Things To Know:

• The Ultra Clear offers a customizable approach to skin rejuvenation, featuring varying settings tailored to individual needs. This advanced laser 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 product recommendations 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 and 2 weeks after the treatment morning and night.
• Generally 1-2 treatments will be needed per area depending on intensity of treatment. If multiple treatments are needed they are usually spaced 12 weeks – 24 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 1hrs 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 $75 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 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.)
• Skin types IV-VI or Skin Types I-IV with a history of melasma or PIH (post inflammatory hyperpigmentation) may need to be treated 4 weeks prior with a Pigment Control Creamor Hydroquinone. Stop any product containing hydroquinone 3 days prior to treatment.

• Avoid skin irritants for 7 days pre & post-treatment. Such as products containingtretinoin, 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. This can be purchased in office
• Collagen peptide powder is also helpful in healing and collagen production post treatment (either Nutrafol collagen powder or Vital proteins collagen powder is recommended).
• 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. Patients should contact their provider immediately if there is any indication of infection such as excessive swelling, redness, undue pain, or any other unusual symptom.
• History of herpes or cold sores may require an anti-viral prescription prior to Treatment.

After Your Treatment

• Redness is normal and expected. Redness generally increases in intensity the first few days after treatment with day 2-3 being most intense. Redness can persist for up to 7-10 days depending on the aggressiveness of the treatment.
• Immediately after treatment, swelling is common and expected. For the rest of the day after the treatment a cold compress or clean ice packs will help to relieve the swelling. If using a cold compress make sure that it is done with distilled or bottled water. These measures can be used for the first 24 - 48 hours but should not be needed thereafter.
• To avoid further swelling, you may choose to sleep in an upright position the first night after the treatment. The first morning post treatment is when swelling is more prevalent, especially under the eyes. Swelling may last 2-4 days depending on the aggressiveness of the treatment.
• Make sure you have several clean pillow cases at home to change out daily for the first few days after treatment.
• We will apply Alastin Nectar followed by Alastin Soothe and Protect immediately after the treatment.
• Do not wash your face the rest of the day after treatment. You may re-apply Alastin Nectar and Alastin soothe and protect as needed.
• Pinpoint bleeding may occur. This can last for up to 12 hours depending on the treatment depth and may be isolated to certain treated areas
• The treated area may be extremely warm for 12-24 hours after the treatment. Clean Cool packs or compresses may provide comfort during this time.
• Do not massage or touch the treated area(s). Avoid rubbing and massaging the treated area for at least 24 hours
• Post treatment discomfort may be relieved by over the counter oral pain relievers; i.e. Extra Strength Tylenol.
• Itching may be experienced during the healing phase and is completely normal. Oral Benadryl may help itching but can cause drowsiness. DO NOT scratch the treated area as scarring and pigmentation complications can occur.
• After skin is healed, your skin will continue to build new collagen for up to 2-3 months. It is important to be on a skin care regime to maintain healthy skin and optimal results. Your treatment provided will discuss this with you.
• 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 72hrs after your procedure.
• For at least 24-72 hours post treatment avoid: alcohol, caffeine, blood thinners, niacin, high sodium foods, spicy foods, and smoking.
• Tiny scabs may appear after 2-4 days and stay for several days following the treatment if done on the face. If done on the body, the scabs could take up to 2 weeks to slough off. The scabs should not be touched or scratched even if they itch and should be allowed to flake off naturally.
• DO NOT PICK, RUB, OR FORCE OFF ANY SKIN DURING THE HEALING PROCESS, THIS COULD RESULT IN SCARRING, PIGMENTATION COMPLICATIONS AND INFECTION!
• The patient should use a high-factor mineral based sunscreen (minimum 30 SPF- We recommend Alastin mineral SPF) and protect the treated area from sunlight exposure for at least one month after their treatment(s). 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.
• Make-up may be applied on day 4 post treatment if necessary
• Restart Pigment Control regimen if prescribed 1 week post treatment.
• Blisters are rare, but when they do occur, may be treated with a prescribed antibioticointment, or burn treatment cream as per provider's discretion.

Post Care protocol

 Fist 24 hours: cold compress with distilled or bottled water or clean ice/cool pack.

Reapply Alastin Nectar and Soothe+Protect with clean sanitized hands, as needed.

Day after: Use a gentle cleanser (Alastin is recommended). Remove previous days application of topicals with cool moist cloth prior to re-applying Alastin nectar and Alastin soothe and protect again. Repeat as often as needed for comfort •Patients should sleep in a modified upright position along witha clean pillow case and linens the first night. Make sure you have a few clean pillow cases and wash cloths ready

• Vinegar soaks are recommended the day after the procedure and for 1-2 days after that. Vinegar soaks can be used for persistent discomfort: Mix 1 tsp. of white distilled vinegar to 16 oz. of distilled water. 16 oz. is the size of normal water bottle. Have this prepared and ready in refrigerator.
• Remove excess products on face prior to vinegar soaks with clean white washcloth, post soak, reapply post care, and repeat as needed

Days 1-3 Post Treatment

• AM Routine: cleanse skin with Alastin Gentle skin cleanser then apply Alastin Nectar
• PM Routine: cleanse skin with Alastin Gentle skin cleanser then apply Alastin Nectar
• Use vinegar soaks as needed in between
• 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 is healing, as this may cause scarring, pigmentation complications and/or infection.
• Mineral make-up may be worn if necessary. (Glo Minerals 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 Post Treatment (vinegar soaks may be discontinued)

AM Routine:

• Vinegar soaks are recommended the day after the procedure and for 1-2 days after that. Vinegar soaks can be used for persistent discomfort: Mix 1 tsp. of white distilled vinegar to 16 oz. of distilled water. 16 oz. is the size of normal water bottle. Have this prepared and ready in refrigerator.
• Remove excess products on face prior to vinegar soaks with clean white washcloth, post soak, reapply post care, and repeat as needed

Days 1-3 Post Treatment

• Cleanse skin with Alastin Gentle skin cleanser
• Alastin Nectar
• Alastin vit C (if recommended and if tolerated - try a small test spot before applying all over)
• Alastin Soothe + Protect recovery Balm or Alastin Ultra moisturizer as needed
• Alastin Mineral SPF

PM Routine

• Cleanse skin with Alastin Gentle skin cleanser
• Alastin Nectar
• Alastin Soothe + Protect recovery Balm or ultra nourishing moisturizer as needed *Do not use a Clarisonic or facial brush of any kind.
• Mineral make-up may be worn if necessary. (Glo Minerals is preferred)

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 cardiac disorders or sensory disturbances
• Impaired immune system due to immunosuppressive diseases such as AIDS and HIV oruse of immunosuppressive medications.
• Patients with a history of diseases stimulated by heat, such as recurrent Herpes Simplex in the treatment area should be treated with a prophylactic regime (ex. Valtex, Valacyclovir, Acyclovir)
• Any active skin condition in the treatment area, such as sores, infections, acne, psoriasis, eczema, and other rashes should be pre treated and under control prior to having the UltraClear done.
• History of skin disorders, keloids, abnormal wound healing, as well as very dry and fragile skin.
• History of bleeding coagulopathies or use of anticoagulants in the last 10 days Facial dermabrasion, facial resurfacing, or deep chemical peeling within the last three months
• Use of Isotretinoin (Accutane®) within 6 months prior to treatment.
• Treating over tattoo or permanent makeup

Possible Side Effects

Use of the system, whether it be proper or improper, could result in possible side effects. Although these effects are rare and expected to be transient, any adverse reaction should be immediately reported to the physician. Side effects may include any of those conditions listed below. Side effects may appear either at the time of treatment or shortly after. The side effects may include:

• Discomfort
• Excessive skin redness (erythema), Blistering, and/or swelling (edema), oozing at treatment site
• Scarring - Infection