Post-Care Instructions

IMMEDIATE POST-TREATMENT CARE INSTRUCTIONS

• Do not massage the treated areas on the day of treatment.
• Avoid lying down for 4 hours immediately after treatment.
• Avoid applying heat to the treated area on the day of treatment. Avoid activities that cause facial flushing on the day of treatment including consuming alcohol, exercising or tanning (both natural sunlight or the use of a tanning bed).
• Gently apply a cool compress or wrapped ice pack to the treated areas for 15 minutes every few hours if needed to reduce discomfort, swelling or bruising up to day 4 post treatment. If bruising occurs it will typically resolve by 7-10 days after your treatment.
• Effects of Botox take 1-2 weeks to fully develop and last approximately 2.5 – 5 months on average.  Note: Botox treatment is not permanent and requires maintenance therapy (repeat treatments) to continue the benefits.
• Frequently, patients require an enhancement procedure; this is due to the wide variance on how individual patients respond to the medication and the importance of using the minimal amount of medication necessary to achieve results. Given the 1-2 week delay in the treatment reaching full effectiveness, this may result in “touchup” therapy to fully achieve your desired cosmetic outcome.

 IMMEDIATE POST-TREATMENT CARE INSTRUCTIONS

• Redness or sensitivity might be present (and last up to a few days) after treatment.
• Do not use anti-inflammatory medications such as Ibuprofen, Motrin  or Advil for pain relief.  Please use Tylenol for any residual  discomfort.  Anti-inflammatory medications will interfere with the  natural inflammatory process that is crucial to achieving skin  rejuvenation with microneedling.
• Peeling may start 3 - 5 days after treatment. Do not pick or scratch at treated skin, but instead keep the area moisturized.
•  Avoid strenuous exercise or sweating for 24 hours due to healing microchannels in your skin.
•  Treat skin gently. Wash with a gentle cleanser, cool water, using  clean hands only, and pat dry, no earlier than the evening after your  treatment.
•  You may use cool compresses for excessive discomfort, burning, redness, or swelling
•  Avoid prolonged, direct sun exposure for at least 10 days after  your treatment. When exposed to sun light, apply a minimum of SPF 30  sunscreen, every 2 hours.
•  You may use mineral-based makeup after 24 hours; please wait 7 days before using any heavier make up varieties.
•  Resume your regular skin care regimen 48 hours after treatment and Retin A can be applied 72 hours after treatment.

 IMMEDIATE POST-TREATMENT CARE INSTRUCTIONS

DAY ONE

• Do not wash, touch, or apply make-up and/or sunscreen for at least 4 - 6 hours while peel is on the skin. APPLY NOTHING.
• If you have excessive itching or irritation prior to this time period, you may wash the treated area with a mild cleanser and water. DO NOT rub with anything harsh such as a sponge or a washcloth. Take Benadryl if needed.
• Cleanse after 4 - 6 hours. Wash area with a mild cleanser (if you don't have one we will suggest one) and water with hands only. Make sure skin is dried well. Apply one of the post-peel retinoid towelettes to the peeled area 30 - 45 minutes after cleansing peel. Making sure the skin is completely dry before applying the towelette.Allow the product to absorb into the skin before going to bed (at least 1 hour before bedtime).
• If after applying the towelette you feel extremely dry or slightly stingy you may use the Vi Derm Moisturizer included in this kit. If needed, you may also apply a light layer of hydrocortisone 1% or 2.5% cream to relieve any irritation or redness. Remember you can take Benadryl if needed.

DAY TWO

• AM: Gently wash face with a mild cleanser. You should apply the Vi sunscreen and/or make-up. Be aware of your sun exposure and make sure you have protection on.
• PM: One to two hours before bedtime, wash area with a mild cleanser and water with hands only. Dry well, as skin must be completely dry. Apply the second post-peel retinoid towelette to the peeled area at least one hour before bed. This will allow the product to absorb into the skin before going to bed.
• If needed, you may also apply a light layer of hydrocortisone 1% or 2.5% cream to relieve irritation or redness.  Take Benadryl if needed.

DAY THREE thru FIVE

• AM: Cleanse with mild cleanser, and sunscreen before make-up. (Please use the products given). You may apply hydrocortisone cream at this time.
• PM: Cleanse with mild cleanser. You can also apply hydrocortisone cream.
• You will start the peeling process by seeing a slight slouching of the skin, first around the perioral area (mouth) then the rest of the treated areas. At this time the skin can get very itchy. This is a sign of healing and is normal! Again, apply hydrocortisone cream over the "itchy" areas.
• After peeling begins, You may apply hydrocortisone. This will also aide in elimination of picking the peeling skin. Refrain from picking the skin so redness, irritation and hyper pigmentation do not occur.

DAY SIX AND AFTER

• You may resume your regular skin care regimen. If your skin is still sensitive or becomes red or irritated, wait until sensitivity subsides before using any strong products. This may take up to 2 weeks.

 IMMEDIATE POST-TREATMENT CARE INSTRUCTIONS

• It is imperative that you avoid direct sun for at least 1 week , use a sunscreen of at least SPF 30+, and  reapply throughout the day.
• Your skin may have a light yellow tinge immediately after the procedure. This is temporary and will fade in 1-2 hours. Please wait until after the yellow tinge completely disappears to wash your face (about 2 hrs), or you may wait until the evening to wash.
• When washing, do not use friction, washcloth, or scrub. Use only a (non-soap) gentle cleanser for sensitive skin. Do not use anything abrasive or potentially irritating, and minimal pressure. Do not massage or rub.
• After washing your face apply a gentle, benign moisturizer for 4-5 days and as often as needed to relieve any dryness. Do not massage and use feather-like touch. Be sure to reapply sunscreen often thoughout the day.
• Your skin may be more red than usual for 2-5 days. Avoid strenuous exercise during this time.
• Approximately 48 hrs after the treatment, your skin will start to peel. This peeling will generally last 2-5 days. DO NOT PICK OR PULL THE SKIN. Allow skin to peel at its own pace, and do not use friction.
•  You may resume the regular use of topical retinoid, alpha hydroxyl acid (AHA) products, or bleaching creams ONLY after the peeling process is complete.
• Wait until peeling completely subsides before having ANY OTHER FACIAL PROCEDURES, including:

1.  Facials
2.  Microdermabrasion
3. Laser treatments (including laser hair removal)
4. BOTOX or injectable fillers