PRE-TREATMENT INSTRUCTIONS 

Do NOT have any dental work one month before or after dermal filler injections. This includes, but is not limited to root canals, crowns, fillings, tooth extractions, dental implants, bridges, dentures, night guards, etc. This does not apply for Botox and Dysport injections. 

Do NOT consume alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood and increase the risk of bruising). 

Avoid anti-inflammatory/blood thinning medications, if possible, for a period of 3-7 days 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 blood thinning effects and can increase the risk of bruising and swelling after injections. If your cardiologist or primary care physician has you on a blood thinner, you must obtain clearance from them prior to discontinuing. Tylenol can be used as it does not increase the risk of bruising. 

Schedule your dermal filler and neuromodulator (Botox and Dysport) appointment at least one month prior to a special event, such as a wedding or vacation. Results from neuromodulator injections will take approximately 7 to 10 days to appear. Also, bruising and swelling may be apparent for several weeks. Sculptra takes longer to see results so plan accordingly with your provider. 

Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore, or blemish on the area. If you are on antibiotics for or have an active infection, we will NOT treat you with dermal fillers. 

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 if you are having lip filler injections. 

Arrive at our office with a clean face. Be sure to have a good meal, including food and drink, before your procedure. This will decrease the chances of lightheadedness during treatment. 

You are not a candidate for dermal filler or neuromodulator injections if you are pregnant or breast feeding. 

Do NOT receive facial/laser hair treatments 2 weeks prior to dermal fillers to decrease the risk of infection. 

POST-TREATMENT INSTRUCTIONS FOR BOTOX / DYSPORT

Do NOT manipulate the treated area for four hours following treatment. Do NOT receive facial/laser treatments or microdermabrasion after neuromodulator injections for at least 3 days. Ask your provider if you are not sure about the time frame of certain services. 

We believe that making facial expressions in areas injected on the day of your Botox/Dysport treatment will improve your results. 

Do NOT lie down flat, touch or rub the treated areas for 4 hours after your treatment. This will prevent the Botox/Dysport from diffusing into the eye area and causing a droopy eyelid. 

It can take approximately 4 to 14 days for final results to be seen. It is recommended that a touch-up, if needed, be done no later than 2 weeks after initial treatment. 

Do NOT perform activities involving straining, heavy lifting or vigorous exercise for 6 hours after treatment. This will help keep the Botox or Dysport in the injected area 

POST-TREATMENT CARE FOR DERMAL FILLERS

Avoid significant movement or massage of the treated area unless instructed by the provider.

Avoid strenuous exercise for 24 hours.

Avoid extensive sun or heat for 72 hours.

Avoid consuming excess amounts of alcohol or salt for several days after treatment to avoid excess swelling. 

If you have swelling, you may apply a cool compress for 15 minutes each hour. An antihistamine such as Claritin, Zyrtec, or Allegra may be helpful.

Avoid cosmetic treatments such as laser, ultrasound, peels, facials or microdermabrasion for 1-2 weeks after treatment with Botox or Dysport. Ask your provider for clarification on time frame between services.

Use Tylenol for discomfort.

Try to sleep face up and slightly elevated if you experience swelling.

Take Arnica to help the bruising and swelling. Start at least 2 days prior to injections. Bromelain, from pineapple, also helps bruising.

Do NOT receive facial/laser treatments for at least 2 weeks after treatment.

GENERAL

 Follow the instructions provided in the aftercare booklet and/or download the VI Peel App. 

 Normal side effects include but are not limited to redness, mild stinging, dryness, mild itching. 

 During the 7-10 days post-peel: 

• Use the Retinoic Serum morning and night until flaking or peeling begins, then immediately discontinue use. 
• Use the Post Treatment Repair Cream anytime skin feels dry or itchy. 
• Avoid hot water on the treated area. Lukewarm water is best. 
• When cleansing the area, use only your fingertips and avoid washcloths, loofahs, or anything abrasive. Cleansing the skin using a gentle cleanser with no fragrance or active ingredients. (VI Derm Gentle Purifying Cleanser, Dove, Cetaphil, etc.)  Avoid direct sun exposure on treated areas. 
• Use SPF 50+ on treated areas when outdoors, including while driving.
• Avoid sweat-inducing environments until peeling begins. This includes aerobic exercise, saunas, etc. 
• Wear loose-fitting, cotton-based products on the treated area. 
• if any products in the post peel kit sting or irritate beyond your tolerance reach out to your practitioner for options to use instead.

PEELING

Peeling Flaking/Peeling typically begins 5-7 after the peel is applied. When this begins, remembering the following: 

•  Skin will feel tight or dry right before it peels. 
• Do no pick, pull, or roll the skin as this could lead to significant irritation and possible hyperpigmentation and scarring. 
• Peeling may look like flaking, sheet peeling, or may be barely visible to the naked eye. The amount of visible peeling you will experience varies greatly. You will peel as much as your skin needs to peel. 

Flaking/Peeling may last 3-4 days and varies from person to person. If any products in your Patient Aftercare Kit sting or irritate beyond your tolerance, stop and reach out to your practitioner. 

POST-TREATMENT INSTRUCTIONS 

•  Shaving can be resumed after the peeling process is complete. 
• Waxing can be resumed 2 weeks after peeling process is complete. 
• Exfoliating products can be resumed 1 week after peeling process is complete. 
• Swimming/pools can be resumed after peeling process is complete. 
• Scheduling the next VI Peel and or Body treatments should be scheduled every 4-6 weeks (for best results)

PRE-TREATMENT INSTRUCTIONS 

-If you are prone to herpes simplex outbreaks, such as cold sores, consult your provider on ways to treat prior or whether the procedure is appropriate for you.

-If your face or treatment area has irritated skin (sunburn, open wounds, sores) the day preceding your appointment, please contact our office before your appointment to reschedule.

-This procedure may not be performed on active breakouts or open lesions. Please consult your provider prior to SkinPen procedure to address any such issues.

-Wait at least six months past isotretinoin (Zenatane, Absorica, Myorisan, Claravis and Amnesteem) use before your SkinPen procedure, as isotretinoin use may impair proper wound healing.

-If you have recently used spray or self-tanning lotions on treatment areas before your SkinPen procedure, discuss with your provider.

-Avoid sun exposure for 24 hours prior to your SkinPen procedure.

-Discontinue the use of topical products containing AHAs, Retinol or Vitamin A for three days prior to your SkinPen procedure.

-If you are in autoimmune therapy, ask your provider if the procedure is appropriate for you.

POST-TREATMENT INSTRUCTIONS 

The day of your SkinPen procedure:

-Unexpected complications may occur when products not proven safe for use with microneedling are applied post procedure.

-Avoid strenuous exercise or excessive perspiration, as excess blood flow and sweat can cause discomfort and irritation to compromised skin for 72 hours.

-Strictly avoid sun exposure as you will not be wearing sunscreen. You may return to sunscreen use 24 hours following the procedure. Continue to minimize sun exposure for 72 hours following the procedure.

PRE-TREATMENT INSTRUCTIONS 

• Avoid Sun Exposure (1-2 weeks) prior to Virtue RF procedure.
• No Aspirin or blood thinners, including supplements (7-10 days)
• If you are prone to herpes simplex outbreaks, such as cold sores, consult your provider on ways to treat prior or whether the procedure is appropriate for you.
• If your face or treatment area has irritated skin (sunburn, open wounds, sores) the day proceeding your appointment, please contact our office before your appointment.
• This procedure may not be performed on active breakouts or open lesions. Please consult your provider prior to your Virtue RF procedure to address any such issues.
• Wait at least 6 months past isotretinoin (Zenatane, Absorbica, Myorisan, Claravis and Amnesteem) use before your Virtue RF procedure, as isotretinoin use may impair proper wound healing.
• If you have recently used spray or self-tanning lotions on treatment areas before your Virtue RF procedure, discuss with your provider.
• Discontinue the use of topical products containing AHAs, Retinol or Vitamin A for three days prior to your Virtue RF procedure.
• If you are in autoimmune therapy, ask your provider if the procedure is appropriate for you.

POST-TREATMENT INSTRUCTIONS 

The day of your Virtue RF procedure:

• Avoid strenuous exercise or excessive perspiration, as excess blood flow and sweat can cause discomfort and irritation to compromised skin for 24 or XX hours.
• Strictly avoid sun exposure as you will not be wearing sunscreen. You may return to sunscreen use 24 hours following the procedure. Continue to minimize sun exposure for 72 hours following the procedure.
• Avoid hot water on treatment area for 24 hours
• No make-up on irritated area for 24 hours
• Use ointment/lotion on irritate/inflamed areas

Day of Procedure: ABSORB
After your procedure, gently blot the tattooed area with a clean tissue every 30 minutes to an
hour. This helps to remove excess lymphatic fluid and prevent hardening that may lead to
scabbing.

Days 1-7: CLEANSE
Gently wash the tattooed area twice daily (morning and night) with clean water and a very mild
soap such as Cetaphil Gentle Cleanser or use Bactine Antiseptic Spray and clean cotton. This is
very important as this removes excess oils, buildup, dead skin, and potential bacteria. Do NOT
use any towels or washcloths! Gently pat dry with a clean tissue. Do NOT use any cleansers on
the treated area containing exfoliants/acids (glycolic, salicylic, lactic, etc.).

Days 1-7: MOISTURIZE
Apply a VERY THIN layer of provided aftercare cream (about the size of a rice grain per brow)
after cleansing. Be sure to not over apply as this will suffocate the skin and hinder the healing
process. You may begin to apply SPF of at least 30 or higher on day 10 to protect pigment as it
heals. Wearing SPF daily is necessary to prolong the life of your permanent makeup and prevent
premature fading from unprotected UV exposure.

Days 1-10: AVOID
For the first 10 days post procedure, be sure to avoid:
-Unprotected sun exposure. No tanning for 4 weeks post procedure. Always wear a hat when
outside, SPF may be worn beginning day 10.
-Exercise/sweating for a MINIMUM of one week
-Swimming pools, lakes, saunas, hot tubs
-Excessive water saturation (limit showers to 5 minutes and try to avoid too much steam)
-Makeup, topical products (besides provided aftercare cream) on the tattooed area.
-DO NOT rub, scratch, pick, or touch the tattooed area as it heals. Only touch when cleansing
and applying aftercare cream. Although very rare, if you do happen to develop any scabbing let it
exfoliate away naturally as picking will result in loss of pigment.

If you experience any issues or signs of a reaction or infection, call the office immediately at
(864)775-5304.

Post Treatment Care Instructions

To reduce the risk of unwanted side effects, it is imperative that these Aftercare Instructions are
followed implicitly.

Optimal results are only achieved by maintaining an undisturbed and DRY environment.

DO NOT over cool. Cooling stops the tightening effect and could damage the tissue.
Immediately after the treatment the skin was treated with the Subnovii Recovery Cream and the Recovery Powder.
Subnovii Aftercare Cream must be used for several days to ensure optimal healing and results.

Do not use any other creams or lotions.
(DO NOT use Bepanthenol/Bepanthen or anything similar – it is too fatty and prevents healing.)

Each morning and the evening (while scabs are present) apply a VERY THIN layer of the

Subnovii Aftercare Cream. Pat the cream on with clean fingers do NOT rub in or use a sponge.
Repeat this process if you feel that the skin requires moisturizing during the course of the day
and again in the evening.
Use the Dry/Dab/Dust method: Gently cleanse face with fingertips/Dry with cool air/Dab
recovery cream/Dust with recovery powder. Do not pick or rub the scabs.
Subnovii Downtime Reducer Powder should be used on top of the cream to absorb any excess
moisture and keep the scabs dry.
To treat temporary pain, 500mg of Acetaminophen may be taken. Aspirin MUST NOT be taken,
as this can cause more swelling. DO NOT take Ibuprofen or any other anti-inflammatory
medication.
‘Arnica 6c’ pullules can be used to treat swelling. Five capsules to be taken hour if necessary
until the swelling subsides.
As long as the scabs are present avoid the sun, sweating, sauna and steam rooms.

DO NOT intentionally remove the scabs. Every manipulation of the scabs can cause an adverse effect. They will fall off on their own within 3-7 days. This may take longer for smokers or those
taking medications.

While the scabs are present they should be kept dry. Should the scabs become wet, do not rub.

Use a hairdryer on the area until the crusts are dry. Apply Subnovii Aftercare Cream and Subnovii Downtown Reducer Powder directly afterwards.

The skin beneath the scabs is sensitive. The pinkish coloration may last up to 6 months.

When the scabs have fallen off, use a sunscreen with SPF 50 on the treated areas.

Avoid extreme sun exposure for 3 months and UV rays and extreme low temperatures for two weeks.

If the above instructions are not followed, pigment deviations and dark spots may occur.

Please note: depending on desired results, more than one treatment may be necessary.

Follow
up treatments may only be performed 12-16 weeks after the previous treatment as the collagen
fibers are still contracting and the skin is very sensitive.

Congratulations on completing your Coolpeel treatment! CO2 lasers are the gold standard in treating wrinkles, age spots, acne scars, and other blemishes as well as tighten skin and balance tone. Damaged skin tissue is removed, or ablated, stimulating new collagen production and heat energy is delivered to tighten the skin. Sounds great but CO2 treatments are often accompanied by considerable downtime and risk while damaged skin heals.

While many advances have been made to improve the side effects of CO2 treatments, ONLY your Coolpeel treatment will deliver a fractional ablative treatment without the downtime. There is minimal risk of hyperpigmentation, demarcation or
induced infection and below is what you can expect.

Post Treatment Care:

• Patient should feel a warm / sunburn sensation for about an hour post treatment.
•  A thin layer of Aquaphor should be used on the treated area.
• Keep the area hydrated with Aquaphor. Do not let the skin dry out.
• Sleep with a clean pillow case and head slightly elevated
• Avoid sun exposure, intense workouts and sweating.
• Avoid touching or cleaning the area for 24 hours.
• Skin should feel rough like sandpaper for 3-4 days post treatment.
• Mineral Makeup can be reapplied 24-48 hours post treatment.
• A cool misting spray may be used for comfort, if needed.
• Coolpeel can be repeated on a monthly basis until desired results are achieved.

Makeup Application Post Treatment

It is best recommended to leave your skin without any make-up for at least 24 hours. You can then utilize mineral makeup to ensure you maintain clear pores, allowing your skin to breathe and heal properly over time.

Anticipated Downtime

One of the main benefits of a Coolpeel, is that there is minimal downtime. You should expect to be a little red, as if you have
a sunburn, for a day, or two, but nothing should prevent you from returning to your normal daily activities. Your skin may
feel dry and scaly as it heals so it is important to keep the skin hydrated.

Pre-Treatment Instructions

• No use of glycolic or Retin-A products over the area to be treated one week before
• No tanning (self tanner, tanning beds, etc.) 3-4 weeks prior to appointment
• No waxing or tweezing 3-4 weeks prior to appointment. You must shave prior to treatment
• No lotions, body oils, perfumes or make up in the areas to be treated.
• No photo-light sensitive medications at least 10 days before treatment.
• If you have a history of herpes in the area to be treated, you will need to take a prescribed
  antiviral medication to prevent an outbreak.
  
  Post-Treatment Instructions
  
• Apply ice packs or cool compresses to treated area the evening of treatment. Redness, slight swelling and tenderness are normal occurrences after treatment and should subside by the
  following morning.
• Do not take a hot shower, soak in a hot tub, whirlpool or sauna or perform excessive exercise the day of treatment. Mild soap and cool water should be used if showering is necessary.
• Do not use glycolic or Retin-A products over the treated area for one week after treatment.
• If excessive itching occurs, an antihistamine such as Benadryl may be taken as directed 1-3 days as necessary.
• 3-5 days after treatment the hair left under the skin will begin to shed. When the area is no longer sensitive, wash the area with a washcloth or loofah brush to help the dead hair work its way out of
  the skin. This helps to remove dead skin cells so dead hair is able to shed out of the follicle
  easier.
• It may take 1-3 weeks for dead hairs to shed out of follicles.
• Do not tweeze, pick or rub the area the day of treatment. Keep hands off treated area.
• Makeup should be avoided for 24 hours after treatment. Mineral makeup is the only makeup permitted immediately after treatment.
• No direct sunlight for one week after treatment. Be sure to apply sunscreen between treatments.
• If the skin in the treated area develops a brown crust do not rub it. Allow it to fall off naturally.
  In rare cases you may develop blisters. Do not pick or remove the scabs. Apply antibiotic
  ointment (Polysporin, Bactroban, Fucidin or Hydrocortisone) twice daily until healed. If you go into the sun or cold, cover the site with a non-stick dressing such as Telfa pads. The area will heal in 5-7 days.
• In case of further questions after treatment, please call our office.
• For optimum results, it is imperative that you keep all of your appointments

Pre-Treatment considerations
-If you have previously suffered from facial cold sores, there is a risk that this treatment could
contribute to a recurrence.
-No one who has taken the medication Accutane or its generic forms within the last year may
have this procedure.
-Skin care treatment programs may be used before and after laser skin treatments to enhance the
results.
Post-Treatment Instructions:
Meticulous wound care is crucial after skin resurfacing; below are recommendations for follow-up.
-Immediately after treatment, apply cool compress.
-a non-occlusive wound healing product such as a healing serum or hyaluronic acid product without retinol or acidic properties should be applied as needed for the next 2 days.
-Only clean, moisturize and use sunscreen for the next 7 days.
-Discontinue Obagi, Retin-A, acidic or irritating products, etc until day 7.
-On day 7 microderm, dermaplane, or have a micropeel to exfoliate. Make up can be applied to minimize pixel appearance.
-If adverse skin effects occur (such as excessive reddening or swelling), please contact your clinical provider.
Patient Follow-Up:
-Following re-epithelialization, gentle cleansings begin a day or two later. If needed, the use of
ointment is replaced during the day by use of a lighter moisturizer sunscreen. At nighttime, ointment is more slowly replaced.
-Patients should return for a follow up examination in two months.
-Avoid sun exposure during pre and post-operative period.
-If adverse side effects occur (hyperpigmentation), sun protection and post resurfacing depigmenting agents such as hydroquinone can be used to help obtain resolution.
-Hydroquinone suggested for darker skin types starting 2 weeks post treatment.
-Number of treatments: average of 2-4
-Interval treatments: 3-4 weeks, treat only healed skin