Avoid aspirin, motrin (ibuprophen), vitamin E, alcohol (or any agent that would potentiate bleeding/bruising) for 5-7days prior to you treatment. Please notify us if you are on any prescription blood thinners and stop them for 5-7 days prior to treatment if this is allowed by the prescribing physician. Even following these steps does not prevent all bleeding/bruising. Point bleeding WILL be seen after profractional, this is normal and should not continue after the first day. Protect bedding accordingly.
Caffeine will sensitize pain receptors and is best avoided the morning of the procedure. Take Tylenol 1-2hours prior or ask for a prescription pain killer to be filled prior if preferred (but you must arrange to be driven to and from the procedure in that case). A topical anesthetic and/or cold air is used during the treatment to improve comfort. Injection of anesthetics may be employed as well.
Please reschedule if you have a rash or infection at or near the treatment site (especially a cold sore). To prevent a herpes infection, take over the counter L-lysine 1000mg by mouth 1-3x daily starting the day prior and continue until the wound is healed. If you get a cold sore or a white film or blisters at the treatment site, contact me. These steps are recommended even if you have no history of cold sores.
Your treatment is customized to suit your recovery time needs as best as possible. Less aggressive treatments will generally require 2-5 days healing and more aggressive treatments around 1-3 weeks. If your desired recovery time changes, discuss this with me prior to treatment. Please plan your treatment dates carefully and realize that the above time frames are estimates.
Immediately after Laser Spot Removal/Reduction, Arctic MiniPeel, MLP and/or Profractional treatments, the skin is bright red and feels tight like a sunburn. Keep an occlusive ointment like aquaphor or proderma makeup (available from our office) on your skin applying 2-3times a day and as needed to prevent dryness until this feeling resolves (~4 days for profractional, variable for Arctic MiniPeel (shorter) and MLP (longer)) and the wound is healed. After that, regular makeup and products can be used.
Do not use hot water or rub at the treated area until it is healed. Water can be splashed and gently patted/wiped when you are comfortable. Wait at least 24-48 hours to wash due to discomfort otherwise.
Some treated areas may swell, especially around the eyes/mouth. Keep head elevated and face up when sleeping for the first 2 nights or while swollen. Use cold packs or cold rags as needed.
A pattern on the skin is noted for the first few days after treatment. With profractional, pinpoint bleeding is seen in this pattern. This should resolve by the morning after, but you may see specks of dried blood still. Use old sheets or towels over your bedding to avoid stains from blood and/or aquaphor.
Avoid tretinoin or retin A products for one week after the wound is healed. Use hydroquinone or a prescribed lightening cream 1-2 times a day for 4-6 weeks prior to treatment and as soon as the wound is healed if you have melasma, hyperpigmentation or skin type IV or higher (Hispanic, Asian, African American or moderate to dark complexion).
Proderma makeup speeds healing and covers redness. You must use some type of sunscreen/block daily and reapply at 2 hour intervals. Sun exposure increases risk of scarring, hyper or hypopigmentation.
The skin will often flake/peel 2-3 days after and may persist up to a week or so. Do not rub or scratch. Redness will improve daily but may persist for weeks and will worsen with sun exposure/other irritants.
If you have any questions or concerns, please contact Dr. Stacey E. Whitehead at CB Skin Secrets 402-915-2756 during clinic hours. Other calls will be returned as able but if there is an emergency, call 911 or go to the ER.