Spider Vein Removal — Post-Care Instructions for Coolglide™ Treatments

Thermage®

1. There are no specific aftercare instructions following Thermage.

2. Most people experience some redness that fades within a couple of hours and a small amount of facial swelling which subsides in a couple of days.

3. Routine Skin care includes your normal cleansers and moisturizers along with sunscreen- SPF 30 or higher.

Tattoo Removal

1. Most people experience redness and swelling over the entire surface of the tattoo. This resolves at a variable rate and can last several weeks.

2. Some people experience blistering over the surface of the tattoo. Keep the area clean. Application of a light coating of an antibiotic ointment like Neosporin to the area twice a day for 2-3 days will help this resolve.

3. It is very common for the treated area to become red and swollen. In almost all instances, this does not mean that the area is infected. Generally this can be treated with application of a small amount of Hydrocortisone Cream 1% once a day for two days.

Levulan™ Treatments

1. Most people experience redness, swelling and some mild discomfort. This generally lasts for the first 48 hours and can be treated with ice packs and mild analgesics such as Advil or Tylenol.

2. You should stay indoors for the first 24 hours and avoid direct sunlight for the first two weeks.

2. Most people experience skin flaking and some areas of crusting that shed within the first 3-7 days. Moisturizers should be used during this time period.

4. Make-up products can be applied once this crusting resolves, using mineral-based make-up products. Again, sunscreens are a must- SPF 30 or higher.

Photofacial Skin Rejuvenation — Post-Care Instructions for Intense Pulse Light (IPL) Treatments

1. A mild to moderate sunburn-like sensation is anticipated. This generally resolves within a few hours but can last for up to 2 days.

2. Bathe and shower as usual. The treated areas may be temperature sensitive but will not be harmed by bathing or showering.

3. Avoid aggressive scrubbing of the treated area. Allow the darkened areas to flake away naturally.

4. Use sunscreen! SPF 30 or higher (See the recent article on Sunscreens in the Summer ’06 Newsletter on our website)

5. If you notice any blistering, please be assured that this is very superficial. It will resolve quickly. Use a small amount of an antibiotic cream on the affected area for a couple of days and keep the area clean.

6. Do not attempt to remove any crusted or scaly areas. They will flake away over a 7-10 day period. Infrequently this can take up to two weeks.

7. Motrin or Aleve can help to reduce any swelling that may occur.

8. Hair that was treated will fall out over a period of 21 days. There may be new stubble in the treated area but this is not new growth, but treated hair being purged from your body.

9. Pigmented lesions will appear darker and will have a reddened area around them. This dark area will gradually flake off over a period of 7-14 days. Do not pick or scratch these areas.

10. Vascular areas will become lighter and will gradually disappear. It is not uncommon for this to take several weeks. There will be some immediate swelling. This is a desirable effect. It means that the treatment was effective.

Fraxel™

1. You should expect to have a pink tone to your skin for 1-3 days.

2. In addition, you may have some mild swelling for 1-2 days.

3. On rare occasions certain skin types are more reactive and both swelling and redness may last longer, but this is not concerning.

4. If you have Fraxel laser therapy performed on your neck or chest, redness and swelling is more common and can persist for several days.

5. Most people experience some dryness, which can be treated with moisturizers.

6. Routine skin care includes gentle cleansers.

7. Makeup products can be used immediately. As with all facial treatments, sunscreens are a must- SPF 30 or higher.

Botox

1. You should make facial expressions for the first couple of hours after receiving your injection.

2. You should not exercise strenuously or sit in a hot tub or sauna for the first 24 hours. Otherwise, there are no specific aftercare instructions.

3. The effects of Botox® are not immediate. They are generally seen by the fourth day.

4. The effects maximize at 7-10 days.

5. Botox® will not work in about 1% of the general population. Some people experience a mild headache within the first 24 hours, which responds to Tylenol. The effects of Botox® generally last for about 14 weeks.

Restylane®

1. You will experience swelling and redness over the treated areas. This effect is generally more pronounced in the lips. It can be treated by frequent applications of ice packs for the first 24 hours.

1. There is a chance that you will bruise. Any bruises are superficial and will resolve in a few days. This resolution can be hastened by the use of Arnica Montana gel applied to the bruised areas twice a day for three days.

2. Restylane® can cause lumpiness that generally is felt more than it is seen. This generally resolves over the first 3-4 days.

3. The result can appear uneven. This generally corrects itself over the first couple of weeks. If these effects persist past this time, call the office for further instructions.

4. Restylane® will last about 4 months in the lips and up to 5 months in the frown and smile lines.

5. Any touch-ups need to be performed about two weeks after the initial treatment. Any remaining product will be saved for a touch-up, but it will only be stored for six months, after which it will be discarded.

Radiesse™

1. In almost all cases you will notice some swelling in the areas injected, which is generally not pronounced. This can be treated with frequent applications of ice packs for the first 24 hours.

2. It is also quite common to experience a small amount of lumpiness that is usually felt but not seen. This will smooth out over a period of a few weeks.

3. There is a small incidence of bruising that generally resolves in a few days. This resolution can be enhanced by the application of Arnica Montana gel twice a day for three days.

4. Radiesse™ sometimes requires a touch-up. This is generally performed at about 10 weeks. We will save any Radiesse™ that is left over from your treatment for up to 3 months, after which it will be discarded. The effect of Radiesse™ is variable, but generally lasts up to 15 months.

Sculptra™

1. Apply ice packs frequently for the first 12 hours after treatments.

2. Massage the treated areas 5 minutes, 5 times per day, for 5 days-“5/5/5”.

3. Aside from these instructions, there are no other specific measures recommended.

4. You will generally start to notice the volumizing effect within the first three weeks after the first treatment. The cosmetic effect will continue to be enhanced for 2-3 months after the third treatment.