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Procedure Care Instructions in Orlando, FL

General Pre-Treatment Instructions

To minimize side effects and complications, we ask our patients to please adhere to the follow best practices:

Avoid taking Aspirin (unless prescribed by your cardiologist), Fish Oil, Vitamin E, and any NSAID’s (Non Steroidal Anti inflammatory agents such as Motrin, Advil, Aleve, Ibuprofen, Naproxen) for 7 days prior to your treatment.

Avoid alcohol consumption at least 48 hours before your treatment.

Plan your appointment well in advance and make sure you are not attending a party, special event, or wedding for at least 4 weeks.

Please arrive at your appointment with a fresh face, no make up if possible.

Avoid caffeine for 24 hours prior to your procedure.

Specific instructions will vary based on your treatment plan, please contact our office with any questions or concerns at 407.901.1808.

After Botox Injections…

It is not uncommon to get a small reddened area or even a bruise at the site of injection.

Avoid strenuous exercise for 24 hours after injections.

Avoid manipulation of the treated area for 3-4 hours following treatment. Do not massage any of the areas of your face that were treated.

Avoid physical pressure on the treated area for 24 hours (this includes massages, facials, and sleeping on the area)

Makeup can be applied very delicately, without pressure, 3-4  hours following treatment. If there is too much makeup and rubbing on the sites of injection, you can increase the irritation and cause more discomfort for yourself. This is also a protective measure against the spreading of the injected material to undesired areas of the face like the eye muscles.

Keep your head elevated after your treatment. Please remain upright for 3-4 hours following treatment.

The neuromodulator will take effect several days after your treatment. This time varies from patient to patient and even from treatment to treatment. The average amount of time for the injected product to become evident in its effectiveness is 3-5 days. However, complete results will continue to become apparent for the first 2 weeks after your treatment.

Botox

Dermal Filler

After Dermal Filler Injections…

Immediately after your dermal filler treatment you may notice a few of the following things:

Swelling
Bruising
Red needle puncture marks
Asymmetry
Tenderness
Itching in the area

These issues above are common with dermal filler aftercare, and should resolve over the next few days to weeks. Your final result will be seen at about 4 weeks after treatment, and you can be reviewed to see if further treatments are required to achieve the planned results.

Immediately after the injections you face will be cleaned. You should not touch your face for 6 hours. After this you may clean your skin with water and a gentle cleanser.

If you would like to apply makeup after 6 hours, ask your provider which brands are safest for application during this time, although it is ideal to avoid makeup on the day of the procedure

Things to avoid:

Do not expose the area to intense heat (eg solarium or sauna)

Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible)

Avoid strenuous exercise for 24 hours.

Avoid alcohol for 24 hours

Do not use AHA, Retinols/Vitamin C therapy or oil based make-up for 24 hours

Avoid facials, facial waxing, Glycolic or AHA peels, IPL or energy based treatments and microdermabrasion for two weeks after treatment.

Please check with your provider before undergoing other facial treatments within this time

Pain relief
Pain is usually mild and sometimes moderate after filler injections. There are areas which can be quite painful like the chin and the lips. Tylenol may be taken as directed by your provider.

Swelling relief
Apply a cool compress for 10 minutes every hour on the day of treatment (do not apply ice directly on your skin). A cool compress applied regularly for the first 24 hours after injections may help to reduce the amount of swelling. Some patients use arnica before and after treatment to reduce the swelling.

Bruising relief
Patients on aspirin, fish oil or other drugs associated with increased bruising may find increased duration and severity of bruising. For the treatment of bruising, there are over the counter treatments available, including Arnica.

Some patients can also eat Pineapple or take Bromelain supplements 3 days prior to treatment and one week after treatment to minimize bruising.

Massage
Massage of the filler areas may or may not be advised by your provider. Gentle massage may be used once the pain and tenderness has resolved and if advised by your provider.

Cold sores and dermal filler
There may be a small chance that a treatment may induce an outbreak of facial cold sores in patients with a previous history. Contact our office for preventative medication to help reduce the risk of cold sores.

Aesthetic review
Reviewing the results of dermal filler should be performed at 4 weeks (except for cosmetic emergencies like infection or vascular occlusions, which should be reviewed immediately)

Reviewing prior to 4 weeks is not useful as there is often a small amount of swelling still present, so the results cannot be judged until this has resolved. This is particularly important with regards to symmetry. Symmetry should not be reviewed prior to 4 weeks.

Retreatment
Retreatment should occur at any time between 1-6 months after a first treatment. Once peak filler has been achieved, and the patient is on maintenance injections, they might have filler once per year.

Complications
Cosmetic complications include vascular occlusion and infection.

Vascular occlusions mostly occur in the treatment chair, and medical providers are able to see that they are happening and treat them. An area may go white, or there may be an area of skin that looks like fishnet stockings, or there may be skin discolouration in a distant area where the skin wasn’t injected. After an occlusion, there may be an area that has small blisters on the skin. If the doctor is concerned then they will need to check the capillary return of the skin. If patients see any of these things on their skin, they should call our office immediately.

Early infections may occur after a few days after the treatment. The patient might notice increasing redness, tenderness, swelling, pain, heat, nodules or pus. Patients should contact our office if this occurs.

There is no downtime after getting lip fillers. However, the body needs time to fully heal, so give it a helping hand by following the tips below.

You can go about your everyday activities right after the treatment. However, there are some things you should avoid to minimize the chances of bruising and swelling.

Avoid Strenuous physical activity increases the heart rate and blood flow and may cause swelling and bruising. Avoid jogging, swimming, and other vigorous exercise for 24-48 hours after the procedure.

For 24 to 48 hours prior to the scheduled treatment, avoid blood thinners such as aspirin, ibuprofen, and fish oil. These medications and supplements increase the chance of bleeding and bruising associated with the treatment.

Avoid laser treatments soon after you’ve had a filler injection. If you’re planning a laser treatment, postpone it for at least two weeks after the injection. Lasers generate a lot of heat, and it can cause the filler to break down and dissolve more quickly than it usually does.

Avoid makeup for 24 hours before applying makeup to your lips. Applying previously used or opened lipstick on your freshly injected lips is a definite no-go. It’s important not to apply too much pressure.

P.S. Kissing also counts as pressure, so keep that in mind!

Avoid Drinking Alcohol
Alcohol expands blood vessels and increases the chances of swelling and bruising after injury. To minimize the chances of these side effects, don’t drink alcohol at least 24 hours before and after the procedure.

Lip fillers

Help Your Lips Heal Faster

Drinking water is an essential part of lip filler aftercare. Provide your body with lots of simple fluids. Water is best. It will help with the natural healing process that happens after your body receives something strange – which is how it sees the filler. Hydrating fruits and vegetables will also help.

Watch What Your Eating
If your injector has used an anesthetic cream, it may numb your lips. The effect can last for several hours. That means that you won’t feel much going on around your lips, and that can be dangerous. For instance, you may take a bite or a sip of something hot and not feel it — but your lips will. You may also accidentally bite yourself and cause a bruise.

Also, avoid high sodium foods as this will increase pain and swelling.

Ice, Ice, Baby!
As with any swelling, a simple ice pack or even a bag of frozen veggies really helps. Wrap it in a towel because touching your swollen and sensitive lips with direct ice may result in freezing them.

Sleep Elevated
To avoid blood pooling in the treated area, use an extra pillow during sleep to keep your head elevated.

Expect The Following with Dermal Filler Treatment

You should know up front that some mild swelling and bruising are to be expected with all dermal filler treatments. They usually resolve after several days. Other common side effects are redness and pain.

Very few patients experience severe swelling and bruising, allergies, signs of infection, excessive peeling, and cold sores. If you experience severe side effects, call your injector immediately. They may also ask you to come in after two weeks to see what your final results look like and if there’s any need for a touch-up.

Often you may feel dermal filler lumpiness. This will resolve over the next few weeks as the filler integrates with the skin

If you are concerned post-treatment, please call or text us at 407-901-1808.

Kybella

After Kybella Treatment…

Apply ice every hour for at least 15min. You may apply it for 5 min intervals with 10 min breaks, but avoid prolonged icing to avoid developing frostbite. Do not not apply ice pack directly on the skin. Use a paper towel or cloth to wrap the ice pack prior to placing it on the skin.

Avoid massaging or manipulating the swelling area.

You can take Tylenol, as directed, if significant discomfort develops.

Sleep with your head slightly elevated, preferably on 2-3 pillows for 2-3 nights.

You may shower and wash your face as you regularly do.

You may apply moisturizers or sunscreen to treatment area the next day.

You may apply Arnica gel if you develop any bruising to expedite the healing process.

Avoid any strenuous exercise or activity for 3 days as exercise is known to worsen swelling.

It is absolutely normal to feel and see mild to moderate swelling, numbness, hardness to touch, tingling, redness and tenderness at the site of injections. You may occasionally see bruising or
small bleeding that should resolve spontaneously.

Some men might see an area of no hair growth after Kybella injection, which is temporary and will return to normal in 4-6 weeks.

Most swelling happens immediately and the following day after treatment and will start improving by day 5.

If you develop difficulty breathing, difficulty swallowing, skin discoloration or scabbing, you must immediately contact our office or call 911.

After PDO Thread Treatment…

Immediately after your treatment you may notice a few of the following things:

Swelling
Bruising
Red needle puncture marks
Asymmetry

Tenderness

Skin bunching can occur and typically resolves over the next 2 weeks

Itching in the area

Pulling, tightening sensation

Post procedure discomfort can be alleviated with over the counter medication such as: Tylenol for 7 to 10 days

Most discomfort occurs in the first 24 to 48 hours.

Place ice on very gently just in case of bruising.

Stinging, “pulling”, itchy sensation will decrease at about 3 to 5 weeks

Please avoid the following:

Avoid heavy exercises for 1 week, this causes extreme facial movements

Do not touch or wash your face for 1 hr

Do not pull down on face for 4 weeks

Eat soft foods, no large bites for 7 days (i.e. burgers)

Sleep on back for 3-4 days

Do not chew gum for 2 weeks

No facial massages for 4 weeks

PDO Threads

Limiting facial movements will help lifting threads to stay in place, so no dental work unless strictly necessary

Avoid heat in treatment area like saunas, IPL lasers or radio frequency treatment for 30 days

Avoid medication that affect the blood clotting effects like aspirin, NSAIDS, fish oils, vitamin’s C, A & E for 7 days

If you experience increased redness, swelling, pain at injection or thread coming out in area, please notify the office.

For any questions or concerns post-treatment, please call or text us at 407-901-1808.

Microneedling

Microneedling is a quick and non-invasive cosmetic procedure with minimal side effects. However, it’s quite normal to experience the following:

Day 1-3

A sunburn-like effect is normal. Your skin may feel tight, dry or sensitive to touch. Treat the skin gently by washing it with a gentle cleanser, cool water, and using only your hands to pat dry no earlier than 4 hours after treatment.

Some redness may also be present and in some cases, patients may experience slight bruising that can last for 5-7 days and temporary swelling for 2-4 days.

Tips

Avoid strenuous exercises that cause sweating as well as jacuzzis, saunas, and steam baths for up to 48 hours.

Use only mineral makeup after 24 hours.

Sleep on your back with the head of the bed elevated to minimize swelling or pain as needed.

Day 2-7

Peeling may start 3-5 days after the treatment. You’ll notice skin dryness and flaking which is due to an increased turnover of skin cells. DO NOT pick, scratch, or scrub at treated skin!

Important information: You must allow the old skin to flake off naturally and keep it moisturized at all times. Talk to your skin specialist about which products to use.

Day 5-7

You may start your regular skin care products again, once your skin no longer feels irritated. Most of our patients have noticed continued skin improvement over the months following their last treatment.

After your chemical peel…

You may notice a few of the following, which will vary depending on the depth of peel, generally you may expect:

Your skin to appear pink/red, like a sunburn for a few hours after treatment for light chemical peels; redness should be expected for a few days for medium to deep peels.

Your skin may be temperature sensitive for a few days after treatment.

A cool compress can be applied to help with temperature sensitivity.

Make-up may be applied to cover redness. See timeframes below.

Avoid direct sunlight on the treated area and use a broad spectrum UVA/UVB sunscreen of SPF 30 after your treatment.

Keep your skin well hydrated with a protective moisturizer.

Avoid using abrasive products such as scrubs or exfoliating sponges for 7 -10 days.

Avoid products such as retinols and glycolic acid 10 days.

Vitamin C Serums may be resumed after 48 hours.

Mild Itching, irritation is expected.

Small whiteheads may appear which is normal.

Chemical Peel

Crusting is rare; however if it does occur, a thin layer of over-the-counter antibiotic ointment such as bacitracin can be applied 2-3 times a day for 3 days. Please call us if you experience this uncommon reaction.

Here’s is a breakdown of after care based on depth of peel:

  • Refreshing or lunchtime peels
    • Healing time: 1 to 7 days. Skin will be red. After the redness disappears, scaling may develop, which lasts 3 to 7 days. 
    • At-home care: Lotion or cream applied until the skin heals, followed by daily use of sunscreen.
    • When to wear makeup: Usually immediately after the peel, but sometimes the next day. 
    • Follow-up visit: No. However, 3 to 5 peels may be necessary to give you the desired results. These peels may be repeated every 2 to 5 weeks. 
    •  
  • Medium Peels
    • Healing time: 7 to 14 days. Skin will be red and swollen. Swelling worsens for 48 hours. Eyelids may swell. Blisters can form and break open. Skin crusts and peels off in 7 to 14 days. 
    • At-home care: Daily soaks for a specified period. Apply ointment after each soak. Take an antiviral medication for 10 to 14 days. Apply lotion or cream. Total avoidance of the sun until skin heals. 
    • When to wear makeup: After 5 to 7 days, you can wear camouflaging makeup. 
    • Follow-up visit: Yes. Follow-up visit required after the procedure. 
    •  
  • Deep Peels
    • Healing time: 14 to 21 days. Area will be bandaged. 
    • At-home care: 4 to 6 daily soaks while healing. For 14 days, apply ointment after each soak. After 14 days, apply thick moisturizer as directed. Take an antiviral medication for 10 to 14 days. Total sun avoidance for 3 to 6 months. 
    • When to wear makeup: At least 14 days before you can apply makeup. 
Mole Removals

Caring for your wound after mole removals, skin tag removals, and biopsies.

Your site will be covered with a wound dressing (i.e. bandaid or gauze dressing) This should be left in place and kept dry for 24 hours.

After 24 hours remove the bandage and begin once daily wound care as follows:

Clean the wound with warm soapy water (use a gentle soap like Dove) with a Q tip or gauze pad
Rinse thoroughly
Dry wound with a Q tip or gauze pad

Apply a layer of Vaseline petroleum jelly or aquaphor to wound
Cover wound with a non-stick gauze pad and paper tape or with a bandaid

Clean the wound and replace the dressing once a day until the wound is healed completely. This should take 7-10 days.

Shower normally – it is perfectly fine for the wound to get wet in the shower, however if you do this, after your shower, clean the wound as above and replace the dressing.

Do not submerge the wound or participate in water activities like swimming until the wound is healed.

You should NOT leave the wound open to the air and you should NOT allow a scab to form. Contrary to popular belief, this actually impairs wound healing and increases scar formation.

BLEEDING

If significant bleeding occurs that soaks the dressing or leaks from the dressing, remove the dressing and apply direct pressure to the bleeding site with rolled up clean gauze or clean cloth. Keep constant pressure on the site for 15 minutes without removing the new dressing (this means no peeking to look at the wound for 15 full minutes).

Applying an ice pack over the entire area, over the gauze while holding pressure can also help stop the bleeding.

If bleeding continues after two 15-minute cycles of applied pressure, contact our office, 407.901.1808.
PAIN

Your biopsy site should not be particularly painful. You can apply ice to the area or take Tylenol for discomfort. Don’t take Motrin, Ibuprofen, Aspirin or any other blood thinning medications.

A significant increase in pain may indicate a problem. Call the office if this occurs.

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