PRE:

• 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.
• Do not wear makeup on the day of treatment.
• Excess hair may need to be shaved the night prior. Men should be cleanly shaved.
• No sun-tanning or self-tanners 4 weeks prior to treatment (Includes spray tans, tanning lotions, tanning beds, sun exposure, etc.)
• Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (waxing, depilatories, etc.)
• Notify clinic with any changes to your health history or medications since your last appointment.
• Skin types IV-VI or Skin Types I-IV with a history of melasma/PIH (post inflammatory hyperpigmentation) should be treated 4 weeks prior with a Pigment Control Cream or Hydroquinone.
• Ideally, Alastin nectar should be started 1 week prior to treatment and continued 2 weeks after treatment.
• Avoid skin irritants for 7 days pre & post-treatment. Such as products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.
• A week before your procedure stop taking: aspirin, ibuprofen, Excedrin, Motrin, ginkgo biloba, ginseng, flax oil, cod liver oil, fish oil, vitamin A, vitamin E and other essential fatty acids. Also, avoid drinking caffeine and alcohol a few days before your treatment. If you must take pain medication, Tylenol is your best choice. Its also recommended to take Arnika Forte complex 1 week prior and 1 week after your treatment to minimize bruising and inflammation.
• Prophylactic antibiotic treatment may be prescribed for 3 days prior to treatment and 4-7 days post treatment. Please let your provider know if you have a history of acne, folliculitis, recent infections or a history of staph/mrsa infections. Patient should contact their provider immediately if there is any indication of infection, excessive swelling, redness, undue pain, or any other unusual or untoward symptom.
• History of herpes or cold sores may require an anti-viral prescription prior to treatment.
• Start supplementing with collagen peptide powder 1 week prior (Juven or Vital proteins is recommended) and continue to supplement for 6 weeks after.

POST:

• You can cool the treatment area using a fan or A/C. ***PLEASE DO NOT ICE unless otherwise specified.
• Redness, swelling and bruising may occur immediately after treatment. Redness and swelling usually resolve in 24-72 hrs. Bruising is rare but possible. Arnica and Bromelain supplements may be taken to help bruising resolve more quickly and is available for purchase in office.
• Elevate your head and avoid lying flat or prone (face down). Putting your head on a few pillows, will help reduce bruising, swelling, and pooling of blood in the area treated. Make sure you re sleeping on a clean pillow case for the first few nights.
• Do not massage or touch treated area(s). Avoid rubbing and massaging the treated area for at least 24 hours.
• No strenuous activity. Any activity that elevates your blood pressure and heart rate can cause bruising. You should avoid 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.
• Tiny scabs 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 be allowed to flake off naturally.
• The patient should follow their post treatment product protocol diligently.
• The rest of the day after treatment: No need to wash your face. You may re-apply Alastin Nectar. Sleep on a clean pillow care in elevated position.
• Day 1-7: Gentle cleanser should be used morning and night (Alastin Gentle Cleanser is recommended). Alastin Nectar should be applied after. Use Alastin Nectar 3 times a day for 4 days after. After 4 days you can go down to using it twice daily for at least 2 weeks post treatment. A mineral based SPF (We recommend Alastin Hydratint spf) should be applied over the Alastin Nectar in the morning. Make up may be worn if necessary on day 4 post treatment. In most instances, your normal routine may be continued after 7 days post treatment.
• The patient should use a high-factor mineral based sunscreen (minimum 30 SPF) and protect the treated area from sunlight exposure for at least one month after their treatment(s) (Alastin Hydratint Spf is recommended). Excessive tanning of any sort (sun exposure, tanning beds, and artificial tanning lotions) is not allowed in the treated areas during the entire course of the treatment.
• During the first 7 days following treatment the treatment area should be kept clean to avoid contamination or infection. Any mechanical or thermal damage (i.e. scrubs, hot tubs, saunas, etc.) to the area(s) must be avoided. Hats and masks should be avoided for 4 days post treatment to prevent infection.
• Make-up may be applied only after 4 days post treatment.
• Avoid skin irritants for 7 days pre & post-treatment. Such as products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.
• Restart Pigment Control regimen if prescribed 1 week post treatment.
• Blisters are rare, but when they do occur, may be treated with a prescribed antibiotic ointment, or burn treatment cream as per provider's discretion
• It is recommended that you supplement with collagen peptide powder twice daily. We recommend Juven Collagen Powder.  We also recommend that you supplement with Ascorbic acid 500mg twice daily. Both of these products can help support collagen growth after Sylfirm X treatments..