Treatment Guidelines

Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and peeling may be apparent in that time period.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

Discontinue use of photo-sensitizing medications/drugs (i.e. doxycycline, minocycline) at least 72 hours prior to treatment.

Avoid sun tanning, tanning beds or self-tanners 2 weeks prior to treatment.

Avoidance of Accutane for the past 6 months is required.

Avoidance of IPL/BBL, laser procedures and waxing for the past 7 days is required.

If pregnant or breastfeeding, you must receive clearance from OB/GYN.

Bruising, redness, swelling and sensitivity might be present (and last up to a few days).

Do not pick or scratch at treated skin.

Avoid sun tanning and prolonged exposure to direct sunlight.

Avoid heat (i.e., saunas, hot tubs) for 1-2 days.

May restart regular skin care routine immediately after. We recommend waiting 24 hours to restart chemical and physical exfoliants.

If exposed to the sun, always use broad spectrum SPF 30+ and reapply every 2 hours.

Treated pigment will turn darker (brown to black) within 24-48 hours then exfoliate off the face in approximately one week and off the body in approximately 2-3 weeks.

Treated vascular lesions may have a “bug bite” appearance and usually resolve in 1-2 days.

Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and bruising may be apparent in that time period.

It is recommended to discontinue the use of Aspirin, NSAIDS, Gingko Biloba, Garlic, Ginseng, St. John’s Wort, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids at least 3 days to 1 week before and after treatment to minimize bruising or bleeding. Please consult with your primary physician prior to discontinuing any medications.

Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours before and after your treatment. All of these factors may increase risk of bruising and swelling.

Starting Arnica supplements at least 2 days prior to injections may help with bruising.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

You may not be pregnant or breastfeeding.

Redness or sensitivity might be present (and last up to a few hours).

Use Tylenol only as needed for any soreness.

Do NOT manipulate the treated area for 4 hours following treatment.

Do NOT wear a hat for 4 hours following treatment.

Do NOT lie down for 4 hours after your treatment.

Do NOT perform activities involving straining, heavy lifting or vigorous exercise for 4 hours after treatment.

It is recommended that you wait at least 2 weeks before having any other facial treatments (i.e. facials, massages, lasers, ultrasounds, micro-dermabrasion).

It can take approximately 3-5 days for results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional injections. You will be charged for product used during any touch up or subsequent appointments.

Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and peeling may be apparent in that time period.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

Avoidance of Accutane for the past 6 months is required.

Avoidance of IPL/BBL, laser procedures and waxing for the past 7 days is required.

Discontinue topical retinoids one week before treatment to reduce sensitivity.

Chemical peels should not be received during pregnancy or when breastfeeding.

The treatment should be discussed in full prior to procedure to set proper expectations.

Redness or sensitivity might be present (and last up to a few days).

Peeling may start 1-3 days after treatment.

Do not pick or scratch at treated skin.

Avoid strenuous exercise or sweating for 24 hours or until skin is done peeling.

Avoid sun tanning and prolonged exposure to direct sunlight.

If exposed to the sun, always use broad spectrum SPF 30+ and reapply every 2 hours.

Wear sun protective hats.

Results are most noticeable after the second treatment.

Recommend follow up and repeat treatments in 4-6 weeks.

Best results are obtained in a series of 4-6 treatments.

Post-treatment skin care kit can be discontinued once skin no longer feels dry, tight and has completely healed.

The skin care provided to you is intended for use during healing and is ideal for dry, sensitive skin.

Prolonged use for oily, acne-prone skin can cause breakouts.

ZO 3-Step Peel

Avoid cleansing for 5 hours following treatment, preferably overnight.

Cleanse face with Skin Pharm Foaming Cleanser and continue to cleanse morning and evening.

After first cleanse at home, apply full packet of ZO 6% retinol. Allow to fully dry before the next step.

Apply ZO Hydrating Crème AM and PM and as needed for dryness and irritation.

May return to using makeup once peeling is done.

May restart regular skin care routine and exfoliants (retinol, AHAs, salicylic acid) in 5-7 days or once skin is no longer peeling.

Other superficial peels:

Cleanse face with Skin Pharm Foaming Cleanser morning and evening.

May return to using makeup 24 hours after peel or once peeling is done.

May restart regular skin care routine and exfoliants (retinol, AHAs, salicylic acid) in 1-3 days or once skin is no longer peeling.

Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and bruising may be apparent in that time period.

Avoid any dental procedure(s) 2 weeks prior to any filler procedure(s).

It is recommended to discontinue the use of Aspirin, NSAIDS, Gingko Biloba, Garlic, Ginseng, St. John’s Wort, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids at least 3 days to 1 week before and after treatment to minimize bruising or bleeding. Please consult with your primary physician prior to discontinuing any medications.

Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours before and after your treatment. All of these factors may increase risk of bruising and swelling.

Starting Arnica supplements at least 2 days prior to injections may help with bruising.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

You may not be pregnant or breastfeeding.

Redness or sensitivity might be present (and last up to a few hours).

Use Tylenol for any soreness.

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

Avoid makeup for 12 hours.

Avoid strenuous exercise for 24 hours.

Avoid extensive sun or heat for 72 hours.

If you have swelling, you may apply a cool compress for 15 minutes each hour if instructed to do so by provider.

Sleep face up and slightly elevated. This will also help with swelling.

Postpone any dental procedure(s) for at least 2 weeks after treatment.

It is recommended that you wait at least 2 weeks before having any other facial treatments (i.e. facials, massages, lasers, ultrasounds, micro-dermabrasion).

Syringes of filler will be kept for 8 weeks following injections for any touch ups.

Schedule your appointment at least 24 hours prior to a special event. Redness and sensitivity may be apparent in that time period.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

Avoidance of Accutane for the past 6 months is required.

Avoidance of laser procedures and waxing for the past 7 days is required.

Discontinue topical retinoids 24 hours before treatment to reduce sensitivity.

If pregnant, you must receive clearance from OB/GYN.

Redness or sensitivity might be present (and last up 24 hours).

Do not pick or scratch at treated skin.

Avoid strenuous exercise or sweating for 24 hours due to open skin.

Avoid sun tanning and prolonged exposure to direct sunlight.

If exposed to the sun, always use broad spectrum SPF 30+ and reapply every 2 hours.

Recommend follow up and repeat treatments in 4-6 weeks when treating acne, scars and hyperpigmentation and in 12 weeks for age management.

Best results are obtained in a series of 4-6 treatments.

Cleanse face with Skin Pharm Foaming Cleanser morning and evening.

Keep skin moisturized throughout the day with Skin Pharm Recovery Lotion.

May use makeup after 24 hours.

May restart regular skin care routine and exfoliants (retinol, glycolic acid, lactic acid, salicylic acid) in 1 day or once skin is no longer sensitive.

If skin care is provided to you, it is intended for use during healing and is ideal for dry, sensitive skin.

Prolonged use for oily, acne-prone skin can cause breakouts.

Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and bruising may be apparent in that time period.

It is recommended to discontinue the use of Aspirin, NSAIDS, Gingko Biloba, Garlic, Ginseng, St. John’s Wort, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids at least 3 days to 1 week before and after treatment to minimize bruising or bleeding. Please consult with your primary physician prior to discontinuing any medications.

Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours before and after your treatment. All of these factors may increase risk of bruising and swelling.

Starting Arnica supplements at least 2 days prior to injections may help with bruising.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

You may not be pregnant or breastfeeding.

Redness or sensitivity might be present (and last up to a few hours).

Use Tylenol only as needed for any soreness.

It can take approximately 12 weeks for results to be seen. If the desired result is not seen after 12 weeks of your treatment, you may need additional injections. You will be charged for product used at subsequent appointments.

Sleep face up and slightly elevated. This will also help with swelling.

Do NOT, touch, press, rub, massage or manipulate the treatment area.

Ice the treated areas for the next 24 hours. Place the icepack on the area for 20 minutes and remove the ice pack for 20 minutes. Continue this pattern for 24 hours.

Apply (over the counter) Arnica gel to the treatment area to help decrease the bruising, swelling and discomfort.

Drink plenty of water and fluids after treatment.

Avoid vigorous exercise, sun and heat exposure for 3-5 days after treatment.

Avoid Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids, Aspirin, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS at least 3 days to 1 week after treatment. These items may increase bleeding and bruising.

Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours after your treatment. These items may contribute to increased swelling or irritation.

Avoid cosmetic treatments such as injectables, laser, ultrasound, peels, facials or micro-dermabrasion to the Kybella treatment area.

Please report to your provider immediately if you develop an asymmetric smile or facial muscle weakness, skin ulceration in the treatment area, difficulty swallowing or if any existing symptom worsens.

Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and peeling may be apparent in that time period.

Let the provider know if you have a history of cold sores. An antiviral may be prescribed.

You may not have an active rash in the area being treated.

Avoidance of Accutane for the past 6 months is required.

Avoidance of IPL/BBL, laser procedures and waxing for the past 7 days is required.

Discontinue topical retinoids 24 hours before treatment to reduce sensitivity.

If pregnant, you must receive clearance from OB/GYN.

It is recommended to discontinue the use of Aspirin, NSAIDS, Gingko Biloba, Garlic, Ginseng, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids 1 week before and after treatment to minimize bruising or bleeding from injections. Please consult with your primary physician prior to discontinuing any medications.

Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours before and after your injections. All of these factors may increase risk of bruising and swelling.

Starting Arnica supplements at least 2 days prior to injections may help with bruising from injections.

Redness or sensitivity might be present (and last up to a few days).

Use Tylenol only as needed for any soreness.

Peeling may start 3-5 days after the procedure.

Do not pick or scratch at treated skin.

Avoid strenuous exercise or sweating for 24 hours due to open skin.

Avoid sun tanning and prolonged exposure to direct sunlight.

If exposed to the sun, always use broad-spectrum SPF 30+ and reapply every 2 hours.

For melasma and scarring, RTC every 4-6 weeks; 4-6 treatments recommended for best results.

For age management, RTC every 12 weeks; 4-6 treatments recommended for best results.

Cleanse face with Skin Pharm Foaming Cleanser morning and evening.

Keep skin moisturized throughout the day with Skin Pharm Recovery Lotion.

May use makeup after 24 hours.

May restart regular skin care routine including exfoliants (retinol, glycolic acid, lactic acid, salicylic acid) in 1-3 days, or once skin is no longer sensitive and healing.

Post-procedure skin care kit can be discontinued once skin no longer feels dry, tight and has completely healed.

The skin care provided to you is intended for use during healing and is ideal for dry, sensitive skin.

Prolonged use for oily, acne-prone skin can cause breakouts.

• Discontinue photosensitive-causing medications two weeks prior to treatment.
• If pregnant or breastfeeding, you must receive clearance from OB-GYN.
• Avoid excessive sun exposure two weeks prior to treatment.

• Skin may feel warm for a couple hours after treatment.
• Redness is common immediately following treatment. This typically subsides within 24-48 hours.
• Avoid wearing makeup for 24 hours.
• Do not use retinols or acids for 10 days post-treatment. We’ll send you home with our post-procedure kit to use for 7-10 days.
• Avoid direct sun exposure on the treatment area for 2 weeks post-treatment.

• Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and peeling may be apparent in that time period.
• Let the provider know if you have a history of cold sores. An antiviral may be prescribed.
• You may not have an active rash in the area being treated.
• Avoidance of Accutane for the past 6 months is required.
• Avoidance of IPL/BBL, laser procedures and waxing for the past 7 days is required.
• Discontinue topical retinoids 24 hours before treatment to reduce sensitivity.
• If pregnant or breastfeeding, you must receive clearance from your OB-GYN.
• It is recommended to discontinue the use of Aspirin, NSAIDS, Gingko Biloba, Garlic, Ginseng, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids 1 week before and after treatment to minimize bruising or bleeding from injections. Please consult with your primary physician prior to discontinuing any medications.
• Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours before and after your injections. All of these factors may increase risk of bruising and swelling.
• Starting Arnica supplements at least 2 days prior to injections may help with bruising from injections.

• Redness or sensitivity might be present (and last up to a few days).
• Use Tylenol only as needed for any soreness.
• Peeling may start 3-5 days after the procedure.
• Do not pick or scratch at treated skin.
• Avoid strenuous exercise or sweating for 24 hours due to open skin.
• Avoid sun tanning and prolonged exposure to direct sunlight.
• If exposed to the sun, always use broad-spectrum SPF 30+ and reapply every 2 hours.
• For melasma and scarring, RTC every 4-6 weeks; 4-6 treatments recommended for best results.
• For age management, RTC every 12 weeks; 4-6 treatments recommended for best results.

• Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and bruising may be apparent in that time period.
• Let the provider know if you have a history of cold sores. An antiviral may be prescribed.
• You may not have an active rash in the area being treated.
• If pregnant or breastfeeding, you must receive clearance from your OB-GYN.

• Redness, bruising or sensitivity might be present (and last up to a few days).
• Use Tylenol only as needed for any soreness.
• Do not pick or scratch at treated skin.
• Avoid strenuous exercise or sweating for 24 hours due to open skin.
• Avoid sun tanning and prolonged exposure to direct sunlight.
• Recommended follow-up and repeat treatments in 4-6 weeks.
• Best results are obtained in a series of 4-6 treatments and maintenance is recommended with 2 treatments per year.

• Schedule your appointment at least 2 weeks prior to a special event. Redness, swelling and bruising may be apparent in that time period.
• It is recommended to discontinue the use of Aspirin, NSAIDS, Gingko Biloba, Garlic, Ginseng, St. John’s Wort, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E or any other essential fatty acids at least 3 days to 1 week before and after treatment to minimize bruising or bleeding. Please consult with your primary physician prior to discontinuing any medications.
• Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods and cigarettes 24-48 hours before and after your treatment. All of these factors may increase risk of bruising and swelling.
• Starting Arnica supplements at least 2 days prior to injections may help with bruising.
• Let your provider know if you have any history of autoimmune disease.
• Let your provider know if you have a history of cold sores. An antiviral may be prescribed.
• You may not have an active rash in the area being treated.
• Avoidance of IPL/BBL, laser procedures and waxing for the past 7 days is required.
• You may not be pregnant. If breastfeeding, it is required that you receive approval from your pediatrician.

• Redness or sensitivity might be present (and last up to 14 days).
• Use Tylenol for any soreness.
• Massage the treated area(s) 5 times a day for about 5 minutes for 5 days after treatment.
• Avoid makeup for 12 hours.
• Avoid strenuous exercise for 24 hours.
• Avoid extensive sun or heat and extreme cold for 72 hours.
• If you have swelling, you may apply a cool compress for 15 minutes each hour if instructed to do so by your provider.
• Sleep face-up and slightly elevated. This will also help with swelling.

• Schedule your treatment at least two weeks prior to a special event. Some bruising and bumps may be apparent immediately following treatment.
• You may not have an active rash or breakout in the area being treated.
• You may not be pregnant or breastfeeding.

• Slight bruising and bumps may be present for a couple of days following treatment.
• Avoid significant movement or massaging the treated area unless instructed by your provider.
• Avoid strenuous exercise or sweating for 24 hours.
• Wait 24 hours before wearing makeup.