POST-TREATMENT

PRP INSTRUCTIONS

What to Expect After PRP Injections: 

 

  • Scalp may remain red for 12-36 hours.

  • Scalp may feel warm and tight for several hours after procedure, 

 

After Care: 

  • Do not subject your hair to dye,salon Keratin treatments or perms for 2 weeks after PRP injections. 

  • Avoid working out, sauna, steam room,very hot showers and direct heat for 24 hours. 

  • You may rinse with plain water tonight if desired. 

  • You may resume normal shampooing routine tomorrow. 

  • Protect your treated area from the sun after treatments (and always). 

 

Care Instructions for Your Legs After Treatment for Veins: 

  • Leave thigh-high compression stockings on 24 hours a day for 1 week after treatment. Wear them during the day as much as possible for the second week following sclerotherapy to help improve blood flow in the legs and to keep the treated vessels flattened.

  • After the first week, stockings can be removed at night or any time that the legs can be elevated. Wearing the compression stockings will help you to achieve the best possible result with fewer side effects. The should continue to be worn as part of your regular routine and may prevent the appearance of new veins especially if you sit or stand for more than 6 hours a day, are pregnant, or have a strong family history of varicose veins. 

  • Do not shave your legs for 3-4 days.

  • Take a 30-60 minute walk shortly after the treatment, and walk 20-30 minutes a day for 2 weeks, but avoid strenuous exercise for 1-2 days. Do not perform aerobic exercise such as jog or ride a bicycle for a week.

  • Avoid hot baths or Jacuzzis for a few days following procedure to avoid dilating veins.

  • It is normal and expected to have some redness and swelling (with the appearance of "hives") around the treated veins that may last 1-2 days. This may be associated with some itching and burning and may improve with over-the-counter Benadryl 25mg or a non-sedating antihistamine such as Zyrtec 10mg. 

  • Bruising around the treated area is also normal and should resolve within 1 week. 

  • Veins often temporarily become discolored as they heal. This means they may appear purple, darker red, or brown. Sun or tanning bed exposure worsen discolorations and may cause them to last longer or become permanent. Avoid sun exposure completely until the treated areas return to your normal appearing skin.

  • Some people develop a firm lump in a vein that may appear purple through the skin, usually 2 weeks after treatment. This is a non-dangerous, superficial accumulation of trapped blood that can easily be treated in the office. Please make an appointment for it to be evaluated. 

  • Painful areas, expanding redness/ swelling, blistering, or leg swelling should be immediately reported to your doctor.

  • It may take up to 6 weeks for treated veins to improve. The appearance immediately after treatment can often look worse than prior to treatment.

  • Avoid blood thinners (Aspirin, fish oil, vitamin E, ibuprofen, etc.) for 3-4 days following procedure (ask your doctor first if these are prescribed by your doctor) 

 

CALL OUR OFFICE, IF YOU EXPERIENCE ANY OF THE FOLLOWING:

 

  • Increasing pain

  • Swelling, significant bruising or darkening at or around the treatment area

  • Notable change in temperature to the skin surrounding the treatment area

  • Drainage or fever over 101.5 F

  • ANY other concerns you may have 

  • IN CASE OF AN EMERGENCY CALL 911 

KYBELLA® INSTRUCTIONS

1. Common Reactions Include:

 

As discussed during the consultation and noted in the informed consent, the most common anticipated reactions can include swelling, bruising, pain, numbness, redness, and areas of hardness, in the treatment area. 

 

Rare and more serious side effects may include infection at injection site, and ulceration, scarring, Alopecia (hair loss treated area), and nerve injury. 

2. To Avoid Severe Bruising:

 

If bruising occurs, you may apply topical Arnica gel to help bruising resolve faster. Avoid alcohol consumption for a minimum of 6 hours and refrain from taking blood thinners such as Aspirin for several days.

 

You may elect to take over the counter oral pain medication or anti-inflammatory can be taken, and applying ice to the treatment area, to manage discomfort.

 

You may also ice the area post treatment but must do so very carefully. Use an ice pack with the fabric side against the skin, or wrap a soft plastic ice pack in a wet thin towel. Apply the ice pack approximately 15 seconds on, and 15 seconds off. Icing too vigorously can cause frostbite and scarring. You may apply a cold compress to the area for 20 minutes per hour, and you may do this hourly for up to 3 days. 

3. To Maximize Your Results and Prevent Adverse Effects: 

 

A. Avoid exercise for at least 24 hours.

B. Avoid rubbing, massaging, or scrubbing injection sites for 24 hours after treatment.

C. Sleep with your head elevated on at least 2 and preferably 3 pillows. 

 

4. Facial Treatments:

 

Avoid facials, chemical peels, or laser treatments for 14 days after the Kybella® treatment. Facials, chemical peels, laser, and light treatments may be done immediately prior to Kybella® treatment. HA fillers such as JUVEDERM® XC and / or Botox may be injected before Kybella®; if you have any questions regarding this, please ask your provider. 

 

5. Skin Care:

 

You may apply your normal skin care regimen and sunscreen normally. 

 

6. Follow Up Appointment:

 

A minimum of 2 treatments, however up to 5 treatments may be required for optimal results. The second treatment and future subsequent treatments are recommended to be done every 2 months. If the desired level of correction has not occurred after the second treatment, additional Kybella® treatments may be needed.

IPL INSTRUCTIONS

 

1. A mild sunburn-like sensation is expected. This usually lasts 1-2 hours but can persist up to 24 

hours, individuals may vary. Mild swelling, tenderness and/or redness may accompany this. 

 

2. Apply ice packs or gel packs (do not apply direct ice) to the treated area for 10-15 minute 

intervals every hour for the next four hours as needed. A topical anti-inflammatory can be used for redness and tenderness. An oral, non-steroidal anti-inflammatory, such as acetaminophen or ibuprofen may be taken to reduce discomfort, use according to the manufacturer's instructions. 

 

3. In rare cases, prolonged redness or blistering may occur, if this happens please call the 

physician's office. An antibiotic ointment may be applied to the affected areas twice a day until healed. 

 

4. Shower as usual. Treated areas may be temperature-sensitive. Avoid soaking in a hot tub of 

water. Avoid scrubbing, use of exfoliants, scrub brushes and loofah sponges until the treatment area has returned to its pre-treatment condition. 

 

5. The pigmented lesions may initially look raised and/or darker with a reddened perimeter, this is 

normal. It will gradually turn darker over the next 24-48 hours. It may turn dark brown or even black and will begin to flake off in 7-10 days. Rarely would it progress to a scab or crusting phase, if this happens, please call us. 

 

6. Veins or vascular lesions may undergo immediate graying or blanching (turning white) or they 

may exhibit a slight purple or red coloring. If the treated area develops crusting or a scab, it will start to flake off in 7-14 days. The vessels will fully or partially fade in about the same amount of time. Repeat treatment to veins may be every 7-14 days, or when the skin has fully recovered. 

 

7. Do not pick, scratch or remove any scabs. Allow them to flake off on their own. Lesions are 

usually healed in 7-10 days. They will continue to fade over the next 6-8 weeks after treatment Please keep all follow up appointments and do not hesitate to call our office if you have questions or concerns. 

 

Until the redness has completely resolved, avoid all of the following:

  • Applying cosmetics to the treated area

  • Swimming, especially in pools with chemicals, such as chlorine

  • Ocean swimming and Hot Tubs/Jacuzzis

  • Excessive perspiration or irritation to the treated area

  • Sun exposure to the treated areas - to prevent skin color change. 

 

8. Call your physician's office with any questions or concerns you may have after the treatment. 

CHEMICAL PEEL INSTRUCTIONS

 

What to Expect After a Chemical Peel Treatment: 

 

  • Skin may appear slightly redder than usual for about 1-2 hours after the treatment. If neck and decollete are treated, the redness might last slightly longer.

  • Mild edema can last up to 1 hour.

  • You may experience mild flaking to visible peeling 

After Care: 

 

  • Wait until bedtime before washing the face. Cleanse with a gentle, soap-free cleanser. Do no scrub and/or use a wash cloth. 

  • Moisturize with a product recommended by your provider while the skin is peeling to relieve dryness.  

  • Avoid strenuous exercise on the day of the treatment. 

  • Apply daily sun protection with a minimum SPF of 30 in the AM and throughout the day. Avoid direct sunlight for at least a week. 

 

4-5 Days After Procedure: 

  • The regular use of Retin-A, alpha hydroxy (AHA) products or bleaching creams can be resumed after 4-5 days. 

  • Wait until skin sensitivity and all flaking and or peeling resolves before having ANY OTHER FACIAL PROCEDURES, including: facials, facial hair removal, microdermabrasion, Neurotoxin injections, laser treatments (including hair removal) and injectable fillers.

HAIR REMOVAL INSTRUCTIONS

1. Immediately after treatment, there may be mild redness and swelling at the treatment site, which may last up to 2 hours or longer. The redness may last up to 2-3 days. The treated area may feel like sunburn. Apply ice packs or gel packs (do not apply direct ice) for first few hours after treatment to reduce any discomfort or swelling. If redness or swelling persists, ice packs can be continued. 

 

2. Makeup may be used immediately after the treatment unless there is blistering. 

 

3. Avoid sun exposure until skin has returned to its normal baseline (no redness or swelling). 

 

4. Avoid picking or scratching the treated skin. Do not use any other hair removal treatment products or services (waxing, electrolysis or tweezing) that will disturb the hair follicle in the treatment area. 

 

5. Wash the treated area and pat dry for 3 days after treatment. Do not scrub. 

 

6. Start gently scrubbing treated area on the 4th day (ex-foliate). 

 

7. Anywhere from 5-10 days after the treatment, shedding of the surface hair may occur and this appears as new hair growth. This is not new hair growth, it is the shaft that was below the skin and is being expelled. It may take 7-10 days for the shafts to be fully expelled. 

 

8. There are no restrictions on bathing except to treat the skin gently, as if you had sunburn, for the first 24 hours. 

 

At the next visit, it is important for the patient to let the practitioner know how long the redness lasted after treatment and when significant hair growth was noticed in the area. This info will allow the practitioner to individualize treatments to achieve the desired results.

DERMAL FILLERS INSTRUCTIONS

 

DURING + IMMEDIATELY AFTER YOUR VOLUMIZING FILLER TREATMENT:

 

  • Volumizing filler is injected into the skin to soften wrinkles or folds by adding volume.

  • Most patients report a mild discomfort typically associated with needle injections. Bruising at the site of injection is a commonly reported side effect. To minimize bruising. inform your provider if you use blood thinners such as ibuprofen, aspirin or herbal supplements.

  • You may temporarily experience minimal to moderate swelling following treatment. This should dissipate following injection. Please contact our office if swelling persists.

  • It is normal to experience some tenderness at the treatment site for a few days.

  • It may be normal to feel a "firmness" in your treated area/s for the first few days after treatment, and then soften and settle, leaving you with a soft, natural looking result. 

POST-TREATMENT INSTRUCTIONS:

 

  • Application of an ice pack to the injection area after treatment may help reduce swelling. If Swelling persists please contact our office. 

  • Do not rub or massage the treated area today.

  • Avoid strenuous exercise or activity for the remainder of 24 hours. You may resume other normal activities/routines immediately.

  • You may begin wearing makeup once any pinpoint bleeding from the injection site/s has subsided.

  • Avoid drinking alcohol for a minimum of 12 hours as this may contribute to bruising and/or swelling

  • Avoid extended UV exposure until any redness/swelling has subsided. Be sure to apply an SPF 30.

  • We recommend you wait a minimum of 1 week before receiving any skincare or laser treatments. 

 

Less Common Side-Effects + Complications:

 

  • Infection at the injection site

  • Asymmetry

  • Bleeding, bruising and swelling

  • Skin rash, under or over correction

  • Vascular occlusion

NEUROTOXIN INSTRUCTIONS

 

WHAT TO EXPECT: 

 

  • Results are usually seen in 2-6 days.

  • 10% of people may not respond for unknown reasons.

  • You should contract "exercise" muscle(s) that was treated for 1 hour after injection.

 

You Should:

  • Remain upright for 4hrs

  • NO exercise for 4hrs

  • NO hats or headbands after treatment (treatment day only)

  • NO massage

  • You can expect results to last from 2-6 months.

  • You may apply ice, arnica or any other anti-inflammatory topical agents to treat or prevent pain/bruising/swelling

 

POSSIBLE SIDE EFFECTS + LESS COMMON COMPLICATIONS: 

 

  • Side effects associated with the injection include:

    • Localized pain

    • Infection

    • Inflammation, tenderness

    • Swelling, redness, and/or bleeding/bruising

  • Less common reactions may include:

    • Nausea, fatigue

    • Flu-like symptoms

    • Headache

    • Excessive weakness of the muscle

    • Temporary eyelid drooping, temporary brow drooping 

CALL THE OFFICE 617-964-1440 IF YOU EXPERIENCE:

  • Shortness of breath

  • Difficulty swallowing, difficulty talking

  • Severe lower eyelid droop, obstructed vision

  • Excessive weakness around the injection site

  • Rash or a sign of an allergic reaction

 

IN CASE OF AN EMERGENCY CALL 911 

***Do not have neurotoxin injections if you are allergic to any of the ingredients in the botulinum toxin or had a reaction to any other botulinum toxin product; have severe allergies and with a history of anaphylaxis; are pregnant or nursing, are under the age of 18; have an active infection at the site of injection or are on immunosuppressive therapy.