TREATMENT PROTOCOL

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Chemical Peel

In order to provide you with the best possible service, we ask that you carefully review these general post-care treatment instructions for a chemical peel treatment so that you fully understand them.  If you have any questions about these instructions, please discuss them with your esthetician.  To obtain maximum benefits from your treatment, it is crucial that you understand and adhere to these instructions.  Failure to comply with these instructions may affect your treatment outcome and increase the likelihood or severity of complications.  Depending on your individual needs, additional post-care treatment instructions may be given to you by your esthetician.

  • The peeling may take anywhere from 7-10 days on average or longer depending on internal and external factors such as skin type, age, weather, lifestyle, and hormones.  Slight redness and skin sensitivity and flaking can occur as your treatment eliminates dead surface skin cells.  Each treatment may vary.  Other areas of the body will react differently because your skin has a different texture on your face and scalp than on your chest, back, arms, and legs.  The healing process may take longer in those areas.

  • Your skin may take on a rough, patchy, darkened quality a few days after this treatment.  This is normal and expected and it will resolve on its own.  The first areas to peel are usually around the nose and mouth, but can begin anywhere.  Most people begin peeling on the 3rd or 4th day after treatment.  It is also possible to not peel at all.  If this occurs, you will still benefit from the treatment because the skin has exfoliated microscopically.

  • Possible side effects include but are not limited to: mild to extreme redness, temporary tightness, itching, swelling, and dryness of the skin similar to a sunburn or windburn.  This will usually subside in 2-3 days.  A prescription of hydrocortisone, or over-the-counter hydrocortisone (Vanicream HCⓇ) may be recommended if the skin is inflamed or irritated.

  • You may GENTLY apply a cold compress to the treated area(s) as needed for any burning or irritation associated with your treatment.

  • Make sure to avoid excessive heat on the treated area and direct sun exposure of any kind, as well as tanning beds and self-tanners to the treated areas for 4 weeks after treatment.

  • Do NOT engage in strenuous exercise for 2-3 days after treatment because it may exacerbate the inflammatory and can cause your skin to become extremely inflamed.

  • Sweating excessively after treatment can irritate the skin or cause blistering due to the sweat being unable to escape through the top layer of dead skin.  Try to avoid sweating until after you have stopped peeling to avoid lifting the skin prematurely, as this can cause scarring.

  • Do NOT use any acidic products such as retinoids or tretinoins, acne medication products such as Retin-AⓇ, TazoracⓇ, RenovaⓇ, AtralinⓇ, ZianaⓇ, VeltinⓇ, DifferinⓇ, the antibiotic Doxycycline, AHAs (lactic, glycolic, tartaric, etc.), BHAs (salicylic), benzoyl peroxide, vitamin C products, lightening agents such as hydroquinone or any exfoliative products including loofahs or coarse sponges to your skin for 2 weeks after your chemical peel, or more if you notice your skin becomes sensitive to application.  These medications and products increase your photosensitivity, which can significantly increase the likelihood of complications.

  • Do NOT tweeze, pick, rub, exfoliate, wax, use a depilatory, undergo electrolysis, or schedule a facial or cosmetic service such as laser resurfacing, or IPL on a treated area(s) for 4 weeks after your treatment.  To reduce the risk of scarring, you do not want to remove the dry, rough, dead skin faster than your body wants to.

  • Do NOT get your hair dyed until a week after you have finished peeling, if your treatment was performed on the face or neck.  For most people, week 3 post-peel is the best time to have your hair color treated.

  • This procedure can stimulate cold sores.  If you have an outbreak after your treatment, please call the office to inquire about obtaining a prescription.  Please ask to speak with the esthetician, Alli.

How to Care for your Skin Post-Peel

  • Cleanse Gently:  Your skin may be fragile for 5-7 days.  Cleanse your skin with COOL water (hot water will cause inflammation to the skin) using only your fingertips – no washcloths, loofahs, buff puffs, sponges, ClarisonicⓇ, etc.  We recommend using the Revision Gentle Cleanser.  Other mild cleansers such as Dove Unscented Bar Soap for Sensitive SkinⓇ, AveenoⓇ, CetaphilⓇ, CeraVeⓇ, or VanicreamⓇ may be recommended by your esthetician, depending on your specific needs.

  • Moisturize Often:  Letting the skin dry out may cause discomfort.  We recommend using SkinCeuticals Phyto Corrective GelⓇ and SkinCeuticals Epidermal RepairⓇ to help your skin recover.  For strong peels, you may use petroleum jelly for the first few days or as needed on sensitive areas that are peeling. When you start to peel, use a non-comedogenic moisturizer such as AveenoⓇ, VanicreamⓇ, CetaphilⓇ, or CeraVeⓇ, until the skin feels back to normal.  This will promote the healing process by locking in moisture and reducing the chance of a bacterial infection, redness, and irritation.  Use these products several times per day or as needed.  Topical hydrocortisone may be recommended, depending on your specific needs.

  • Protect Your Skin:  Heat and sun exposure can cause inflammation to the skin.  Remember to avoid excessive heat on the treated area and direct sun exposure of any kind, as well as tanning bed sand self-tanners to the planned treatment areas for 4 weeks after treatment.  If you need to be outdoors, make sure to use an umbrella or wear a large-brimmed hat, a pair of sunglasses, and use a physical sunblock (containing zinc oxide and titanium dioxide).  We recommend using SkinCeuticals Sheer Physical UV Defense SPF 50Ⓡ or Colorescience SunforgettableⓇ.  Both of these products provide broad-spectrum protection from both UVA and UVB rays with no chemical sun filters.  Apply 30 minutes before exposure and reapply often (about every 2 hours) when exposed to the sun.  Other sunscreen products may be recommended depending on your specific needs.

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Microneedling

PRE – TREATMENT INSTRUCTIONS

Avoid Accutane for the past 6 months

Do not use topical agents that may increase sensitivity of skin: retinoids, topical antibiotics, exfoliants, acids that may be drying or irritating to the skin (such as alpha hydroxyl acid (AHA) beta hydroxyl acids (BHA), exfoliating masks, salicylic acids, hydroquinone, and benzoyl peroxide acne products) 5-7 days prior

Do not take any anti-inflammatory medications such as ibuprofen, Motrin or Advil for 3 days prior to treatment. These agents will interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation

Avoidance of IPL/Laser procedures, unprotected sun exposure or sunburn for 2 weeks prior

No waxing, depilatory creams or electrolysis to area being treated 5-7 days prior

No shaving the day of the procedure to avoid skin irritation. If there is dense hair present in the treatment area, closely shave the area the day before you arrive to your appointment. Moles, warts or actinic (solar) keratosis cannot be treated.
If you are prone to cold sores, take antiviral agent for 2 days prior to and day of treatment. Call office for prescription.

Bruising is a common risk especially with PRP injections. Avoid blood thinning agents (aspirin, fish oil, Omega-3, Vitamin E) for 1 week prior. May resume day after treatment.

OPTIONAL

Preparing the skin for this procedure will ensure optimum results. Healthy skin will respond better and results will last longer. Skin cells need nutrients for best function.

Skin care for pre-conditioning 4-6 weeks prior. Provider will make recommendations if pre-conditioning needed.

  • Dietary recommendations for optimal healing and result. We recommend Collagen MD Advanced Connective Tissue Support Formula for 2 weeks pre-and post-treatment. Collagen MD products are available in our office, no prescription needed.

CONTRAINDICATIONS

Pregnancy, actively infected or actively inflamed skin, skin irritation, cystic acne to area being treated, keloid scars, allergies to topical lidocaine and sunburn.

DAY OF TREATMENT

  • Skin is clean without lotion, oil, makeup, powder, perfume or sunscreen. Patient may wash face in office upon arrival.

  • Inform provider of any relevant changes in your medical history and of all medications you are taking.

  • Notify provider of any cosmetic tattoos to areas being treated.

  • Topical Lidocaine will be applied in office for 30-45 min prior to treatment.

If combining Micro-Needling with Platelet Rich Plasma (PRP), your blood will be drawn in office while you are numbing.

POST – TREATMENT INSTRUCTIONS

Immediately after your Medical Micro-Needling procedure, your health care provider will apply a hyaluronic mask for 5-10 min and moisturizer.

Do not take any anti-inflammatory medications such as ibuprofen Motrin or Advil for 1 week. DO NOT ice face or use arnica or bromelain. These agents may interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation.

Avoid sun tanning and prolonged exposure to direct sunlight for 2 weeks. After 24 hours, always use a full spectrum sun screen SPF30 or above. When exposed to sun, wear a hat and apply sunscreen every 2 hours.

  • Use Tylenol only as needed for any soreness

  • Optional dietary recommendations: Eat fresh pineapple, tart cherry juice (no sugar), salmon (omega-3 fish oil), bone broth based soups, continue taking collagen 1 & 3 supplement (Collagen MD Advanced Connective Tissue Support Formula) for 2 weeks to optimize healing. Avoid dairy, wheat and sugar!

DAY 1-3

A sunburn -like effect is normal. The skin will feel tight, dry, sensitive to touch. Treat skin gently washing with a gentle cleanser, cool water, using hands only and pat dry no earlier than 4 hours after treatment. Redness or sensitivity might well be present. Some small bruising is common with PRP injections and may last up to 5-7 days and swelling can last 2-4 days depending on how aggressive of a treatment you received.

Plan social calendar accordingly!

  • Avoid strenuous exercises that cause sweating, jacuzzi, sauna or steam baths for 24 hours due to open pores, or up to 48 hours if inflammation exists.

  • May only use Oxygenetix Make-up post procedure or Mineral makeup after 24 hours

  • Sleep on your back with head of bed elevated to minimize swelling or pain as needed

DAY 2-7

  • Peeling may start 3-5 days after treatment. You will notice skin dryness and flaking. This is due to an increased turnover of skin cells. Do not pick, scratch or scrub at treated skin! Allow old skin to flake off naturally and keep moisturized AT ALL TIMES with Hyaluronic serum and TGF- growth factor followed by Le Mieux Derma Relief Serum for extra dry skin every 2 hours if needed.

DAY 5-7

You may restart your regular skin care products and Retin-A once your skin is no longer irritated.

Many patients have noticed continued skin improvement for months following the last treatment.

  • For best results, we recommend follow up and repeat treatments in 4-6 weeks and a series of 3-5 treatments depending on your personalized care plan.

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Carbon Laser Facial

The Carbon Laser Peel Procedure


The Carbon Laser Peel is equivalent to four strong chemical peels. Does Carbon Laser Peel hurt? Although there is a slight tingling during the procedure and warmth on the skin, these side effects are normal and will go away within 48 hours. Most patients do not report pain, but mild discomfort, like the sensation of a sunburn.

The Carbon Laser Peel is a gentle procedure that works well on most skin types. During your treatment, a technician will coat your skin with a layer of a carbon solution and then use a gentle laser to heat the area so that the carbon can seep deep into the skin.


Carbon Laser Before Care


Some skincare treatments require little preparation as you can simply book an appointment and undergo the procedure. However, if your goal is to get the most out of your appointment and achieve faster and more visible results, preparing your skin is vital. Depending on your skincare specialist, you may be requested to follow certain recommendations for about two weeks before your Carbon Laser Peel appointment. Some of these before care tips are mentioned below.


Avoid Using


For the five days prior to your procedure avoid using on your face Retinoids, such as Retin-A, Vitamin C, Glycolic acids, and any type of strong cream that could interfere with your treatment. Avoid getting skin treatments at least two weeks prior to your session; these includes microdermabrasion and any type of professional or home exfoliation, Botox, Fillers, etc. Timing treatments is the clinic’s responsibility, as long as you do all your treatments at the same location, which is highly recommended.
Also, if you are taking antibiotics, make sure you have taken your last dose at least 7 days prior to your laser treatment.


Use Sun Protection


Wearing sun protection is extremely important whether you are seeking a Carbon Laser Peel treatment or not. You should always wear sun protection because it protects your skin from the harsh UVA and UVB rays of the sun. This includes wearing sunscreen, as well as a hat when going out in the sun.


Refrain from Smoking


Smokers need to be extra careful when considering laser treatments because it can affect their bodies’ ability to heal and achieve optimal results. Nicotine has been known to narrow the blood vessels in the skin, which prevents nutrients from reaching the outer layer of the skin.


Speak to Your Doctor First


If you are prone to cold sores or fever blisters, laser treatments may aggravate your skin and induce breakouts. In fact, there may be certain medications or supplements that you are taking that could lead to poor healing or scarring from laser resurfacing treatments. If you are taking any over-the-counter products like aspirin, it can increase your risk of post-procedure bleeding. Because of these risks, it’s important to speak to your doctor first to find out if there is anything in your medical situation that can compromise the results of your laser treatment.


Carbon Laser Peel Aftercare


Modern laser peel technology is far less troublesome than procedures of the past. After a treatment, the treated area of skin may feel a little warm afterward, and there may be some slight redness. However, the treatment also includes the application of cooling gels or creams that can dissipate these side effects. If the treatment was used to target pigmentation, the pigment may appear darker for awhile, and may feel like a slight sunburn for about an hour after the procedure. Other common side effects may include swelling of the skin, redness, and sensitivity. To reduce your chances of experiencing these side effects or to help them disappear, here are some tips for carbon laser peel aftercare.


Avoid Active Ingredients and Chemicals Before and After


After your Carbon Laser Peel appointment, the top thing you need to do is to avoid active ingredients in your skincare products and beauty routine. Avoid any products that contain alpha hydroxy acids, retinol, and glycolic acid for at least two weeks because these can irritate your skin.


Avoid Exfoliation


After a laser treatment, you should think of your skin as a fresh wound that needs to be treated with gentle care. You should avoid any products that contain strong fragrances and chemicals and stop your exfoliation for at least two weeks. You can use products with peptides, emollients, and SPF, and if you need to cleanse your skin, choose a milk cleanser or gentle moisturizing face wash.


Avoid Heavy Exercising


Your skin needs time to heal, and for your body to do that, it needs rest. Heavy exercising and sweating can irritate the delicate skin and slow down your ability to heal quickly. Take it easy—your skin will thank you for it!

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Body Contouring/ Sculpting

We want you to be thrilled with the results of your customized treatments! Each treatment is an investment towards the correction or prevention of an issue with your skin and body shape. In order to protect your investment and get the most out of it; here are our Body Contouring Pre and Post Care instructions to follow for optimum results!

Schedule 3 to 6 treatments (spaced 3-14 days apart) focusing on a specific area to see more significant results. Body Wraps with the sauna blanket can be done more often. It is not a good idea to do more than 2 areas during one sitting because your Lymphatic system may not be able to handle more. It is important to remember this is a process. Be patient with your body and allow for some time to reveal your new shape.
You will start to notice, at first, your clothes may start to fit better, the results are gradual but noticeable. Since fat does not weigh a lot, you won’t notice a fast reduction on the scale. Hydrate! Drink plenty of water! 

It’s best to keep drinking water and not watch the scale or the mirror. Also, this treatment is designed to reduce cellulite; not specifically to tighten over-stretched skin. Sagging skin is due to weakened elasticity and we have Lasers that emit ELOS technology, Intense Pulsed Light (IPL), Microneedling or Sublative resurfacing to help rejuvenate newer, healthier, stronger elasticity to tighten your skin. 

The most crucial step in this process is a major consumption of water to aid in flushing (especially right after treatment) which is why you’ll need to bring your water bottle, along with a post surgical compression garment/ faja with you to treatment. You should carry a water bottle around with you and drink whenever you can. You will find that results you want to see will appear sooner by just adhering to THIS step!

There are a few items you’ll want to bring with you and the Full Spectrum Kit from our Wellness section. You may want to purchase beforehand prior to coming in for a Body Contouring treatment. Vitamins are very important. We suggest talking with your doctor 1st to approve these with your diet.

Supplement Directions | Body Contouring  

Daily vitamins and minerals are recommended because they have helped others reach higher levels of success. By giving your body nutritional supplements, it can help where there may be deficits – thus your cravings may reduce. Also, getting one that has great sources of vitamin B complex will help the body to detox.


 Summary

Drink plenty of water, increase fiber in the diet and physical activity. The rate that which your body re- contours is essentially up to YOU! We will help break down the fat but it’s up to YOU to FLUSH and EXPEL!!! Now you are ready to start, relax and enjoy some water and ENJOY!

Post-Treatment Care

  • Use ice packs to reduce any swelling, stiffness and bruising from the Body Sculpting Procedures.

  • Engage in a half-hour of light exercise, such as walking, within 6 hours post-treatment to stimulate lymphatic drainage.

  • Drink plenty of water and stay hydrated.

  • Avoid alcohol for 72 hours post-treatment.

  • Do not use a sauna or spa.

  • Do not engage in strenuous exercise for 24 hours post-treatment. Your body needs to recover so that your liver can remove extruded fatty acids and toxins from your system.