After Treatment:

• Do not use alpha or beta hydroxy acids, Retin-A or Renova for 72 hours after treatment. Unless otherwise instructed by your skin care professional.
• Avoid direct sunlight for 72 hours after treatment. If outdoor activities are planned, wear a wide-brimmed hat. Wear an SPF 30 or higher everyday and re-apply often.
• Wash your face morning and night with the recommended cleanser.
• Continue use of treatment products, hydrator, and sunscreen unless otherwise directed by your doctor or skincare professional.
• If redness or sensitivity occurs, was your face and apply a cool compress or ice pack.  If sensitivity continues for more than 12 hours, contact your physician or skincare provider.
• If you are prone to cold sores, microdermabrasion may cause a break out; ask your doctor for a prophylactic treatment such as Valtrex.
• Do not peel or pick at loose skin or crusting, as it may cause severe scarring and discoloration to affected area.
• If crusting occurs, apply Aquaphor or Biafine to the affected area until healed.
• Keep skin well hydrated with appropriate moisturizer every day.

After Treatment:

• Gently cleanse area with gentle skin cleanser.
• Clients apply moisturizer morning and night.
• Clients treated for pigmented lesions: apply Aquaphor/Biafine to crusty lesions for 5-7 days. Picking at the treated area may cause scarring.
• Avoid the sun for 2 weeks.  Use SPF 30 or higher and reapply often.
• Wait 3-5 days before restarting Anti-Aging products or acne products. i.e Retin A, Renova.
• For hair removal clients, do not pluck or wax the treatment area. Snipping or shaving is permitted.
• If redness or irritation occurs, use cold compresses or wrapped ice packs.  A topical cream such as Aquaphor/Biafine  may also be used 2-3 times a day.
• Please call Refine Medical Spa and Laser Center with any questions or if discomfort or irritation continues. 

Before Treatment:

• The area to be treated should be clean.
• Area to be treated should be freshly shaven. Shave before you come.
• Do not wax, tweeze, bleach or use depilatories for at least 3 weeks before and after each treatment. Ideally, you should refrain from these modalities during the course of your treatments. It is best to shave or trim the area being treated.
• Inform practitioner of any ongoing medication therapy.
• Inform practitioner any recent illness, latent or active skin condition, recurring illness, or any prior surgery.
• Cannot perform treatment if skin is infected or wounded.
• Notify practitioner of any previous hair removal methods.
• Avoid direct sun exposure for 4 weeks before and after each treatment. If you cannot avoid sun exposure, then a commitment to wear sunscreen is necessary. Use a sunblock or sunscreen of at least 30 SPF that contains protection against UVA/UVB light throughout the course of treatment and one to two months following treatment. You will need to reapply the sunscreen every few hours with prolonged sun exposure. If you have sun exposure without wearing sunscreen, you will increase the possibility of hyper-pigmentation and discoloration of the skin.

After Treatment:

• After each treatment, you may feel like you have a mild to moderate sunburn. This sensation usually resolves within 15 minutes, but may occasionally last as long as 3 days. To help soothe the area, you may use a hydration lotion available at Refine.
• If the skin is broken or appears to be blistered, apply an antibiotic ointment to the affected area two times a day. Do not pick at the area because this can increase the probability of developing pigment changes and scarring. Please call our office and notify our staff.
• If whiteheads, ingrown hairs, pimples, redness or swelling becomes a recurring problem, notify our staff.
• Avoid direct sun exposure for 4 weeks before and after each treatment. If you cannot avoid sun exposure, then a commitment to wear sunscreen is necessary. Use a sunblock or sunscreen of at least 30 SPF that contains protection against UVA/UVB light throughout the course of treatment and one to two months following treatment. You will need to reapply the sunscreen every few hours with prolonged sun exposure. If you have sun exposure without wearing sunscreen, you will increase the possibility of hyperpigmentation and discoloration of the skin.
• Do not shave the treated area for at least 4 days after the treatment.
• Do not wax, tweeze, bleach or use depilatories for at least 3 weeks before and after each treatment. Ideally, you should refrain from these modalities during the course of your treatments. It is best to shave or trim the area being treated.
• Avoid irritating medications or chemicals, particularly on the face. Examples of these are Retin-A, benzoyl peroxide, glycolic acid or astringents. Please let the staff know of any and all products you are using on the skin.
• Do not exfoliate or loofah for at least 1 week after each treatment.
• Avoid bathing or washing with hot water, steam rooms, whirlpools, vigorous workouts, alcohol consumption for at least 48 hours before and after each treatment. Use tepid water.
• If you take any new prescription or over the counter medication, it is imperative that you let the practitioner know prior to each treatment.
• The number of hairs should reduce after each treatment. The remaining hair should gradually become lighter.
• Several treatments will be necessary to achieve optimal results.
• Treatments are provided at regular, scheduled intervals for optimal results.
• The clinical result, as well as the optimal number of treatments, varies from one individual to another. Some of the hairs may not respond to laser treatment.
  

Before Treatment:

• The area to be treated with the laser should not have been exposed to the sun or tanning booth at least 4-6 weeks before treatment. If so, treatment of tanned skin can cause blistering and possibly hypo pigmentation (white spots) that can last for months.
• If you use tanning cream, do not apply to treatment area for at least 10 days before treatment.
• Clients taking high doses of iron (more than a multi-vitamin may be more susceptible to hyperpigmention (increased pigment/brown spots) if treated with the laser. This pigmentation change usually resolves but can last for months.
• Clients with poor circulation (i.e. diabetes), taking blood thinners (coumadin, warfarin, daily aspirin etc.) may have poor or delayed healing if treated with the laser for leg veins.

After Treatment:

• Immediately after laser treatment, the heat of the laser pulses may be uncomfortable. Ice packs can be applied intermittently for the first day to relieve discomfort.
• Tylenol is recommended for discomfort if necessary.
• If any areas treated have resulted in blistering, antibiotic ointment can be applied to keep the area from being infected. Keep this clean and covered until healed.
• The treatment area will be bruised or discolored after treatment. This can last a few days or a few weeks. STAY OUT OF THE SUN OR TANNING BOOTH until the treatment area is healed. If additional treatments are needed, keep from tanning at least 6 weeks before scheduled treatment.
• For 48 hours after treatment of leg veins, keep from exercising your legs so healing will not be impaired. Exercise may contribute to delayed healing and/or hyper pigmentation.
• If a large area on both legs has been treated, elevation of the legs with cold application after treatment can reduce discomfort.
• If you received a test dose only, waiting at least 6-8 weeks can be necessary to see if the treatment was effective and for us to evaluate for any side effects that may have occurred.
• When a full treatment is performed, WAITING AT LEAST TWO MONTHS before the next treatment is best as treatment is best as healing continues throughout this entire period.

After Treatment:

• Do not use alpha or beta hydroxy acids, Retin-A or Renova for 72 hours after treatment. Unless otherwise instructed by your skin care professional.
• Avoid direct sunlight for 72 hours after treatment. If outdoor activities are planned, wear a wide-brimmed hat. Wear an SPF 30 or higher everyday and re-apply often.
• Wash your face morning and night with the recommended cleanser.
• Continue use of treatment products, hydrator, and sunscreen unless otherwise directed by your doctor or skincare professional.
• If redness or sensitivity occurs, was your face and apply a cool compress or ice pack.  If sensitivity continues for more than 12 hours, contact your physician or skincare provider.
• If you are prone to cold sores, microdermabrasion may cause a break out; ask your doctor for a prophylactic treatment such as Valtrex.
• Do not peel or pick at loose skin or crusting, as it may cause severe scarring and discoloration to affected area.
• If crusting occurs, apply Aquaphor or Biafine to the affected area until healed.
• Keep skin well hydrated with appropriate moisturizer every day.

After Treatment:

• Immediately after the treatment, the most commonly reported side effects were temporary redness and swelling at the injection site.  These effects typically resolve within two to three days.  Cold compresses may be used immediately after treatment to reduce swelling.  If the inconvenience continues beyond two to three days or if other reactions occur, please contact our office.
• Avoid touching the treated area within six hours following treatment.  After that, the area can be gently washed with facial cleanser and water.
• Until the initial redness and swelling have resolved, avoid exposure of the treated area to intense heat (sun lamp or sun).
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence.
• Avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort, and high doses of vitamin E supplements for one week after treatment.  These agents may increase bruising and bleeding at the injection site.
• Avoid exercise and alcohol for six hours post-treatment.
• Evidence shows that having a follow up treatment before the product has fully dissipated will enhance the lasting effect.  Please be sure to consult your physician about recommendations for touch-up or follow up treatments.
• Do facial exercises for the first hour after injection.
• Do NOT lie down for 4 hours
• Do NOT press or massage the injected sites for 4-6 hours
• Do NOT sleep on face

After Treatment:

• Apply ice to any sore or swollen area for 24-48 hours.
• Do NOT press or massage the injected site.
• After lip augmentation; try to minimize lip movement for the first 48 hours.
• Follow up in 4-6 weeks to check for corrections or to touch up results.
• Avoid touching the treated area within six hours following treatment.  After that, the area can be gently washed with soap and water.
• Until the initial redness and swelling have resolved, avoid exposure to the treated area to intense heat (sun lamp or sun).
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence.
• Avoid taking aspirin, non-steroidal anti-inflammatory medications, St. John’s Wort and high doses of Vitamin E supplements for one week after treatment.  These agents may increase bruising and bleeding at the injection site.
• Avoid exercise and alcohol for six hours post-treatment.
• Evidence shows that having a follow-up treatment before the product has fully dissipated will enhance the lasting effect.
• An appointment for a follow-up visit must me made within seven to ten days in order to ensure consistency of the product with the skin.  At this visit, the practitioner may apply pressure to the treated area to adjust the product and prevent a granuloma.
• Call with any questions or concerns.  219-227-8801