Pre and post procedure instructions of our skin care services

4-6 sessions every 4-6 weeks are required to see the best results

Pre-treatment:

• At least 1 month prior: stop Accutane
• 2 weeks prior: avoid sun exposure, tanning beds, or sunlamps.  One cannot be treated with a tan or a          sunburn in the face.
• 3-5 days prior: suspend use of dermo-cosmetic products that may affect the sensitivity of the skin:
  • Vitamin A derivatives such as Tretinoin, Differin, retinoids, glycolic acid
  • exfoliants such as AHAs, BHAs
  • skin lightening creams like hydroquinone, kojic acid
  • alcohol based products
• Prior to arrival, facial skin is ideally clean. Ensure face is thoroughly cleansed.  ALL makeup must be removed.

Post-treatment:

• Apply a re-epithelializing cream to improve the healing process; patients can apply as often as needed.  Cream recommendations to select from are:
  • Bariederm Cicacream (Uriage)
  • Cicaplst (La Roche-Posay)
  • Cicalfate (Avenne)
  • Aquaphor (Eucerin)
• Edema (swelling), erythema (redness), and small scabs are expected to last for 7-15 days, depending on aggressiveness of treatment.
• Patients with darker skin may use a topical soft steroid twice a day for 5-7 days to improve the healing process and avoid post inflammatory hyperpigmentation.
• If there is history of cold sore, prescription Valtrex (anti-viral) may be started immediately after the procedure , and continue once a day for 3 more days
• May apply make-up after 3-5 days.
• After 7 days, may resume topical treatments and skin care dermo-cosmetic products, such as retinol and acids.
• For at least 7-15 days, strict avoidance of sunlight to avoid skin darkening
• Strongly encouraged to apply broad spectrum sunscreen 3 times a day (around 7 am, 12 pm and 2 pm)

 For initial treatment, 4 sessions every 2 weeks are required to see the best results. Maintenance sessions can be performed as needed.

Pre-treatment:

• At least 1 month prior: stop Accutane
• 2 weeks prior: avoid sun exposure, tanning beds, or sunlamps.  One cannot be treated with a tan or a sunburn in the face.
• 1 week prior: stop taking light sensitive medications
• 3-5 days prior: suspend use of dermo-cosmetic products that may affect the sensitivity of the skin:
  • Vitamin A derivatives such as Tretinoin, Differin, retinoids, glycolic acid
  • exfoliants such as AHAs, BHAs
  • skin lightening creams like hydroquinone, kojic acid
  • alcohol based products
• 3 days prior: stop taking aspirin due to increased risk of bleeding, and any other medication and/or supplements that can delay healing.
• Prior to arrival, facial skin is ideally clean. Ensure face is thoroughly cleansed.  ALL makeup must be removed.
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Post-treatment:

• Apply a re-epithelializing cream to improve the healing process; patients can apply as often as needed.  Cream recommendations to select from are:
  • Bariederm Cicacream (Uriage)
  • Cicaplst (La Roche-Posay)
  • Cicalfate (Avenne)
  • Aquaphor (Eucerin)
• Swelling, redness, and small scabs are expected to last for 7-15 days, depending on aggressiveness of treatment.
• Patients with a history of cold sore may be prescribed Valtrex (anti-viral) immediately after the procedure, and continue once a day for 3 more days.
• May apply make-up after 3 days.
• After 4-5 days, may resume topical treatments and skin care dermo-cosmetic products, such as retinol and acids.
• For 7-15 days, strict avoidance of sunlight to prevent skin darkening.
• Strongly encouraged to apply broad spectrum sunscreen 3 times a day (around 7 am, 12 pm and 2 pm)

 1-4 sessions every 4-8 weeks are required to see the best results. More time is needed in between sessions for more aggressive peels.

Pre-treatment:

• At least 1 month prior: stop Accutane
• 2 weeks prior: avoid sun exposure, tanning beds, or sunlamps.  Area of concern cannot be treated if there is a sunburn.
• 2 weeks prior: avoid perfumes, deodorants, waxing, chemical peels or collagen injections in the treatment area.
• 3-5 days prior: suspend use of dermo-cosmetic products that may affect the sensitivity of the skin:
  • Vitamin A derivatives such as Tretinoin, Differin, retinoids, glycolic acid
  • exfoliants such as AHAs, BHAs
  • skin lightening creams like hydroquinone, kojic acid
  • alcohol based products
• 3 days prior: stop taking aspirin due to increased risk of bleeding, and any other medication and/or supplements that can delay healing.
• Prior to arrival, facial skin is ideally clean. Ensure face is thoroughly cleansed.  ALL makeup must be removed.

Post-treatment:

• Apply a re-epithelializing cream to improve the healing process; patients can apply as often as needed.  Cream recommendations to select from are:
  • Bariederm Cicacream (Uriage)
  • Cicaplst (La Roche-Posay)
  • Cicalfate (Avenne)
  • Aquaphor (Eucerin)
• Swelling, redness, and small scabs are expected to last for 7-15 days, depending on aggressiveness of treatment.
• Patients with darker skin may use a topical soft steroid twice a day for 5-7 days to improve the healing process and avoid post inflammatory hyperpigmentation.
• Patients with a history of cold sore may be prescribed Valtrex (anti-viral) immediately after the procedure, and continue once a day for 3 more days.
• May apply make-up after 3-5 days.
• After 7 days, may resume topical treatments and skin care dermo-cosmetic products, such as retinol and acids.
• For 7-15 days, strict avoidance of sunlight.
• Strongly encouraged to apply broad spectrum sunscreen 3 times a day (around 7 am, 12 pm and 2 pm)

Recovery Time:

• Ultra-Light: Edema (swelling) and redness immediately after; 1-2 days of redness and possible mild flaking with higher density treatments.
• Light: Edema (swelling) and redness immediately, with redness lasting for 2-3 more days
• Medium: Redness, edema (swelling), and possible pinpoint bleeding immediately with darkening of the skin until the micro-scabs flake off in 3-5 days.  Possible pink tinge after flaking for an additional 1-2 weeks depending on density of treatment.
• Deep: Redness, edema (swelling), oozing and pinpoint bleeding immediately after with a healing time of 5-7 days.  Darkening of the micro-scabs which typically flake off in 3-5 days. Pink tinge after flaking off for an additional 1-2 weeks depending on density of treatment.

  1-4 sessions every 4-8 weeks are required to see the best results.  More time is needed in between sessions for more aggressive peels.

Pre-treatment:

• At least 1 month prior: stop Accutane
• 2 weeks prior: avoid sun exposure, tanning beds, or sunlamps.  Area of concern cannot be treated if there is a sunburn.
• 2 weeks prior: avoid perfumes, deodorants, waxing, chemical peels or collagen injections in the treatment area.
• 3-5 days prior: suspend use of dermo-cosmetic products that may affect the sensitivity of the skin:
  • Vitamin A derivatives such as Tretinoin, Differin, retinoids, glycolic acid
  • exfoliants such as AHAs, BHAs
  • skin lightening creams like hydroquinone, kojic acid
  • alcohol based products
• 3 days prior: stop taking aspirin due to increased risk of bleeding, and any other medication and/or supplements that can delay healing.

Post-treatment:

• Apply a re-epithelializing cream to improve the healing process; patients can apply as often as needed.  Cream recommendations to select from are:
  • Bariederm Cicacream (Uriage)
  • Cicaplst (La Roche-Posay)
  • Cicalfate (Avenne)
  • Aquaphor (Eucerin)
• Avoid active topicals such as retinol, until fully healed.
• For 7-15 days, strict avoidance of sunlight.
• May apply a gentle moisturizer when the skin feels dry and tight; as many times a day as needed; apply barrier cream and sunscreen over the top.
• Strongly encouraged to apply broad spectrum sunscreen 3 times a day (around 7 am, 12 pm and 2 pm)

Recovery Time:

• Ultra-Light: 2-3 days of redness and possible mild flaking
• Light: 2-3 days of redness with flaking around Day 3-5.
• Medium: Redness immediately and peeling starting day 3-4 lasting approximately until day 7.  Possible pink tinge after peeling for an additional 1-2 weeks.
• Deep: Redness and oozing immediately with peeling starting in 2-3 days.  Pinkish tinge after peeling for an additional 1-2 weeks.

   Treatment sessions are performed at 4-6 week intervals for a total of 3-7 consecutive sessions. It is recommended to do 1 session per decade of life, followed by yearly maintenance treatments.

Pre-treatment:

• At least 1 month prior: stop Accutane
• 2 weeks prior: avoid sun exposure, tanning beds, or sunlamps.  Neck cannot be treated if there is a sunburn.
• 3-5 days prior: suspend use of dermo-cosmetic products that may affect the sensitivity of the skin:
  • Vitamin A derivatives such as Tretinoin, Differin, retinoids, glycolic acid
  • exfoliants such as AHAs, BHAs
  • skin lightening creams like hydroquinone, kojic acid
  • alcohol based products
• Prior to arrival, facial skin is ideally clean. Ensure face is thoroughly cleansed.  ALL makeup must be removed.
• For men, the neck must be clean and freshly shaved.

Post-treatment:

• Apply a re-epithelializing cream to improve the healing process; patients can apply as often as needed.  Cream recommendations to select from are:
  • Bariederm Cicacream (Uriage)
  • Cicaplst (La Roche-Posay)
  • Cicalfate (Avenne)
  • Aquaphor (Eucerin)
• May apply make-up after 24 hours.
• 4-5 days after, may resume topical treatments and skin care dermo-cosmetic products, such as retinol and acids.
• For at least 7 days, strict avoidance of sunlight.
• Strongly encouraged to apply broad spectrum sunscreen 3 times a day (around 7 am, 12 pm and 2 pm)
• Redness is expected immediately after the session, lasting less than 24 hours, followed by a possible superficial peeling over the next 48-72 hours
• Immediately after, the patient will see freshness and tightness of the treated skin.

 Treatment sessions are performed at weekly intervals for a total of 4 sessions. Maintenance sessions: 3, 6 and 12 months

Pre-treatment:

• No pedicure/painted nails.
• Topical anesthetic is optional.

Post-treatment:

• Immediately after, patient may resume topical treatments (if on them).
• Pain should be expected immediately after the session, lasting 2-3 hours.
• No pedicure should be done during treatments.
• It is recommended to throw away old socks and get new ones.
• Place shoes in freezer to decontaminate and prevent re-infection.
• After using shoes, pass the blow dryer for 5 minutes.

  Treatment sessions are performed at 4-6 weeknintervals for a total of 4 sessions.

Pre-treatment:

• At least 1 month prior: stop Accutane
• 2 weeks prior: avoid sun exposure, tanning beds, or sunlamps.  One cannot be treated with a tan or a sunburn in the face.
• 3-5 days prior: suspend use of dermo-cosmetic products that may affect the sensitivity of the skin:
  • Vitamin A derivatives such as Tretinoin, Differin, retinoids, glycolic acid
  • exfoliants such as AHAs, BHAs
  • skin lightening creams like hydroquinone, kojic acid
  • alcohol based products
• Prior to arrival, facial skin is ideally clean. Ensure face is thoroughly cleansed.  ALL makeup must be removed.

Post-treatment:

• Redness and mild swelling should be expected immediately after the session lasting at least 2 days, with subsequent darkening and superficial peeling for 2-3 days.
• In rare cases, significant swelling can be present; patients can take antihistamines such as Claritin/Zyrtec to relieve symptoms.
• 3-5 days after, topical treatments and skin care dermo-cosmetic products may be resumed.
• For 7 days, strict avoidance of sunlight for at least 7 days is necessary to prevent skin darkening.
• Strongly encouraged to apply broad spectrum sunscreen 3 times a day (around 7 am, 12 pm and 2 pm)

Follow-up treatment in 4-6 weeks. The patient should expect multiple treatment sessions if complete clearing of unsightly blood vessels is desired (usually up the three) with at least a 4-6 week interval between sessions. Reoccurrence is possible.

Pre-treatment:

• pre cool area with ice.

Post-treatment:

• Cool immediately after with cold air cooling and/or ice for 3-5 minutes.
• Perivascular swelling and redness should be expected immediately after the session, lasting 5-15 minutes.
• Petechiae (tiny, red, pinpoint spots) and/or bruising over the treated telangiectasias can be expected to last 7-15 days.
• Apply arnica cream/gel over the treated area with a gentle massage, 2-3 times a day as needed to improve the appearance of petechiae.
• An aloe vera-based gel can be used to soothe the skin.
• Patients with darker skin may use a topical hydrocortisone 1% twice a day for 5-7 days to improve the healing process and avoid post inflammatory hyperpigmentation.
• For 3 days, recommend elastic bandaging (such as ace wraps) for 3 days after the initial treatment for better results.
• For 3 days, avoid hot baths.  The patient may shower (lower temperatures are recommended) if the elastic bandaging is reapplied afterwards.
• For 3 days, avoid exercising.  Exercise increases the blood flow and may reopen the blood vessel.