Before Treatment Care:

• Avoid tanning or self-tanning creams in the areas to be treated. Reschedule if needed.
  
  
• Stop aspirin (unless required medically) five days before treatment. Stop tetracycline or other sun sensitizing medicines three days before treatment.
  
  
• Stop Tretinoin (Retin-A and Renova) and glycolic/AHA products one day before treatment.

On the day of treatment:

• Remove all make-up and wipe your face or other treatment areas with alcohol or toner. Then apply Elamax anesthetic cream 30 minutes before your scheduled treatment.
  
  
• After treatment your skin may feel warm like sunburn. It may be red and more sensitive for one to three days. Vessels will be more visible and pigment spots will appear darker. Some swelling may be present. This is a normal response to treatment.
  
  
• Cold moist compresses (water with ice cubes) or cold packs will help to resolve any discomfort and reduce swelling if needed. Apply moisturizer as needed.
  
  
• Make-up may be applied after treatment if desired.

For two days after each treatment:

• Use only a gentle non-drying cleanser such as Limu or Cetaphil for two days after each treatment. Wash with cool water and avoid hot water.
  
  
• Apply a soothing moisturized such as Sage & Citrus, Restorative Marine, or Cetaphil lotion as often as needed. Use good sun protection during the day and a hat if in the sun.
  
  
• For stronger reactions such as welts, swelling or itching you may be given a hydrocortisone cream to use three times daily for three days after treatment.
  
  
• If any blisters or sores develop apply a healing ointment (such as Nucelle, Bacitracin or similar) to keep the area clean and moist and notify the doctor of any problems.
  
  
• Resume your prescribed skin care regimen after two days or when your skin is no longer sensitive. Including any medicated products or AHA Products.

Patient Name______________________________ Date__________

Diagnosis_________________________________ Skin Type__________

Group I Regimen (Redness, flushing, Rosacea, visible spider veins predominate)

Limu Cleanser______________________________
Ginseng Toner______________________________
Antioxidant______________________________
Sunscreen Z-cote 30______________________________
Moisturizer______________________________
Other______________________________

Group II Regimen (Sun Damage, roughness, enlarged pores, sun spots, fine wrinkles)

AHA/BHA Cleanser______________________________
Ginseng Toner______________________________
AHA/BHA Serum______________________________
Tretinoin Cream______________________________
Sunscreen Z-cote 30______________________________
Moisturizer______________________________
Other______________________________

Group III Regimens (Dyspigmentation, PIH, melasma, ethnic skin types IV+)

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AHA/BHA Cleanser______________________________
Ginseng Toner______________________________
AHA/BHA Serum______________________________
Tretinoin______________________________
HQ Formula lightener______________________________
Sunscreen Z-cote 30______________________________
Moisturizer______________________________
Other______________________________

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