Treatment Guidelines

• Schedule your appointment at least two weeks before a special event. Redness, swelling and pigmentation may be apparent in that time period.
• 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.
• Discontinue any photo-sensitizing medications or drugs (i.e. doxycycline, minocycline) at least 72 hours before treatment.
• You’ll need to avoid Accutane for six months prior to treatment.
• You’ll need to avoid sun tanning, tanning beds and self-tanners for two weeks before treatment.
• You’ll need to avoid waxing for one week before treatment.
• If you’re pregnant or breastfeeding, we require clearance from your OB-GYN.

• Redness, swelling and sensitivity might be present and can last up to a few days.
• Sleep face-up and slightly elevated to help with swelling.
• Taking an oral antihistamine may also help reduce swelling.
• Do not pick or scratch at treated skin.
• Avoid sun tanning and prolonged exposure to direct sunlight for two weeks after treatment.
• Avoid heat (i.e., saunas, hot tubs) for 1-2 days.
• You may restart your regular skin care routine immediately after. Wait 24 hours before using retinol and chemical or physical exfoliants.
• If exposed to the sun, always use broad spectrum SPF 30+ and reapply every two hours.
• Treated pigment will turn darker (brown to black) within 24-48 hours. This will exfoliate off the face within about one week and off the body within about 2-3 weeks.
• Treated vascular lesions may have a “bug bite” appearance and usually resolve in one to two days.
• A series of BBL photofacials is recommended for best results — every 3-4 weeks for redness and pigment, and bi-weekly for acne.

• Schedule your appointment at least two weeks before a special event. This gives potential redness, swelling and bruising time to subside and allows your injections to fully set in.
• To minimize bruising or bleeding, we recommend discontinuing 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 three days to one week before and after treatment. Talk to your primary physician before discontinuing any medications.
• Starting arnica supplements at least two days before injections may help with bruising.
• 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 can last up to a few hours.
• Use Tylenol as needed for possible headaches.
• Don’t manipulate the treated area, wear a hat or lie down for four hours after treatment.
• Don’t perform activities that involve straining, heavy lifting or vigorous exercise for 24 hours after treatment.
• Wait at least two weeks before having any other facial treatments (i.e. facials, massages, lasers, ultrasounds or microdermabrasion).
• Results are visible within 3-14 days. If you haven’t seen your desired results after 14 days, you may need additional injections. You’ll be charged for product used during touch-ups and 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 two weeks before a special event. Redness, swelling and bruising may be apparent in that time period.
• Avoid any dental cleanings two weeks before and any dental procedures four weeks before filler treatment.
• To minimize bruising or bleeding, we recommend discontinuing 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 three days to one week before and after treatment. Talk to your primary physician before discontinuing any medications.
• Avoid alcohol, caffeine, niacin supplements and cigarettes 24-48 hours before and after your treatment. These may increase your risk of bruising and swelling.
• Starting arnica or bromelain supplements at least two days before injections may help with bruising.
• Let your provider know if you have a history of cold sores. An antiviral may be prescribed.
• You may not have an active infection or rash in the area being treated.
• You may not be pregnant or breastfeeding.

• Redness or sensitivity might be present and can last up to a few hours.
• Bruising might be present, last up to several days and can appear as blueish/purplish discoloration. If you notice any paleness in the area, contact your provider immediately.
• Use Tylenol for any soreness.
• Avoid significant movement or massaging in the treated area unless instructed by your provider.
• Wait at least two weeks before having any other facial treatments (i.e. facials, massages, lasers, ultrasounds or microdermabrasion).
• Avoid makeup for 24 hours.
• Avoid strenuous exercise for 24 hours.
• Avoid extensive sun or heat for 72 hours.
• If instructed by your provider, apply a cool compress for 15 minutes each hour to help with swelling.
• If needed, you may take an antihistamine to help with swelling.
• Sleep face-up and slightly elevated to help with swelling.
• Postpone any dental procedures for at least two weeks after treatment.

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 one week before an event. Redness, swelling and peeling may be apparent in that time period.
• Let your provider know if you have a history of cold sores. An antiviral may be prescribed.
• You may not have an active rash or infection in the area being treated.
• You’ll need to avoid Accutane for six months prior to treatment.
• You’ll need to avoid waxing for one week before treatment.
• To reduce sensitivity, discontinue topical retinoids 24 hours before treatment.
• If you’re pregnant or breastfeeding, we require approval from your OB-GYN.
• To minimize bruising or bleeding, we recommend discontinuing the use of aspirin, NSAIDS and fish oil three days before and after treatment. Talk to your primary physician before discontinuing any medications.

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.

• We’ll send you home with a post-procedure kit (our Jetsetter Kit) to use while skin heals.
• Cleanse AM and PM with Foaming Cleanser.
• Moisturize throughout the day with Recovery Lotion.
• Restart your regular routine after 3-5 days or once skin no longer feels dry, tight and has completely healed. Wait 5-7 days before restarting exfoliants (like retinol, glycolic acid, lactic acid and salicylic acid).
• Post-procedure kit is ideal for dry, sensitive skin and should only be used while skin heals. Prolonged use for oily, acne-prone skin can cause breakouts.

• Schedule your appointment at least two weeks before a special event. Redness, swelling and peeling may be apparent in that time period.
• 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.
• Discontinue any photo-sensitizing medications or drugs (i.e. doxycycline, minocycline) at least 72 hours before treatment.
• Minimize direct sun exposure for two weeks before treatment.
• You’ll need to avoid Accutane for 12 months prior to treatment.
• You’ll need to avoid IPL/BBL photofacials, laser treatments and waxing one week prior to treatment.
• If you’re pregnant or breastfeeding, we require clearance from your OB-GYN.

• Skin will feel warm for a couple hours after treatment.
• Redness, swelling, sensitivity and bruising might be present and can last up to a few days.
• You may apply ice packs or cold compresses immediately afterward.
• Wait 24 hours before wearing makeup.
• Avoid strenuous exercise or sweating for 24 hours.
• Do not pick or scratch at treated skin.
• Avoid sun tanning and prolonged direct sun exposure for two weeks after treatment.
• Avoid heat (i.e. saunas, hot tubs) for 1-2 days after treatment.
• After a few days, treated pigment will get darker and feel rough in texture (these are called MENDs, or microscopic epidermal necrotic debris). These will exfoliate off the face within one week and off the body within 1-2 weeks.

• We’ll send you home with a post-procedure kit (our Jetsetter Kit) to use for the next 7-10 days as skin heals.
• Wait one hour (or until your skin is cool) before applying Recovery Lotion or SPF.
• Restart your regular routine after 7-10 days or once skin no longer feels dry, rough, tight and has completely healed.
• Post-procedure kit is ideal for dry, sensitive skin and should only be used while skin heals. Prolonged use for oily, acne-prone skin can cause breakouts.
• Avoid chemical/physical exfoliants and retinol for at least one week.
• We recommend wearing broad spectrum SPF 30+ daily and reapplying every two hours.

• 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 two weeks before a special event. Redness, swelling and bruising may be apparent in that time period.
• To minimize bruising or bleeding, we recommend discontinuing 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 three days to one week before and after treatment. Talk to your primary physician before discontinuing any medications.
• Avoid alcohol, caffeine, niacin supplements and cigarettes 24-48 hours before and after treatment. These may increase your risk of bruising and swelling.
• Starting arnica supplements at least two days before injections may help with bruising.
• 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.
• You’ll need to avoid IPL/BBL photofacials, laser treatments and waxing for seven days before treatment.
• You may not be pregnant. If breastfeeding, we require approval from your pediatrician.

• Redness or sensitivity might be present and can last up to 14 days. Use Tylenol for any soreness.
• For five days after treatment, massage the treated area(s) five times each day for about five minutes.
• Don’t get a massage for at least two weeks post-treatment.
• Avoid makeup for 12 hours.
• Avoid strenuous exercise for 24 hours.
• Avoid extensive sun, heat and extreme cold for 72 hours.
• If instructed by your provider, apply a cool compress for 15 minutes each hour to help with swelling.
• If needed, you may take an antihistamine to help with swelling.
• Sleep face-up and slightly elevated to 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.