Pre and Post Care

Pre-Treatment:

• Gather patient’s relevant history, conduct a medication history and review, and assess current skin care regimen.
• Avoid Accutane in the six months prior to beginning treatment sessions.
• Topical agents that may increase the sensitivity of patient’s skin such as retinoid, exfoliates, topical antibiotics or acids should be avoided 5-7 days prior to treatment.
• Non-steroidal anti-inflammatory drug use (NSAIDs like aspirin, Motrin, Advil, ibuprofen, or any other non-Tylenol, non-acetaminophen product) should be avoided for two weeks prior to treatment to minimize the potential for bruising, unless the medications involved are prescribed for the treatment of an existing medical condition.
• No waxing, depilatory creams, or electrolysis to the area being treated for 5-7 days prior.
• Patients with history of fever blisters can take antiviral medication starting 1-2 days prior treatment and instructed to follow directions on their prescription.
• Avoid tanning beds or unprotected sun exposure, or sunburn for at least 2 weeks prior to. Always use a zinc oxide sunscreen with SPF 30+. Also avoid self-tanning products 5-7days before treatment.

Post-Treatment:

• Patients should be informed that a Vivace micro needling RF treatment is an in-office procedure that typically takes up to 60 minutes to complete.
• Post treatment skin should be left clean of cosmetic products; although, mineral based products can be worn with clean brushes if necessary. Make up can be applied as usual the next day.
• Additional care skin products should be avoided for the first 24 hours post treatment, unless advised by skin care provider.
• Jacuzzis, saunas, and steam baths should be avoided for up to 48 hours post treatment.
• Patients should avoid exercise or any strenuous activities that cause sweating, increased heart rate or heating of the skin for up to 48 hours post treatment.
• Refrain from deep exfoliation, retinols, glycolic or products that dry or irritate the skin for 5-7 days post treatment. Avoid sun tanning and prolonged exposure to direct sunlight for at least 2 weeks. After 24 hours, patients can use sunblock or moisturizer with sunblock (30 SPF or higher).
• Vivace treatments should be scheduled 4 to 6 weeks apart. A series of 3 treatments is recommended for new patients. After treatment series is completed, a maintenance treatment should be considered every 6 months, or sooner based on patient’s skin goals. Timing for follow SSSSSexposure and lifestyle.

BOTOX Pre-Treatment Instructions:

• Please inform your injector if there has been any change in your medical history.
• Avoid product/treatments that boost metabolism (diet pills and Endermologie) for one week prior to treatment.
• Avoid alcoholic beverages for 24 hours prior to treatment.
• Avoid blood thinning medications such as aspirin, anti-inflammatory drugs (Ibuprofen, Motrin, Advil, Aleve, Vioxx, etc.), Vitamin E, and Gingko Biloba for one week prior to treatment to minimize the possible risk of bruising.
• Please reschedule your appointment if you have a rash or skin infection at the treatment sites.
• Contraindications for Botox are pregnancy and breastfeeding, cardiac arrhythmias such as atrial fibrillation, a pacemaker, certain antibiotics, and neuromuscular disorders such as Guillian Barre. Please discuss these conditions and your current medications with your provider to establish if you are a Botox candidate.
• If you are feeling sick or unwell the day of your appointment, please call to reschedule until you are symptom free.

BOTOX Post-Treatment Instructions:

• It can take up to 14 days to see final BOTOX results. Botox results typically last 3-4 months.
• Gentle facial exercises following treatment are recommended to facilitate the binding of the toxin in the injected area.
• Do not press or rub the injected areas for 4-6 hours after treatment to avoid shifting BOTOX out of the injected area.
• Avoid vigorous exercise, heavy lifting or straining for 2-3 hours following treatment. Avoid lying down for 4 hours post Botox treatment.  It takes the toxin approximately 2 hours to bind to the nerve.  Increasing circulation to treated areas via heavy exercise may wash BOTOX out of these areas.
• Avoid Retin A, Glycolic acid, Vitamin C, and kinerase topicals for 24 hours following treatment in the areas treated.
• Avoid aspirin, gingko biloba, garlic, flax oil, cod liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days after treatment.
• Please report any signs of allergic reaction immediately after treatment. Seek medical attention if difficulty breathing and asthma symptoms occur.  Other potential side effects of Botox include dry mouth, temporary headache, blurry vision, and a droopy eyelid.
• Please wait at least 24 hours after receiving Botox to schedule another treatment to the face

BOTOX What to Expect After Treatment:

You may experience bruising, swelling or bleeding at the injection site which should disappear within a few days but may last for a week or longer. BOTOX will take full effect within 2 to 14 days following treatment. Botox results typically last 3-4 months.

Pre Treatment:

• You must shave the hair of the body area to be treated. If you cannot shave yourself, then please advise the technician and our staff prior to your treatment in order to schedule extra time for your appointment and we can do it for you for a fee of $50 per occurrence.
• Do not wax, tweeze, or use depilatories during your series of laser hair removal.
• Avoid sun exposure for 4 weeks prior to treatment and use SPF 30 daily to ensure coverage against UVA and UVB rays.
• Do not use self-tanning products for 1-2 weeks prior and/or post treatment.
• Discontinue use of tretinoin type products (Renova, Tretinoin, Retin A, Retin A Micro, Tri-Luma, Solage, etc.) or Hydroquinone at least 2-3 days prior to treatment.
• Many photosensitizing medications will make you more sensitive to the laser. Please disclose any medications that you may be taking.
• If you have a history of cold sores, begin prophylactic treatment with Valtrex or similar no later than the day prior to your laser hair removal treatment.
• Notify our office if you develop a cold sore, acne, or open lesions in the area being treated, or experience any type of illness prior to your treatment.
• REMEMBER – Laser hair removal is never 100%. Industry standard is 75-90% reduction in the hairs.  Not all hairs will be destroyed.  Hormones can cause hair to grow back.

Post Treatment:

• • You may experience small red bumps around the hair follicle. This is normal and expected.  Do not pick, rub, or scratch these until they have cleared.  Your skin overall may be sensitive for several days following your laser hair removal treatment.
  • If your skin scabs or crusts, or you experience a burn, do not pick, rub or scratch these areas. Doing so can result in infection, permanent pigment changes, or scarring.  Gently cleanse the area and apply hydrocortisone cream several times a day for 1 week.  If the area is open, also apply a layer of antibiotic ointment over the hydrocortisone cream.  Please contact the office immediately of you experience any burns.
  • Do not sunbathe or use a tanning bed for at least 2 weeks following your treatment. If you need to be out in the sun, wear an SPF 30 minimum.
  • Avoid swimming, hot tubs, and saunas for several days following your treatment.
  • It can take several weeks for the hair in the treated area to push up and fall out of the follicle.
  • Do not expect your hair to “not grow back” after a single session. Laser hair removal is a process.
  • Subsequent treatment sessions should be spaced 6-8 weeks for facial hair or 8-12 weeks for hair on the body.
  • Although rare, infection in the treated area is possible. Signs of infection may include redness and tenderness in the infected area and fever.  Should you develop an infection, antibiotics may be necessary.

Please contact our office if you have ANY questions or concerns.