Things To Know:

·        The CO2 Cool Peel offers a customizable approach to skin rejuvenation, featuring varying settings tailored to individual needs. The advanced CO2 technology allows for customizable settings, offering both lighter and deeper treatment options. Due to this, patient response can vary.

·        Pre and Post treatment skin conditioning with certain products is usually required for best results. These produce commendations are tailored to your specific needs and goals. This will all be reviewed during your consultation but most Often include Alastin Nectar. This is recommended to be use 2 weeks prior to the treatment morning and night.

·        Generally 1-3 treatments will be needed per area depending on intensity of treatment. If multiple treatments are needed they are usually spaced 6 weeks – 12 weeks apart. A maintenance treatment of lighter settings are usually recommended once a year.

·        Our typical pain management protocol is done with topical anesthesia. Topical lidocaine/tetracaine is provided to all patients. It will be applied 1-1.5hrs prior to the procedure. Please let your provider know if you are allergic to either of those medications.

·        Some individuals may need Nitrous Oxide. This gas can help calm nerves and quell pain slightly. It can be decided upon anytime along the process, but does require an extra cost of $65 per session.

Before Your Treatment:

·        Do not wear makeup on the day of treatment.

·        Excess hair should be shaved the night prior.Men should be cleanly shaved.

·        No sun-tanning or self-tanners 4 weeks prior totreatment (Includes spray tans, tanning lotions, tanning beds, sun exposure,etc.)

·        Avoid treatments that may irritate the skin for1-2 weeks prior to treatment (waxing, depilatories, etc.)

·        Notify clinic with any changes to your healthhistory or medications since your last appointment.

·        Skin types IV-VI or Skin Types I-IV with ahistory of melasma/PIH (post inflammatory hyperpigmentation) may need to betreated 4 weeks prior with a Pigment Control Cream or Hydroquinone. Stop anyproduct containing hydroquinone 3 days prior to treatment.

·        Avoid skin irritants for 7 days pre &post-treatment. Such as products containing tretinoin, retinol, benzoylperoxide, glycolic/salicylic acids, astringents, etc. A week before yourprocedure stop taking: aspirin, ibuprofen, Excedrin, Motrin, ginkgo biloba,ginseng, flax oil, cod liver oil, fish oil, vitamin A, vitamin E and other essentialfatty acids. Also, avoid drinking caffeine and alcohol a few days before yourtreatment. If you must take pain medication, Tylenol is your best choice.

·        Its also recommended to take Arnika Fortecomplex 1 week prior and 1 week after your treatment to minimize bruising andinflammation.

·        Collagen peptide powder is also helpful inhealing and collagen production post treatment (either Nutrafol collagen powderor Vital proteins collagen powder is recommended).

·        Prophylactic antibiotic treatment may beprescribed for 3 days prior to treatment and 4-7 days post treatment. Pleaselet your provider know if you have a history of acne, folliculitis, recentinfections, or a history of staph/mrsa infections. Patients should contacttheir provider immediately if there is any indication of infection such as excessiveswelling, redness, undue pain, or any other unusual symptom.

·        History of herpes or cold sores may require ananti-viral prescription prior to Treatment.

After YourTreatment

·        Redness is normal and expected. Rednessgenerally increases in intensity the first few days after treatment with day 3being most intense. Redness can persist for up to 7-10 days depending on theaggressiveness of the treatment.

·         Immediately after treatment, swelling iscommon and expected. Use of a cold compress or ice packs will help to relievethe swelling. To avoid further swelling, you may choose to sleep in an uprightposition the first night after the treatment. The first morning post treatmentis when swelling is more prevalent, especially under the eyes. Swelling maylast 2-4 days depending on the aggressiveness of the treatment.

·        Pinpoint bleeding may occur. This can last forup to 12 hours depending on the treatment depth and may be isolated to certaintreated areas

·        The treated area may be extremely warm for 12-24hours after the treatment. Clean Cool packs may provide comfort during thistime.

·        Do not massage or touch the treated area(s).Avoid rubbing and massaging the treated area for at least 24 hours

·        On the 2nd or 3rd day after treatment, you willincreasingly notice tiny dark spots and bronzed appearance to the treated skin.This is called the MENDS (microscopic epidermal necrotic debris). Inindividuals with heavily pigmented skin, or in areas where sun damage hasproduced pigmented lesions, the MENDS will contain large amounts of melanin andappear darker. Its normal or your skin to appear bronzed and small areas toappear crusted (do not try to scratch them off). This is part of the healingprocess where treated tissue is working its way out of your body as new freshskin is regenerated. During this time, your skin will be very dry and have asandpaper texture and will begin to flake and peel. If the face is treated, itcould take 5-7 days for the peeling process to be completed. If the neck, chestor anywhere on the body was treated, this process could take up to 2 weeks.After the peeling process is complete, your skin will have a rosy, pink glowthat will gradually resolve.

·        Post treatment discomfort may be relieved byover the counter oral pain relievers; i.e. Extra Strength Tylenol.

·        Itching may be experienced during the healingphase and is completely normal. Oral Benadryl may help itching but can causedrowsiness. DO NOT scratch the treated area as scarring and pigmentationcomplications can occur.

·        After skin is healed, your skin will continue tobuild new collagen for up to 2-3 months. It is important to be on a skin careregime to maintain healthy skin and optimal results. Your treatment providedwill discuss this with you.

·        No strenuous activity. Any activity thatelevates your blood pressure and heart rate can cause bruising. You shouldavoid running, weightlifting, Pilates, yoga, aerobics, cycling, climbing, sun,heat exposure and sex for the first 24-72hrs.

·        For at least 24-72 hours post treatment avoid:alcohol, caffeine, niacin, high sodium foods, spicy foods, and smoking.

·         Tinyscabs may appear after 1-3 days and stay for several days following the treatment.The scabs should not be touched or scratched even if they itch and should beallowed to flake off naturally.

·        DO NOT PICK, RUB, OR FORCE OFF ANY SKIN DURINGTHE HEALING PROCESS, THIS COULD RESULT IN SCARRING, PIGMENTATION COMPLICATIONSAND INFECTION!

·        The patient should use a high-factor mineralbased sunscreen (minimum 30 SPF- We recommend Alastin mineral SPF) and protectthe treated area from sunlight exposure for at least one month after theirtreatment(s). Excessive tanning of any sort (sun exposure, tanning beds, andartificial tanning lotions) is not allowed in the treated areas during theentire course of the treatment.

·        Make-up may be applied only after 72 hours posttreatment.

·        Avoid skin irritants for 7 days pre &post-treatment. Such as products containing tretinoin, retinol, benzoylperoxide, glycolic/salicylic acids, astringents, etc.

·        Restart Pigment Control regimen if prescribed 1week post treatment.

·        Blisters are rare, but when they do occur, maybe treated with a prescribed antibiotic ointment, or burn treatment cream asper provider's discretion.

Post Careprotocol

Days 1-3 Post Treatment

·        AM Routine: cleanse skin with Alastin Gentle skin cleanser then apply Alastin Nectar

·        PM Routine: cleanse skin with Alastin Gentles kin cleanser then apply Alastin Nectar

·        On the 2nd or 3rd day after treatment, you will increasingly notice tiny dark spots and a bronzed appearance to the treated skin. Do not pick, rub, scrub or irritate your skin in any way while it ishealing, as this may cause scarring, pigmentation complications and/or infection.

·        Mineral make-up may be worn if necessary. (GloMinerals is preferred)

·        Avoid heat, saunas, hot tubs and sweaty activity; this includes exercise of any kind during these days

·        Do not use a Clarisonic or facial brush of any kind.

Days 4-7

● AM Routine:

1. Cleanse skin with Alastin Gentle skin cleanser

2. Alastin Nectar

3. Alastin vit C

4. Alastin Soothe + Protect recovery Balm or Alastin Ultramoisturizer as needed

5. Alastin Mineral SPF

● PM Routine:

1. Cleanse skin with Alastin Gentle skin cleanser

2. Alastin nectar

3. Alastin Soothe + Protect recovery Balm or ultranourishing moisturizer as needed

*Do not use aClarisonic or facial brush of any kind.

Days 8+

·        You may resume your normal skincare routine as long as your skin is healed

Treatment considerations:

·        Current or history of skin cancer, or any other type of cancer, or pre-malignant moles.

·        Pregnancy and nursing.

·        Severe concurrent conditions, such as cardiacdisorders or sensory disturbances

·        Impaired immune system due to immunosuppressivediseases such as AIDS and HIV or use of immunosuppressive medications.

·        Patients with a history of diseases stimulatedby heat, such as recurrent Herpes Simplex in the treatment area should betreated with a prophylactic regime (ex. Valtex, Valacyclovir, Acyclovir)

·         Anyactive skin condition in the treatment area, such as sores, infections, acne,psoriasis, eczema, and other rashes should be pre treated and under controlprior to having the Halo done.

·        History of skin disorders, keloids, abnormalwound healing, as well as very dry and fragile skin.

·        History of bleeding coagulopathies or use ofanticoagulants in the last 10 days Facial dermabrasion, facial resurfacing, ordeep chemical peeling within the last three months

·        Use of Isotretinoin (Accutane®) within 6 monthsprior to treatment. ∙

·        Treating over tattoo or permanent makeup

PossibleSide Effects

Use of the system, whether it beproper or improper, could result in possible side effects.

Although these effects are rareand expected to be transient, any adverse reaction should

be immediately reported to thephysician. Side effects may include any of those

conditions listed below. Sideeffects may appear either at the time of treatment or shortly

after. The side effects mayinclude:

- Discomfort

- Excessive skin redness(erythema), Blistering, and/or swelling (edema)

- Scarring

- Infection

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