A chemical peel is a skin resurfacing treatment that uses a specialized solution to exfoliate and renew the skin, improving tone, texture, acne, fine lines, and discoloration. 

Before your Chemical Peel Treatment 

• Some chemical peels require patients to have been on home products for 30 days prior to treatment. Check with your provider to determine if this applies to you. 
• If you are lactating, pregnant or may be pregnant, consult with your provider prior to receiving any treatment. 
• Avoid sun exposure for at least 4 weeks prior to treatment. 
• Avoid the use of retinoid products (eg. Retinol, Retin A, Tazorac) and high levels of AHA and BHA products for approximately 7 days prior to treatment. Consult your provider before temporarily discontinuing the use of any prescription medications. 

What to Expect 

• Your face will be cleansed and then prepped with a peel prep solution that feels similar to alcohol or nail polish remover on your skin. 
• You may notice redness, warmth, mild swelling or tenderness, a feeling of tightness or dryness, tingling that is normal and typically improves within 24 hours. 
• During days 1-3, expect your skin to feel dry, tight, look slightly fuller before it improves, and light flaking may begin in certain areas (or no peeling at all, depending on the peel). 
• During days 3-7, you may experience light to moderate flaking, peeling around the mouth, nose, chin, or cheeks, itching or mild irritation as skin sheds.
• Treatments may result in minimal to no downtime but create dramatic and visible results. Treatments may cause slight redness, tightness, peeling, flaking, or temporary dryness.

What to Avoid After Chemical Peel 

• Do not pick, pull, scrub, or peel the skin manually – this can cause irritation or unwanted pigmentation. 
• Avoid direct sun exposure and wear a broad-spectrum SPF daily for at least 4-6 weeks following treatment. 
• Do not use any exfoliating or active ingredients (acids, Retinol) on the treated area for at least 7 days post-treatment. 
• Avoid heavy sweating, hot tubs, saunas, or intense workouts for 24-48 hours following treatment. 

Results 

• Chemical peels will improve the tone, texture and clarity of the skin; reduce age spots, improve hyperpigmentation (including melasma), soften lines and wrinkles; clear acne skin conditions; reduce or eliminate acne scars; and stimulate the production of collagen, for firmer, more youthful skin.

During Treatment

• BioRePeel Blue (35% TCA): For the face, neck, décolletage, and intimate areas.

• BioRePeel Gold (50% TCA): For the body.

• Application will depend on the treatment site.

• Sensations: Some areas may feel a tingling or temporary burning sensation, which is tolerable for most patients. A handheld fan will be provided to reduce discomfort.

• After treatment, BioReHydra and/or BioReLift will be applied and should remain on the skin for a minimum of 4 hours, ideally 12 hours.

After Treatment

General Care

1. Use a gentle cleanser the morning after the peel.

2. Follow with a gentle moisturizer and broad-spectrum SPF 30+ daily.

3. Makeup should not be applied on the day of the treatment; allow the skin to stabilize overnight.

What to Expect

• Peeling is not guaranteed; if it occurs, it will be light exfoliation in localized areas for 2-3 days.

• Residual redness may occur and typically resolves within 1-12 hours.

• Tightness or a “pulled” sensation is common on the evening of the peel.

Activity Restrictions

• Avoid cleansing your skin the evening of your peel.

• Do not pick or pull flaking skin to prevent irritation or scarring.

Things to Avoid

Immediate Post-Treatment

• Tanning: Avoid direct sun exposure and tanning booths for at least 30 days. (Permanent avoidance of tanning booths is strongly recommended.)

• Hair Removal: No waxing, threading, electrolysis, or other methods of hair removal for 30 days.

• Exfoliation: Avoid facial scrubs, mechanical exfoliants, and active ingredients like retinoic acid, AHAs, or BHAs for 7-14 days, depending on skin sensitivity.

• Heat & Water: No hot tubs, steam rooms, saunas, or excessively hot showers for 2-3 days. Avoid swimming for 7 days.

• Exercise: Refrain from aerobic or strenuous activity for 24 hours.

Future Treatments

• Wait at least 30 days before laser hair removal, photofacials, chemical peels, or microdermabrasion.

Results

BioRePeel treatments improve:

• Skin tone, texture, and clarity.

• Hyperpigmentation, including melasma, and reduce age spots.

• Lines and wrinkles, softening their appearance.

• Acne-prone skin conditions, reducing scars and breakouts.

• Collagen production, for firmer and more youthful skin.

Note: It may take 2 or more treatments to target deeper layers of the skin for more noticeable peeling or long-term results.

AlumierMD peels are customizable professional chemical peels designed to brighten, smooth, and refine the skin with minimal downtime. They help improve acne, texture, fine lines, and pigmentation, with light flaking possible for a few days. 

Before your AlumierMD Peel Treatment 

• Some chemical peels require patients to have been on home products for 30 days prior to treatment. Check with your provider to determine if this applies to you. 
• If you are lactating, pregnant or may be pregnant, consult with your provider prior to receiving any treatment. 
• Avoid sun exposure for at least 4 weeks prior to treatment. 
• Avoid the use of retinoid products (eg. Retinol, Retin A, Tazorac) and high levels of AHA and BHA products for approximately 7 days prior to treatment. Consult your provider before temporarily discontinuing the use of any prescription medications. 
• Treatments may result in minimal to no downtime but create dramatic and visible results. Treatments may cause slight redness, tightness, peeling, flaking, or temporary dryness. 

What to Expect 

• A series of products and solutions will be applied to the face and/or neck. Some will simply tingle and others will cause a temporary burning sensation that is tolerable for the vast majority of patients. You will be provided a hand held fan to reduce discomfort. 
• After treatment, you will leave the office with the AlumierMD Post Procedure Kit and will look like you have excessive product on your face. This should stay in place for at least 4 hours, with 12 hours being the goal.
• Due to the nature of these treatments, you should not necessarily expect to “peel”. However, you may have light to moderate flaking in a few localized areas for 3-7 days. 
• You may also experience residual redness, which lasts in most patients for 1-12 hours. It is recommended that you do not apply makeup the day of treatment. It is ideal to allow the skin to stabilize and rest overnight. However, makeup can be applied, if necessary. 
• Tonight your skin will feel tight and ‘pulled’. Although you may or may not actually ‘peel’, it is likely that you will experience a light ‘exfoliation’. It may take 2 or more treatments to target the deeper layers of skin to loosen and ‘peel’. 
• In order to obtain maximum results and avoid complications, please follow the post-peel instructions listed below for approximately 5-7 days. 

After your AlumierMD Peel Treatment 

• DO NOT cleanse your skin the evening of your peel. 
• DO NOT pick or pull any flaking skin 
• DO NOT Tan or use a tanning booth for at least 30 days post peel. YOU ARE VERY STRONGLY ADVISED TO ENTIRELY ABSTAIN FROM THE USE OF TANNING BOOTHS INDEFINITELY. 

DO NOT have electrolysis, waxing, threading or any other form of hair removal for 30 days post treatment. 

• DO NOT use facial scrubs or mechanical forms of exfoliation for 14 days post peel. 
• DO NOT use retinoic acid, AHA or BHA for 14 days post peel. 
• DO NOT have laser hair removal, photofacials, chemical peels or microdermabrasion for 30 days post peel. 
• DO NOT apply ice or ice water to the treated area. 
• DO NOT use hot tubs, steam rooms, saunas, and/or excessively hot showers for 5 days post peel.
• DO NOT go swimming for 5 days post peel. 
• DO NOT participate in aerobic exercise for 5 days post peel. 

Results 

• The AlumierMD peels will improve the tone, texture and clarity of the skin; reduce age spots, improve hyperpigmentation (including melasma), soften lines and wrinkles; clear acne skin conditions; reduce or eliminate acne scars; and stimulate the production of collagen, for firmer, more youthful skin.

VI Peels are medium-depth chemical peels that target acne, discoloration, melasma, fine lines, and uneven texture. Expect visible peeling for several days and noticeable overall skin renewal and brightening. 

Before your VI Peel Treatment 

• Some chemical peels require patients to have been on home products for 30 days prior to treatment. Check with your provider to determine if this applies to you. 
• If you are lactating, pregnant or may be pregnant, consult with your provider prior to receiving any treatment. 
• Avoid sun exposure for at least 4 weeks prior to treatment. 
• Avoid the use of retinoid products (eg. Retinol, Retin A, Tazorac) and high levels of AHA and BHA products for approximately 7 days prior to treatment. Consult your provider before temporarily discontinuing the use of any prescription medications. 
• Treatments may result in minimal to no downtime but create dramatic and visible results. Treatments may cause slight redness, tightness, peeling, flaking, or temporary dryness. 

What to Expect 

• The peel solution will be applied to the skin with a rough gauze pad. The solution can simply tingle or can cause a temporary burning sensation that is tolerable for the vast majority of patients. You will be provided a hand held fan to reduce discomfort. 
• For Body Peels, typically no more than 2 layers are applied at least 10 minutes apart. The solution may feel slightly cold or tingly but should not be painful.
• After treatment, you will leave the office with the VI Peel Post Procedure Kit and will look like you have excessive product on your face. This should stay in place for at least 4 hours.

After your VI Peel Treatment 

• If TOX BOOST TREATMENT WAS PERFORMED- Try to exercise your treated muscles for 1-2 hours after treatment (e.g., practice frowning, raising your eyebrows, and squint). This helps to work the product into your muscles. Stay in a vertical position for 4 hours following injection. Do not rest your head or lie down; sit upright; the head should remain above the heart. 
• You may take Acetaminophen/Tylenol if you experience any mild tenderness/discomfort. Do not massage treated areas after treatment.
• Avoid extended UV exposure for the whole seven days after your treatment. Apply SPF 50+ provided in your VI Peel Aftercare Kit regularly. 
• Avoid strenuous exercise for 48-72 hours per instructions from your VI Peel Aftercare Kit and to reduce bruising around injection sites. You may resume other normal activities/routines immediately. 
• Avoid laser, IPL, or skin tightening treatments of the area for a minimum of 4 weeks (or as directed by your provider). 

Results 

• VI Peels will improve the tone, texture and clarity of the skin; reduce age spots, improve hyperpigmentation (including melasma), soften lines and wrinkles; clear acne skin conditions; reduce or eliminate acne scars; and stimulate the production of collagen, for firmer, more youthful skin.

Tattoo pigment removal is a laser treatment designed to break up unwanted tattoo ink so your body can naturally clear it over time. Multiple sessions are typically needed, and you may experience temporary redness, swelling, or light scabbing as the skin heals. 

Before your Tattoo Removal Treatment 

• Avoid sun exposure / tanning beds for 2 weeks pre and post. 
• Avoid pain medicine, such as Aleve, Aspirin for 3-7 days. Topical numbing cream or local anesthetic may be used and cold compress may be applied prior to treatment. 

What to Expect 

• The laser tattoo removal itself may not be uncomfortable but discomfort is a normal response during treatment and recovery. The targeted areas will feel tender and sensitive to touch due to swelling and blistering thereafter. Once these effects subside over the next few days, so does the pain. 
• Immediately after treatment, you will notice frosting on the area where the laser came in contact with the ink. It is caused by the rapid local heating of skin pigment releasing carbon dioxide on the surface of the skin which resembles white frosting. This signals the first stage of healing and it lasts for only a few minutes. More frosting occurs with dark ink compared to lighter ink. This is accompanied by swelling around the treated area. 
• Redness, tenderness and swelling usually subside a day or two after treatment. Blisters start forming within 24 hours after treatment and they may appear alarming, but these indicate that your body is healing as it should. 
• Avoid picking on your blisters because they will drain on their own and dry into scabs. The crust will eventually fall off within 10-14 days after treatment, provided that the area doesn’t get irritated. 
• One may even return to your usual activities shortly after treatment. The area will be bandaged to keep it dry for a few days following the treatment.

After your Tattoo Removal Treatment 

• Patients may experience minor discomfort and redness. This discomfort will subside quickly. However, the redness will last for 24-48 hours. Once the redness is gone the treated area will look similar to the way it did prior to treatment. Pin point bleeding may also occur. 
• Patients may wash the treated area as normal. 
• It is recommended that the treated area be covered with an antibiotic ointment for 1-week. 
• The body will absorb the broken up ink and the area should be retreated every 8-weeks. Multiple treatments will be required to achieve the desired result.
• Keep out of the sun, out of pools/lakes/bath water until healed. 

Apply recovery balm and keep it covered for 5-6 days while healing. Apply ice for 10 minutes post treatment. 

• Use sunscreen to protect the treated skin which is particularly sensitive to sunlight following treatment. + 
• Don’t apply makeup or any potentially irritating product on treated skin while it heals. 
• Avoid shaving treated areas unless the skin is healed. 
• Don’t soak in baths, hot tubs or pools unless the skin has healed completely. 

Results 

• Many people start to see their ink fade slightly after each subsequent session and greater improvement after three appointments.

IPL is a light-based skin treatment that targets redness, sun damage, pigmentation, and uneven tone by using pulses of light to improve clarity and overall complexion. 

Before your IPL Treatment 

• Be sure you have been evaluated by a qualified medical provider to ensure you are a candidate for IPL treatment and not at higher risk for complications.
• Arrive at your appointment with clean skin if at all possible. The treatment area should be free of any makeup, creams, perfumes and lotions. If you have dark hair in the treatment area you should also shave prior to treatment as pigment in hair can increase discomfort (feel free to contact us if you have questions about this!). 
• Discontinue sun tanning, use of tanning beds and application of sunless tanning products at least 1 month before treatment. 
• Always use a physical SPF of >30 on all exposed treatment areas. Wear sun protective hats and clothing. 
• Discontinue use of exfoliating products at least 1 week prior to treatment. This includes physical exfoliants, chemical exfoliants and products such as Retinol.
• If you have a history of cold sores or herpes outbreaks in the area being treated, a prescribed medication (Valtrex, valacyclovir) is recommended to be started prior to your treatment- please contact our office in advance if this applies to you!
• You should have the following products on hand for after your treatment- a gentle facial cleanser, a physical sunscreen with SPF 30 or greater, and a gentle moisturizer. If you need product recommendations feel free to reach out prior to your appointment or on the day of treatment. 

What to Expect 

• During the procedure, people may feel a pinching sensation. Some individuals have described this as a feeling similar to an elastic band being “snapped” on the

skin. Sensation is moderate and very tolerable. We typically recommend topical numbing medications to ensure optimal comfort. 

• Your skin may be temperature sensitive for several days after treatment. Brown spots and freckles will appear darker while healing. 
• It should take 4-6 weeks to see the full result and 2-3 treatments may be required to achieve an optimum result. 
• The sessions are designed to provide no downtime however, occasionally you may find that your cheeks and under eye areas are slightly puffy after treatment. ● You may use cold compresses (5 minutes on and 10 minutes off) several times an hour to help ease both redness and swelling. 
• Sleeping with your head elevated for the first night will also help decrease any swelling you may experience. 
• Redness around the treated area for a few hours to days. 
• Freckles and age spots may darken for three to seven days before starting to fade. 
• Skin flaking for up to 10 days. 
• Minor bruising that may last two weeks or less (very unusual). 

What to Avoid After IPL 

• No hot showers for 48 hours. 
• For 2 days after a treatment avoid taking aspirin, Ibuprofen, drinking alcohol, heavy exertion and activities which may cause skin flushing. 
• Avoid harsh topical products such as retinols and glycolic acid products for one week after each session. 
• Avoid direct sunlight on the treated area and use a sunscreen with SPF 30 or greater for 4 to 6 weeks after treatment. 
• No swimming for a week, especially in pools with chemicals such as chlorine. ● No strenuous exercise for 48 hours. You can hit the gym after about 2 days post-therapy.
• No hot tubs or Jacuzzis for 48 hours. 
• Avoid activities that cause excessive perspiration for 24 hours. ● Do not pick at or remove any loosening or peeling skin. 
• No electrolysis, facial waxing, or depilatories (hair removal products) for 14 days after a treatment. 

Results 

• After IPL, you may look younger because your skin tone is more even. ● IPL will stimulate collagen growth by treating a deeper layer of skin, while improving texture, and reducing the appearance of fine lines and wrinkles

Laser vein treatment is a non-invasive procedure that uses targeted laser energy to reduce the appearance of visible veins, such as spider veins and broken capillaries, by gently heating the vessel so the body can naturally fade it over time. 

Before your Laser Vein Treatment 

• If facial veins are being treated, there may be minor bruising and/or swelling following treatment. This can typically be covered using make-up. Plan accordingly since your face may show slight evidence of the laser treatment for a week or more. 
• If leg veins are being treated, there may be minor bruising, discoloration, and welting over treatment sites. Larger leg veins may appear bruised for a period of time after treatment. Full results can take weeks or months to be realized. Plan and schedule treatments accordingly, allowing for healing time and time for your treatment results to evolve to completion. The best time to treat leg veins are in fall, winter and spring when you are less inclined to wear shorts or be exposed to sun. 
• Plan treatments allowing for a period of no sun exposure, vigorous activity or use of hot tubs, saunas or spas for 48 hours after treatment. 

What to Expect 

• Plan treatments allowing for a period of no sun exposure, vigorous activity or use of hot tubs, saunas or spas for 48 hours after treatment. 
• Discomfort is minimal and is usually compared to the “snap of a rubber band.” Cooling is typically applied post treatment. Multiple treatments may be required to achieve your desired result. 
• Treatment is very fast (minutes). 

After your Laser Vein Treatment 

• Please call us at the first sign of persistent pain or blistering.
• Use compression stockings (aka support hose) 20-30 psi worn continuously for three to five days. (You may purchase these at a medical supply store or pharmacy.) 
• Treatment area should be gently washed twice per day with lukewarm water and mild soap. 
• Best results to be seen after 1-2 treatments. Leg vein resolution usually takes 8-12 weeks. At the end of this process, some vessels may be gone while others may be lighter or not affected. A series of treatments is necessary for some veins. Additionally, the further down on the body, the more stubborn veins can begin to disappear. 
• Most patients are recommended to have a series of 3 treatments 6-8 weeks apart. 
• Depending on the area treated, some swelling and irritation may occur. However, most treatments have little to no down time and few side effects. 
• Avoid sunlight and use sunscreen or antibiotic ointments to promote healing and prevent damage. If a scab forms, it should not be picked or scarring may occur.
• DOs – Cold packs to reduce redness/swelling, use SPF, wear compression garment/support for 3-5 days as needed (best results with longer wear).
• DO NOTs – exercise for 3 days, take hot baths/showers, use hot tubs/saunas or have any alcohol/blood thinners for 5 days. 

Results 

• Laser vein treatment for facial broken capillaries is designed to safely reduce the appearance of visible red vessels and diffuse redness, leaving the skin looking clearer and more even-toned. 
• Many clients notice improvement within the first few weeks as the treated vessels gradually fade, with continued results developing over time. 
• Depending on the size, depth, and number of capillaries, multiple sessions may be recommended for best outcomes.

Hyaluronidase is an injectable enzyme used to dissolve unwanted or misplaced hyaluronic acid filler, helping correct overfilling, unevenness, or complications for a more natural result. 

Before your Filler Dissolving Treatment 

• Ensure that you do not have a known allergy to hyaluronidase or an allergy to insects. 
• Ensure that you are not pregnant or nursing. 
• Avoid blood thinning medications for at least 7 days prior to avoid bruising. 

What to Expect 

• The medical practitioner will perform a subcutaneous injection of Hyaluronidase into the forearm and wait 10 minutes to test for sensitivity.
• You will feel multiple small needle injections and a slight stinging sensation, which will last about 3-5 seconds. 

After your Filler Dissolving Treatment 

• You may have swelling, itching, rash, redness or bruising. 
• Warm compress and massage of the area is typically recommended, please discuss with your provider at time of treatment. 
• Re-injection with dermal fillers is not recommended for at least 4 weeks.
• If any above mentioned side effects are severe, worsening and/or not improving, please contact our office ASAP. If any trouble swallowing, breathing or other signs of significant allergic reaction, please immediately call 911. 

Results 

• Hyaluronidase helps dissolve unwanted or migrated hyaluronic acid filler to improve symmetry, soften overfilled areas, and smooth lumps or uneven texture.
• Results may be noticeable within minutes to hours, with results typically seen within 24–48 hours as swelling resolves.

Our preferred injectable biostimulator! Hyperdilute Radiesse is a collagen-stimulating injectable treatment that improves skin firmness and texture by enhancing elasticity and smoothing crepey skin in areas like the neck, arms, and body. 

Before your Hyperdilute Radiesse Treatment 

• Avoid medications that inhibit clotting such as vitamin E, aspirin, or non-steroidal anti-inflammatory drugs for seven days prior to treatment. 
• Avoid dental work for 30 days before and after treatment. 
• Immediately report to your provider any change to your overall health or medications. Patients with autoimmune disorders should not proceed with treatment with Radiesse.

What to Expect 

• You will feel multiple small needle injections and may feel pressure, tugging and pulling sensations if cannula technique is used. 

After your Hyperdilute Radiesse Treatment 

• We do not recommend the routine use of ice after treatment unless otherwise noted by your provider. If you do choose to ice, be sure to place a clean barrier between the ice and your skin and do not ice for longer than 10 minutes on followed by 10 minutes off. 
• Massage the injected site as directed 5x a day for 5 minutes 5 days after treatment. This ensures even distribution of product and helps to prevent the formation of nodules (aka lumps). 
• Aspirin, NSAID’s and alcohol should be avoided for the first few days after treatment. 
• Tylenol may be used for pain control. 
• Exaggerated movements of the areas treated should be avoided for the first several days.

Results 

• Hyperdilute Radiesse is a collagen – stimulating injectable treatment designed to improve skin quality, firmness, and texture over time. 
• Unlike traditional dermal fillers that add volume, hyperdilute Radiesse works by enhancing the skin’s structure and elasticity through biostimulation.

Laser hair reduction is a non-invasive treatment that uses laser energy to target hair follicles and reduce unwanted hair growth, leaving skin smoother with long-lasting results over a series of sessions. 

Before your Laser Hair Reduction Treatment 

• Prior to a laser hair removal treatment, patients must abstain from tweezing, waxing, or any other unwanted hair treatment that removes hair from its root.
• There must be hair in the hair follicle for laser hair removal to work. The laser is attracted to the melanin, or pigment, of the hair. The hair must be in its anagen, or active, growth phase. 
• You should also avoid sun exposure in the 4-6 weeks prior to your laser hair removal treatment. Tanned skin has extra melanin, which attracts laser energy.
• Right before your laser hair removal treatment, avoid applying any lotion, sunscreen, perfume, or other similar cosmetics to the surface of your skin.
• Shave 1-3 days before your session. The idea is to have a nice, close shave, so that there is no hair outside the skin. It is best to have just enough hair to be visible so your laser technician knows what is to be treated. There may be some slight charring of the small amount of stubble that gets hit by the laser. So, if you notice an odor of singed hair, that’s normal. 

What to Expect 

• Hair grows in cycles, making it necessary to receive a series of treatments. This varies from patient to patient. Each treatment is spaced between 4-6 weeks apart and a minimum of 6-8 treatments is recommended. 
• Gel will be applied to the area of treatment. The laser hand-piece has a cooling tip that will be applied to the areas and glided on the skin in a crosshatch pattern.
• You will feel a sensation like a snapping rubber band and mild warmth. Most patients find that the treatment is tolerable on its own but topical numbing or Nitronox therapy is available at an additional cost.

After your Laser Hair Reduction Treatment 

• There is no downtime associated with this treatment and patients may resume their normal activities. 
• Avoid picking or scratching skin, do not use any other hair removal during treatment (waxing, electrolysis, or tweezing). 
• Wash and pat dry for 3 days and on the 4th day start gently exfoliating.
• SPF is always recommended post treatment. 
• Be advised that treated hair can take one to two weeks to be excreted from the body, and to fall out. 
• Feel free to shave between treatments. Do not wax, thread, tweeze, or use depilatory products—this will remove the hair follicles, making it impossible to remove the hair with laser. 
• Do not exercise, take hot showers, or use hot tubs or saunas for 12-48 hours. 

Results 

• You can begin to see hair fall out in approximately 1-3 weeks post-treatment.
• Although hair will appear thinner and less noticeable with just one treatment, you’ll need to return for multiple follow-up appointments to see optimal results.

B12 and Lipo-B injections are wellness treatments designed to support energy, metabolism, and overall vitality by delivering essential vitamins and nutrients directly into the body for improved absorption. 

Before your Wellness Treatment 

• Avoid medications that inhibit clotting such as vitamin E, aspirin, or non-steroidal anti-inflammatory drugs for seven days prior to treatment. 

What to Expect 

• Avoid medications that inhibit clotting such as vitamin E, aspirin, or non-steroidal anti-inflammatory drugs for seven days prior to treatment. 

After your Wellness Treatment 

• Ice may be used for any discomfort but usually none is required.
• Bruising/swelling at the injection site may occur. 

Results 

• Lipotropic nutrients are compounds that help catalyze the breakdown of fat during metabolism. They help promote the flow of fat & bile to and from the liver. In essence, they promote improved liver function and fat metabolism. The injection can prevent excess fat buildup in the liver – preventing fatigue. 
• Lipotropic nutrients can decrease resistant fat deposits, boost energy, transform carbohydrates into even more energy, accelerates thought process, helps keep healthy skin tone and strong nails, promotes healthy hair growth, controls estrogen levels, helps control cholesterol levels and gallstones, improves mood, speeds up metabolism and the natural removal of fat in a time released formula.

PRP/PRFM is a regenerative treatment that uses your body’s own platelet-rich plasma to stimulate healing and collagen production, improving skin tone, texture, and supporting hair restoration. 

Before your PRP/PRFM Treatment 

• Do Not Take ASPIRIN or IBUPROFEN (Advil, Motrin), or NAPROXEN (Aleve) or other Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) similar to these medications, for TEN (10) days before treatment. These substances impair platelet function in the normal clotting process and thus promote bleeding and bruising. It is permissible to take acetaminophen (Tylenol or Anacin-3) 
• Do Not Drink Alcohol for Two (2) days prior to treatment, this may cause excessive bleeding, and decreased resistance to infection. 
• Please avoid red wine for four (4) days before surgery in order to minimize bruising. 
• You should have a light meal before arriving the day of procedure, avoid caffeine.
• Please arrive with clean skin if at all possible. 

What to Expect 

• A small amount of a patient’s own blood is drawn into a vacuum collection tube containing a cell separator gel. 
• The tube is then placed into a centrifuge and spun for six minutes to separate the blood into a supernatant plasma/platelet suspension. 
• The red and white blood cells are located below the cell separator gel.
• The platelets and plasma are then transferred in a closed system to a second vacuum tube containing a small amount of calcium chloride solution.
• Fibrin polymerization begins and the PRP remains liquid for approximately 20 minutes before forming PRFM. 
• Your PRFM is ready for use as deemed appropriate by your provider (Ex. topical use or injection into areas such as undereyes or areas of thinning hair).

After your PRP/PRFM Treatment 

• In areas of injection, especially the undereyes, it is NORMAL to be swollen and puffy for a few days. 
• Bruising is common but should be mild and resolve within 7 days.
• DO NOT apply makeup to the areas of injection or topical use. 
• DO NOT touch the sites of injection 
• DO NOT swim or undertake in any strenuous exercise 
• DO NOT expose yourself to long periods in the sun 
• DO NOT sit in a sauna, hot tub, or Jacuzzi 
• DO NOT expose yourself to extreme hot or cold temperatures, or to large swings in temperature 

Results 

• Along with the benefit of using your own tissue therefore eliminating allergies there is the added intrigue of mobilizing your own stem cells for your benefit. PRP has been shown to have overall rejuvenating effects on the skin as in: improving skin texture, fine lines and wrinkles, increasing volume via the increased production of collagen and elastin, and by diminishing and improving the appearance of scars. 
• Results are generally visible at 3 weeks and continue to improve gradually over the next 3‐6 months with improvement in texture and tone. Advanced wrinkling cannot be reversed and only a minimal improvement is predictable in persons with drug, alcohol, and tobacco usage. Severe scarring may not respond. Current data shows results may last 18‐24 months. Of course all individuals are different so there will be variations from one person to the next.

Before 

Avoid medications that inhibit clotting such as vitamin E, aspirin, or non-steroidal anti-inflammatory drugs for seven days prior to treatment. 

During 

• You will feel multiple small needle injections and a burning sensation, which will last about 3-5 seconds 
• As the fat cells lyse you will feel a slight burning sensation lasting several minutes (typically this sensation is gone within 15-30 minutes after treatment)

After 

• To stop any incidental bleeding from the injection, use a tissue and hand pressure. 
• Bruising/swelling at injection site is likely to occur. 
• The submental fullness will look worse before it looks better due to swelling in the area. Swelling is typically worst for the first 1-2 weeks, then gradually improves over the following 4 weeks. By the 4-8 week mark patients are typically back to 

their ‘baseline’ but the area may feel firm and numb for a period of time. Full results are typically seen in 3-6 months. 

Results 

KYBELLA® (deoxycholic acid) injection is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat, also called “double chin,” in adults.

Pixel8 is a fractional skin resurfacing treatment that delivers precise energy into the skin to boost collagen and improve fine lines, acne scars, pigmentation, and overall skin texture with minimal downtime. 

Before your Pixel8 Treatment 

• 1 day after the treatment there could be redness and transient edema (swelling).
• Avoid Accutane for the past 6 months. 
• Do not use topical agents that may increase sensitivity of skin: retinoids, topical antibiotics, exfoliants, acids that may be drying or irritating to the skin (such as alpha hydroxyl acid (AHA) beta hydroxyl acids (BHA), exfoliating masks, salicylic acids, hydroquinone, and benzoyl peroxide acne products) 5-7 days prior. 
• Do not take any anti-inflammatory medications such as ibuprofen, Motrin or Advil for 3 days prior to treatment. These agents will interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation. 
• Avoidance of IPL/Laser procedures, unprotected sun exposure or sunburn for 2 weeks prior. However, IPL may be recommended immediately prior to your Pixel8 treatment and will be discussed with your provider. 
• No waxing, depilatory creams or electrolysis to area being treated 5-7 days prior.
• No shaving the day of the procedure to avoid skin irritation. If there is dense hair present in the treatment area, closely shave the area the day before you arrive to your appointment. 
• Moles, warts or actinic (solar) keratosis should not be treated. 
• If you are prone to cold sores, take antiviral agent for 2 days prior to and day of treatment. Contact our office if this applies to you so we can assist with obtaining a prescription! 
• Avoid blood thinning agents (aspirin, fish oil, Omega-3, Vitamin E) for 1 week prior. May resume the day after treatment.

What to Expect 

• The majority of patients tolerate the 20–30-minute Pixel8 RF microneedling treatment well.
• To help minimize discomfort during RF microneedling, a topical numbing agent is applied to the skin prior to treatment and Nitronox therapy is available.
• Patients may notice a warm sensation and a pricking or scraping feeling during this treatment, but it is not typically painful.
• Following Pixel8 RF microneedling, it is normal to have some level of redness, swelling, irritation, and mild discomfort, but these symptoms usually resolve quickly on their own within hours.

After your Pixel8 Treatment 

• Do not do anything to your skin for 24 hours unless instructed otherwise by your provider. 
• At the 24 hour mark you may wash your face with a gentle cleanser and apply Alumier Recover Balm. 
• No makeup for 5-7 days. Your skin should feel healed before you start using makeup again. 
• No intense exercise, swimming or heat for 5 days. 
• After 7 days you may resume your normal skincare regimen, unless otherwise instructed by your provider. 
• If you have any questions or concerns, please contact your provider ASAP.
• Most patients will experience flakey/dry skin for about 7 days. Some patients will experience ‘purging’ with a flare up in acne for a week or two after treatment.
• After 7 days, it is reasonable to perform light exfoliation as needed with an approved product (reach out if you need guidance!). It will take a full 3-4 months to see full results and most patients will need a series of treatments for optimal results.

Results 

• 1 day after the treatment there could be redness and transient edema (swelling).
• 3 days – 1 week post treatment your skin tone would be brighter and more even. If you have oily skin, you will notice significant reduction in sebum production. 
• 1 month post treatment of RF Microneedling you would notice improvement in fine lines, wrinkles, and skin laxity. Improvement in pores size, scars, and over all complexion is also significantly noticeable. 
• 1–3-month post RF Microneedling treatment you will notice continuous improvement in wrinkles reduction and skin laxity. Collagen production has improved and you can notice the fullness and plumpness of your skin.

Erbium laser is a resurfacing treatment that uses targeted laser energy to remove damaged outer layers of skin, helping reduce wrinkles, sun damage, scars, and uneven texture for smoother, refreshed skin. 

Before your Erbium Treatment 

• Discuss and disclose any healing disorders such as caused by diabetes mellitus, connective tissue disease or radiation/ chemotherapy. 
• Discuss and disclose if there is an active infection or history of herpes simplex of the lips, mouth or face. 
• Do not proceed with the Erbium Yag treatment if the patient is pregnant or breast feeding. 
• Discuss and disclose allergies to topical anesthetics, antibiotics, or other medications. 
• Do not proceed with the treatment if Isotretinoin (Accutane) has been used within the past 12 months. 
• Discuss the history of any hypertrophic scarring or keloid formations or other skin diseases. 

What to Expect 

• Topical numbing cream is typically used to help mitigate any discomfort. For patients who desire, Nitronox therapy is available at an additional cost.
• Mild erythema (redness) can last a few hours up to a few days depending on the severity of the treatment. 
• More intense treatments will have more significant redness that lasts longer periods of time. 
• It is normal to have a sunburn sensation that may include some discomfort may persist for up to 24-48 hours. 
• Patients may use ice to soothe areas of discomfort.
• A few days after peeling of the skin will begin, be sure not to pick the skin as this can cause side effects such as discoloration, scarring or infection. 
• Topical numbing cream is typically used to help mitigate any discomfort. For patients who desire, Nitronox therapy is available at an additional cost.
• Your eyes will be covered to protect them from the laser. 
• The laser head will be held in a way that hovers over the skin while your provider ‘pulses’ the laser on your skin. There will be a snapping noise and a mild snapping sensation that will feel warm. 

After your Erbium Treatment 

• Mild erythema (redness) will be present in the treatment area and can last from a few hours up to a few days. 
• Treatment areas almost always become erythematous. 
• Immediately following the procedure, patients will experience a mild sunburn sensation that may include some mild discomfort. 
• Most patients do not feel any significant discomfort, however, an ice pack (not direct ice) may be applied to help soothe areas with discomfort. 
• A cooling lotion or soothing gel may be used after Erbium Yag treatments. Please contact our office for a recommendation. 
• It is important to protect your skin from environmental elements; therefore, a lotion with a SPF protection of at least 30 should be used daily. 
• A few days post procedure, patients will experience mild peeling of the skin. The peeling is similar to the effects of sunburn. Continue to follow the skin care regimen offered by your physician. Do not pick at the peeling skin, as it may lead to scarring. 

Results 

• Erbium-YAG lasers have been used for laser resurfacing of skin.
• Example uses include treating acne scarring, rhytids, skin texture, and melasma.

Microneedling is a minimally invasive treatment that uses tiny needles to create controlled micro-injuries in the skin to stimulate collagen production, improving texture, fine lines, acne scars, and overall skin tone. 

Before your SkinPen Treatment 

• The treated area may be pink and mildly inflamed (similar to the appearance of a mild sunburn) for 24-48 hours following your SkinPen procedure. 
• For 24 hours post-procedure you are instructed to avoid ANY topical products (including cleansers) unless specifically directed otherwise. 
• If you are prone to herpes simplex outbreaks, such as cold sores, consult your provider on ways to treat prior or whether the procedure is appropriate for you.
• If your face or treatment area has irritated skin (sunburn, open wounds, sores) 

the day preceding your appointment, please contact our office before your appointment. 

• This procedure may not be performed on active breakouts or open lesions. Please consult your provider prior to your SkinPen procedure to address any such issues. 
• Wait at least six months post isotretinoin use before your SkinPen procedure, as isotretinoin use may impair proper wound healing. 
• If you have recently used spray or self-tanning lotions on treatment areas before your SkinPen procedure, discuss with your provider. 
• Avoid sun exposure for 24 hours prior to the procedure. 
• Discontinue the use of topical products containing AHAs, Retinol or Vitamin A for 24 hours prior to your SkinPen procedure. 
• If you are on autoimmune therapy, ask your provider if the procedure is appropriate for you. 

What to Expect

• Microneedling procedures are performed in a minimally-invasive (little to no introduction of the instrument into the body) and precise manner with the use of the sterile needle head.
• The procedure is normally completed within 30–60 minutes, depending on the required procedure and anatomical site.
• The skin may be treated with anesthetic prior to the procedure to reduce discomfort, which tends to be mild but may vary from person to person.

After your SkinPen Treatment 

• If you are prone to cold sores, continue your medications for 5 days.
• Do not apply any products or wash your face for at least 24 hours after treatment. We recommend avoiding make-up for 5 days after treatment. You may apply pure hyaluronic acid serum if recommended by your provider. 
• After 24 hours, you may wash your face with cool water and a gentle cleanser.
• After 24 hours you may use products specified by your provider. We highly recommend the Anteage Stem Cell Aftercare Kit for speedy recovery and optimal treatment results. If you prefer not to use Stem Cell products, AlumierMD Post Procedure Kit is a great option as well. 
• If you have discomfort, you may take medications, e.g. acetaminophen (Tylenol) or ibuprofen as directed. Note- ibuprofen may increase risk of bruising.
• Be sure to use physical sunscreen (zinc or titanium based) daily and minimize sun exposure to reduce the risk of sunburn and uneven pigmentation.
• Most people will find their skin is acceptable for normal social activities the day after treatment. By day 3/4, it is normal for your skin to peel or flake for a few days. Be careful not to exfoliate or apply products unless specifically directed by your provider for at least 1 week after treatment. You will begin to see the benefits of Microneedling around the 7-10 day mark.

Results 

Over time, this helps to improve the appearance of scars, fine lines, pores, uneven pigmentation, and overall skin texture.

Alma Hybrid is an advanced skin rejuvenation treatment that combines laser and energy-based technologies to resurface the skin, stimulate collagen, and improve fine lines, texture, acne scars, and pigmentation for a smoother, brighter complexion. 

Before your Alma Hybrid Treatment 

• Limit direct sun exposure for 2 weeks before treatment. Use a broad-spectrum SPF 30+ daily to protect your skin. 
• Stop using retinoids, exfoliants, AHAs, BHAs, or other active ingredients for 5-7 days prior to treatment. 
• Inform your provider if you have a history of cold sores or herpes simplex virus. Prophylactic antiviral medication may be prescribed. 
• If the treatment area has hair, shave the area 24 hours before your appointment (if applicable). 
• Refrain from taking aspirin, ibuprofen, or other blood-thinning medications for 7 days unless directed by your physician. 
• Arrive with clean skin. Do not wear makeup, lotion, or sunscreen on the day of treatment. 

What to Expect 

• The Alma Hybrid combines ablative (CO2) and non-ablative (1540nm) laser wavelengths to address skin texture, pigmentation, and rejuvenation.
• Topical numbing cream may be applied for comfort. 
• You may feel warmth, tingling, or a mild snapping sensation during the procedure. 
• Treatment time varies based on the area but generally lasts 30-60 minutes.
• Redness, swelling, and warmth similar to a sunburn are normal and may peak within 24-48 hours. 
• Mild bleeding or pinpoint spots may occur with more aggressive treatments.
• Peeling, crusting, or flaking will develop over the next few days as part of the natural healing process. 
• Itching or tightness may occur as the skin heals. Do not scratch or pick at your skin to avoid complications. 

After your Alma Hybrid Treatment 

• Do not wash your face for 12-24 hours to allow the skin barrier to recover.
• Keep your skin moist at all times with Anteage BioGel or Laser Balm. If you experience burning or irritation, reapply the ointment more frequently.
• If you run out of Laser Balm, you may use Vaseline as a substitute or contact our office to purchase more. 
• Sleep on your back with your head slightly elevated to reduce swelling.
• Evian spray can be used frequently to keep the skin cool and hydrated.
• CleanSkinClub wipes can be used for gentle cleansing if needed.
• For aggressive treatments use the provided Chuck pad over your pillow to 

protect it and change to a clean pillowcase on the night of your treatment and each night thereafter during healing. 

Results 

• Alma Hybrid treatments typically deliver noticeable improvements in skin texture, tone, and clarity. Many patients see smoother, more even skin with reduced fine lines, wrinkles, acne scars, sun damage, and enlarged pores. 
• Over time, collagen stimulation leads to firmer, more youthful-looking skin, with results continuing to improve in the weeks and months after treatment.
• Some patients notice changes after the first session and results continue to build upon subsequent treatment.

Pixel Peel™ is a light fractional CO₂ resurfacing treatment performed with the Alma Hybrid platform. It refreshes and rejuvenates the skin by creating controlled micro-injuries that stimulate collagen production and promote new, healthy skin cell turnover. 

Before your Alma Hybrid Treatment

• Melasma or melasma history can be treated but requires pretreatment and careful parameter selection to minimize pigment risk.
• Limit direct sun exposure for 2 weeks before treatment. Use a broad-spectrum SPF 30+ daily to protect your skin.
• Stop using retinoids, exfoliants, AHAs, BHAs, or other active ingredients for 5-7 days prior to treatment.
• Inform your provider if you have a history of cold sores or herpes simplex virus. Prophylactic antiviral medication may be prescribed.
• Refrain from taking aspirin, ibuprofen, or other blood-thinning medications for 7 days unless directed by your physician.
• Arrive with clean skin. Do not wear makeup, lotion, or sunscreen on the day of treatment.

What to Expect

• The Pixel Peel with Alma Hybrid will use only ablative (CO2) laser wavelengths to address skin texture, pigmentation, and rejuvenation.
• A fan may be applied for comfort.
• You may feel warmth, tingling, or a mild snapping sensation during the procedure.
• Treatment time varies based on the area but generally lasts a matter of  minutes.

Immediately After your Alma Hybrid Treatment (Day 0)

• Your skin may appear pink or mildly red and feel warm or tight, similar to a light sunburn.
• Avoid touching or applying makeup for 24 hours.
• Keep the skin continuously moist with a barrier-restoring balm for the first 24 hours.
• Our favorite post-treatment product is the Universkin Barrier Restoring Balm.
• EltaMD Laser Balm or AnteAGE BioGel are reasonable alternatives.
• If your skin feels dry, tight, or warm, apply more balm for comfort — this will soothe and support the healing process.

Calm & Hydrate (Day 1-3)

• Cleanse gently twice daily using one of these mild cleansers:
• AnteAGE Gentle Cleanser
• Alumier SensiCalm Cleanser
• Universkin Hydrating Oil Cleanser
• EltaMD Amino Acid Foaming Cleanser
• Reapply your barrier balm or gentle moisturizer as often as needed to maintain hydration.
• Avoid exfoliating products, acids, or retinoids.
• No heat, saunas, or vigorous workouts.
• Do not pick or peel flaking skin — allow it to shed naturally.

Renew & Protect (Day 3-7)

• Skin may feel dry or “sandpapery” before revealing smoother, brighter skin.
• Continue cleansing and moisturizing twice daily.
• Begin applying a mineral sunscreen (SPF 30+) every morning:
• EltaMD UV Skin Recovery Red (Color-Correcting Green Tint)
• Alumier Sheer Hydration SPF 40 (Untinted)
• Avoid direct sunlight and self-tanners during this time.

Maintain & Glow (Day 7<)

• Skin should look refreshed and radiant.
• Resume active skincare (retinol, brighteners, exfoliants) only after skin feels fully healed.
• Continue daily mineral SPF and gentle hydration to maintain your results.
• Schedule follow-up or maintenance treatments as recommended.

Contact Us If You Notice

• Increasing redness, swelling, or pain after 3 days
• Drainage, pustules, or signs of infection
• New or worsening pigmentation changes
• Cold-sore outbreak or unusual irritation

Results

• Alma Hybrid treatments typically deliver noticeable improvements in skin texture, tone, and clarity. Many patients see smoother, more even skin with softening of fine lines, a subtle improvement in skin firmness, and mild pigment irregularities. 
• Over time, collagen stimulation leads to firmer, more youthful-looking skin, with results continuing to improve in the weeks and months after treatment. 
• Some patients notice changes after the first session and results continue to build upon subsequent treatment.

The Moderate Alma Hybrid Treatment offers a combination of fractional CO₂ and 1570 nm non-ablative laser energy to achieve skin resurfacing and collagen production. It is best for patients seeking significant results over time with shorter, more manageable recovery periods. 

Before your Moderate Alma Hybrid Treatment

• Melasma or melasma history can be treated but requires pretreatment and careful parameter selection to minimize pigment risk.
• Limit direct sun exposure for 2 weeks before treatment. Use a broad-spectrum SPF 30+ daily to protect your skin.
• Stop using retinoids, exfoliants, AHAs, BHAs, or other active ingredients for 5-7 days prior to treatment.
• Inform your provider if you have a history of cold sores or herpes simplex virus. Prophylactic antiviral medication may be prescribed.
• If the treatment area has hair, shave the area 24 hours before your appointment (if applicable).
• Refrain from taking aspirin, ibuprofen, or other blood-thinning medications for 7 days unless directed by your physician.
• Arrive with clean skin. Do not wear makeup, lotion, or sunscreen on the day of treatment.
• Contraindications to treatment are open wounds, active infections, cold sores in the treatment area, Accutane use in the past 6 months, pregnancy/breastfeeding, severe skin conditions such as Eczema or Psoriasis in the treatment area, history of keloids, or poor wound healing. 

What to Expect

• The Alma Hybrid combines ablative (CO2) and non-ablative (1540nm) laser wavelengths to address skin texture, pigmentation, and rejuvenation.
• Topical numbing cream will be applied for comfort. Additional comfort options include Zimmer Cyrotherapy, Injectable/Tumescent Numbing, or Nitronox. 
• You may feel heat, pressure, or mild tingling depending on the treatment intensity.
• Treatment time varies based on the area but generally lasts 30-60 minutes.

Immediately After your Alma Hybrid Treatment

• Do not wash your face for 12-24 hours to allow the skin barrier to recover.
• You will receive a curated post procedure kit after the first treatment that is to be used for the series.
• Keep your skin moist at all times with EltaMD Laser Balm. If you experience burning or irritation, reapply the ointment more frequently.
• You may use BioGel or Vaseline as a substitute.

24 Hours Post-Treatment Home Care Regimen

AM Routine

• Wash your hands before touching your face.
• Gently wash your face with EltaMD Skin Recovery Amino Acid Foaming Cleanser. Be very gentle when cleansing—do not scrub.
• Apply a thin layer of EltaMD Laser Balm to lock in moisture and support healing.
• Apply broad-spectrum mineral sunscreen (SPF 30 or higher). Reapply every 2 hours when outdoors.

PM Routine

• Wash your hands before touching your face.
• Gently wash your face with EltaMD Skin Recovery Amino Acid Foaming Cleanser. Be very gentle when cleansing—do not scrub.
• Apply a thin layer of EltaMD Laser Balm to keep your skin moisturized overnight.

As Needed Throughout the Day

• Reapply EltaMD Laser Balm if your skin feels tight or dry.
• Vinegar Soaks: If itching or discomfort occurs, use the following method:
• Mix 1 tablespoon of white vinegar with 1 cup of water.
• Soak a CleanSkinClub wipe or soft cloth in the mixture.
• Press gently onto the treated area for 10-15 minutes.
• Follow with EltaMD Laser Balm.
• Repeat 2-3 times per day if needed.

After your Moderate Alma Hybrid Treatment

• No direct or indirect sun exposure for 1 week after treatment.
• No direct sun exposure for 1-3 months following treatment.
• Avoid hot tubs, saunas, and strenuous exercise for at least 1 week post-treatment.
• Avoid swimming pools and activities that could introduce bacteria to the treated area.
• Refrain from wearing makeup or using non-recommended skincare products until peeling or flaking has resolved (typically 4-7 days).
• Stay well hydrated by drinking plenty of water throughout the day.
• Avoid alcohol and caffeine for 24 hours post-treatment, as they can increase swelling.
• Consider adding anti-inflammatory foods (such as leafy greens and berries) to your diet to support healing.
• Sleep on your back with your head slightly elevated to reduce swelling.
• Evian spray can be used frequently to keep the skin cool and hydrated.
• CleanSkinClub wipes can be used for gentle cleansing if needed.

Contact Us If You Notice

• Severe swelling or pain that does not improve.
• Blistering, yellow discharge, or signs of infection (fever, body aches, sweating, etc).
• Cold sore outbreak or any signs of herpes (vesicles or blisters).

Results

• Alma Hybrid treatments typically deliver noticeable improvements in skin texture, tone, and clarity. Many patients see smoother, more even skin with reduced fine lines, wrinkles, acne scars, sun damage, and enlarged pores. 
• Over time, collagen stimulation leads to firmer, more youthful-looking skin, with results continuing to improve in the weeks and months after treatment. 

The Aggressive Alma Hybrid Treatment offers a combination of fractional CO₂ and 1570 nm non-ablative laser energy to achieve skin resurfacing and collagen production. This is the most aggressive option, designed for patients who want maximum improvement in texture, wrinkles, pigmentation, and skin tone with one treatment. This intensity achieves remarkable results but requires significant downtime.

Before your Aggressive Alma Hybrid Treatment

• Melasma or melasma history can be treated but requires pretreatment and careful parameter selection to minimize pigment risk.
• Limit direct sun exposure for 2 weeks before treatment. Use a broad-spectrum SPF 30+ daily to protect your skin.
• Stop using retinoids, exfoliants, AHAs, BHAs, or other active ingredients for 5-7 days prior to treatment.
• Inform your provider if you have a history of cold sores or herpes simplex virus. Prophylactic antiviral medication may be prescribed.
• If the treatment area has hair, shave the area 24 hours before your appointment (if applicable).
• Refrain from taking aspirin, ibuprofen, or other blood-thinning medications for 7 days unless directed by your physician.
• Arrive with clean skin. Do not wear makeup, lotion, or sunscreen on the day of treatment.
• Contraindications to treatment are open wounds, active infections, cold sores in the treatment area, Accutane use in the past 6 months, pregnancy/breastfeeding, severe skin conditions such as Eczema or Psoriasis in the treatment area, history of keloids, or poor wound healing. 

What to Expect

• The Alma Hybrid combines ablative (CO2) and non-ablative (1540nm) laser wavelengths to address skin texture, pigmentation, and rejuvenation.
• Topical numbing cream will be applied for comfort. Additional comfort options include Zimmer Cyrotherapy, Injectable/Tumescent Numbing, or Nitronox. 
• You may feel heat, pressure, or mild tingling depending on the treatment intensity.
• Treatment time varies based on the area but generally lasts 30-60 minutes.
• Redness, swelling, and warmth similar to a sunburn are normal and may peak within 24-48 hours.
• Mild bleeding or pinpoint spots may occur with more aggressive treatments.
• Peeling, crusting, or flaking will develop over the next few days as part of the natural healing process.
• Itching or tightness may occur as the skin heals. Do not scratch or pick at your skin to avoid complications.

Immediately After your Aggressive Alma Hybrid Treatment

• Do not wash your face for 12-24 hours to allow the skin barrier to recover.
• Keep your skin moist at all times with Anteage BioGel. If you experience burning or irritation, reapply the ointment more frequently.
• If you run out of BioGel, you may use Vaseline as a substitute or contact our office to purchase more BioGel.
• Use the provided Evian spray frequently to keep the skin cool and hydrated.
• Sleep on your back with your head slightly elevated to reduce swelling.
• Use the provided Chuck pad over your pillow to protect it, and change to a clean pillowcase on the night of your treatment and each night thereafter during healing.
• CleanSkinClub wipes can be used for gentle cleansing if needed.

24 Hours Post-Treatment Home Care Regimen

AM Routine

• Gently wash your face with EltaMD Skin Recovery Amino Acid Foaming Cleanser.
• Wash your hands before touching your face.
• Be very gentle when cleansing—do not scrub.
• Use a clean towel or CleanSkinClub wipe to gently pat the skin dry (no rubbing).
• Apply a light mist of Evian spray for comfort and hydration.
• Apply a thin layer of Anteage BioGel or Laser Balm to lock in moisture and support healing.
• Apply broad-spectrum mineral sunscreen (SPF 30 or higher). Reapply every 2 hours when outdoors.

PM Routine

• Use EltaMD Skin Recovery Amino Acid Foaming Cleanser to wash your face.
• Again, wash your hands first and be gentle with your skin.
• Use a clean towel or CleanSkinClub wipe to pat the skin dry.
• Apply a light mist of Evian spray.
• Apply Anteage BioGel to keep your skin moisturized overnight.

As Needed Throughout the Day

• Reapply EltaMD Laser Balm if your skin feels tight or dry.
• Vinegar Soaks: If itching or discomfort occurs, use the following method:
• Mix 1 tablespoon of white vinegar with 1 cup of water.
• Soak a CleanSkinClub wipe or soft cloth in the mixture.
• Press gently onto the treated area for 10-15 minutes.
• Follow with EltaMD Laser Balm.
• Repeat 2-3 times per day if needed.

After your Aggressive Alma Hybrid Treatment

• Do not pick or scratch at peeling or crusting skin to avoid scarring or infection.
• Allow the skin to slough off naturally during the healing process.
• No direct or indirect sun exposure for 1 week after treatment.
• No direct sun exposure for 1-3 months following treatment.
• Avoid hot tubs, saunas, and strenuous exercise for at least 1 week post-treatment.
• Avoid swimming pools and activities that could introduce bacteria to the treated area.
• Refrain from wearing makeup or using non-recommended skincare products until peeling or flaking has resolved (typically 4-7 days).
• Stay well hydrated by drinking plenty of water throughout the day.
• Avoid alcohol and caffeine for 24 hours post-treatment, as they can increase swelling.
• Consider adding anti-inflammatory foods (such as leafy greens and berries) to your diet to support healing.
• Sleep on your back with your head slightly elevated to reduce swelling.
• Evian spray can be used frequently to keep the skin cool and hydrated.
• CleanSkinClub wipes can be used for gentle cleansing if needed.

Contact Us If You Notice

• Severe swelling or pain that does not improve.
• Blistering, yellow discharge, or signs of infection (fever, body aches, sweating, etc).
• Cold sore outbreak or any signs of herpes (vesicles or blisters).

Results

• Alma Hybrid treatments typically deliver noticeable improvements in skin texture, tone, and clarity. Many patients see smoother, more even skin with reduced fine lines, wrinkles, acne scars, sun damage, and enlarged pores. 
• Over time, collagen stimulation leads to firmer, more youthful-looking skin, with results continuing to improve in the weeks and months after treatment. 

The Periocular Alma Hybrid Treatment offers a combination of fractional CO₂ and 1570 nm non-ablative laser energy to achieve skin resurfacing and collagen production to the periocular region. This area may include the upper and lower eyelids, lash line, crow’s feet, and surrounding skin. Intraocular metal shields will be inserted to allow safe treatment of the eyelids. This is the most aggressive option for the eye area, designed for patients who want maximum improvement from their session.

Before your Periocular Alma Hybrid Treatment

• Melasma or melasma history can be treated but requires pretreatment and careful parameter selection to minimize pigment risk.
• Limit direct sun exposure for 2 weeks before treatment. Use a broad-spectrum SPF 30+ daily to protect your skin.
• Stop using retinoids, exfoliants, AHAs, BHAs, or other active ingredients for 5-7 days prior to treatment.
• Inform your provider if you have a history of cold sores or herpes simplex virus. Prophylactic antiviral medication may be prescribed.
• If the treatment area has hair, shave the area 24 hours before your appointment (if applicable).
• Refrain from taking aspirin, ibuprofen, or other blood-thinning medications for 7 days unless directed by your physician.
• Arrive with clean skin. Do not wear makeup, lotion, or sunscreen on the day of treatment.
• Contraindications to treatment are open wounds, active infections, cold sores in the treatment area, Accutane use in the past 6 months, pregnancy/breastfeeding, severe skin conditions such as Eczema or Psoriasis in the treatment area, history of keloids, or poor wound healing. 

What to Expect

• The Alma Hybrid combines ablative (CO2) and non-ablative (1540nm) laser wavelengths to address skin texture, pigmentation, and rejuvenation.
• Treatment of the periocular region includes the use of intraocular metal shields to safely allow laser delivery directly to the eyelids.
• To ensure comfort, a combination of topical anesthetic, ophthalmic numbing drops, and a nerve block injection (e.g., infraorbital or supraorbital block) will be administered prior to treatment.
• You may feel heat, pressure, or mild tingling depending on the treatment intensity.
• Treatment time varies based on the area but generally lasts 30-60 minutes.
• Redness, swelling, and warmth similar to a sunburn are normal and may peak within 24-48 hours.
• Mild bleeding or pinpoint spots may occur with more aggressive treatments.
• Peeling, crusting, or flaking will develop over the next few days as part of the natural healing process.
• Itching or tightness may occur as the skin heals. Do not scratch or pick at your skin to avoid complications.

Immediately After your Periocular Alma Hybrid Treatment

• Expect swelling, redness, and warmth—this is normal and typically peaks at 48–72 hours.
• Keep the area clean, protected, and lubricated.
• Use cool compresses for comfort:
• Soak a clean, soft washcloth or sterile gauze in cold distilled water or sterile saline.
• Wring out excess water and gently apply to the closed eyes for 10–15 minutes as needed.
• Use a fresh compress each time.
• Avoid medicated solutions (such as Burow’s solution or vinegar soaks) near the eyes.

24 Hours Post-Treatment Home Care Regimen

• Begin gentle cleansing twice daily.
• Use lukewarm water and a non-foaming, fragrance-free cleanser (e.g., Cetaphil or Alastin Gentle Cleanser).
• Pat dry with a clean towel or gauze—do not rub or pick at the skin.
• Reapply ointment immediately after cleansing.

Ointment & Eye Care

• Unless otherwise directed, apply a thin layer of erythromycin ophthalmic ointment 2–3 times per day.
• Apply to the eyelid margin and surrounding treated skin.
• May be used inside the lower eyelid (conjunctival sac) if directed by your provider.
• Continue use until the skin is no longer open, oozing, or crusted (typically 5–7 days).
• If you experience itching, burning, or irritation, discontinue use and contact our office.

Healing Timeline

• Days 1–3: Swelling, redness, oozing or crusting may occur
• Days 4–7: Skin may feel tight or dry; mild flaking or peeling is normal
• Days 7–14: Redness fades to pink; most visible signs of treatment resolve
• Weeks 2–6: Collagen remodeling continues
• Months 2–3: Final results appear with smoother, firmer, and more even-toned skin

After your Aggressive Alma Hybrid Treatment

• Do not pick or scratch at peeling or crusting skin to avoid scarring or infection.
• No direct or indirect sun exposure for 2 weeks after treatment.
• No direct sun exposure for 1-3 months following treatment.
• Use mineral SPF 30+ once the skin is fully healed.
• Avoid hot tubs, saunas, and strenuous exercise for at least 1 week post-treatment.
• Avoid swimming pools and activities that could introduce bacteria to the treated area.
• Avoid eye makeup and contact lenses until you’re cleared by your provider.
• Avoid active skincare such as retinoids, acids, vitamin C, or exfoliants until fully healed and cleared by your provider.
• Limit screen time or reading if it causes discomfort or eye strain in the first few days.
• Stay well hydrated by drinking plenty of water throughout the day.
• Avoid alcohol and caffeine for 24 hours post-treatment, as they can increase swelling.
• Consider adding anti-inflammatory foods (such as leafy greens and berries) to your diet to support healing.
• CleanSkinClub wipes can be used for gentle cleansing if needed.

Contact Us If You Notice

•  Worsening redness, swelling, or pain after day 3.
• Yellow discharge, significant crusting, or signs of infection.
• Persistent eye discomfort, blurry vision, or any change in eyesight.
• Allergic reaction or irritation from ointments.

Results

•  Smoother, firmer, and more even-toned skin around the eyes
• Improvement in fine lines, crepiness, texture irregularities, and pigmentation
• Enhanced collagen remodeling for long-term rejuvenation
• Over time, collagen stimulation leads to firmer, more youthful-looking skin, with results continuing to improve in the weeks and months after treatment. 

Smooth PDO threads are absorbable threads placed just beneath the skin to stimulate collagen production, improve skin texture, firmness, and overall skin quality. Unlike lifting threads, smooth threads are designed to support skin rejuvenation and gradual tightening rather than repositioning tissue. 

Before your PDO Thread Treatment 

• Avoid blood-thinning medications and supplements when possible (such as aspirin, NSAIDs, fish oil, vitamin E, and alcohol) for 5–7 days prior, unless medically necessary 
• Arrive with clean skin, free of makeup or skincare products in the treatment area
• Inform your provider of any recent illnesses, infections, active skin concerns, or changes to your medical history 
• Let us know if you are pregnant, breastfeeding, or have a history of poor wound healing or autoimmune conditions 
• If you have a history of cold sores (oral herpes / HSV-1), please inform your provider prior to treatment—especially when treating around the mouth. Procedures involving needles may trigger a flare in some individuals, and preventative antiviral medication may be recommended. 
• A consultation will be performed prior to treatment to confirm candidacy and review your personalized treatment plan. 

What to Expect 

• Local numbing cream or lidocaine is applied to ensure comfort during the procedure. 
• You may feel mild pressure, tugging, or a slight pinching sensation during thread placement. 
• The procedure lasts 30-60 minutes, depending on the number of threads and treatment areas.
• Apply a cold compress to the treated area for 15 minutes every hour for the first 24 hours to reduce swelling and bruising. 

After your PDO Thread Treatment 

• Sleep with your head elevated on pillows for the first 3 nights to minimize swelling. 
• Drink plenty of water to support healing and collagen production.
• Use a mild cleanser and avoid applying makeup for 24 hours. 
• Swelling, bruising, and tenderness are common and typically resolve within 5-7 days. 
• You may feel tightness or pulling sensations for up to 2 weeks as the threads settle. 
• Avoid excessive facial expressions, massaging the treated area, or dental procedures for 2 weeks to prevent thread displacement. 
• Avoid strenuous activities or heavy lifting for 1 week. 
• Avoid hot showers, saunas, or steam rooms for 7 days. 
• Refrain from using active skincare ingredients (retinoids, AHAs, or BHAs) for 7 days. 
• Do not touch or press on the treated area for 24 hours. 
• Do not sleep on your side or stomach for 3 nights. 
• Do not consume alcohol or blood-thinning medications (unless medically necessary) for 48 hours post-treatment to minimize bruising. 
• Do not use exfoliating scrubs or undergo facials for 2 weeks post-treatment. 

Results 

• Smooth thread’s results develop gradually over 6-12 weeks, as the threads stimulate collagen and improve skin texture.
• Skin improvements last approximately 12 months, depending on the individual’s collagen response and skin condition.

EZ-Gel is an autologous treatment that uses your own blood to create a biostimulatory gel for skin rejuvenation, volume restoration, and collagen stimulation. 

Before your EZ-Gel Treatment 

• Avoid NSAIDs (e.g., Ibuprofen, Aspirin) for 5-7 days prior to treatment.
• Stay hydrated and eat a light meal before your appointment.
• Avoid alcohol 24 hours before treatment.

What to Expect 

• Your blood is drawn and processed in-office to isolate plasma and fibrin.
• The gel is injected into targeted areas to improve volume, skin texture, and elasticity. 
• A topical numbing agent may be applied to minimize discomfort during injections.
• Mild pressure or a pinching sensation may be felt at injection sites.
• Swelling and bruising common side effects that usually subside within 3-5 days.
• Mild tenderness at injection sites may last for 1-2 days. 
• Early results are visible within 1-2 weeks. 
• Full benefits, including collagen stimulation, develop over 4-12 weeks. 

After your EZ-Gel Treatment 

• Apply a cold compress to the treated area for 15 minutes every hour for the first 24 hours to minimize swelling and bruising. 
• Use a gentle cleanser and lukewarm water to clean the treated area. Avoid rubbing or massaging the skin. 
• Stay well-hydrated to support collagen stimulation and skin healing. ● Avoid applying makeup for 24 hours to reduce the risk of infection. ● Avoid direct sun exposure and apply a broad-spectrum SPF 30+ daily to protect your skin.
• Refrain from strenuous exercise, saunas, steam rooms, or hot tubs for 48 hours. ● Avoid active ingredients such as retinoids, AHAs, or BHAs for 7 days post-treatment. 
• Do not massage or manipulate the treated areas for 2 weeks. 
• Do not consume alcohol or blood-thinning medications (unless medically necessary) for 48 hours post-treatment to reduce bruising. 
• Do not undergo facials, chemical peels, or other skin treatments for 14 days. ● Do not touch or apply pressure to the treated area for 24 hours. 

Results 

• EZ-Gel offers natural-looking results that improve over time, with effects lasting 12-18 months, depending on individual factors and treatment goals. Maintenance treatments may be recommended for optimal long-term results.

During

A skin biopsy is a procedure where a small sample of skin tissue is removed for examination to diagnose skin conditions such as melanoma, other skin cancers, infections, or unexplained rashes.

• Procedure Details:
• Local anesthesia is applied to numb the area before the biopsy.
• The type of biopsy (shave, punch, or excisional) will depend on the location and size of the area being biopsied.
• The sample is then removed using a scalpel or specialized biopsy tool.
• A small bandage is applied to the biopsy site.
• Sensation: You may feel a slight pinch when the anesthesia is administered, but the area will be numb during the procedure.
• Duration: The biopsy typically takes 10-30 minutes, depending on the type of biopsy and the location of the skin sample.

After

Immediate Aftercare

1. Keep the Area Clean: Gently wash the biopsy site with mild soap and water, and pat dry—do not rub.
2. Bandage Care: Keep the bandage on the biopsy site for 24 hours. After 24 hours, you may remove the bandage and continue to keep the site clean and dry.
3. Apply Ointment: Apply a thin layer of antibiotic ointment (like Neosporin) or petroleum jelly to the biopsy site and cover with a clean, non-stick bandage for the next 2-3 days to promote healing and prevent infection.
4. Avoid Irritation: Avoid touching or scratching the biopsy site to minimize the risk of infection.

What to Expect

• Swelling and Redness: Mild swelling and redness are common at the biopsy site and usually resolve within 2-5 days.
• Scarring: A small scar will form after healing, but the size and appearance depend on the biopsy technique used.
• Healing Time: The biopsy site should begin to heal within 7-14 days, depending on the depth of the biopsy and individual healing.
• Results: Biopsy results may take 1-2 weeks to be available, depending on the type of tissue analysis required. Your provider will contact you with the results and discuss the next steps if necessary.

Restrictions

1. Sun Protection: Avoid direct sun exposure to the biopsy site. Apply a broad-spectrum sunscreen (SPF 30+) daily to the area for at least 3 months after the procedure.
2. Heat Exposure: Avoid hot tubs, saunas, and steam rooms for 7 days after the biopsy to prevent irritation and infection.
3. Exercise: Refrain from vigorous physical activity or heavy lifting for 48 hours post-procedure to reduce the risk of bleeding and irritation.
4. Avoid Smoking: Smoking can impair healing, so it’s advisable to avoid smoking for 48 hours after the biopsy.

DO NOT:

• Do not scratch, pick, or peel the scab that forms over the biopsy site.
• Do not apply makeup, lotions, or other products to the biopsy site until it has fully healed.
• Do not submerge the biopsy site in water (e.g., swimming or soaking in a bathtub) for 7 days.
• Do not resume topical treatments (such as retinoids or harsh exfoliants) over the biopsy site until it is fully healed.

Results

The results of a skin biopsy will help guide any further treatment or diagnosis. A small scar will remain at the biopsy site, but it should fade over time. The majority of patients experience full recovery without significant complications.

Contact Your Provider

• Contact your provider if you experience excessive bleeding, signs of infection (increased redness, warmth, swelling, or pus), or if the wound does not heal as expected.
• Notify your provider if you notice any unusual or persistent symptoms at the biopsy site, such as worsening pain or changes in the appearance of the wound.

During

CryoProbe is a minimally invasive cryotherapy treatment that uses a precise application of extreme cold to treat various skin conditions, such as benign lesions, warts, skin tags, and pigmentation irregularities.

• Procedure Details:
• A controlled jet of nitrous oxide gas is applied to the targeted lesion, freezing the tissue.
• The procedure is quick and typically lasts 5-30 seconds per lesion, depending on its size.
• Sensation: You may feel a cold or stinging sensation during the application, followed by numbness in the treated area.
• Immediate Appearance: The treated area may appear red and slightly swollen immediately after treatment.

After

Immediate Aftercare

1. Cleanse Gently: Keep the treated area clean by washing with mild soap and water. Pat dry—do not rub.
2. Protect the Area: Apply a thin layer of petroleum jelly or an antibiotic ointment to keep the area moist and reduce the risk of infection. Cover with a non-stick bandage if needed.
3. Avoid Irritation: Refrain from touching, picking, or scratching the treated area to allow for proper healing.

What to Expect

• Blister Formation: A blister or scab may form within 24-48 hours and is a normal part of the healing process.
• Healing Time: The scab or crust will typically fall off on its own within 7-14 days, revealing fresh, healthy skin beneath.
• Pigmentation Changes: Temporary redness or light/dark pigmentation may occur and usually resolves over time.

Restrictions

1. Sun Protection: Avoid direct sun exposure on the treated area and apply SPF 30+ daily until the skin has fully healed.
2. Heat Exposure: Refrain from using saunas, hot tubs, or hot showers for 48 hours post-treatment.
3. Harsh Products: Avoid using exfoliating scrubs, retinoids, AHAs, or BHAs on the treated area for 7 days.

DO NOT:

• Do not pop blisters or forcefully remove scabs; allow them to heal naturally.
• Do not apply makeup or perfumed products to the area for 48 hours.
• Do not swim or soak the treated area in water (e.g., pools or baths) for 48 hours.

Results

CryoProbe effectively treats a wide range of skin conditions with minimal downtime. Results are typically visible once the skin has healed, with most patients requiring only one session. Follow-up treatments may be needed for larger or stubborn lesions.

Contact Your Provider

• Contact your provider if you experience excessive swelling, prolonged redness, or signs of infection, such as pus, increased warmth, or fever.
• Notify your provider of any unusual or persistent side effects.