Pre/Post Treatment Care

There are so many reasons that our patients choose the handful treatments offered at In My Own Skin MedSpa. These treatments change the way you feel about your appearance, but in a way that boosts your self-confidence. It is important to remember that with any kind of treatment, you should expect to have some downtime.

What you do within this downtime can maximize the results of your treatments. It’s important to follow the aftercare instructions given to you so that you can get the most out of your treatment! Before and after your treatment, your provider will reiterate your aftercare instructions. However, if you forget, listed below are our post treatment instructions. If you have more questions, please feel free to give us a call!

Pre-Treatment:

  • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C that could be irritating for 1-week prior.
  • Wait at least 10-14 days after any chemical peel, laser, or microneedling treatment before receiving AquaGold.
  • Remove any make up prior to your appointment.
  • Please inform your provider if you have a history of cold sores, any active infections or areas of concern for skin cancer.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Leave the solution that was infused through the AquaGold micro-channels on the skin for four hours.
  • Wash your face four hours after the treatment to prevent your pores from getting clogged.
  • Do not apply any make up for at least 24 hours.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
  • Avoid using Retinol, Tretinoin/Retin-A, Vit C, and any products that can irritate your skin should be avoided for about 1-2 days.
  • After 24-48 hours you may resume your medical grade skin care regimen as tolerated to enhance the results of your recent AquaGold treatment.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

Pre-Treatment 

  • You may continue to use Accutane the day of your treatment.  
  • Please discontinue any active ingredient skincare 5 days pretreatment (retinol, retin-a/tretinoin, vitamin c, glycolic acid, salicylic acid, etc.). This includes any oil-based cleansers or products.  
  • Taking Zyrtec two days prior to treatment is recommended to help with the purging process.
  • Daily use of Differin Gel can help clear acne, prevent break outs, and restore skin tone.
  • No sun exposure, tanning or self-tanners 4 weeks prior to treatment- this includes spray tans, tanning lotions, tanning beds, unprotected sun exposure, etc. 
  • Notify your technician with any changes to your initial medical/medication history to enable accurate updates of your file. 
  • History of cold sores may require an antiviral prescription prior to treatment. 
  • Excess hair needs to be shaved 12-24 hours before treatment- no mustaches, beards, etc. 
  • Neurotoxins (Botox, Dysport, Xeomin or anything similar) or fillers should be administered a minimum of 2 weeks prior to your treatment. 
  • Apply a daily broad-spectrum sunscreen of SPF 50 on your face (and to other treatment areas) when exposed to the sun. Reapply every 2-4 hours, or after being in water.  
  • Ensure you have a good skin care regime to help prep your skin for the upcoming treatment. Using medical grade skin care can create an overall healthier canvas for us to treat and give you a better outcome. 
  • Your hair may get wet during the procedure.  

 Post Treatment 

  • Immediately post treatment we will apply a broad-spectrum sunscreen of SPF 50, which should be applied every day. 
  • Most clients will experience mild redness of the treatment area, lasting up to one day post treatment. 
  • Some clients may experience swelling of the treatment area lasting for as little as one hour or up to two days post treatment. 
  • You may continue use of Accutane immediately post treatment.  
  • Please discontinue any active ingredient skincare 5 days post treatment (retinol, retin-a/tretinoin, vitamin c, glycolic acid, salicylic acid, etc.). This includes any oil-based cleansers or products.  
  • Taking Zyrtec for three days post treatment is recommended to help with the purging process.
  • Daily use of Differin Gel can help clear acne, prevent break outs, and restore skin tone.
  • No sun exposure, tanning or self-tanners post treatment- this includes spray tans, tanning lotions, tanning beds, unprotected sun exposure, etc. 
  • Make up may be applied the day after the treatment, ensuring your sunscreen is under your make up.  
  • Some clients experience dryness and itching on the treatment area up to 4 weeks post treatment- it is okay to take an antihistamine to help with this. 
  • It is common to experience post- inflammatory flare-ups and purging after one (or all) of the treatments- this condition may worsen before it improves. 
  • Avoid heat (hot tubs, saunas, steam rooms, etc.) for 1-2 days post treatment. 
  • Limit any exercise or activity that could cause heat or sweating for 24 hours post treatment. 
  • For up to two weeks post treatment, avoid treatments that may irritate the skin, such as waxing. 
  • Please contact us with any concerns such as blistering, excessive, or prolonged redness/ swelling, etc.  
  • Pre-Treatment:

    • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C that could be irritating for 1-week prior.
    • No sun exposure or tanning/tanning products 7-10 days prior.
    • Wait at least 3-4 weeks after any laser, peels, or microneedling treatment before your chemical peel.
    • Remove any make-up prior to your appointment.
    • Please inform your provider if you have a history of cold sores or any active infections or skin cancer.
    • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

    Post-Treatment

    • Leave peel on for at least 8 hours, then using a gentle cleanser you may wash and moisturize the skin.
      • If VI Peel treatment was performed, please follow the post procedure kit instructions.
    • Please have clean sheets and pillowcase to avoid any contamination.
    • Sunscreen should be applied daily, and reapplied throughout the day. Make up may be applied over sunscreen.
    • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
    • Tightness/Itchiness is normal; a gentle moisturizer can be applied to help soothe the skin.
    • Avoid using Retinol, Tretinoin/Retin-A, Vit C, and any products that can irritate your skin should be avoided until peeling is complete (about 7 days).
    • DO NOT pick peeling skin, as it can damage the new skin. You may use clean cuticle clippers/scissors to trim off the flaking skin. Peeling generally occurs from day 2-7 after treatment.

    If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

    After Hours: 503-238-8369

  • You will receive a post procedure kit with your VI peel that contains the following:
    • VI Post Peel Towelettes
    • VI Peel Gentle Cleanser
    • VI peel Daily SPF 50.
  • Download the VI peel app using the QR code inside the post procedure kit. The app will notify you when to wash your face and use the towelettes for the next several days, the timing of when to use each product varies patient to patient. The app allows you to track your peeling process and receive step by step instructions on your phone
  • VI peels are self-neutralizing, leave the peel on for at least 4 hours.
  • Avoid exercise/physical activity for 72 hours that can induce excessive sweating/perspiration which can lead to post inflammatory hyperpigmentation and blistering
  • Day 3-5 are the typical days of peeling, by day 6, most peeling will subside. During the peeling phase, it is important to avoid sun exposure and wearing a SPF 30+ is essential.
  • During the peeling process, it is important NOT to pick or tear off any dead skin. If there are large areas of peeling, you can use a small pair of scissors to trim the layer of dead skin off. You must allow the skin to peel at its own pace. Premature peeling will result in dry, cracked, irritated skin that may cause post inflammatory hyperpigmentation.
  • It is expected to have hyperpigmented, dark spots temporarily darken and acne to purge to the skin’s surface during this process. This is a normal tissue skin response to tissue injury

Pre-Treatment:

  • Have a light meal prior to treatment.
  • Some patients bring books, computers, tablets to keep themselves entertained during treatment.
  • Please inform your provider if you have a history of cold intolerance or cryoglobulinemia.
  • Patients should maintain a stable weight between 10-15lbs of their goal weight; CoolSculpting is not a weight loss treatment.
  • If you need to cancel/reschedule your appointment, please provide 48 hours’ notice to avoid any fees.

Post-Treatment

  • Many patients resume normal activities right after treatment; you may exercise the same day.
  • Nausea and/or dizziness is normal immediately following treatment as your body warms.
  • Redness, swelling, tingling, stinging, tenderness, and bruising can occur after and typically resolves within 1-week after treatment.
  • Temporary dulling sensations in the treatment area is normal and can last several weeks or months.
  • Stay hydrated! Hydration helps flush out the fat cells after treatment.
  • You may begin to see some changes in the treatment area 2-months after, however, results are typically seen at 3-months. *Retreatment is generally recommended for best results.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Avoid facial shaving/waxing and all blood thinners (ibuprofen, aspirin, Vit. E, fish oil, etc.) 1 week prior.
  • Avoid alcohol 2 days prior to your treatment.
  • Wait at least 10-14 days after any chemical peel, laser, or microneedling treatment before filler.
  • Do not have any dental work within 4 weeks or vaccinations within 2 weeks of your treatment.
  • Eat a light meal and remove any make up prior to your appointment.
  • Please inform your provider if you have a history of cold sores, skin cancer, or any active infections.
  • The treatment area will be cleaned with antiseptic, and a topical anesthetizing cream may be applied.
  • If you need to cancel/reschedule your appointment, please provide 48 hours’ notice to avoid any fees.

Post-Treatment

  • Avoid touching your face and cell phone to your face for 6-hours to decrease risk of infection.
  • Avoid blood thinners for one more day; Tylenol may be taken if there is any discomfort.
  • Bruising, swelling, redness, and pinpoint bleeding is to be expected and can last up to 5-7 days after.
  • Icing can help decrease swelling and bruising, and makeup can be applied next day.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 1-2 days.
  • Avoid excessive sun, tanning beds/tanning products until redness has resolved.
  • Hydrate well, as adequate water intake following treatment will improve injection outcomes.
  • Do not apply excessive pressure or massage your face for 2 weeks. Be gentle when washing your face.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Avoid skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Salicylic, etc. that could be irritating for 1-week prior. No essential oil use for 5-7 days prior.
  • The treatment area should be shaved within 24-hours prior to treatment.
  • Avoid tanning/tanning products for 7-10 days prior to treatment.
  • Avoid direct sun exposure for 7-10 days prior to treatment.
  • No waxing, tweezing, or threading for 4 weeks prior to treatment.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • It is normal for the skin to have small red bumps, redness, or feel warm to the touch after treatment.
  • The skin may feel sunburnt, and a clean cold compress may be used to soothe the treatment area.
  • Direct sun should be avoided for 1-week following treatment or until the redness resolves.
  • Do not apply any make up, lotions, deodorants, essential oils or perfumes for at least 24 hours.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 24 hours.
  • Avoid using Retinol, Tretinoin/Retin-A, Vit C, and any products that can irritate your skin should be avoided for about 2-3 days.
  • If you experience any blistering, crusting, and/or scabbing, please call our office for follow up.
  • Schedule your next treatment. Facial hair appointments are 6-8 weeks; body hair is 8-10 weeks apart.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Please hydrate; increasing your water intake the day of your treatment is important for the blood draw.
  • Ensure you have has a small meal or snack prior to your treatment.
  • Hair can be washed up to the day of treatment, but please refrain from hair coloring 72 hours prior.
  • Avoid any blood thinning agents 7-days prior (ibuprofen, aspirin, multi-vitamin, fish oil, naproxen, etc.)
  • Avoid smoking and alcohol consumption 72 hours prior to treatment.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Pinpoint bleeding, tenderness and bruising can occur at the injection sites and blood draw. These symptoms typically resolve within a week of treatment.
  • Avoid aspirin, ibuprofen, naproxen, Motrin, or any other anti-inflammatory medications 72 hours after your treatment. Tylenol can be used if you have any discomfort.
  • Hair can be washed the next day, and hair can be colored 72 hours after treatment.
  • Change your pillowcase prior to going to bed the day of treatment to limit bacterial exposure.
  • Blood thinning agents, smoking, and alcohol should be avoided for 72 hours after treatment.
  • Do not apply any make up, hair care products or sunscreen for at least 24 hours; use a gentle shampoo/conditioner the following day.
  • Avoid swimming, excessive sun exposure, hot tubs, saunas, and steam rooms for 48 hours.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Discontinue the use of topical Retin-A or generic tretinoin for at least 48 hours before and after treatment.

Refrain from any type of exfoliating treatments such as glycolic acid or enzymes to the area for 48 hours before and after treatment.

Refrain from any medium and/or deep chemical resurfacing treatments (peels) and laser treatments for 1 month before and after your HydraFacial MD treatment.

Refrain from waxing and use of depilatories for 48 hours before and after treatment.

Discontinue use of over-the-counter acne medications such as benzoyl peroxide and salicylic acid for 48 hours before and after treatment.

Avoid excessive sun exposure as well as the use of artificial tanning beds for 72 hours before and after treatment.  Always wear sunscreen!

Wait 2 weeks after Botox and fillers to undergo a treatment. Botox and fillers can be given on the same day but AFTER your HydraFacial MD treatment.

For men, shaving is not recommended on the day of treatment. If you choose to shave, please shave at least 3-4 hours prior to your treatment.

Avoid heat (hot showers, sauna, and intense cardio) for 24 hours after treatment.  

If you do not need to apply makeup for the remainder of the day (on the day of your treatment), then wait until the next morning to wash your face.

Pre-Treatment:

  • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Salicylic/Glycolic acid, etc. that could be irritating for 1 week prior.
  • Wait at least 3-4 weeks after any chemical peel, laser, or microneedling treatment before Instalift®.
  • Avoid blood thinners for 1-week (Advil, Aleve, Fish Oil, Turmeric, Asprin). Tylenol may be taken before.
  • Please inform your provider if you have any active infections or skin cancer concerns.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Redness/Bruising after treatment is normal. Skin Depressions/irregularities at insertion points can also occur. Icing can help alleviate these symptoms, but they typically resolve within 1 week of treatment.
  • Have clean bedding and sleep face up, elevated by pillows for 3-5 nights.
  • Do not apply any make up for at least 24 hours; any skincare and/or make up should be applied gently.
  • Avoid excessive neck and facial movements for 2 weeks. Eat soft foods and avoid chewy/hard foods.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 2-3 weeks.
  • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Salicylic/Glycolic acid, etc. that could be irritating for 1-week after.
  • Avoid any dental procedures and vaccinations for 3 weeks following treatment.
  • Avoid facials and face-down massages/acupuncture/chiropractic appointments for 4 weeks.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

  • Pre-Treatment:

    • Avoid any blood thinners such as alcohol, ibuprofen, asprin, naproxen, fish oil, etc. 24hrs prior.
    • Wait at least 10-14 days after any chemical peel, laser, or microneedling treatment before treatment.
    • Please inform your provider if you have a history of cold sores or any active infections or skin cancer.
    • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

    Post-Treatment

    • The weakness in the muscles and softening of visible lines will begin to take effect by day 5, and maximum effect is typically seen 2-weeks following treatment.
    • Some redness, bruising, pin-point bleeding and swelling are to be expected and typically resolves within 2-5 days.
    • You may apply a clean ice pack to the treated areas following treatment for comfort.
    • Remain upright for the first 4 hours to prevent movement of the product to adjunct muscles.
    • Do not apply any make up for at least 24 hours.
    • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 24 hours.
    • Do not massage/rub area or lay face down on the area that was injected for 7 days.
    • Wash face gently for the next 2 weeks following treatment and avoid facial massage (gua-sha).
    • If a touch-up treatment is needed, please schedule within 2-3 weeks after initial treatment.

    If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

    After Hours: 503-238-8369

Pre-Treatment:

  • Avoid facial shaving/waxing and active skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Glycolic/Salicylic acid, exfoliants, etc. that could be irritating for 7 days prior. No essential oil use 5-7 days prior.
  • Wait at least 2-3 weeks after any chemical peel, laser, microneedling, Botox or filler prior to treatment.
  • Avoid sun exposure, tanning beds and artificial tanning products 10-14 days prior to treatment.
  • Avoid blood thinners 2-3 days prior to treatment (ibuprofen, fish oil, Aspirin, turmeric, etc.)
  • Please inform your provider if you have a history of cold sores, skin cancer or any active infections.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Redness/swelling/tenderness is normal, and can last up to 3-5 days after treatment.
    • Darkening of brown spots or “coffee grounds” can occur, do not pick/peel skin if this occurs.
  • Sunscreen (SPF 30+) should be applied regularly and make up can be applied on top the next day.
    • Sun and tanning/tanning products should be avoided 1-2 weeks after.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
  • Avoid facial shaving/waxing and active skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Glycolic/Salicylic acid, exfoliants, etc. that could be irritating for 7 days after.

 If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Salicylic/Glycolic acid, etc. that could be irritating for 1-week prior.
  • Wait at least 2 weeks after Botox/Facial Filler and 4 weeks after any chemical peel, laser, microneedling before receiving SkinPen®
  • Remove any make up prior to your appointment.
  • Please inform your provider if you have a history of cold sores, open wounds, any active infections or areas of concern for skin cancer.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Redness/tightness/rough skin/sensitivity are all normal after treatment and can last 3-7 days.
  • Avoid touching your hands and phone to your face for 24-48 hours following treatment.
  • The Skinfuse Lift HG may be applied additionally the day of your treatment to hydrate the skin.
  • Change your pillowcase/sheets prior to going to bed the day of treatment to limit bacterial exposure.
  • Peeling/flaking may occur 1-3 days after treatment, do not pick or scratch the skin.
  • Do not apply any make up for at least 24 hours, use a gentle cleanser and moisturizer the next day.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
  • Continue to avoid active ingredient skincare for 1-week after your treatment.
  • Avoid direct sun exposure and tanning/tanning products for 1-2 weeks, SPF should be applied daily.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Avoid all blood thinners (Aspirin, Motrin, Aleve, Vitamin E, Ibuprofen, Fish oil) for 1 week before procedure.
  • Ensure that you do not have any active infections, are taking antibiotics, or have had or plan to have any dental work or vaccination within 4 weeks of your treatment.
  • The treatment area will be cleaned with antiseptic, and your provider may apply a topical anesthetizing cream prior to treatment.
  • Please inform your provider if you have a history of cold sores or any active infections.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • You should avoid blood thinners for one more day. You may take Tylenol if there is any discomfort.
  • Makeup may be applied 24 hours after treatment.
  • Bruising and/or swelling is to be expected and can last up to 5-7 days post treatment.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
  • Avoid excessive sun, tanning beds, and self-tanners to the area until all redness has resolved.
  • You should massage the area gently with a moisturizer 5 times a day for 5 minutes for the next 5 days to assure the product is distributed evenly. You may use any moisturizer.
  • If there is any swelling, you may apply ice directly to the skin for 20 minutes several times a day.
  • Please schedule your next treatment as recommended by your provider.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Salicylic/Glycolic acid, etc. that could be irritating for 1-week prior.
  • Wait at least 2 weeks after Botox/Facial Filler and 4 weeks after any chemical peel, laser, microneedling before receiving treatment.
  • Remove any make up prior to your appointment.
  • Please inform your provider if you have a history of cold sores, open wounds, any active infections or areas of concern for skin cancer.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Redness/tightness/rough skin/swelling/itching are all normal after treatment and can last 3-7 days.
  • Clean ice packs wrapped in a towel can be used intermittently to help with discomfort and swelling.
  • Wait 6-8 hours before washing the face; a gentle cleanser and moisturizer should be used for 1-week.
  • Avoid direct sun exposure and tanning/tanning products for 2 weeks, and SPF should be applied daily.
  • Crusting/flaking of the skin may occur 3-5 days after treatment; do not pick or scratch the skin.
  • Do not apply any make up for at least 24 hours.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
  • Continue to avoid active ingredient skincare for 1-week after your treatment.
  • If there are signs of fever, blistering, infection, or prolonged redness/swelling, please call our office.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Pre-Treatment:

  • Avoid facial shaving/waxing and skincare products such as Retinol, Tretinoin/Retin-A, Vit C, Salicylic/Glycolic acid, etc. that could be irritating for 1-week prior.
  • Wait at least 2 weeks after Botox/Facial Filler and 4 weeks after any chemical peel, laser, microneedling before receiving treatment.
  • Remove any make up prior to your appointment.
  • Please inform your provider if you have a history of cold sores, open wounds, any active infections or areas of concern for skin cancer.
  • If you need to cancel/reschedule your appointment, please provide a 48 hour notice to avoid any fees.

Post-Treatment

  • Redness/tightness/rough skin/swelling/itching are all normal after treatment and can last 3-7 days.
  • Clean ice packs wrapped in a towel can be used intermittently to help with discomfort and swelling.
  • Wait 6-8 hours before washing the face, a gentle cleanser and moisturizer should be used for 1-week.
  • Avoid direct sun exposure and tanning/tanning products for 2 weeks, and SPF should be applied daily.
  • Crusting/flaking of the skin may occur 3-5 days after treatment, do not pick or scratch the skin.
  • Do not apply any make up for at least 24 hours.
  • Avoid swimming, vigorous exercise, hot tubs, saunas, and steam rooms for 48 hours.
  • Continue to avoid active ingredient skincare for 1-week after your treatment.
  • If there are signs of fever, blistering, infection, or prolonged redness/swelling, please call our office.

If you have any questions or concerns pre/post treatment, please contact our office at 503-699-6464

After Hours: 503-238-8369

Prior to your treatment, please follow all instructions below:

  • Depending on your skin type, you may be asked to use special medications to prepare your skin for treatment.
  • The following prescriptions will possibly be sent to your pharmacy:
  • Antiviral - such as Acyclovir to prevent a viral outbreak. Please start the day prior to your treatment.
  • Antifungal - Diflucan to prevent a fungal infection. Please start the day prior to your treatment.
  • Steroid - Medrol Dose Pack to help prevent swelling and inflammation. Start the day prior to your treatment and take as directed on packaging.
  • Antibiotics – this may be prescribed post laser treatment if Dr. Burgess thinks it’s necessary.
  • Please get the following supplies for your post-treatment care at home:
    • Gentle, hypoallergenic skin cleanser, such as Cetaphil
    • Ice/cold packs
    • Sunscreen with a 50+SPF for post-treatment
    • Prescription medications as prescribed by Dr. Burgess, including: antiviral, oral steroid, antifungal, and possibly pain medication and/or sedative
  • Prepare vinegar soaks: Add 1 teaspoon of white vinegar per pint of tap water and place in the refrigerator.  Pour the vinegar solution into a clean bowl and dip a clean washcloth into the bowl and apply to the treated areas for at least 15 minutes 3 times per day for 3 days and then 2 times per day for 2 days starting the day of your treatment.
  • The day of your treatment you’ll be provided Zo Hydrating Cream for your immediate post-treatment care at home. We will also review detailed instructions regarding your skin care regiment following your treatment.  This handout will be sent home with you.
  • For one month prior to treatment avoid sun exposure, as well as tanning beds and tanning creams. If you are tan you may not be treated.  Use a sunscreen with a 50+SPF at all times and reapply as directed by the manufacturer.  Sun exposure is defined as direct sun exposure without protection for ten minutes or more.
  • On the day of treatment it is important that you clean the area to be treated.
  • Male patients should be clean-shaven before the procedure.
  • On the day of your treatment plan on wearing comfortable clothing and shoes. If your face or neck is being treated, please wear a button-down shirt.
  • Do not wear any jewelry or a watch on the treatment day. Do not wear any contact lenses; bring your glasses instead.
  • Please avoid any Retinol/Retin-A products, essential oils, anticoagulants, (for example, Aspirin, Ibuprofen, Aleve, or Motrin)or supplements, such as Vitamin E or fish oil for one week prior to your treatment.

Microablative Post-treatment: It is important to follow the below instructions after your treatment. 

During the first 24 hours post-treatment:

  • Starting on the day of your treatment, soak treated areas with cold, dilute acetic acid soaks (1 tsp. white vinegar per pint of tap water placed in refrigerator) for at least 15 minutes, 3 times per day for 3 days and then 2 times per day for 2 days. After soaks, gently wipe treated areas using a gauze pad or clean washcloth to remove dead skin. DO NOT SCRUB! Next, apply your ZO Hydrating Cream.
  • Continue taking medication as prescribed by Dr. Burgess. Medication should have been started the day before SmartSkin treatment.
  • Your skin may look discolored and appear pink and shiny to gray. Expect your skin to feel rough and have crusting/weeping for an average of 4-5 days.
  • Use ice/cold packs every 2 hours for a maximum of 20 minutes each time to help with swelling and discomfort. Make sure to place a thin, clean towel between the treated skin and the ice pack to avoid burning the skin.
  • Gently wipe away crusting with cotton gauze 3-4 times per day before applying the ZO Hydrating Cream.
  • Cover treated areas with ZO Hydrating Cream every 2 hours.
  • Keep your head elevated by using two or more pillows when lying down.

Day 2 through 10 Post-treatment:

  • On day 2, start using your skin care products. These skin care products are complimentary and will be provided to you in the office on the day of your first treatment.
    • Continue with Vinegar soaks: AM, mid-day, PM for first 3 days post treatment. Continue with vinegar soaks AM and PM for Day 4 and 5 post treatment.
  • Your skin may feel sensitive and may have a red and swollen appearance depending on your treatment. The treated areas may itch.
  • Keep the treated areas covered with a moisturizing ointment every 3-4 hours. This will decrease the healing time and minimize discomfort.
  • Use ice/cold packs as needed for swelling and discomfort. Apply a thin, clean towel between skin and ice.
  • Keep your head elevated by using two or more pillows when lying down to help reduce swelling.
  • Pain medication may be given if needed. However, pain should abate within 24 hours. Tylenol can be taken for discomfort following treatment. If you feel severe pain after 1-2 days from your procedure, call our office.
  • Avoid sun exposure during the first few weeks following the procedure. A sunscreen with SPF of 50+ should be used for any transient exposure. If possible, cover treated area with clothing or use a brimmed hat to reduce sun exposure.
  • Avoid using any type of electronic skin cleansing brush, such as a Clarisonic for about 2 weeks.
  • Following your treatment, normal activities may resume per level of comfort. However, no swimming or using hot tubs/whirlpools, saunas, etc. while redness is present; usually 24-48 hours.
  • Once you feel comfortable, a normal skin care regime including make-up or shaving can be resumed. Be careful the water is not too hot when shaving.
  • If there is any increase in skin redness, call our office promptly.
  • Keep all follow up appointments with our office to assess treatment progress.
  • If you have any questions about these instructions or the procedure, please contact our office.

Day 1

Apply Vinegar soak solution to treatment area for 15 minutes three times a day. Once in the morning, one mid-day and one at night. Apply ZO Hydrating Cream after each vinegar soak

Day 2 and Day 3

In the Morning:

  • Vinegar soak to treatment area for 15 minutes
  • Cleanse face with ZO Gentle Cleanser then pat skin dry
  • Apply Hyalis
  • Apply ZO Hydrating Cream
  • Apply Epionce medical barrier cream
  • Lastly, apply Skinceuticals Physical Fusion SPF

 

Mid-day:

  • Vinegar soak to treatment area for 15 minutes
  • Apply Skinceuticals SPF to treatment area

 

At Night:

  • Vinegar soak to treatment area for 15 minutes
  • Cleanse face with ZO Gentle Cleanser then pat skin dry
  • Apply Hyalis
  • Apply a thin layer of ZO Hydrating Cream
  • Apply Epionce Medical Barrier Cream

 

Day 4 and Day 5

 

In the Morning:

  • Vinegar soak to the treatment area for 15 minutes
  • Cleanse face with ZO Gentle Cleanser and then pat skin dry
  • Apply a layer of Hyalis
  • Apply ZO Hydrating Cream (as needed for dry skin)
  • Apply Medical Barrier Cream
  • Lastly, apply Skinceuticals SPF

 

At Night:

  • Vinegar soak to the treatment area for 15 minutes
  • Cleanse face with Zo Gentle Cleanser and then pat dry skin
  • Apply Hyalis
  • Apply a thin layer of Zo Hydrating Cream
  • Apply Epionce Medical Barrier Cream

 

Continue with skin care products for the next 5 days. You may stop the vinegar soaks.

Micro Ablative Post-treatment: It is important to follow the below instructions after your treatment.

During the first 24 hours post-treatment:

  • With the purchase of your Madonna Lift SmartSkin series, you will receive one complimentary Neocutis Lumiere Riche eye cream for your post-procedure care. This will be given to you at your first office treatment.
  • Your skin may look discolored and appear pink and shiny to gray. Expect your skin to feel rough. You may have crusting/weeping for an average of 4-5 days.
  • Use ice/cold packs every 2 hours for a maximum of 20 minutes each time to help with swelling and discomfort.
  • If there is crusting, gently wipe away with cotton gauze before applying the eye cream. Use Neocutis Lumiere Riche as your eye cream.
  • You may use over-the-counter moisturizing eye drops if needed to alleviate dryness and/or irritation.
  • Keep your head elevated by using two or more pillows when lying down.

Day 1 through 10 Post-treatment:

  • Continue taking all medications as prescribed by Dr. Burgess.
  • Your skin may feel sensitive and may have a red and swollen appearance. The treated areas may itch.
  • Keep the treated areas covered with the eye cream every 3-4 hours until day 3. This will decrease the healing time and minimize discomfort.
  • Use ice/cold packs as needed for swelling and discomfort. Make sure to put a thin clean towel on your face before putting the ice packs on to avoid getting an ice burn.
  • Elevate your head when lying down and especially if swelling persists.
  • If there is any increase in pain or increase in skin redness 1-2 days after your procedure, call our office promptly.
  • Avoid sun exposure during the first few weeks following the procedure. A sunscreen with SPF of 50+ should be used for any transient exposure. If possible, use a brimmed hat and sunglasses to reduce sun exposure.
  • Avoid using any type of electronic skin cleansing brush, such as a Clarisonic for about 2 weeks.
  • Keep all follow up appointments with our office to assess treatment progress.
  • Following your treatment, normal activities may resume per level of comfort. However, no swimming or using hot tubs/whirlpools while redness is present, usually 24-48 hours.
  • Once you feel comfortable, a normal skin care regime including make-up can be resumed.
  • Should you require additional Lumiere Riche eye cream, this can be purchased in our office at 20% off during the course of your treatments.
  • If additional moisture is needed while at home, you may use any other eye care cream in addition to using Neocutis Lumiere Riche eye cream
  • If you have any questions about these instructions or the procedure, please contact our office.

 

Please call our office with any questions regarding your treatment, (503) 699-6464.

Following your treatment, you will be free to return to work or to resume normal activities. There is no need to avoid wearing contacts or makeup in the days after the procedure. Side effects are rare, although some patients do experience mild redness or swelling immediately after undergoing the procedure. However, these usually resolve quickly.

Rest for the first 12 hours. Mild daily activity for 2-3 days, then resume your normal activities as tolerated. You may experience mild to moderate swelling and/or bruising for 1-2 weeks following your procedure.

Ice may be applied 2 hours after procedure to minimize swelling. Do not apply directly on skin. You may ice for 20 minute intervals and remove for at least 20 minutes between application.

Drainage from your incision sites may occur following your procedure. It is recommended to change your dressings every 4-6 hours for as long as you are having drainage. Wash incision sites with warm soap and water. Drainage should subside in 24-72 hours.

Call the office if you notice any signs or symptoms of infection, such as; redness, increased pain, marked increased in swelling, skin that is warm/hot to the touch or a fever of above 101 F.

If a compression garment was used you should wear as instructed by your physician. Typically, they are worn for the first 24-72 hours.

No diet restrictions, maintain a healthy diet. Be sure to drink plenty of water, to aid toxins exiting the body. Therapeutic massage is beneficial to the healing process.Avoid direct exposure to sunlight until surgical area is completely healed. Apply sunscreen as directed.

Avoid NSAIDS that could increase your risk of bleeding, such as; Ibuprofen, Motrin, Advil, Aleve or Naproxen. Discuss continuing your prescription medications with the Doctor.

Typically, you may return to your normal activities after the ThermiSmooth® treatment. You should follow the medical advice of your provider regarding the care of your skin.

Wash skin with tepid water and a gentle cleanser.

If the skin is slightly pink or red in areas following the treatment, avoid hot water when washing or showering until any pink has subsided.

Makeup (preferably mineral-based) may be applied immediately post treatment.  

Soothing, non-irritating creams or moisturizers may be used.

Use a sun block with an SPF of 30 or greater if going out into the sun to help prevent future sun damage. This treatment does not cause photosensitivity.

If treated externally, skin may be slightly pink to red, swollen and warm to the touch for approximately one-hour post procedure

Possibility of mild cramping, which should resolve in 24 hours • Light spotting may occur immediately post procedure

Resume normal physical and sexual activity, unless otherwise directed by your provider

No restrictions on showering

No restrictions on bathing, swimming or hot tubs (exception: if spotting or mild bleeding wait one day)

Avoid Excessive Heat: For 2 days post-treatment, avoid partaking in activities that will heat up your skin, such as going in a hot tub/Jacuzzi/sauna, or strenuous exercise.

Skin Care Products: All of your skin care products should be non-irritating and non-clogging for the first week. Please do not use any scrubs, toners, glycolic acid, retinoids (RetinA or retinol), or bleaching creams (hydroquinoin) until your skin has healed.

Sunscreen: Proper and frequent application of sunscreen is very important. The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor (SPF) of 30 or more. You should apply sunscreen 20 minutes before going outside, and again, immediately before. After that, reapply your sunscreen every 2 hours. If direct sun exposure is necessary, wear a hat and clothing that covers the treated area. Use this regimen during the healing period and always.

If you have any questions, please call our office to speak with your provider or the front desk.

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“Dr. Burgess and her staff are amazing. From the moment I walked into the office I was treated with respect and kindness. Everyone I encountered is professional and makes you feel safe and special. And the best part.... I love my results! I can't thank you enough.”

–Dawn Funk, Actual Patient

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