Pre and Post Care Instructions

PRE – TREATMENT

• Notify your provider if you are on any blood thinning medications.
• Notify your provider if you have any rashes, lesions, or open wounds. These areas may need to be avoided and may not be eligible for treatment.
• Sun exposure and/or usage of a tanning bed, including self-tanning products, must be avoided for a minimum of 24 hours before and after the treatment – preferably 1 week before and after treatment.
• Treatment within 24 hours of prolonged sun exposure (natural sunlight, artificial tanning booth, or sunless tanning products) may result in hypopigmentation (white spots) or hyperpigmentation (dark spots) that may not clear for several months, or may be permanent.
• Hydraneedle (AQUAGOLD®) micro-infusion will not be administered on sunburned skin. Area to be treated must be clean and free of any lotion, makeup, and sunscreen. These must be completely washed off prior to treatment.
• Areas to be treated should not receive any type of the following treatments for 2 weeks prior to or after:

 

• • 1. Chemical Peel
    2. Microneedling
    3. RadioFrequency
    4. Microneedling
    5. Intense Pulsed Light
    6. Laser Hair Removal

• Retin-A, Renova, and Tazorac must not be used for 1 week before or after treatment.
• Waxing and/or use of chemical depilatories must be avoided for 2 weeks prior and after treatment. Shaving is allowed immediately before treatment and 48-72 hours after treatment, as long as there is no skin irritation.
• You may not receive this treatment if pregnant.
• Notify the provider of any tattoos, including cosmetic tattooing, in the vicinity of the areas to be treated, as tattoos must be avoided.
• If you have a history of cold sores, we may recommend prophylactic antiviral therapy.
• During the course of your treatments, notify our staff of any changes to your medical history, health status, or personal activities that may be relevant to your treatment.

POST – TREATMENT

• A sunburn-like effect immediately post-treatment is normal. The treated area may appear pink in color, but will resolve in 1-2 hours. The skin may feel tight, dry, swollen and sensitive to the touch.
• Do not wash your face for the first 6 hours. Wash the treated area gently with a gentle cleanser and you may apply moisturizer (which does not contain “anti-aging” ingredients) thereafter. You may resume your normal daily skin routine the day after treatment.
• Sun exposure must be avoided for at least 24 hours after your treatment – preferably 1-2 weeks. If you know you will get incidental sun exposure (i.e. driving to and from work, walking from the car to your house, etc.) we recommend physical avoidance of the sun in all treated areas by using a protective hat and full-spectrum sun block of SPF 30 or higher.
• Do not use exfoliating medications, chemicals, or products on the treated areas for at least 2 weeks.
• No exercise that causes sweating, Jacuzzi, sauna, or steam baths if any skin irritation exists.
• Sleep on your back with your head elevated slightly to reduce swelling.
• It is recommended that makeup not be applied for at least 6 hours post procedure.
• For best results and efficacy, maintenance treatments are recommended every 3-4 months.

PRE – TREATMENT

**You should not use Vitamin B12 if you are allergic to cyanocobalamin or cobalt, or if you have Leber’s disease (an inherited form of vision loss). Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber’s disease.

• To make sure this medicine is safe for you, tell your provider if you have:

1. Eye problems or Leber’s disease (in you or a family member)
2. Kidney or liver disease
3. Iron or folic acid deficiency
4. Any type of infection
5. If you are receiving any medication or treatment that affects bone marrow

• Tell your doctor if you are pregnant or breastfeeding:

1. Your dose needs may be different during pregnancy or while you are nursing.

• Avoid drinking large amounts of alcohol while you are being treated with Vitamin B12 injection.

POST – TREATMENT

• Get emergency medical help if you have signs of an allergic reaction to Vitamin B12

1. Hives
2. Difficulty breathing
3. Swelling of your face, lips, tongue, or throat

• Call your doctor at once if you have:

1. Heart Problems – swelling, rapid weight gain, feeling short of breath;
2. Fluid Build-up in or Around the Lungs – pain when you breathe, feeling short of breath while lying down, wheezing, gasping for breath, cough with foamy mucus, cold and clammy skin, anxiety, rapid heartbeats; or
3. Low Potassium Level – leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness, or limp feeling.

• Common Vitamin B12 side effects may include:

1. Diarrhea; or
2. Swelling anywhere in your body

• Avoid drinking large amounts of alcohol while you are being treated with Vitamin B12 injection.

PRE – TREATMENT

• Absolutely do not go to a tanning salon for at least 3 weeks before or after a treatment.
• Discontinue use of Retin-A, Retinol, Refissa, Tretinoin, Hydroquinone or any derivative of Vitamin A for 5 days before and after your treatment.

POST – TREATMENT

• Most patients who undergo these treatments have redness for 1-12 hours. Due to the nature of these treatments, you may experience flaking for a few days. Your skin may feel tight and dry. Apply ZO Hydrating Creme up to five (5) times a day.
• Unless recommended by your provider, do not apply topical medications, AHA or BHA products to the area for 5-7 days after your treatment, as they may be irritating.
• It is recommended that you do not apply makeup the day of your treatment. It is ideal to allow the skin to stabilize and rest overnight. Makeup can be applied if necessary.
• Follow your appropriate home care regimen as directed by your provider. Avoid direct sun exposure and excessive heat for at least 7 days (getting overheated internally can cause hyperpigmentation). Always use sunscreen/sunblock for your protection. Do not pick or pull at any loose skin, as this can cause hyperpigmentation or scarring.
• Do not have electrolysis, use chemical depilatories or wax the treated area for at least 7 days.

FOR THE NEXT 2 DAYS

• Do not apply ice or ice water to the treated areas.
• Do not put the face directly into a hot shower spray.
• Do not use a steam room, Jacuzzi, or sauna.
• Do not go swimming.
• Do not participate in activities that would cause excessive perspiration.
• Do not use any means of mechanical exfoliation.
• Do not direct a hair dryer onto treated areas.

POST TREAMENT

Day 1 (1st Day After Treatment)

• Sunburned appearance with a tight feeling
• Avoid direct sunlight and excessive heat
• Begin washing the face as needed with lukewarm water and gentle cleanser (use your hands only)
• May take a lukewarm shower and wash hair
• Re-apply ointment/cream to the treated area as needed (ensure skin remains constantly moist)

Day 2

• Swelling should subside and skin may bronze and feel gritty
• Itching (particularly along the jawline) tends to begin on this day
• Continue applying ointment/cream (and cool compresses, if needed)
• Continue washing face with gentle cleanser and tepid water
• For extreme itching, hydrocortisone cream (OTC 1%) may be applied
• AVOID picking and/or scratching

Day 3

• Facial skin should begin peeling between days 3 and 5
• Continue washing face with gentle cleanser and lukewarm water
• Itching may persist
• The central aspect of the face should begin to exfoliate today leaving behind soft pink tissue
• Continue applying ointment/cream, especially on sides of face by hairline

Day 4 – Day 7

• Itching has usually subsided
• May start more aggressive washing with fingertips to promote further exfoliation (do not pick)
• If using an occlusive ointment, may transition to a cream and spot-treat drier areas that may still have some rough skin with occlusive ointment
• Use non-irritating sunblock SPF 50 with zinc oxide (7-9%) and/or titanium dioxide when going outside
• If needed, may apply mineral make-up (powder)

Day 7 – Day 28

• Continue appropriate moisturizer until skin has hydrated back to its normal level (3-4 weeks)
• May start regular skin care program as long as treated area is healed (no exfoliation)
• Continue applying non-irritating sunblock SPF 50 and use mineral make-up (powder) to protect treated areas (Do not use liquid foundation as it may clog pores and irritate new skin)
• Avoid exposure to excessive sun for up to 4 weeks (hat or clothing must be used to protect treated areas)
• May return to excercise programs

Healing will vary based on individual and on intensity of treatment

PRE TREAMENT

• Let your provider know if you are on any medications (topical/oral), have any medical conditions, or are being treated by a physician for any conditions.
• Let your provider know if you have been diagnosed with cold sores or Herpes simplex.
• No shaving, peels, waxing, or aggressive exfoliations one week prior to Dermaplaning treatments.
• You should wait 5-7 days after receiving Botox or Dermal Fillers to receive Dermaplaning treatments.

DURING TREAMENT

• Relax and allow your provider to move and manipulate the position of your head and face.
• Try to remain still. Gum chewing will not be allowed during treatment.
• Talking will be restricted by your provider at certain times during the treatment.

POST TREAMENT

• Use a gentle cleanser and apply ZO hydrating Crème at least twice daily for 87 days after treatment.
• Avoid sun exposure as much as possible for a minimum of 3 days after treatment. Apply then reapply SPF 50 often. Wear a wide brimmed hat and seek shade when possible.
• Avoid excessive heat for 3 days after treatment (i.e. heavy workouts, steam rooms or saunas, etc.).
• Avoid chlorine of r24 hours.
• Avoid waxing treated area for 7 days.
• Avoid Dermal Fillers or Botox for 2-4 weeks, based on providers instructions.
• Do not pick, scratch, or aggressively rub the treated area.
• Do not use scrubs, polishers, or aggressive brushes for 7-14 days after treatment.
• Follow your appropriate home care regimen as directed by your provider.
• You may experience slight peeling for the first few days. Slight windburn sensation and/or blotchiness are normal for the first few days. Skin care products may tingle or slightly burn for the first 2 days.
• For best results, Dermaplaning treatments are recommended every 3-5 weeks.

TREAMENT OVERVIEW

• PRF therapy for hair loss is a treatment that involves withdrawing a patient’s own blood, processing it so that only the enriched cells remain, and injecting it into the scalp. PRF contains essential proteins that stimulate natural hair growth. Due to the natural variation in quality, results will vary between individuals. Some patients may require multiple sessions to obtain desired outcomes.

PRE TREAMENT

• If possible, please refrain from, or minimize, smoking three days prior to and one day after the treatment. Smoking may impact healing and oxygen delivery to the scalp, therefore, your results may be improved the longer you are able to stop smoking before and after the treatment.
• Minimize alcohol consumption 72 hours prior to your PRF treatment.
• Shower the morning of your treatment and wash your hair very thoroughly using your regular shampoo. Do not apply sprays, gels, or any other styling products to your hair.
• Eat regularly the morning of your treatment and please drink approximately 16 oz of water at least 2 hours prior to your treatment.

POST TREAMENT

• DO NOT touch, press, rub or manipulate the treated area(s).
• It is normal to experience bruising, redness, itching, swelling and/or soreness that may last from 2-5 days following your procedure. If you experience any pain or discomfort you may take Tylenol or other Acetaminophen-containing products as directed.
• Do not wet your hair for at least 3 hours after your treatment.
• Do not use any hair products for at least 24 hours after your treatment.
• Avoid saunas, steam rooms, swimming for 2 days after your treatment.
• Avoid vigorous exercise, sun and heat exposure for at least 2 days after your treatment.
• Avoid alcohol, caffeine, and cigarettes for 3 days after treatment.
• Avoid resuming hair coloring, straightening or curling for 3 days.
• Continue increased water intake the first week after your treatment.

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please call the office or email to info@samaramedapa.com.

PRE TREAMENT

• Avoid any blood thinning medications for 5 days before treatment (Aspirin, Advil, Motrin, Ibuprofen, Aleve, Excedrin, Fish Oil, Ginkgo Biloba, ect).
• Avoid alcohol for at least 72 hours prior to treatment.
• You can take arnica tablets for three days in advance to prevent bruising and swelling.
• Arrive at your appointment wearing no makeup.
• No dental procedures including dental cleaning 2 weeks prior to filler procedure

POST TREAMENT

• Bruising: Bruising is the most commonly reported post treatment concern. Bruising can be unpredictable and can be very noticeable. Bruising can last for 2-14 days. Treatment for bruising includes the following:

1. Ice for the first 24 hours, 20 minutes on and off.
2. Warm compresses after 24 hours, 20 minutes on then off.
3. Arnica is an oral and topical homeopathic medicine. Oral medication is to be taken as directed. Topical can be applied 3 times daily, or as needed to the injected area. Arnica cream is for bruising and the prevention of long term bruising of staining. It is highly recommended for tear trough injections or any person that may bruise easily.

• Swelling: Swelling occurs commonly and the treatment for swelling is as follows:

1. Ice for 20 minutes on and then off until swelling is improved, usually within 2-3 days for lower face injections.
2. Tear trough injections usually have 2-14 days of swelling.
3. Advil or Tylenol can be taken for any soreness after injection, which is common.

• Cold Sores: If you are having injections of the lips and have a history of cold sores, you may need to take antiviral medication to prevent an outbreak. A prescription can be obtained from our office. It is recommended this be started 24 hours prior to treatment. Please make your provider aware at the time of consult.

• Palpable Filler: You may be able to feel the product that was placed under your skin. This is normal and no treatment is necessary.

• Lumps/Bumps/Skin Irregularities: Distinct lumps are uncommon. If you have a concern for any perceived irregularities, please call our office to discuss. This will often not be addressed until 2 weeks post injection and bruising and swelling can mimic lumpiness.

• Lips: After having your lips filled avoid hot foods for 24 hours. Avoid any pressure on the lips (ie. kissing) until they have fully healed. Everyone has asymmetry at baseline. Although we attempt to create symmetry during the Lip Filler procedure, the act of piercing the lips with a needle creates trauma and swelling, ontop of existing asymmetry. Additionally, bruising can occur which displaces volume that will not be there once the Lip Filler swelling and bruising resolves. The final results may therefor appear asymmetrical due to these factors. We cannot predict how the lips will swell, bruise or heal.

• Tear Troughs: Results may vary. Please allow a full 4 weeks for your final results. Within the 4 weeks, there may be flucuations of swelling that can be caused from sleeping on your side and eating salty foods.

*No dental procedures including dental cleaning 2 weeks before or after Filler procedure*
*Do not book a Filler procedure within 2 weeks of any important events*
*No flying for 72 hours post filler procedure*

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please contact the office by text with photos of your area of concern, or by email after hours at info@samaramedspa.com.

• Discontinue the use of any Isotretinoin products (such as Accutane) for 6 months before treatment – unless you have clearance by a clinician.
• 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™ treatment.
• Refrain from waxing and use of depilatories for 48 hours before and after treatment.
• Discontinue the 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 SPF 40 or greater!
• 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™ 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.

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please call the office and email photos of your area of concern to info@samaramedspa.com.

PRE TREAMENT

• Following these Pre-treatment instructions closely will optimize your treatment results with the IPL (Intense Pulsed Light):

1. Use sunscreen with SPF of at least 30 daily. Sunburned skin cannot be treated.
2. Avoid any irritants to your face, such as any products containing hydroquinone, bleaching creams, Retin-A, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents or chemical peels for at least two (2) weeks.
3. If you have a history of hyperpigmentation (darkening of the skin) with laser treatments or other trauma, please let us know.
4. Do not use self-tanning agents for at least two (2) weeks prior to treatment. If you have used these products, thoroughly cleanse the area with an abrasive/exfoliating scrub to remove all product two (2) weeks prior to any treatment.
5. Do not bleach or use “Nair”- type products for two (2) weeks prior to treatment, as this can irritate the skin.
6. Please do not wear any makeup, perfume, or lotions in the treatment area prior to your treatment.
7. Before each treatment, please inform us if you are taking any new antibiotics or medications, as they may make your skin sensitive to light treatments, and therefore, we may not be able to treat you for one (1) or two (2) weeks after completion of the antibiotic.

POST TREAMENT

• Immediately after the Intense Pulsed Light treatment, there may be redness and bumps at the treatment site, which will last up to two (2) hours up to a few days. It is normal for the treated area to feel like a sunburn for a few hours. You may use a cold compress, aloe vera gel, or 1% hydrocortisone if needed. If treating the face, please continue using sun protectant with SPF 30+ daily for the entire treatment period.
• Do not pick, as scabbing could lead to scarring.
• Makeup may be used after the treatment if there is no extended redness, blistering, or scabbing. Make sure that you have moisturizer on under your makeup; use it frequently on the treated area.
• Avoid sun exposure for four (4) to six (6) weeks after the treatment to reduce the chance of dark and light spots. Use sun protectant SPF 30 or greater with zinc oxide and titanium dioxide at all times throughout the course of treatment. Even a waterproof sunblock is good for only 80 minutes, so reapply hourly.
• Until initial skin irritation subsides, avoid hot water and anything irritating to the skin. Advil or Motrin can be helpful.
• Avoid any irritants to your face, such as any products containing Retin-A (tretinoin), retinol, benzoyl peroxide, glycolic/salicylic acids, astringents or chemical peels for at least two(2) days.
• Do not wear tight, constricting clothing in the treated area as irritation can occur and skin cannot cool properly.
• Do not exercise, receive anybody treatments, take hot showers, or use saunas or hot tubs until skin is back to normal (2-3 days).
• Hypopigmentation (lightening) or hyperpigmentation may occur with any laser treatment, and usually resolves within 4-6 weeks. If you have a tan when you are treated with the laser, the pigmentary changes may take up to 2 years to resolve.

Contact the office if you have any signs of infection (pus, tenderness, fever) by phone or email at info@samaramedspa.com.

Deoxycholic acid/Phosphatidylcholine (aka: Kybella) (DC/PC) is used in adults to improve the appearance and profile of moderate to severe fat pockets in the body. It is not known if DC/PC is safe and effective in children less than 18 years of age. It is not known if DC/PC is safe and effective for use outside of the submental area. You should not receive DC/PC if you have an infection in the treatment area.

PRE TREAMENT

• Before receiving DC/PC, tell your healthcare provider about all of your medical conditions, including if you:

1. Have had or plan to have surgery on or around the treatment area.
2. Have had cosmetic treatments on or around the area.
3. Have had or have medical conditions in or near the area to be treated.
4. Have had or have trouble swallowing (specifically for submental treatment).
5. Have bleeding problems.

• You may not be pregnant or nursing.
• For optimal results and to decrease the chance of bruising at the injection site, please avoid all blood thinning medications and supplements for 1 week prior to your appointment. Avoid taking Aspirin for 48 hours before. In addition, very high doses of some Vitamins and supplements can thin your blood and increase the chance of bruising. For comfort, you may take Acetaminophen 30 mins prior to your appointment time. Please notify your provider if you are taking Coumadin, Plavix, or any other blood thinners for a medical condition.
• During the course of your treatments, notify our staff of any changes to your medical history, health status, or personal activities that may be relevant to your treatment.

DURING TREAMENT

• During the course of your treatment your feedback is crucial in order for us to determine the proper and most effective treatment protocols for you. Our staff is always available to respond to any questions, concerns, or comments you may have.
• Samara MedSpa takes every possible precaution to ensure your comfort while undergoing treatments.

POST TREAMENT

• Important Safety Information: DC/PC can cause serious side effects, including but not limited to nerve injury in the jaw that can cause an uneven smile or facial muscle weakness, and trouble swallowing (in submental treatment). The most common anticipated reactions can include swelling, bruising, pain, numbness, redness, and areas of hardness, in the treatment area. Additional side effects may include:

1. Infection at the injection site, and ulceration and or scarring to the injection site.
2. Alopecia (hair loss treated area) have been reported as well.

• To avoid severe bruising: Avoid alcohol consumption for a minimum of 24 hours and refrain from taking blood thinners such as Aspirin for several days. Over the counter oral pain medication or can be taken.
• To maximize your results and prevent adverse effects: a. Avoid exercise for at least 24 hours. b. Avoid rubbing, massaging, or scrubbing injection sites for 24 hours after treatment.
• No facials, chemical peels, or laser treatments to the area being treated for 14 days after the treatment. Facials, chemical peels, laser, and light treatments may be done immediately prior to treatment. HA fillers or neurotoxins may be injected before DC/PC; if you have any questions regarding this, please ask your provider.
• Follow Up Appointment: A minimum of 2 treatments, however up to 5 treatments may be required for optimal results. The second treatment and future subsequent treatments are recommended to be done every 6 weeks. If the desired level of correction has not occurred after the second treatment, additional treatments may be needed.

PRE TREAMENT

• Do not wear makeup on the day of treatment
• Excess hair may need to be shaved. Men should be cleanly shaved
• No sun-tanning or self-tanners 4 weeks prior to treatment
• Includes spray tans, tanning lotions, tanning beds, sun exposure, etc.
• Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories, etc.)
• Notify clinic with any changes to your health history or medications since your last appointment
• History of herpes or cold sores may require an anti-viral prior to treatment

POST TREAMENT

• Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen to prevent further sun damage
• Bruising, redness and swelling may occur and resolve with time
• Avoid heat – hot tubs, saunas, etc. for 1-2 days
• Avoid skin irritants (examples below) a few days post-treatment, products containing:

1. Tretinoin
2. Retinol
3. Benzoyl Peroxide
4. Glycolic / Salicylic Acids
5. Astringents, etc.

• Multiple treatments are required
• Notify clinic of any concerns (blistering, excessive redness/swelling, etc.)
• Consult with clinic about when to resume skin care regime.

PRE TREAMENT

• Patients should not wax, tweeze, bleach, thread or use depilatory agents for 4 weeks prior to treatment.
• If a form of hair removal is necessary, shaving or clipping can be done because these methods allow the hair to stay in the follicle.
• Lotions, creams, makeup and deodorant should be removed before treatment as they can obstruct or refract laser light negatively.
• Shave the area to be treated the day of, prior to appointment, unless directed otherwise by your medical provider.

POST TREAMENT

• Immediately after treatment, there may be mild redness and swelling at the treatment site, which could last up to 2 hours or longer. The redness could last up to 2-3 days. The treated area will feel like a sunburn.
• Apply ice in 15-20 minute intervals for the first few hours after treatment to reduce any discomfort or swelling. If redness or swelling persists, ice can be used in 15 minute intervals 3-4 times a day for 3 days.
• Makeup may be used immediately after the treatment unless there is blistering.
• Avoid sun exposure. Sunscreen SPF 30 or high must be applied when in sunlight.
• Avoid picking or scratching the treated skin. Do not use any other hair removal treatment products or services (waxing, electrolysis or tweezing) that will disturb the hair follicle in the treatment area.
• Wash the treated area and pat dry for 3 days after treatment. Do not scrub.
• Start gently scrubbing the treated area on the 7th day (exfoliate).
• Anywhere from 5-20 days after the treatment, shedding of the surface hair may occur and will appear as new hair growth. This is not new hair growth.
• There are no restrictions on bathing except to treat the skin gently and avoid using extremely hot water (as if you had a sunburn) for the first 24 hours.

PRE TREAMENT

• Avoid any blood thinning medications for 5 days before treatment (Aspirin, Advil, Motrin, Ibuprofen, Aleve, Excedrin, Fish Oil, Ginkgo Biloba, etc).
• Avoid alcohol for at least 72 hours prior to treatment.
• You can take arnica tablets for three days in advance to prevent bruising and swelling.
• Arrive at your appointment wearing no makeup.

POST TREAMENT

• Dental Block – You will be numb for several hours. You will be swollen in the areas of injection which will affect your smile and your ability to animate and talk normally until the swelling and numbing resolves. Since you are numb, you will need to be careful eating and drinking hot foods and liquids. This may make your lips looks asymmetrical, your lips, smile, speaking may be asymmetrical.
• You should expect to bruise and swell from microtrauma after being stuck by a needle. The bruising and swelling displaces volume and may create asymmetry as you are healing that will change as you continue through the healing process. Everyone has asymmetry at baseline. Although we attempt to create symmetry during the Lip Filler procedure, the act of piercing the lips with a needle creates trauma and swelling, ontop of existing asymmetry. The final results may therefor appear asymmetrical due to these factors. We cannot predict how the lips will swell, bruise or heal.
• Bruising and swelling resolved between 10-14 days, but filler continues to soften and integrate into the tissue for the next 4-6 weeks so you may feel your lips are much smaller at 2 to 4 weeks depending on the type of filler used.
• You may use covered ice to reduce bruising and swelling. When the numbing wears off, you should expect to feel pain from the trauma of the needle injections. You may take Tylenol for the first 24-48 hours. Avoid advil/aleve/motrin/blood thinners as this will increase bleeding and bruising. Tylenol should improve your pain.
• You should expect to feel the gel in your lips. lips are very thin and soft. Gel is much harder than the consistency of your lips therefore lumps, bumps and the perception off feeling it in your lips or tongue is normal. Do not massage, touch or press any of the lumps.
• Until your lips are fully healed, we do not recommend kissing/making out/heavy petting/ you know what we are talking about (extra-curricular activities)

*No dental procedures including dental cleaning 2 weeks before or after Filler procedure*
*Do not book a Filler procedure within 2 weeks of any important events*
*No flying for 72 hours post Filler procedure*

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please contact the office by text with photos of your area of concern, or by email after hours at info@samaramedspa.com.

YOUR PROCEDURE

• The goals of this procedure are dermatological procedures requiring ablation and resurfacing, resulting in softening of the fine-moderate wrinkles of the face, neck or hands, acne scars and textural irregularities.
• Venus Viva™ Fractional RF is usually performed as an outpatient procedure, using topical anesthetic.

POST PROCEDURAL CARE – DAY 1 TO DAY 5

• The healing time for any given treatment varies between different clients. The following represents the general recovery phases you might expect. Individual clients may experience variations from this course:

1. Swelling/Discomfort/Redness: Swelling of your wrinkles occurs immediately. Significant swelling and redness of the treated areas and untreated parts may occur following your procedure, and will be maximal at 24 – 48 hours. To minimize swelling, keep your head elevated. It is not uncommon for clients to experience under-eye swelling for the first 1 to 2 days, but this swelling will subside. There will be redness and slight heat emanating from the treated area for the first 24 hours, akin to a mild sunburn. It is unusual to experience severe or excessive pain; you should notify us if this occurs. Tiny scabs will usually be formed 24 – 72 hours post-treatment, and may remain for several days. The scabs should not be touched or scratched even if they itch, and should be allowed to shed off naturally.


2. Activity: Some mild discomfort may occasionally follow resurfacing treatment. You may return to regular activities immediately. It is advised that you avoid hot baths, saunas, Jacuzzis, and pools for the first two days following treatment, as the bacteria common to these sites can affect the skin post-resurfacing and cause an infection. Some minor heat emanating from the treated area is normal, but please do not apply ice or cooling compresses, as that heat is the body’s natural healing response.


3. Moisturizer: Post-treatment care, including applying of moisturizers or supporting creams on the treated skin, is at the Physician’s discretion.


4. Make-Up: After 24 hours, most resurfacing clients are ready for makeup to hide the pinkness of the skin. If applied, it is important that you remove all makeup from the skin at night. Do not sleep with make up on the treated area.


5. Avoiding the Sun: Avoiding direct sun should become a permanent component of your long-term skin care program. Always use an SPF 30 or greater beginning 24 – 48 hours after the skin has fully healed. Sun exposure, tanning beds, and artificial sunless tanning lotions are not allowed in the treated areas during the course of the treatment and healing.


6. Long-Term Skin Care: In addition to avoiding direct sun exposure, we suggest all clients use long-term skin care that will optimize the youthful, rejuvenated appearance you have achieved. We offer clients a program for long-term facial skin maintenance This unique program offers state of-the-art skin maintaining and rejuvenating creams that are only available and administered by our medical team. Physicians on our medical advisory team recommend the use of the Venus Skin™ Post Treatment Recovery Kit and Venus Skin™ Stem Cell Therapy Serum and Accelerator for at-home care treatment post 24 – 72 hours. Note that these assisting agents should always be used according to their accompanying instructions.


7. WARNING SIGNS: The following are some of the symptoms that should alert you to the possibility of an impending or existing complication and you should contact the clinic by phone or email at info@samaramedspa.com
   
   
8. Infection: Infection may be present if you notice:

• Increased (rather than decreasing) facial swelling after the first 24 – 36 hours.
• Redness spreading beyond the area of resurfacing, that is warm and tender to touch.

PRE TREATMENT

• 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

• 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 the physician.
• Do NOT lie flat for 4 hours after your treatment to prevent toxins from tracking to undesired muscles.
• Do NOT rub, massage, or scratch the injection site.
• Avoid makeup for 1-2 hours after treatment.
• Avoid hats/headbands/helmets, or any compression to treated areas for 48 hours
• 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.

PICOLAZER PATIENT INSTRUCTIONS FOR BENIGN PIGMENTED LESIONS

PRE TREATMENT

• Avoid the sun for 2 weeks before and after treatment and until your physician allows it. Your provider may ask you to stop any topical medications or skin care products 3-5 days prior to treatment.
• If have had a history of perioral herpes simplex virus, your provider may recommend prophylactic antiviral therapy when treating that area. Follow the directions for your medication.
• If you are tanned or have a darker skin type, a bleaching regimen may be started 4-6 weeks before treatment.
• RECENTLY TANNED SKIN CANNOT BE TREATED! If treated within 2 weeks of active (natural sunlight or tanning booth) tanning, you may develop hypopigmentation (white spots) and this may not clear for 2-3 months or more.
• The use of self-tanning skin care products must be discontinued one week before treatment. Any residual self-tanner must be removed prior to treatment.

POST TREATMENT

• Immediately after treatment, there should be erythema (redness) and edema (swelling) at the treatment site, which should subside up to 48 hours after the treatment. The treated area may feel like a sunburn for a few hours after treatment.
• Your provider may use an optional cooling method immediately following treatment to ensure your comfort.
• A topical soothing skin care product such as aloe vera gel may be applied following treatment if desired.
• Avoid sun exposure for 2-weeks to reduce the chance of hyperpigmentation (darker pigmentation).
• Always use sunblock (SPF 50+) throughout the course of treatment.
• The treated pigment may appear darker immediately and within the first few days following treatment. The darkened pigment will flake off like dry skin within 7-10 days. Avoid picking or scratching the treated skin.
• There are no restrictions on bathing except to treat the skin gently, as if you had a sunburn, for the first 24 hours.

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please call the office or info@samaramedspa.com

PRE TREATMENT

• Treatment area must be clean. Do not apply any lotions, self-tanning lotions, makeup, or sunscreen before the visit. Shaved treatment area is advised. Waxing and hair removal cream must be avoided in the treatment area for a minimum of 2 weeks before and after treatment.
• No spray tanning for 2 weeks before the tattoo removal and until the wound is healed.
• Please advise technician of any photosensitive medications such as Accutane that you are currently taking. Some medications require a waiting period before treatment can be performed. Your provider may ask you to stop oral or topical medications prior to treatment.

POST TREATMENT

• Immediately after treatment, there may be “frosting” on the area that is being treated. Redness and swelling are typical. Blisters are a possibility. Pinpoint point bleeding may occur.
• Keep dressing in place for 24 hours. You can shower. No soaking in a bathtub, hot tub or swimming until the wound heals.
• Keep a thing layer of antibiotic ointment or Vaseline on the treated area and keep covered with a non-stick pad for 1 week.
• A cool compress can be applied for discomfort. Tylenol can also be used for discomfort. Leave the treated area intact. Do not pick, rub, scrub or scratch at the skin throughout the healing process.
• Do not use over-the-counter antibiotic creams on the treatment area while it is healing. Avoid sun exposure. Use sunscreen.

Multiple treatments are required to see the results of the tattoo removal.

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please call the office and email photos of your area of concern to info@samaramedspa.com

PRE TREATMENT

• Do not apply lotions, creams, or deodorants (depending on the area to be treated) prior to treatment
• Excessive hair may need to be removed. Do not shave within 2 days before treatment
• Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories,etc.)
Recent piercings must be fully healed and evaluated by a provider prior to treatment
• Tell your provider if you pregnant or currently breastfeeding

DURING TREATMENT

• The sensation of slight tingling, felt at the first application, must limit the number of applications over the same area
• The sensation of an intense burning limits the execution of the procedure (meaning the skin is irritated)

POST TREATMENT

• A soothing cream may be used over the entire area treated
• Avoid skin irritants (examples below) a few days post-treatment
• Products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents,etc.
• Multiple treatments are required every 2 weeks for at least 4 treatments
• Do not undergo another treatment within a week after the previous one

POST TREATMENT

• Wait until the next day before washing face or applying soap, cream or makeup to the treatment area.
• Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen to prevent further sun damage. Avoid heat – hot tubs, saunas, etc. for 1-2 days
• Avoid skin irritants (examples below) a few days before and after treatment, products containing:

1. Tretinoin
2. Retinol
3. Benzoyl Peroxide
4. Glycolic / Salicylic Acids
5. Vitamin C / Ascorbic Acid
6. Astringents, etc.

• Bruising, redness, and swelling may occur and resolve with time
• More aggressive treatments or the use of irritants in the days prior to or after treatment can lead to longer downtime.
• Clean your phone and glasses with alcohol. Use the phone on speaker for the remainder of the day.
• Notify the clinic of any concerns (blistering, excessive redness or swelling, etc.)

PRE TREATMENT

• Avoid the use of Aspirin, NSAIDS, Blood thinners, Ginkgo Biloba, Garlic Supplements, Green Tea, Flax Oil, Fish Oil, Vitamins A and E, and Omega/essential fatty acids for up to 1 week pre and post injection as they will increase your risk of bruising. Please check with your Primary Care Provider prior to stopping any prescribed medications.
• Do not drink alcoholic beverages 72 hours before (or after) your treatment to avoid extra bruising.
• You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising – Do not apply products that are potentially irritating for 2 -3 days before and after treatment (examples- tretinoin/retin-a, glycolic acid, benzoyl peroxide, hydroquinone).
• Inform your provider if you have a history of cold sores to receive advice on antiviral therapy prior to treatment.
• Do not use the above stated if you are pregnant or breastfeeding or are allergic to any of its ingredients.
• Please inform your provider if you have any questions about this prior to the treatment.
• No dental procedures including dental cleaning 2 prior to the Sculptra procedure.

POST TREATMENT

• If bruising is noted, you may apply covered ice to injection sites for 15 minutes on and 30 minutes off, for 3 times, the day of treatment.
• You may take Acetaminophen/Tylenol if you experience any mild tenderness/discomfort Massage the area with Arnica Gel 5 times a day, for 5 minutes each time, for 5 days after treatment.
• After treatment there will be moderate swelling and redness with possibility of bruising. These symptoms will resolve in about 10-14 days. You may take Arnica tablets to help decrease the amount of bruising.
• Avoid UV exposure until any redness/swelling has subsided. Always Apply SPF 50 if exposed to sun for any length of time.
• Avoid strenuous exercise for 24 hours to reduce bruising and swelling. You may resume other normal activities/routines immediately.
• Avoid laser, IPL, or skin tightening treatments of the area for at least 2-3 weeks.
• You may continue your topical products as mentioned above 1 week after injection.
• No dental procedures including dental cleaning 2 weeks after Sculptra procedure.

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please call the office and email photos of your area of concern to info@samaramedspa.com.

PRE – LIFT

• Please do not drink alcohol for 1-2 days prior to the procedure.
• Please do not smoke 1-2 days before and 1-2 days after the procedure.
• Please discontinue the use of blood thinners 2-3 days before the procedure.
• If patient is taking Warfarin, it is recommended to stop taking it 5 days prior to the procedure. Please consult with your prescribing physician before discontinuing your blood thinners.
• Avoid dental procedures including dental cleanings 2 weeks prior to the thread lift procedure.

POST OPERATIVE CARE

• Patient may go back to everyday life (i.e. driving, eating, walking, etc.) right after the procedure.
• Swelling may be present after the procedure but the use of ice packs for 30 minutes for a few days will help lessen with swelling.
• Avoid washing hair and taking a shower for the next 24 hours after the procedure.
• When washing face after 24 hours, gently wash the required area.
• Avoid drinking or smoking for about 1-2 weeks to prevent possible infection.
• Smoking and drinking will slow down the healing process.
• Avoid chewing, yawning, or smiling too large with facial threads for up to 1 month (not applicable if you had eyebrow lift only).
• Avoid lying down either in a supine nor prone position 4 hours after the procedure to decrease the possibility of the movements of threads.
• It is recommended to sleep in a proper position for the next 3-5 days to prevent maneuvering of threads.
• DO NOT SLEEP OR LAY ON EITHER SIDE OF YOUR FACE
• Avoid ad stands, yoga, strenuous workouts, and exaggerated facial expressions for about 2-3 weeks. (Avoid dental treatments during this time if possible)
• The face may be bound with bandages for 1-2 days after the procedure to help with swelling and stability if needed.
• Deep facial massages should be avoided for the next couple months, however, laser treatments may be done after a week from the procedure.
• Avoid dental procedures including dental cleanings 2 weeks post-procedure.
• Do not place any heat or bengay on the treatment area.

If you notice any blanching/paleness or gray colored skin, a dramatic increase in pain, or new skin lesions in the area treated, please call the office and email photos of your area of concern to info@samaramedspa.com.

BEFORE YOUR TREATMENT

• Hair in the treatment and return pad area need to be shaved
• Be well hydrated prior to treatment
• Body piercings may need to be removed if under or near the treatment area
• Notify clinic of any changes to your health history or medications since your last appointment

AFTER YOUR TREATMENT

• Redness and swelling may occur and typically resolve within a few days Palpable nodules that are tender to touch or lumps in the treatment area may develop in the treated area up to 72 hours following treatment, and typically resolve over several weeks.
• Subjects from CUTERA clinical study were advised to gently massage the nodules for 2-5 minutes twice daily.
• Multiple treatments may be required.
• Notify Clinic if any of the following occur:

1. Blister
2. Crusting to Skin Burns
3. Tenderness, Redness, or swelling persisting longer than a few days
4. Nodules that are tender to touch or jumps in the treatment area that last longer than 4 weeks.
5. These may develop up to 72 hours post-treatment and typically resolve over several weeks.

If you notice any new skin lesions in the area treated, please call the office or email info@samaramedspa.com.

BEFORE YOUR TREATMENT

• Be well hydrated prior to treatment. Body piercings may need to be removed if under or near the treatment area.
• Do not exercise within the 12 hours prior to treatment, as it may affect your tolerability of the treatment.
• Notify clinic of any changes to your health history or medications since your last appointment

AFTER YOUR TREATMENT

• Frequent urination and/or bowel stimulation may be caused by the procedure.
• Tingling/Numbness in the areas treated up to a few hours after procedure.
• Slight muscle soreness/tenderness 24-72 hours after procedure.
• Random muscle contraction after procedure.
• Increase in metabolic rate results in feeling hungry more frequently. Please be aware of this fact and DO NOT overeat.
• Burns beneath the electrodes have been reported with the use of powered muscle stimulators. If this occurs, please call our office for wound management instructions.

If you notice any new skin lesions in the area treated, please call the office or email info@samaramedspa.com.

POST OPERATIVE COURSE

DAY 1 – DAY 7

• The healing time for any given treatment varies between different clients. The following represents the general recovery phases you might expect. Individual clients may experience variations from this course. Swelling of your wrinkles occurs immediately. It is possible for clients to have their under-eye area swollen for the first day, but this swelling will subside. There will be redness and very minimal warmth emanating from the area for the first 3 hours. You should notify us if you experience pain that is severe or excessive, as this is unusual. Bruising is not at all common, but let us know if this occurs.


• Activity: Post redness is mild, and you may return to regular activities immediately. Do not apply ice or cooling compresses as the heat response is the body’s natural healing response.


• Moisturizer: ZO Oraser Cellulite Control Creme may be applied immediately after each treatment, and then should be applied regularly throughout the course of the treatment.


• Make-up: Can be applied immediately after the treatments. It is important that you remove all make up that is applied to the skin at night. Do not sleep with makeup on the treated area.


• Swelling/Discomfort/Redness: You should notify us if you experience pain that is severe or excessive, as this is unusual.


• Sun Avoidance: Sun avoidance should become a permanent component of your long-term skincare program. Always use an SPF 50 or greater even on a cloudy day.


• Long-term Skin Care: In addition to sun avoidance, we suggest all clients use long-term skincare that will optimize the youthful, rejuvenated appearance you have achieved. We offer clients a program for long-term maintenance of your skin.


• HOME REGIME: To enhance the results of the treatments, it’s recommended to maintain a healthy and active lifestyle. Gaining weight during the treatments could compromise the end results.


• Warning Signs: The following are some of the symptoms that should alert you to the possibility of an impending or existing complication and you should contact Samara MedSpa by phone or by email at info@samaramedspa.com


• Infection: Infection may be present if you notice:
1. Increased (rather than decreasing) facial swelling after the first 24-36 hours.
2. Redness spreading beyond the area of resurfacing that is warm and tender to touch.

POST OPERATIVE CARE

DAY 1

• Apply a generous amount of the post treatment face cream that you were sent home with at night or earlier to help with the dryness. The amount should be a fingerprint size (not a pea size) and be massaged into the skin until absorbed.

DAY 2 AND BEYOND

• AM: Apply the post treatment face cream sent home with for dry skin. Apply SPF 40+
• PM: Apply the post treatment face cream sent home with, wait 30 minutes, apply Daily Power Defense.
• Repeat “Day 2 and Beyond” steps until post treatment face cream is gone, and continue with Daily Power Defense twice a day or more if you are feeling dry.
• Do not use any other products during your course of treatment. Gentle cleasner, SPF and makeup is acceptable.
• You may resume your regular skincare regime 7 days after your last session.

If you notice any new skin lesions in the area treated, please call the office or email info@samaramedspa.com.