Botox/Dysport Pre-Injection Instructions
PLEASE FOLLOW THESE INSTRUCTIONS PRIOR TO YOUR BOTOX/DYSPORT TREATMENT FOR BEST RESULTS:
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Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising)
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Avoid anti-inflammatory/blood thinning medications, if possible, for a period of 2 weeks before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections. This also includes prescription blood thinners such as Plavix, Warfarin (Coumadin), Eliquis, Xarelto, etc (please consult with your prescribing physician in regards to stopping these medications prior to procedure, as some cannot or should not be stopped).
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Schedule your appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Results from injections will take approximately 4 to 7 days to appear. Also, bruising and swelling may be apparent in that time period.
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Discontinue Retin-A 2 days before and 2 days after treatment.
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Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on on any possibly being treated.
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If you have a history of cold sores please let your provider know, they may put you on an anti-viral medication prior to treatment.
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Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the chances of lightheadedness during your treatment.
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You are not a candidate if you are pregnant or breastfeeding.
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Be aware that you may be more sensitive to injections during menstruation.
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Please arrive to your appointment with a clean face with no make-up.
Botox/Dysport Post-Injection Instructions
PLEASE FOLLOW THESE INSTRUCTIONS AFTER TO YOUR BOTOX/DYSPORT TREATMENT FOR BEST RESULTS:
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Do NOT manipulate the treated area for 3 hours following treatment.
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Do NOT receive facial/laser treatments or microdermsbrasion after Botox injections for at least 10 days. Ask your provider if you are not sure about the time frame of certain services.
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Some providers believe that smiling and frowning right after Botox treatments helps the Botox find its way to the muscle into which it was injected after treated.
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Avoid strenuous exercise for 24-48 hours.
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Do NOT lie down for 6 hours after your Botox treatment. This will prevent the Botox from tracking into the orbit of your eye and causing drooping eyelid.
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It can take approximately 5 to 7 days for results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional Botox. You are charged for the amount of product used. Therefore, you will be charged for a product used during any touch-up or subsequent appointments.
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Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep the Botox in the injected area and not elsewhere.
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Some medications might increase your risk of bruising. Be sure to ask your practitioner when it’s safe to start taking them again. Avoid aspirin and ibuprofen for a few days following treatment. Do not restart Retinol or Retin-A for 2 days.
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It’s best to avoid other forms of heat exposure, such as: tanning bed, hot tubs, hot showers or baths and saunas.
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Avoid waxing and use of chemical depilatories for 1 week following treatment.
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Avoid facials, chemical peels, micro-dermabrasion for 2 weeks following treatment. Radio frequency miconeedling must be avoided for 4 weeks.
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But if you notice any of the following effects, seek medical help immediately:
Muscle weakness-trouble swallowing-difficulty soeaking-difficulty breathing-poor bladder control-vision changes
***Although these side effects are rare, they warrant immediate medical attention.***
Fillers Pre-Injection Instructions
PLEASE FOLLOW THESE INSTRUCTIONS PRIOR YOUR FILLER TREATMENT FOR BEST RESULTS:
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Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising)
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Avoid anti-inflammatory/blood thinning medications, if possible, for a period of 2 weeks before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections. This also includes prescription blood thinners such as Plavix, Warfarin (Coumadin), Eliquis, Xarelto, etc (please consult with your prescribing physician in regards to stopping these medications prior to procedure, as some cannot or should not be stopped).
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Schedule your Filler appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Also bruising and swelling may be apparent in that time period.
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Discontinue Retin-A 2 days before and 2 days after treatment.
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Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on the area.
-
If you have a history of cold sores please let your provider know, they may put you on an anti-viral medication prior to treatment.
-
Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the chances of lightheadedness during your treatment.
-
You are not a candidate if you are pregnant or breastfeeding.
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Be aware that you may be more sensitive to injections during menstruation.
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Expect swelling day 1-3 after injection.
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Sleep elevated on pillows when sleeping the first 1-3 nights to keep down swelling.
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Please arrive to your appointment with a clean face with no make-up.
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Avoid dental and any other invasive procedures 2 weeks prior and after your filler treatment.
Fillers Post-Injection Instructions
PLEASE FOLLOW THESE INSTRUCTIONS AFTER YOUR FILLER TREATMENT FOR BEST RESULTS:
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Immediately after your treatment, there may be slight redness, swelling, tenderness, and an itching sensation in the treated area. This is a normal result of the injection. The inconvenience is temporary and generally disappears in a few days. If the inconvenience continues or if other reactions occur, please contact your practitioner.
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The initial swelling after treatments may last longer than two days. Some patients experience swelling for about a week and the injected area can look somewhat uneven during this time. This means that the result directly after the treatment should not be seen as the final result. It may take 2-4 weeks to even out.
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After any treatment with fillers, you may FEEL lumpy and/or bumpy for a few weeks or even months afterwards. This is normal. The key is not to SEE the lumps.
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Avoid touching the treated area for 6 hours following the injection. After that, mineral based make-up can be applied and the area can be gently washed with soap and water.
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Avoid significant movement or massage of the treated area for 1 week after injection. Unless instructed by the provider.
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Avoid strenuous exercise for 48 hours.
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Avoid extensive sun or heat for 72 hours.
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It is strongly recommended that you do not fly for 1-2 weeks post injection.
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Avoid consuming excess amounts of alcohol or salts to avoid excess swelling.
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If you have swelling you may gently apply a cool compress for 15 minutes each hour.
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Use Tylenol for discomfort if needed.
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Avoid drinking through a straw for 6 hours post injection if injection performed in the lips.
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Try to sleep face up and slightly elevated if you experience swelling.
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Take Arnica (OTC-at all pharmacies & Amazon) to help the bruising and swelling if needed.
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Expect swelling day 1-3 after injection.
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Sleep elevated on pillows when sleeping the first 1-3 nights to keep down swelling and avoid sleeping on the treated areas.
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It is preferred that you wash your face lightly with soap & water only until the following day.
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It is recommended to not use make up for 12 hours or skin care products for 24 hours post-injection.
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If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores.
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Avoid dental and any other invasive procedures 2 weeks prior and after your filler treatment.
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Dermal filler gradually dissolves. The correction does not last forever. Many people choose to be treated again within 4-6 months of the original treatment.
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Hair PRP Treatment Instructions
Treatment:
PRP therapy for hair is a treatment that involves withdrawing a patient's own blood, processing it so only the enriched cells (platelet-rich plasma) remain, and injecting it into the scalp. PRP contains essential proteins that stimulate natural hair growth. Due to the natural variation in quality of platelet-rich plasma, results can and will vary between individuals. Patients may require multiple sessions to obtain desired outcomes.
Contraindications:
You should NOT have PRP treatment done if you have any of the following conditions:
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Impaired immune system due to immunosuppressive diseases (HIV, HTV, or immunosuppressive medications)
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Skin conditions/diseases: facial cancer (existing or uncured), squamous cell carcinoma, basal cell carcinoma, melanoma, systemic cancer, and chemotherapy.
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Steroid therapy, dermatological diseases affecting the face (Porphyria), communicable diseases, blood disorders and platelet abnormalities, anticoagulation therapy (Warfarin, Plavix, Xarelto)
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Do NOT have PRP treatment if you are pregnant.
7 days before treatment:
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Discontinue blood-thinning agents: Vitamin E, Vitamin A, Gingko, Garlic, Flax, Cod Liver Oil, and Essential Fatty Acids, and multivitamins, a minimum of 7 days (preferably 14 days) prior to treatment. It is okay to continue iron and Vitamin D.
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Please let your provider know immediately if you are taking any blood thinners, as they may represent a contraindication to this treatment (Warfarin, Plavix, and Xarelto).
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Avoid Aspirin, Advil, Motrin, Ibuprofen, Naproxen, Voltaren and other anti-inflammatory medications for two weeks prior to treatment.
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Do not take systemic steroids (Prednisone, Hydrocortisone, etc) or other topicals such as Solanpas or Voltaren Gel for at least two weeks prior to your treatment. (Please inform your provider if you've had an epidural or steroid injection of any sort within the last six weeks.)
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It is ok to color your hair up to 7 days before the procedure.
We WANT inflammation to occur–this is one mechanism by which PRP works.
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You may use Tylenol (acetaminophen) as needed prior to the treatment.
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Prescription medications (including heart and blood pressure medication) should be taken as prescribed right up to, and including, the day of and the day after your treatments.
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If you are taking broad beta-blockers such as Inderal (Propranolol), please inform your provider as this medication may need to be changed to a select beta-blocker in advance of the treatment.
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Avoid excessive sun or heat exposure.
3 days before treatment:
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Minimize or avoid all alcohol and caffeine consumption three days before and after treatment.
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Avoid vigorous exercise, sun, and heat exposure.
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If possible, refrain from or minimize smoking prior to your procedure as it impacts the healing process.
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You may continue other hair loss treatments such as laser treatment, minoxidil, or hormone blocking tablets before your procedure. If you are not sure if you should be stopping a medication, please ask.
Diet and Fluid Intake:
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Increase your intake of fluid the day before your procedure by simply drinking two glasses of water in the morning, two glasses at lunch, and two glasses at dinner, in addition to your normal intake of water.
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Please eat normal meals prior to your procedure. Take all of your normal medications as prescribed aside from the ones listed, if possible, per your medical provider.
Day of Procedure:
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Shower the morning of your treatment and wash your hair very thoroughly using your regular shampoo.
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Do not apply sprays, gels, or any other styling products to your hair.
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If you wear a hair system, please remove it prior to shampooing and do not wear it before your PRP treatments.
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Please eat a normal breakfast or lunch the day of your PRP session.
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Drink a bottle of water (500 mL) at least two hours before your session.
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It is strongly recommended to take a hot shower to wash your hair that evening, after the treatment, to promote the effects of PRP.
Face PRP/PRF Before & After Treatment Instructions
PLEASE FOLLOW THESE INSTRUCTIONS PRIOR TO YOUR TREATMENT FOR BEST RESULTS:
Pre-Treatment Instructions: The week before
Avoid the following for at least 1 week prior to treatment:
-Retin A/Tretinoin or retinol containing products
-NSAIDS (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin)—Tylenol is allowed
-Certain nutritional supplements (Gingko, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin, and other anti-inflammatory nutrients)
-Systemic Steroids (prednisone, dexamethasone)
-Spray tanning
-Alcohol and Cigarettes
Ensure that you have not used Accutane in the past 6 months.
Hydrate well the day before and the day of the procedure for ease of blood draw.
On the Treatment Day:
Blood is drawn and PRP is processed.
PRP is applied/injected to the treatment area.
There may be redness, swelling and a general “tight feeling” immediately after the procedure.
Occasionally, there may be a peeling effect.
PLEASE FOLLOW THESE INSTRUCTIONS AFTER YOUR TREATMENT FOR BEST RESULTS:
Post-Treatment Instructions:
Expect mild inflammation and redness.
There may be bruising in certain areas.
Apply any post procedure cream provided to you twice a day for 1 WEEK.
Use Aquaphor if you need additional skin hydration.
You may then return to your usual skin care regimen.
Avoid cold cloths and ice to the treated area for 48 hours.
Avoid the sun and use a physical sun block daily for at least 1 week.
Avoid the following for at least 1 week:
-Retin A/Tretinoin or retinol containing products
-NSAIDS (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin)—Tylenol is allowed for pain relief -Certain nutritional supplements (Gingko, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients)
-Systemic Steroids (prednisone, dexamethasone)
-Alcohol and cigarettes
SKINMEDICA PRE PEEL INSTRUCTIONS
THOSE WHO SHOULD NOT BE TREATED:
People with active cold sores or warts, skin with open wounds, sunburn, excessively sensitive skin, dermatitis or inflammatory rosacea in the area to be treated. Inform the aesthetician if you have any history of herpes simplex.
People with a history of allergies (especially allergies to salicylates like aspirin), rashes, or other skin reactions, or those who may be sensitive to any of the components in this treatment
People who have taken Accutane® (isotretinoin) within the past year
People who are pregnant or breastfeeding (lactating)
People who have recently received chemotherapy or radiation therapy
People with vitiligo
People with a history of an autoimmune disease (such as rheumatoid arthritis, psoriasis, lupus, multiple sclerosis, etc) or any condition that may weaken their immune system
Note: People who have had medical cosmetic facial treatments or procedures (eg, laser therapy, surgical procedures, cosmetic injections, microdermabrasion, etc) should wait until skin sensitivity completely resolves and the full effects of their treatment are seen before receiving a SkinMedica® Peel.
ONE WEEK BEFORE YOUR SKINMEDICA® PEEL, AVOID THESE PRODUCTS AND/OR PROCEDURES:
• Electrolysis-Waxing-Laser Hair Removal-Depilatory Creams
THREE DAYS BEFORE YOUR SKINMEDICA® PEEL, AVOID THESE PRODUCTS AND/OR PROCEDURES:
Retin-A, Renova", Differin®, Tazorao®
Any products containing retinol, alpha-hydroxy acid (AHA) or beta-hydroxy acid (BHA), or benzoyl peroxide
Any exfoliating products that may be drying or irritating
Note: The use of these products/treatments prior to your peel may increase skin sensitivity and cause a stronger reaction.
SKINMEDICA POST PEEL INSTRUCTIONS
ILLUMINIZE PEEL:
IMMEDIATELY AFTER THE PEEL AND UP TO 24 HOURS:
Skin may be tight and more red than usual.
Wait until bedtime before washing your face.
Start applying TNS Ceramide Treatment Cream™ after washing your face with SkinMedica® Facial Cleanser at bedtime the same night of the peel.
Avoid strenuous exercise starting the day of procedure.
NEXT DAY-4 DAYS AFTER PROCEDURE:
Skin should look normal the next day.
Because of the superficial nature of this peel, do not expect to see visible peeling.
Occasionally, some patients may have very minor flaking 3 to 4 days after the procedure.
Apply TNS Ceramide Treatment Cream™' (or any other SkinMedica® moisturizer recommended by a skincare professional) as often as needed to relieve any dryness.
4-5 DAYS AFTER PROCEDURE:
You may resume the regular use of retinol, alpha-hydroxy acid (AHA) products, or bleaching creams.
Wait until skin sensitivity resolves before having ANY OTHER FACIAL PROCEDURES including facials, microdermabrasion, facial hair removal (including laser hair removal), injections, or injectable fillers.
POST-PEEL SKINCARE REGIMEN:
CLEANSE:
Use a gentle, soap-free cleanser like SkinMedica® Facial Cleanser. Wash the face gently and avoid rubbing the skin. Do not use a facial cleansing device until the peeling process is complete.
MOISTURIZE:
Apply TNS Ceramide Treatment Cream™' (or any other SkinMedica® moisturizer recommended by a skincare professional) and SkinMedica® HAS® Rejuvenating Hydrator as often as needed to relieve any dryness. Apply all topical skincare products gently and avoid rubbing the skin.
SUN PROTECTION:
Apply Essential Defense Mineral Shield™* Broad Spectrum SPF 35/PA++++
Sunscreen, Essential Defense Mineral Shield™ Broad Spectrum SPF 32 Sunscreen Tinted, or TOTAL DEFENSE + REPAIR Broad Spectrum SPF 34 Sunscreen Tinted.
AVOID direct sunlight for at least 1 week.
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VITALIZE PEEL:
IMMEDIATELY AFTER THE PEEL AND UP TO 24 HOURS:
Skin may be tight and more red than usual.
Skin may feel tacky and have a yellow to orange tinge. This is temporary and will fade in a few hours.
Wait until bedtime before washing your face.
Start applying TNS Ceramide Treatment Cream™ after washing your face with SkinMedica® Facial Cleanser at bedtime the same night of the peel.
Avoid strenuous exercise starting the day of procedure and while the skin is peeling.
24 HOURS AFTER THE PEEL AND UNTIL THE PEELING IS COMPLETE:
Skin may be tight until it starts to peel.
Peeling will generally start 48 to 72 hours after the procedure and can last 2 to 5 days.
For the first 48 hours or before the skin starts to peel/flake, moisturizer can be applied twice a day.
When the skin is peeling, moisturizer should be reapplied more frequently to control the peeling.
DO NOT PICK OR PULL THE SKIN. Allow skin to peel at its own pace.
Premature peeling of the skin will result in dry, cracked, raw skin that may develop into post-inflammatory hyperpigmentation.
AFTER THE PEELING IS COMPLETE:
You may resume the regular use of retinol, alpha-hydroxy acid (AHA) products, or bleaching creams ONLY after the peeling process is completed.
Wait until peeling has completed before having ANY OTHER FACIAL PROCEDURES including facials, microdermabrasion, facial hair removal (including laser hair removal), injections, or injectable fillers.
POST-PEEL SKINCARE REGIMEN:
CLEANSE:
Use a gentle, soap-free cleanser like SkinMedioa® Facial Cleanser. Wash the face gently and avoid rubbing the skin. Do not use a facial cleansing device until the peeling process is complete. Do not scrub or use a washcloth while the skin is peeling.
MOISTURIZE:
While the skin is peeling, apply TNS Ceramide Treatment Cream™ (or any other SkinMedica® moisturizer recommended by a skincare professional) and SkinMedica® HAS® Rejuvenating Hydrator as often as needed to relieve any dryness and control peeling. Apply all topical skincare products gently and avoid rubbing the skin.
SUN PROTECTION:
Apply Essential Defense Mineral Shield™' Broad Spectrum SPF 35/PA++++
Sunscreen, Essential Defense Mineral Shield™ Broad Spectrum SPF 32 Sunscreen Tinted, or TOTAL DEFENSE + REPAIR Broad Spectrum SPF 34 Sunscreen Tinted in the AM and throughout the day.
AVOID direct sunlight for at least 1 week.
SERIES OF PEELS:
Vitalize Peel® can be applied every 3 to 4 weeks until desired results are achieved.
Results are cumulative and maximum benefits are seen with a series of 3 or more peels.
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REJUVENIZE PEEL:
IMMEDIATELY AFTER THE PEEL AND UP TO 24 HOURS:
Skin may be tight and more red than usual.
Skin may feel tacky and have a yellow to orange tinge. This is temporary and will fade in a few hours.
Wait until bedtime before washing your face.
Start applying TNS Ceramide Treatment Cream™ after washing your face with SkinMedica® Facial Cleanser at bedtime the same night of the peel.
Avoid strenuous exercise starting the day of procedure and while the skin is peeling.
24 HOURS AFTER THE PEEL AND UNTIL THE PEELING IS COMPLETE:
Skin may be tight until it starts to peel.
Peeling will generally start 48 to 72 hours after the procedure and can last 2 to 5 days.
For the first 48 hours or before the skin starts to peel/flake, moisturizer can be applied twice a day.
When the skin is peeling, moisturizer should be reapplied more frequently to control the peeling.
DO NOT PICK OR PULL THE SKIN. Allow skin to peel at its own pace.
Premature peeling of the skin will result in dry, cracked, raw skin that may develop into post-inflammatory hyperpigmentation.
AFTER THE PEELING IS COMPLETE:
You may resume the regular use of retinol, alpha-hydroxy acid (AHA) products, or bleaching creams ONLY after the peeling process is completed.
Wait until peeling has completed before having ANY OTHER FACIAL PROCEDURES including facials, microdermabrasion, facial hair removal (including laser hair removal), injections, or injectable fillers.
POST-PEEL SKINCARE REGIMEN:
CLEANSE:
Use a gentle, soap-free cleanser like SkinMedica® Facial Cleanser. Wash the face gently and avoid rubbing the skin. Do not use a facial cleansing device until the peeling process is complete. Do not scrub or use a washcloth while the skin is peeling.
MOISTURIZE:
While the skin is peeling, apply TNS Ceramide Treatment Cream™' (or any other SkinMedica® moisturizer recommended by a skincare professional) and SkinMedica® HAS° Rejuvenating Hydrator as often as needed to relieve any dryness and control peeling. Apply all topical skincare products gently and avoid rubbing the skin.
SUN PROTECTION:
Apply Essential Defense Mineral Shield™* Broad Spectrum SPF 35/PA++++
Sunscreen, Essential Defense Mineral Shield' Broad Spectrum SPF 32 Sunscreen Tinted, or TOTAL DEFENSE + REPAIR Broad Spectrum SPF 34 Sunsoreen Tinted in the AM and throughout the day.
AVOID direct sunlight for at least 1 week.
Rejuvenize Peel™ can be applied every 4 to 6 weeks until desired results are achieved.
Results are cumulative and maximum benefits are seen with a series of 3 or more peels.
FOR ALL PEELS:
CONTACT THE OFFICE IMMEDIATELY IF YOU EXPERIENCE REACTIONS AFTER YOUR PEEL, SUCH AS:
Moderate to severe swelling, burning, or redness
Itching that does not subside or resolve after applying moisturizer
Rash-like appearance
Pain