Pre And Post Procedure Care Instructions

Please reference these pre and post procedure instructions

Pre CO2RE

Please bring a big hat and sunglasses to your appointment.

Hydrate – we recommend that for 7 days pre-treatment you moisturize skin in the morning and evening, drink at least 8 glasses of water per day to completely hydrate your skin and optimize treatment results.

– Prophylaxis Antiviral medication has been prescribed please take this medication 3-4 days prior to the procedure. This medication is for patients undergoing a deeper peel or have a history of Herpes Simplex to avoid outbreaks. *only if checked

– Use brightener prior to the procedure. *only if instructed

– Stop retinoid therapy 3-4 days prior to treatment. *only if instructed

– Avoid any prolonged sun exposure for at least 1 month before your procedure, if you must be in the sun use a zinc oxide sunscreen of at least SPF 30+.

– Removal all substances from the intended treatment area, including topical anesthetics, hairspray, gel, makeup, lotions, deodorants, self-tanning products and ointments. Do not use flammable products in the vicinity of the laser. .

– Plan to schedule a follow up visit 1 week after your procedure.

– Apply your numbing cream 1 hour prior to your treatment.

INTRAOPERATIVE CARE

Safety considerations are important during the laser procedure. Protective eye wear will be worn by the patient and all personnel in the operative suite during the procedure to reduce the chance of damage to the eye. Your provider will take all necessary precautions to ensure your safety.

A smoke evacuator will be used to remove any smoke or debris from the air.

Cooling air during and after the procedure will soothe the skin.

Post CO2RE

The treatment area should be cared for delicately until healing is complete. Care should be taken to prevent additional trauma to the treated area for the first 7 days following the treatment.

A cold-sore during the healing phase is considered an EMERGENCY. You should have already told the doctor if you have a history of cold-sores and already be on preventative medication. If you get a cold sore, call the doctor immediately!

Moist wound healing with soaks (see below #7 and #8) and ____ Aquaphor ointment, ____Elta moisturizer or ____Ciclofate cream recommended for at least 3 days and up to 7-10 days.

You will be given a post care kit to take home please follow the post care instructions inside your kit.

Swelling WILL occur and peak at 2-3 days. This is normal.

____ Take Zyrtec in the AM and Benadryl in the PM as needed for active swelling.

The redness can last much longer (sometimes weeks, depending on intensity of treatment).

Acetic Acid soaks on days 1 and 2 – (white vinegar/water). Mix 2 TBSP white vinegar with 16 OZ of cold water. Soak a soft washcloth with the mixture and rest on face for 5-10 minutes. You can repeat this 2-3 times a day. This reduces the risk of infection and helps with pinpoint bleeding.

Lactic Acid soaks on days 3 and 4. (whole milk compresses). Place ice cubes in a small basin with whole milk. Soak a soft washcloth with the mixture and rest on face for 5-20 minutes. You can repeat this 2-3 times a day. This reduces inflammation, itching and is actually quite soothing.

The crusts will flake off over a period of 5 – 7 days.

As the skin heals, you must use a zinc oxide sunblock (SPF 30+) every day for approximately 30 days.

THINGS TO AVOID DURING THE HEALING PROCESS

Avoid sun exposure to reduce the chances of hyperpigmentation (darker pigmentation).

___ Avoid long-distance travel for 5 days after procedure. *only if checked

The use of makeup during the first few days is not recommended. The removal of makeup can disrupt the skin increasing the chance for infection.

Excessive perspiration and heat to the treated area may cause tissue disruption. Physical exercise (hot tubs, saunas, treadmill, yardwork etc….) should be discontinued for the first 2 – 3 days to reduce the risk of infection and discomfort.

There are no restrictions on bathing except to treat the skin gently, avoid scrubbing or trauma to the treated area, as if you had a sunburn. (Gently cleansing the treated area is important, it helps prevent infection).

Avoid Scrubs, picking at crust, exfoliating, retinoid topical creams, peels, facials, masks and use only gentle washes like Dove sensitive skin, Cetaphil or Cerave cleanser for treated area while you are healing.

MEDICATIONS – REVIEW:

If checked prescription has been given to you or will be sent to your pharmacy for your pick up.

____ Numbing Cream RX – Prior to procedure

____ Pain control – Tylenol #3 – take 1-2 tablets 1 hour prior to procedure* or extra strength Tylenol (1-2 tablets 1 hour to procedure). Generally not necessary.

____ Anxiety – Xanax 1 mg – take on table 1 hour prior to procedure* generally not necessary
*if you decide to take pain relief tablet or anti-anxiety medication please ensure someone accompanies and drives you to and from the office, since you may be somewhat sedated.

____ Doxycycline 100 mg – One tablet twice a day WITH FOOD, start in morning of procedure and one week after treatment if you are acne prone. To minimize risk of bacterial infection and acne.

____ Acyclovir 1g – Start morning of procedure and continue for 1 week. To reduce risk of viral infection if you have any history of cold sores.

Post Cantharadin

– Rinse off areas after 4-6 hours, leave uncovered, if irritated/inflamed apply Vaseline or Aquaphor ointment 1-2 times a day for 1 week.

– The first 24 hours are the most uncomfortable – Tylenol or Benadryl at bedtime for discomfort/Itch for 1-2 days if needed.

– Typically multiple treatments are needed for complete resolution

Post Liquid Nitrogen And Electrocautery

– Leave areas treated open to air avoid covering with Band-Aid or bandage.

– Avoid sun exposure on treated areas if possible.

– Apply Vaseline or Aquaphor ointment twice a day until healed (normally 5-7 days)

– It is common for areas treatment with the Liquid Nitrogen to become red and possibly blister this is normal. Do not pop blisters.

Post Biopsy

– Remove your bandage the day after your biopsy.

– Clean area with soap

– Gently pat dry

– Apply a thin layer of either Vaseline or Aquaphor to prevent scabbing

– Cover with a new bandage

– Repeat the above once a day for 1 week.

Biopsy results may take 5-10 business days. Our nursing staff will reach out to you once they are received. If you have not heard back from us in 2 weeks time please contact our office at 954-998-0345.

Post Picato / Fluorouracil / Imiquimod

Avoid sun exposure for all areas since it intensifies the reaction. Avoid Neosporin.

– Apply medication as directed – small amount to affected areas, normally at night.

– Apply Aquaphor or Ciclofate every morning during treatment. Use SPF 30+ sunscreen on top of these for sun protection.

– After treatment is complete apply an over the counter cortisone 1% ointment to areas if needed for irritation twice a day for 3-4 days and apply sunscreen to areas.

Recheck in:

_____  2 weeks
_____  1 month
_____  6 weeks

Post Surgical Excision

– Keep bandage/pressure dressing on for 24 hours.

– Once bandage is removed it is ok to shower

– Leave uncovered if no bleeding or drainage. A small amount of bleeding or drainage is normal in the first few days. You can apply pressure to the area for 5-10 minutes (no peeking) to stop any small bleed. *Leave open to air and avoid band-aids as much as possible.

– Apply ____ Aquaphor or _____ Bactroban (Mupirocin) to the area twice a day for 1-2 weeks. *DO NOT USE NEOSPORIN

– Avoid sun exposure to the area for 2-3 weeks for optimal healing.

– No heavy lifting or strenuous exercise for 1-2 weeks to avoid popping the sutures.

– Avoid blood thinners for 2 days (Consult with you prescribing physician before stopping)

– No travel for 1-2 weeks at the discretion on the physician.

– Schedule your suture removal for 1-2 weeks as directed.

Contact Us 954.998.0345