• Photoaging, sun-damage, sun-induced brown spots, redness, rosacea, unwanted blood vessels
• Fine wrinkling, coarse, crepey, dull, rough skin, stretch marks
• Acne scarring, irregular pigmentation, uneven skin tone

Treatments result in consistent, visible, permanent improvements with minimal to no downtime, little discomfort, and minimal risk. Proper preparation for treatment and appropriate aftercare is critical in order to achieve the best results while minimizing side effects.

• The skin should not be irritated or peeling (such as may occur with topical retinoids, exfoliants, and other skin treatments) and should not have any active areas of infection (herpes/cold sores, bacterial, other infections) prior to treatment.
• Retinol or other retinol derivatives and products containing Alpha Hydroxy Acids (AHA) or Beta Hydroxy Acids (BHA) should not be used 3 days prior to your treatment.
• No sun exposure 2 weeks prior to your appointment. You must be at your baseline color.
• Make-up and sunscreen should be removed and the skin should be gently cleansed prior to treatment. Sometimes a topical anesthetic will be applied before treatment.

• Apply a cold compress or an ice pack for comfort for approximately 10 – 20 minutes each hour as needed for the first 12 – 24 hours.
• No sun exposure 1 week after treatment.
• Wear a sunblock of SPF 30+ for 3 months after treatment sessions to help reduce the risk of pigmentary changes.
• Apply Aquaphor (OTC at local drug store) 3 – 4 times daily to any areas that develop blistering or open sores.
• While there may be some degree of swelling immediately post-treatment, if you have excessive swelling or pain, or develop fever, blistering, extreme itching, or any other concerns, contact our office immediately.

• Used to reduce the appearance of moderate to severe fine lines and facial wrinkles and improve the appearance of gummy smiles, dimpled chins, drooping eyelids, jowls, and facial asymmetry.
• Treats conditions such as neck spasms (cervical dystonia), and excessive sweating (hyperhidrosis).

Neurotoxin treatments require minimal to no downtime, little discomfort, and minimal risk. Proper preparation for treatment and appropriate aftercare is critical in order to achieve the best results while minimizing side effects.

• Tell your medical provider if you’ve had any type of neurotoxin injection within the past four months or if you take blood thinners, muscle relaxants, sleeping aids or allergy medications.
• Medications to avoid for at least one week prior to treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort
  • Blood Thinners (unless recommended by a physician)

Please review the following information carefully to achieve optimum results and the most comfortable recovery after your treatment.

• Make-up may be applied gently before leaving the office. Remember to wipe up and away from your eyes or brows.
• Avoid touching, manipulating, or rubbing the treated area for 6 hours following treatment.
• For the first 4 hours following neurotoxin treatment, remain upright, do not lie down.
• Do not massage any of the areas of your face that were treated with neurotoxin (i.e. Botox™/Dysport™, etc.). This could spread the neurotoxin into an area of the muscle where we do not want it to migrate. However, we encourage patients to exercise the treated facial muscles (frown then smile) for the first hour after injection, as this will allow the product to move through the muscles in a uniform manner.
• Do not participate in activities that include heavy lifting, vigorous exercise or straining for the first 24 hours.
• Avoid irritating products for 24 hours following neurotoxin treatment.
• This treatment is not recommended if you have an important event within 2 weeks of injection due to potential for bruising. Bruising in the injected area is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Using/taking Arnica may help diminish bruising.
• It may take up to 14 days for neurotoxin to take full effect. A follow-up visit at 10 – 14 days is suggested. As results vary, if full correction is not achieved, you may need to purchase additional neurotoxin at that time.
• Re-treatment is typically needed between 2 – 6 months. Regular injections usually yield a longer-lasting neurotoxin result.
• If your upper lip was treated you may not be able to drink through a straw, whistle, or enunciate some words for approximately 2 weeks.
• Although rare, infection in the injected area is possible. Signs of infection may include redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary.

• Correct, smooth, and plump the appearance of moderate to severe facial wrinkles and folds.
• Restore volume and fullness to the skin and lips.

Soft-tissue filler treatments require minimal to no downtime, little discomfort, and minimal risk. Proper preparation for treatment and appropriate aftercare is critical in order to achieve the best results while minimizing side effects.

In order to minimize the risk of possible side effects and complications of injections, please follow these simple steps:

• Do not consume alcoholic beverages at least 24 hrs prior to receiving injections. Alcohol thins the blood and may result in increased bleeding and/or bruising.
• Medications to avoid for at least one week prior to treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort
• You may or may not be a candidate for treatment with cosmetic soft tissue fillers if you are currently taking anticoagulation medications. Please discuss the use of these medications with your medical provider prior to your treatment:
  • Warfarin
  • Coumadin
  • Heparin
  • Lovenox
  • Enoxaparin
  • Lepirudin
  • Refludan
  • Ticlopidine
  • Ticlid
  • Clopidogrel
  • Plavix
  • Tirofiban
  • Aggrastat
  • Integrilin
  • Eptifibatide
• Notify your medical provider if you have previously suffered from facial cold sores, as medication may be prescribed to minimize the risk of recurrence.
• It is not recommended to have filler injection within two weeks before or after a dental procedure.
• Many soft tissue fillers contain an anesthetic, so supplemental pain medication is typically unnecessary. Occasionally, our team employs topical or local anesthesia to make the procedure more comfortable, especially when treating the lips.

• Avoid dental work for 2 weeks before and 2 weeks after filler treatment.
• Avoid massages where positioning would compress the treatment area for 2 weeks after filler treatment.
• You may experience swelling, redness, pain, bruising, and tenderness at the injection site. This is typically mild and normally lasts no more than several days.
• Use cold compresses/ice to reduce swelling for up to 10 – 20 minutes each hour.
• Medications to avoid for at least one week after treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort
• You may apply make-up over the treated region the next day, but avoid rubbing the area to prevent the filler from moving unless instructed by your medical provider.
• Avoid intense heat (hot tubs, saunas, exercise, hot bath/shower) until redness and swelling dissipate.
• Avoid strenuous exercise, exposure to sunlight, and drinking alcohol during the first week after treatment.
• Please contact us immediately if you experience pain after your filler treatment as this could be a sign of a dangerous complication like blood vessel obstruction due to filler injection. Additionally, contact us with unexpected or increasing swelling, warmth, redness, or drainage in the treated area or should any other questions arise.

• Improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.”

Kybella treatments require minimal to no downtime, little discomfort, and minimal risk. Proper preparation for treatment and appropriate aftercare is critical in order to achieve the best results while minimizing side effects.

In order to minimize the risk of possible side effects and complications of injections, please follow these simple steps:

• Medications to avoid for two weeks before and one week after treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort
  • Blood Thinners (unless recommended by a physician)
• Avoidance of alcoholic beverages is recommended for 48 hours prior to the treatment.
• Plan your treatment well in advance of any special events. At least a 4 week lead time to any events such as parties, weddings, etc. should be considered. Swelling can be camouflaged with use of a scarf or turtleneck after 24 hours.

• You should rest intermittently and apply ice every hour for at least 15 minutes. You may apply ice for 5 minute intervals with 10 minute breaks, but avoid prolonged icing to avoid developing frostbite.
• Avoid massaging or manipulating the swelling area.
• Visible swelling, redness, bruising, and tenderness typically persist for 1 – 3 weeks after each treatment.
• Sleep with your head slightly elevated, preferably on 2 – 3 pillows for 2 – 3 nights.
• You may regularly shower and wash your face.
• You may apply moisturizer or sunscreen to the treated area the next day.
• You may apply Arnica gel if you develop any bruising to expedite the healing process.
• Avoid any gym activity for 3 days as exercise is known to worsen swelling.
• Over the counter Tylenol may be used for any discomfort as recommended on the label.
• It is absolutely normal to feel and see mild to moderate swelling, numbness, hardness to touch, tingling, redness and tenderness at the site of injections. You may occasionally see bruising or small bleeding that should resolve spontaneously.
• Some men might see an area of no hair growth after Kybella injection, which is temporary and will return to normal in 4 – 6 weeks.
• Most swelling happens immediately and the following day after treatment and will start improving by day 5.
• If you develop any skin discoloration or scabbing, notify your medical provider immediately.
• If you develop difficulty breathing or difficulty swallowing you must immediately call 911.

• Promotes smoother skin and improves the appearance of rough, dry skin, superficial hyperpigmentation, mild acne scarring, fine lines and wrinkles.

Dermaplaning requires minimal to no downtime, little discomfort, and minimal risk. It is important to take care of your skin following dermaplaning or other anti-aging treatments. Following these instructions will maintain your results longer and help you avoid complications.

• No current usage of Retin A®, or other retinol derivatives and products containing Alpha Hydroxy Acids (AHA) or Beta Hydroxy Acids (BHA). You should be off of these products at least 3 days prior to treatment.

• Avoid sun exposure as much as possible. Direct sun exposure, including tanning beds, is not recommended while undergoing treatment and the use of daily sun block protection is mandatory.
• Delay exposure to excessive heat, heavy workouts, steam rooms and sauna for 24 hours post treatment.
• Wait 7 days before waxing. Waxing may be done prior to dermaplaning.
• Schedule appointments every 4 – 6 weeks for optimal results. In order to see significant results these treatments need to be done in a series and in combination with using active ingredient skin care products.
• Call your medical provider with any questions, concerns, or complications.

SKINCARE AFTER DERMAPLANING:

• CLEANSE | Use a gentle cleanser, warm water (not hot), and NO abrasive cloth or cleansers for 48 hours after treatment.
• MOISTURIZE | Apply a hydrating moisturizer twice daily as it is common for the skin to feel mildly tight and/or mild dryness and peeling may occur.
• SPF | Your skin is more vulnerable to UV rays. Sunscreen with SPF of 30+ is essential to protect your skin, even on cloudy days.
• MAKEUP | Makeup can be irritating to skin. Make sure your brushes are clean to minimize risk of irritation and/or infection.

• Improves the appearance of skin lesions, blemishes, acne scars and other scarring, fine line, wrinkles, large pores, loose skin, skin discoloration, and stretch marks.

• No microneedling if you are currently on Accutane.
• Do not use topical agents that may increase the sensitivity of your skin such as retinoids, exfoliants, topical antibiotics or acids 5 – 7 days prior to your treatment.
• Medications to avoid for at least 3 days prior to treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort

These medications will interfere with the natural inflammatory process that is critical for your skin rejuvenation.

• Avoid IPL and other laser procedures, unprotected sun exposure, or sunburn for at least 2 weeks prior to your procedure.
• No waxing, depilatory creams, or electrolysis to the area being treated for 5 – 7 days prior.
• Do not shave the day of the procedure to avoid skin irritation. If there’s dense hair present in the treatment area, shave the day before you arrive for your appointment.
• If you’re prone to cold sores, notify your medical provider so that antiviral therapy can be considered and/or initiated.
• Avoid blood thinning agents for 1 week prior because bruising is a common side effect of microneedling.

• Wash your face with gentle soap and warm water 4 hours after the procedure.
• Only use a gentle foaming cleanser and moisturizer for 3 days.
• No makeup for 24 hours.
• Strict sun precautions. No use of chemical SPF (zinc) for 24 hours, use physical SPF (wear a hat).
• No prolonged sun exposure for 10 days.
• No swimming for 2 – 3 days.
• Only use clean sheets and towels.
• No exercise for 24 hours post treatment.
• Do not sleep with animals.

WHAT RESULTS CAN YOU EXPECT?

• You can expect to observe a gradual improvement in overall skin texture, with improvement in the appearance of your treated concern area. Patients with visible aging can expect to see their skin become smoother, with diminished fine wrinkles and more uniform pigmentation. Even after the first treatment, the skin will often feel smoother and have a more even tone. Multiple treatments, scheduled and performed several weeks apart, are recommended for optimal results.
• While there may be some degree of swelling immediately post-treatment, if you have excessive swelling or pain, develop a fever, blistering, extreme itching, or any other concerns, contact our office immediately.

• Improves the look of thinning hair and hair loss.

BEFORE YOUR TREATMENT:

• If possible, please refrain from, or minimize, smoking 3 days prior to and 1 day after the treatment. Smoking may impact healing and oxygen delivery to the scalp, therefore, your results may be improved the longer you are able to stop smoking before and after the treatment.
• Minimize alcoholic consumption the day prior to your PRP treatment.
• Medications to avoid for at least 1 week prior to your treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort
• If you are taking any blood thinners, please let the doctor know immediately, as they may represent a contra-indication to this treatment. These medications include Plavix, Coumadin and Heparin.
• If you are taking broad beta-blockers such as Inderal (Propranolol), please contact the medical provider as this medication may need to be changed to a select beta-blocker in advance of the treatment.
• You may use Tylenol (acetaminophen) as needed prior to the treatment.
• Prescription medications (including heart and blood pressure medication) should be taken as prescribed right up to, and including, the day of and the day after your treatments.

THE MORNING OF YOUR TREATMENT:

• Shower the morning of your treatment and wash your hair very thoroughly using your regular shampoo.
• Do not apply sprays, gels, or any other styling products to your hair. If you wear a hair system, please remove it prior to shampooing and do not wear it before your PRP treatments.
• Eat regularly the morning of your treatment and please drink approximately 16 oz of water at least 2 hours prior to your treatment.
• Sedation is NOT required for PRP treatments.

• DO NOT touch, press, rub or manipulate the treated area(s) for at least 8 hours after your treatment.
• Our goal is to create inflammation and we want you to avoid medications that will limit or prevent inflammation, which can diminish your overall results. Medications to avoid for at least 2 weeks after your treatment include:
  • NSAIDs (Non-steroidal anti-inflammatory agents such as Ibuprofen, Advil, Aleve, Aspirin, Naproxen, and Motrin)
  • Fish Oil
  • Vitamin A
  • Vitamin E
  • Ginkgo Biloba
  • Garlic
  • Flax Oil
  • Cod Liver
  • Essential Fatty Acids (EPA, DHA)
  • St. John’s Wort
• If you must take Aspirin for cardiac reasons, you certainly may do so, but this may limit your results.
• If you experience any pain or discomfort you may take Tylenol or other acetaminophen-containing products as directed.
• We would prefer if you could refrain from applying ice to the injected area as ice acts as an anti-inflammatory.
• Do not wet your hair for at least 3 hours after your treatment.
• Do not use any hair products for at least 6 hours after your treatment.
• Avoid saunas, steam rooms, swimming for 2 days after your treatment.
• Avoid vigorous exercise, sun and heat exposure for at least 2 days after your treatment.
• For the first 3 days, use shampoo that is pH balanced.
• Avoid alcohol, caffeine, and cigarettes for 3 days after treatment. Smokers do not heal well and problems recur earlier and results may take longer.
• Avoid resuming Minoxidil (Formula 82M, Rogaine®), hair coloring or straightening for 3 days.
• It is normal to experience bruising, redness, itching, swelling and/or soreness that may last from 2 – 5 days following your procedure.
• Continue increased water intake the first week after your treatment.