Pre+Post Care Instructions

PRE-TREATMENT INSTRUCTIONS

• Do NOT consume alcoholic beverages at least 24 hours prior to treatment to decrease the risk of bruising.

• Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment.

  Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections.

• Schedule your appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Full results and resolution of bruising and swelling may take a complete two weeks.

• Avoid dental work, including teeth cleaning, 2 weeks before filler appointment to avoid potential infections

  or lumps/bumps.

• Do not schedule your filler in the 2 weeks before or following a vaccine, including the Covid-19 vaccination

• Do not schedule your filler in the 2 weeks before or following a colonoscopy

• If you develop an infection, virus or rash prior to your filler appointment, please call our office; your

  treatment may need to be rescheduled until you have recovered

• Be sure to have a good breakfast, including food and drink before your procedure. This will decrease the

  chances of lightheadedness during your treatment.

• You are not a candidate if you are pregnant or breastfeeding.

POST TREATMENT INSTRUCTIONS

• Ice (but avoid firm pressure) for 15 minutes 3 times the day of treatment.

• You may take Acetaminophen/Tylenol if you experience any mild tenderness/discomfort.

• Do not massage treated areas after treatment.

• After treatment there will be moderate swelling and redness with possibility of bruising. These symptoms

  will resolve in about 7 days. You may apply or take Arnica tablets to help decrease the amount of bruising.

• Avoid extended UV exposure until any redness/swelling has subsided. Apply SPF.

• Avoid strenuous exercise for 24 hours to reduce bruising. You may resume other normal activities/routines

  immediately .

• Avoid dental work, including teeth cleaning, 2 weeks after filler appointment to avoid potential infections or

  lumps/bumps.

• Call immediately if extreme pain, blanching or marked bruising of the area or visual disturbances,

  headache, or other constitutional symptoms.

PRE-TREATMENT INSTRUCTIONS​

Avoid Accutane for the past 6 months

Do not use topical agents that may increase sensitivity of skin: retinoids, topical antibiotics, exfoliants, acids that may be drying or irritating to the skin (such as alpha hydroxyl acid (AHA) beta hydroxyl acids (BHA), exfoliating masks, salicylic acids, hydroquinone, and benzoyl peroxide acne products) 5-7 days prior

Do not take any anti-inflammatory medications such as ibuprofen, Motrin or Advil for 3 days prior to treatment. These agents will interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation

Avoidance of IPL/Laser procedures, unprotected sun exposure or sunburn for 2 weeks prior

No waxing, depilatory creams or electrolysis to area being treated 5-7 days prior

No shaving the day of the procedure to avoid skin irritation. If there is dense hair present in the treatment area, closely shave the area the day before you arrive to your appointment. Moles, warts or actinic (solar) keratosis cannot be treated.
If you are prone to cold sores, take antiviral agent for 2 days prior to and day of treatment. Call office for prescription.

Bruising is a common risk especially with PRP injections. Avoid blood thinning agents (aspirin, fish oil, Omega-3, Vitamin E) for 1 week prior. May resume day after treatment.

*Please see anti-bruising protocol for full description 

OPTIONAL

Preparing the skin for this procedure will ensure optimum results. Healthy skin will respond better and results will last longer. Skin cells need nutrients for best function.

Skin care for pre-conditioning 4-6 weeks prior. Provider will make recommendations if pre-conditioning needed.

• Dietary recommendations for optimal healing and result. We recommend Collagen MD Advanced Connective Tissue Support Formula for 2 weeks pre-and post-treatment. Collagen MD products are available in our office, no prescription needed.

CONTRAINDICATIONS

Pregnancy, actively infected or actively inflamed skin, skin irritation, cystic acne to area being treated, keloid scars, allergies to topical lidocaine and sunburn.

Day of Treatment

• Skin is clean without lotion, oil, makeup, powder, perfume or sunscreen. Patient may wash face in office upon arrival.

• Inform provider of any relevant changes in your medical history and of all medications you are taking.

• Notify provider of any cosmetic tattoos to areas being treated.

• Topical Lidocaine will be applied in office for 30-45 min prior to treatment.

If combining Microneedling with Platelet Rich Plasma (PRP), your blood will be drawn in office while you are numbing.

​

POST TREATMENT INSTRUCTIONS

Immediately after your Medical MicroNeedling procedure, your health care provider will apply a hyaluronic mask for 5-10 min and moisturizer.

Do not take any anti-inflammatory medications such as ibuprofen Motrin or Advil for 1 week. DO NOT ice face or use arnica or bromelain. These agents may interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation.

Avoid sun tanning and prolonged exposure to direct sunlight for 2 weeks. After 24 hours, always use a full spectrum sun screen SPF30 or above. When exposed to sun, wear a hat and apply sunscreen every 2 hours.

• Use Tylenol only as needed for any soreness

• Optional dietary recommendations: Eat fresh pineapple, tart cherry juice (no sugar), salmon (omega-3 fish oil), bone broth based soups, continue taking collagen 1 & 3 supplement (Collagen MD Advanced Connective Tissue Support Formula) for 2 weeks to optimize healing. Avoid dairy, wheat and sugar!

DAY 1-3

A sunburn -like effect is normal. The skin will feel tight, dry, sensitive to touch. Treat skin gently washing with a gentle cleanser, cool water, using hands only and pat dry no earlier than 4 hours after treatment. Redness or sensitivity might well be present. Some small bruising is common with PRP injections and may last up to 5-7 days and swelling can last 2-4 days depending on how aggressive of a treatment you received.

Plan your social calendar accordingly!

• Avoid strenuous exercises that cause sweating, jacuzzi, sauna or steam baths for 24 hours due to open pores, or up to 48 hours if inflammation exists.

• May only use Oxygenetix Make-up post procedure or Mineral makeup after 24 hours

• Sleep on your back with head of bed elevated to minimize swelling or pain as needed

DAY 2-7

• Peeling may start 3-5 days after treatment. You will notice skin dryness and flaking. This is due to an increased turnover of skin cells. Do not pick, scratch or scrub at treated skin! Allow old skin to flake off naturally and keep moisturized AT ALL TIMES with Hyaluronic serum and TGF- growth factor followed by Le Mieux Derma Relief Serum for extra dry skin every 2 hours if needed.

DAY 5-7

You may restart your regular skin care products and Retin-A once your skin is no longer irritated.

Many patients have noticed continued skin improvement for months following the last treatment.

• For best results, we recommend follow up and repeat treatments in 4-6 weeks and a series of 3-5 treatments depending on your personalized care plan.

• *For further information or to book an appointment, please call our office.

 

Extracorporeal Shockwave Therapy (ECSW/Li-ESWT) for ED is a non-invasive, low-risk procedure requiring 

minimal prep, focusing on keeping the area clean and hydrated. Post-care involves avoiding sexual activity for 48 hours, using vacuum pumps (if recommended) to maximize results, and managing mild, temporary discomfort. 

Pre-Treatment Care

• Hygiene: Keep the area clean.

• Lifestyle: Avoid anti-inflammatory medications, aspirin, or supplements like Vitamin E, Garlic, and Gingko Biloba for 5 days prior to minimize bruising.

• Hydration: Ensure high fluid intake. 

Post-Treatment Care

• Activities: No sexual activity, hot tubs, or strenuous physical exercise for 48 hours.

• Comfort: Use over-the-counter pain relief (like ibuprofen) if necessary for mild, temporary pain, swelling, or redness.

• Enhancement: Use a vacuum pump for 10 minutes twice a day, if recommended, to maximize results.

• Monitoring: Contact a doctor if significant swelling, fever, or severe pain occurs. 

Common Temporary Side Effects

• Mild, temporary pain or soreness.

• Bruising, hematoma, or redness.

• Blood in the urine (rare). 

 

Chemical peel pre-care involves stopping exfoliants (retinoids, AHAs, scrubs) and sun exposure a week or two prior, while post-care focuses on gentle cleansing, intense hydration, and strict sun avoidance (SPF 30+) for days or weeks, avoiding heat, sweating, picking, and harsh products (like Vitamin C, glycolic) until skin fully heals to support new cell growth and prevent complications like hyperpigmentation.

Pre-Peel Care (1-2 Weeks Before)

• Avoid Waxing/Depilatories: Stop waxing, electrolysis, or using depilatory creams in the treated area.

• Consult Doctor: Inform your provider about any Accutane use in the last year or skin changes.

• Arrive Clean: Come to your appointment with a clean face, no makeup. 

• Stop Actives: Discontinue retinoids (Retin-A, Differin), AHAs (glycolic, lactic), BHAs (salicylic), and physical exfoliants (scrubs, microdermabrasion).

• Avoid Sun & Heat: No tanning beds, minimal sun exposure, and use SPF 30+ daily.

Post-Peel Care (First 1-2 Weeks)

• Immediate (24 hrs): 

  Follow provider instructions (leave peel on, wash gently with mild cleanser later), avoid makeup, keep skin cool, no intense exercise, use sunscreen.

• Next Few Days (Peeling Begins):

  Cleanse: Gentle, non-active cleanser, pat dry (no rubbing).Moisturize: Hydrate frequently with a gentle, protective moisturizer.Sun Protection: Mandatory SPF 30+, reapply often, wear hats.Avoid: Picking, scratching, waxing, hot showers, saunas, steam rooms, swimming, strenuous activity.Avoid Actives: Stop retinoids, AHAs, BHAs, Vitamin C.

• As Peeling Ends (Days 7-14+):

  Gradually reintroduce gentle skincare as advised by your provider.Continue strict sun avoidance and protection for weeks to months.

Key Things to Remember

• Listen to Your Provider: Instructions vary by peel depth.

• Don't Pick!: Let skin flake naturally to prevent scarring and discoloration.

• Hydration is Key: Keeps skin comfortable and supports healing.

• Sunscreen is Non-Negotiable: Protect new skin from UV damage.

PDO thread lift pre- and post-care focuses on minimizing bruising, swelling, and thread displacement. Key instructions include avoiding blood-thinning agents (alcohol, NSAIDs, fish oil) for 1–2 weeks prior, while post-care requires sleeping with the head elevated, avoiding strenuous exercise and excessive facial expressions for 1–2 weeks, and avoiding facial massages for 4–8 weeks. 

Pre-Care Instructions (Before the Procedure)

• Avoid Blood Thinners: Stop taking aspirin, ibuprofen (Advil, Motrin), fish oil, vitamin E, and herbal supplements like ginger or garlic 3–7 days before to minimize bruising.

• Avoid Alcohol/Smoking: Stop alcohol and smoking for 1–2 weeks prior to enhance healing.

• Plan Around Events: Schedule the procedure at least 2–3 weeks before any major social events, as bruising and swelling can occur.

• Medication Review: Inform your provider of all medications, particularly if taking anticoagulants like Warfarin. 

Post-Care Instructions (After the Procedure)

• Reduce Swelling/Bruising: Apply ice packs for 15 minutes every hour for the first 24–48 hours.

• Sleep Position: Sleep on your back with your head elevated for 3–5 nights to reduce swelling.

• Activity Restrictions:

  • 24–48 Hours: Avoid strenuous exercise, heavy lifting, and intense saunas or hot tubs.

  • 1–2 Weeks: No high-impact workouts or excessive facial movements (wide smiling, laughing, chewing tough food).

• Skin Care & Makeup: Avoid makeup, cleanser, and touching the entry points for at least 24–48 hours to prevent infection.

• Avoid Facial Manipulation: Do not receive facials, face massages, or dental treatments for 4–8 weeks, as this can cause the threads to disengage.

• Pain Management: Use Tylenol (acetaminophen) for discomfort rather than anti-inflammatories, which can cause bruising. 

When to Contact a Provider

• If you notice a thread pushing through the skin.

• Unusual or severe pain, swelling, or redness.

• Skin infection at the entry site. 

 

PRP hair treatment

 requires careful preparation and aftercare for best results. Key steps include avoiding anti-inflammatory medication (NSAIDS), alcohol, and blood-thinning supplements 3–7 days before and after. Post-care involves skipping hair washing for 24 hours, avoiding strenuous exercise and sun exposure for 2-3 days, and delaying hair coloring for 1–2 weeks. 

Pre-Care Instructions (Before Treatment)

• Day of Procedure: Wash hair thoroughly; do not use hairsprays or gels. Eat a meal and hydrate. 

• Medication Restrictions: Avoid NSAIDs (ibuprofen, aspirin, naproxen) for 5-7 days prior, as these interfere with platelets. Tylenol is acceptable for pain.

• Supplements & Diet: Stop taking vitamin E, A, garlic, flax oil, and Omega-3 fatty acids for 3-7 days. Increase water intake.

• Alcohol/Smoking:

   Avoid smoking for at least 3-7 days prior, as it impairs healing

  . Avoid alcohol for 3 days

  .

Post-Care Instructions (After Treatment)

• Washing & Styling: Do not wash your hair for 24 hours (some suggest 4-8 hours). Use baby shampoo or a gentle cleanser afterward.

• Activities & Environment: Avoid strenuous, sweaty, or high-heat activities (saunas, intense workouts) for 48–72 hours. Avoid direct, prolonged sun exposure to the scalp.

• Touching & Hair Products: Do not rub, scratch, or massage the scalp for at least 8 hours to 3 days. Avoid using styling products, hair dryers, or straighteners for 2-3 days.

• Hair Treatments: Avoid coloring, bleaching, or chemical treatments for at least 7–10 days.

• Pain Management: Expect mild swelling, redness, or tenderness, which can be managed with cold compresses or Tylenol.

• Follow-up: Adhere to the recommended schedule of 3-4 treatments spaced 4-6 weeks apart. 

 

PRE-TREATMENT INSTRUCTIONS

• Do NOT consume alcoholic beverages at least 24 hours prior to treatment to decrease the risk of bruising.

• Avoid anti-inflammatory/blood thinning medications, if possible for a period of 2 weeks before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, ginseng, St. John’s Wort, Omega 3/Fish Oil supplements, Ibuprofen, Motrin, Advil, Aleve and other NSAIDS have a blood thinning effect and can increase the risk of bruising and swelling after injections.

• Schedule your appointment at least 2 weeks prior to a special event which you may be attending, such as a wedding or a vacation. Full results from toxin injections will take 14 days. Also bruising and swelling may be apparent in that time period.

• Be sure to have a good meal including food and drink before your procedure. This will decrease the chances of lightheadedness during your treatment.

• You are not a candidate if you are pregnant or breastfeeding. 

POST-TREATMENT INSTRUCTIONS

• Do NOT manipulate the treated area for 4 hours following treatment. Do NOT receive facials or microdermabrasion for 2 days after treatment unless specified by physician.

• Do NOT lie flat for 4 hours after your treatment to prevent toxin from tracking to undesired muscles.

• It can take 14 days for full results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional injections.

• Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep the toxin in the injected area and not elsewhere.

Broadband Light (BBL) therapy requires strict sun avoidance and gentle skincare 4 weeks before and after treatment to prevent complications like hyperpigmentation or burning. Pre-care involves discontinuing retinoids and exfoliants 5-7 days prior, while post-care requires daily SPF 30+, avoiding hot water/sweat, and allowing sunspots to flake off naturally. 

Pre-Treatment Care (4 Weeks Prior)

• Sun Protection: Avoid tanning beds and prolonged sun exposure. Use SPF 30+ daily to prevent blistering or pigment changes.

• Skincare Adjustments: Stop using retinoids, glycolic/salicylic acids, and harsh exfoliants 5-7 days before treatment.

• Medications: Notify your provider of any new medications or photosensitizing drugs. If prone to cold sores, take prescribed antiviral medication 1-2 days before.

• Preparation: Arrive with clean, makeup-free skin. 

Post-Treatment Care (Immediately - 2 Weeks After)

• Immediate (0-24 hrs): Skin will feel warm, like a sunburn. Use cold compresses or Aloe Vera to soothe. Avoid hot tubs, saunas, and intense exercise.

• Skin Care: Wash with a gentle, fragrance-free cleanser. Apply moisturizer generously to prevent scabbing or crusting.

• Sun Protection: Apply SPF 30+ (zinc oxide or titanium dioxide) daily and reapply often, as skin is highly sensitive.

• Healing Process: Pigmented spots may look darker (peppering) and will flake off over 7-14 days. Do not pick or exfoliate the skin.

• Avoid: Retin-A, glycolic/salicylic acids, and scrubs for at least 7 days post-treatment. 

Safety Notes

• If blisters appear, apply antibiotic ointment and contact your provider.

• Avoid tanning for 4 weeks after.

• Redness and swelling (especially around the eyes) are normal and usually resolve within 1-3 days.