What to do at the day of the event

Skin filler treatment involves the injection of highly purified, individualized doses of hyaluronic acid into unwanted skin folds, creases, lines, and wrinkles.  The skin filler acts by superficially “filling” in and simply smoothing out unwanted skin lines with a biologically natural product.  The procedure must be performed by an appropriately licensed and trained physician or mid-level provider pursuant to physician supervision and according to prevailing state law.  The following Self-Care instructions have been developed specifically for our patients.

BEFORE TREATMENT

• For one week before treatment, please avoid the following medications: Aspirin, Advil, Motrin, Ibuprofen, Aleve, Naprosyn, Excedrin (all OTC pain pills except Tylenol), Vit. E, Vit.A (RetinA, Renova, Tretinoin, Tazorac, Differin, Triluma), Gingko Biloba, Omega-3 fatty acids, cod liver oil, CoQ10, garlic and ginger.
• If you are taking any blood-thinning medications as per doctor’s orders (such as Coumadin, Warfarin, Plavix, Lovenox),do not discontinue without first consulting the prescribing physician. If you continue to take these medications the chances of developing an injection-related hematoma (blood clot) which can leave a dark spot if it becomes entrapped in the filler implant is higher. The dark spot may remain until the filler is naturally dissolved.
• Do not schedule any social events for the next 3-7 days as you may have bruising and/or swelling lasting this long or longer. You can cover up bruising with makeup.
• Arrive for your appointment wearing no makeup if possible. You will be able to apply makeup after your treatment although we recommend waiting at least 24 hrs.

AFTER TREATMENT

• Keep the treated areas clean.  Light make-up coverage is acceptable if desired.
• You may apply ice for 5 minutes every 1⁄2 hour if there is any pain or swelling.  Any bruising will eventually resolve on its own, typically within one to two weeks.
• If post-injection bruising is noticed, consider using the OTC homeopathic natural remedy Arnica Montana, which has been shown to rapidly relieve and even prevent bruising.  Arnica is available at most health food stores and is safe (free of reported side-effects).
• As always, wear at least SPF 30 sun block when appropriate and try to avoid exposure to intense, direct sunlight & heat (example: sun lamp steam, sauna) for at least two to three days.
• Do not take aspirin containing products (see above) for the next 24 hours. These agents may increase bruising/bleeding at the injection site. Again, Tylenol may be taken.
• Avoid alcohol intake beyond a single drink, glass of wine, or beer for approximately 24 hours after treatment.  You may sleep with an extra pillow if desired to minimize swelling overnight.
• As always, tobacco and illicit drugs are discouraged.
• Discontinue Retin-A (Tretinoin) for 3-5 days after treatment. It is best to wear no makeup or lipstick until the next day. Earlier use can cause pustules.
• One side may heal faster than other side. You may have bumps or nodules of filler under the skin that can last 4-8 months after the injection. If they are particularly troublesome you can massage them, we can also give a small injection to help dissolve them faster.
• Keep in mind that evidence shows that having a follow-up treatment before the product has fully dissipated tends to enhance the lasting effect of skin fillers.
• Wait at least a week (preferably 2-3 weeks) after your injection before having other procedures done in the same anatomic area; example: microdermabrasion, laser treatment, chemical peel, etc.
• Please notify us with any further concerns/questions.  Note that you can optionally schedule a follow-up visit to evaluate results after the initial swelling has dissipated.  Typically hyaluronic fillers can be reshaped for up to two weeks post-injection.

✅ Pre-Treatment Instructions

1. Schedule an Initial Consultation:

• Undergo a thorough medical evaluation to assess your health status, discuss weight loss goals, and determine the most suitable treatment plan.

2. Medication Review:

• Inform your provider about all current medications, including over-the-counter drugs and supplements, to avoid potential interactions.

3. Dietary Preparation:

• Begin adopting a balanced diet rich in whole foods, lean proteins, vegetables, and whole grains.

• Reduce intake of processed foods, sugars, and high-fat items.

4. Hydration:

• Aim to drink at least 64 ounces of water daily to prepare your body for treatment.

5. Physical Activity:

• Incorporate light to moderate exercise, such as walking or yoga, into your routine to enhance treatment efficacy.

6. Avoid Alcohol and Tobacco:

• Refrain from consuming alcohol and tobacco products at least 24 hours before treatment, as they can interfere with medication effectiveness.

7. Fasting Requirements:

• Follow any specific fasting instructions provided by your healthcare provider, especially if blood tests are scheduled.

8. Medical Conditions:

• Notify your provider if you have any existing medical conditions, such as diabetes or cardiovascular issues, to tailor the treatment plan accordingly.

🕓 Post-Treatment Instructions

1. Medication Adherence:

• Take prescribed medications exactly as directed. Do not adjust dosages without consulting your provider.

2. Monitor Side Effects:

• Common side effects may include nausea, headache, or fatigue. If you experience severe or persistent symptoms, contact your provider immediately.

3. Dietary Guidelines:

• Continue following a nutritious, calorie-controlled diet.

• Eat small, frequent meals to maintain energy levels and prevent nausea

4. Hydration:

• Maintain adequate fluid intake to support metabolism and overall health.

5. Physical Activity:

• Gradually increase the intensity and duration of your workouts as tolerated.

• Aim for at least 150 minutes of moderate aerobic activity per week.

6. Regular Check-Ins:

• Attend all scheduled follow-up appointments to monitor progress, adjust treatment plans, and address any concerns.

7. Avoid Alcohol and Tobacco:

• Continue to abstain from alcohol and tobacco to maximize treatment benefits and overall health.

8. Emotional Well-being:

• Consider joining support groups or counseling services to address emotional aspects of weight loss and maintain motivation.

⚠️ When to Contact Your Provider

Reach out to your healthcare provider if you experience:

• Severe gastrointestinal symptoms (e.g., persistent vomiting or diarrhea)

• Signs of dehydration (e.g., dizziness, decreased urination)

• Unusual fatigue or weakness

• Rapid heartbeat or chest pain

• Any other concerning symptoms

Pre-Treatment Instructions

1. Medical History:
   • Complete and submit a detailed medical history form.
   • Disclose all medications, supplements, and health conditions.
2. Medications and Topicals:
   • Discontinue use of retinoids, Retin-A, and exfoliating agents (AHAs, BHAs) at least 48 hours before treatment.
   • Stop use of Accutane (isotretinoin) for at least 6 months before treatment.
   • Avoid blood-thinning medications (e.g., aspirin, ibuprofen) and supplements (e.g., fish oil, vitamin E) 5-7 days before treatment.
3. Sun Exposure:
   • Avoid direct sun exposure, tanning beds, and self-tanning products for at least 2 weeks before treatment.
   • Use a broad-spectrum SPF 30 or higher sunscreen daily.
4. Skin Care:
   • Cleanse the treatment area thoroughly on the day of the procedure.
   • Do not use any harsh skin care products or undergo other skin treatments (e.g., chemical peels, laser treatments) for at least 1 week before microneedling.
5. Health and Wellness:
   • Stay hydrated by drinking plenty of water.
   • Avoid alcohol consumption for at least 24 hours before treatment.
   • Do not shave the treatment area on the day of the procedure to avoid skin irritation.
6. Prophylactic Treatments:
   • Consider taking antiviral medication if you have a history of herpes simplex to prevent an outbreak.
   • Patients with a history of keloids or abnormal wound healing should discuss this with their practitioner.
7. Other Considerations:
   • Arrange for transportation if you are prone to anxiety or discomfort and plan to take a sedative.
   • Wear comfortable clothing that allows easy access to the treatment area.

Post-Treatment Instructions

1. Immediate Care:
   • Expect redness, swelling, and a sunburn-like sensation for 24-48 hours.
   • Use a cool compress to reduce swelling if needed.
   • Apply a soothing, hydrating serum or moisturizer recommended by your practitioner.
2. Avoidance:
   • Avoid sun exposure for at least 48 hours post-treatment. Use a broad-spectrum SPF 30 or higher sunscreen daily.
   • Do not apply makeup for at least 24 hours post-treatment.
   • Avoid strenuous exercise, sweating, and heat exposure (e.g., hot showers, saunas) for at least 48 hours post-treatment.
   • Avoid touching, picking, or scratching the treated area.
3. Skin Care:
   • Use a gentle cleanser and lukewarm water to cleanse the face for 72 hours post-treatment.
   • Avoid active skincare ingredients (retinoids, AHAs, BHAs, benzoyl peroxide) for at least 5 days post-treatment.
   • Apply a gentle moisturizer or healing ointment as recommended by your practitioner.
   • Use only clean, fresh towels and pillowcases to avoid bacterial contamination.
4. Hydration and Nutrition:
   • Drink plenty of water to stay hydrated and support the healing process.
   • Eat a balanced diet rich in vitamins and nutrients to aid skin recovery.
5. Follow-Up Care:
   • Schedule follow-up appointments as recommended to monitor healing and results.
   • Inform your practitioner of any unusual side effects such as excessive swelling, redness, itching, or signs of infection.
6. Other Activities:
   • Avoid swimming in pools, hot tubs, and oceans for at least 48 hours post-treatment to prevent infection.
   • Refrain from using any harsh or abrasive skin treatments (e.g., waxing, microdermabrasion) for at least 2 weeks post-treatment.
7. Special Considerations:
   • If you experience herpes simplex outbreaks, start antiviral medication as soon as possible.
   • Report any adverse reactions or complications to your practitioner immediately.

✅ Pre-Treatment Instructions (1–7 Days Before)

1. Avoid sun exposure:
Stay out of direct sunlight and tanning beds for at least 1 week before your treatment. Use SPF 30+ daily.

2. Discontinue irritating skincare products:
Stop using the following products at least 3–5 days before:

• Retinol or Retin-A

• AHAs/BHAs (glycolic, lactic, salicylic acid)

• Vitamin C (strong serums)

• Exfoliants or scrubs

3. Avoid certain medications & supplements:
To reduce the risk of bruising, stop taking the following 3–5 days before (unless medically necessary—check with your doctor):

• Ibuprofen (Advil, Motrin)

• Aspirin

• Fish oil

• Vitamin E

• Other blood-thinning supplements

4. No chemical peels or laser treatments:
Avoid other aesthetic facial treatments in the 2 weeks leading up to your RF microneedling appointment.

5. Hydrate and come with clean skin:
Drink plenty of water the day before and day of your appointment. Arrive with no makeup, lotion, sunscreen, or skincare products on your face.

🚫 Please Notify Us If You:

• Are pregnant or breastfeeding

• Have active cold sores or a history of herpes simplex virus

• Are currently using isotretinoin (Accutane) or recently stopped within the last 6 months

• Have any active infections, open wounds, or skin conditions in the treatment area

• Have a pacemaker or metal implants in the face

🕓 Post-Treatment Instructions (First 72 Hours)

What to Expect:

• Mild redness, swelling, and a sunburn-like sensation for 1–3 days

• Possible pinpoint bleeding or scabbing (don’t pick!)

• Skin tightness or dryness

1. Keep the area clean:

• Do not wash your face for at least 6–8 hours post-treatment

• After that, use a gentle, non-active cleanser (we’ll recommend one)

2. Avoid the following for 48–72 hours:

• Sweating, heavy workouts, saunas, or hot yoga

• Sun exposure (use mineral SPF daily!)

• Makeup or cosmetics (for at least 24 hours)

• Alcohol-based products or actives (retinols, acids, vitamin C, etc.)

• Harsh scrubs, brushes, or exfoliators

3. Hydrate your skin:

• Apply the soothing serum or post-care products we provide

• Use a gentle moisturizer frequently to keep skin calm and hydrated

4. Sleep with care:

• Use a clean pillowcase

• Sleep on your back with your head elevated the first night if possible

✨ Ongoing Care & Results Timeline

• Peeling or flaking may occur—don’t pick or exfoliate

• Skin texture and tone will gradually improve over 2–4 weeks

• Full collagen remodeling takes up to 12 weeks

• A series of 3–4 treatments spaced 4–6 weeks apart is recommended for optimal results

Pre- and Post-Use Instructions for Acne & Anti-Aging Programs
Including: NEOCLEANSE®, BIO GEL FIRM, BIO CREAM FIRM RICHE, Tretinoin 0.025%, and Hydroquinone 4%

✅ Pre-Treatment Instructions (Before Starting Your Regimen)

1. Discontinue Irritating Products:
Stop using over-the-counter retinols, exfoliants (AHAs/BHAs), and scrubs for at least 3–5 days prior to beginning this regimen.

2. Sun Protection is Non-Negotiable:
Begin wearing SPF 30+ daily and avoid tanning or prolonged sun exposure to prep your skin for actives like tretinoin and hydroquinone.

3. Prepare for Possible Sensitivity:
Understand that mild dryness, flaking, and redness can be part of the skin adjustment process, especially in the first 2–4 weeks. This is temporary and manageable.

4. Hydration is Key:
Start using a gentle hydrating product (like BIO GEL FIRM or BIO CREAM FIRM RICHE) before starting your actives to strengthen your skin barrier.

🧴 Morning Routine Instructions

1. Cleanse:
   Use NEOCLEANSE® Gentle (Acne) or Exfoliating (Anti-Aging) Cleanser. Pat skin dry.

2. Treatment:

   • Hydroquinone (Anti-Aging Only): Apply a thin layer to areas of pigmentation or discoloration. Avoid the eye area.

   • No Tretinoin in the morning.

3. Moisturize:
   Apply BIO GEL FIRM (Acne) or BIO CREAM FIRM RICHE (Anti-Aging) to nourish and protect skin.

4. Sun Protection:
   Finish with broad-spectrum SPF 30+—daily, rain or shine. Tretinoin and hydroquinone make your skin more sun-sensitive.

🌙 Evening Routine Instructions

1. Cleanse:
   Repeat your morning cleanser (Gentle or Exfoliating depending on your regimen).

2. Wait 10–15 minutes:
   Skin should be completely dry before applying tretinoin to avoid irritation.

3. Treatment:

   • Tretinoin 0.025%: Apply a pea-sized amount to entire face, avoiding eyes, nostrils, and mouth. Start with 2–3 nights per week, and build up to nightly use as tolerated.

   • Hydroquinone (if prescribed): Can be used in the evening too, especially for deeper pigmentation concerns. Avoid using at the same time as tretinoin unless directed by your provider.

4. Moisturize:
   Apply your designated Neocutis moisturizer to reduce dryness and support skin repair.

🔁 Weekly Guidelines & Reminders

• Week 1–2: You may notice dryness, light flaking, or “purging” (temporary breakouts as skin clears). Keep moisturizing and reduce frequency of tretinoin if needed.

• Week 3–4: Pigmentation may begin to fade, texture may feel smoother, and breakouts may decrease.

• Week 6–12: Expect visible improvements in skin tone, clarity, and fine lines. Stick with the routine—consistency is key.

⚠️ What to Avoid

• Waxing, laser treatments, or harsh exfoliants in treated areas

• Tanning beds or unprotected sun exposure

• Combining tretinoin or hydroquinone with benzoyl peroxide (unless directed)

• Using actives like vitamin C or acids at the same time as tretinoin/hydroquinone (space out by AM/PM or different days)

📌 When to Contact Us

Call your provider if you experience:

• Redness, swelling, or burning that worsens over time

• Severe dryness, cracking, or peeling

• Signs of allergic reaction

• No improvement after 12 weeks

🧖‍♀️ Extra Tips for Success

• Use LUMIERE FIRM RICHE eye cream separately (safe on upper & lower lids)

• Consider adding BIO SERUM FIRM for deeper collagen support

• Apply products gently—no rubbing or overuse

• Keep a simple routine and allow your skin to adjust gradually