily for thirty days. Examples: Elta MD

      INTRAOPERATIVE CARE:


      Safety considerations are very important during your laser procedure. Protective eye wear will be worn during the procedure to reduce the chance of any damage to the eye. A smoke evacuator will be used to remove any smoke or debris from the air. Cool air will be used during the procedure to soothe the skin. Your provider will take all necessary precautions to ensure your safety.

      THINGS TO AVOID DURING THE HEALING PROCESS:
      • Avoid use of makeup for four days.
      • Avoid scrubs, picking the crusts, exfoliating, retinoid and retinol, peels, facials, masks.
      • Only use gentle washes such as Dove sensitive skin, Cetaphil, Avene Thermal Water, or Cerave for treated areas.
      • Avoid excessive heat and perspiration on the treated area (This can cause tissue disruption). exercise, hot tubs, saunas, outdoor activities etc. should be discontinued for four days after treatment. (This will also reduce the risk of infection and discomfort)
      • While bathing, treat the area gently and avoid any scrubbing. (Gently cleansing the treated area is important to help prevent infection)
      • Avoid sun exposure for one week, and minimize your sun exposure for thirty days after your treatment.
      • If directed by the physician avoid long distance travel for five days.

Post Filler

No laying down or touching your face for 2 hours post treatment.

  • You can apply “Clean” makeup 2 hours post treatment.
  • Avoid strenuous exercise, alcoholic beverages, and any activity that increases body temperature (significant sun exposure, sauna, steam room, etc.) for 24 hours.
  • Apply ice packs (on for a few minutes, off for a few minutes) every 2 hours (while awake) for 48 hours.
  • 48 hours post treatment, you may resume your normal supplements.

 


If delayed significant bruising and swelling occurs, please contact our office. Mild/Moderate swelling and bruising is normal and can last for a few days. Lumps and bumps are normal and will subside over the next few weeks. Please give 2-4 weeks to achieve final results of treatment.

Post Cantharadin

– Rinse off areas after 4-6 hours, leave uncovered, if irritated/inflamed apply Vaseline or Aquaphor ointment 1-2 times a day for 1 week.

– The first 24 hours are the most uncomfortable – Tylenol or Benadryl at bedtime for discomfort/Itch for 1-2 days if needed.

– Typically multiple treatments are needed for complete resolution

Post Liquid Nitrogen And Electrocautery

– Leave areas treated open to air avoid covering with Band-Aid or bandage.

– Avoid sun exposure on treated areas if possible.

– Apply Vaseline or Aquaphor ointment twice a day until healed (normally 5-7 days)

– It is common for areas treatment with the Liquid Nitrogen to become red and possibly blister this is normal. Do not pop blisters.

Post Biopsy

– Remove your bandage the day after your biopsy.

– Clean area with soap

– Gently pat dry

– Apply a thin layer of either Vaseline or Aquaphor to prevent scabbing

– Cover with a new bandage

– Repeat the above once a day for 1 week.

Biopsy results may take 5-10 business days. Our nursing staff will reach out to you once they are received. If you have not heard back from us in 2 weeks time please contact our office at 954-998-0345.

Post Picato / Fluorouracil / Imiquimod

Avoid sun exposure for all areas since it intensifies the reaction. Avoid Neosporin.

– Apply medication as directed – small amount to affected areas, normally at night.

– Apply Aquaphor or Ciclofate every morning during treatment. Use SPF 30+ sunscreen on top of these for sun protection.

– After treatment is complete apply an over the counter cortisone 1% ointment to areas if needed for irritation twice a day for 3-4 days and apply sunscreen to areas.

Recheck in:

_____  2 weeks
_____  1 month
_____  6 weeks

Post Surgical Excision

– Keep bandage/pressure dressing on for 24 hours.

– Once bandage is removed it is ok to shower

– Leave uncovered if no bleeding or drainage. A small amount of bleeding or drainage is normal in the first few days. You can apply pressure to the area for 5-10 minutes (no peeking) to stop any small bleed. *Leave open to air and avoid band-aids as much as possible.

– Apply ____ Aquaphor or _____ Bactroban (Mupirocin) to the area twice a day for 1-2 weeks. *DO NOT USE NEOSPORIN

– Avoid sun exposure to the area for 2-3 weeks for optimal healing.

– No heavy lifting or strenuous exercise for 1-2 weeks to avoid popping the sutures.

– Avoid blood thinners for 2 days (Consult with you prescribing physician before stopping)

– No travel for 1-2 weeks at the discretion on the physician.

– Schedule your suture removal for 1-2 weeks as directed.