Treatment Instructions

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Prior to your visit

• Hair should be cleanly shaven.
• Do not wear makeup on the treated area the day of treatment.
• No sun-tanning or self-tanners 4 weeks prior to treatment.

             Includes spray tans, tanning lotions, tanning beds, sun exposure, etc.

• No waxing, plucking or tweezing at least 2 weeks prior to treatment.

             Some body parts may require a longer wait time.

• Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment (depilatories, harsh chemicals, etc.).
• Notify the clinic with any changes to your health history or medications since your last appointment.
• History of herpes or cold sores may require an antiviral prescription prior to treatment.

Please contact the office with questions or concerns regarding your treatment.

• Immediately following treatment, the area may show a slight erythema with some swelling.
• Blistering may occur. 
• Redness and perifollicular edema (looks like a rash/bug bites) are not uncommon and resolve with time.
• Bruising and swelling are less common but may occur and will resolve with time.

Information for after your visit

General Skin Care: 

• During the healing phase, the area must be treated delicately. 
• Do not rub, scratch, or pick. If a crust develops, let it fall off on its own. 
• Keep the area moist - repeat several times a day.
• Do not scrub the area, pat the area dry.  
• Avoid sun exposure throughout the course of treatment and use a broad-spectrum (UVA/UVB) sun block SPF 30 or greater when treatment area is exposed to the sun. 
• Avoid skin irritants a few days post-treatment (e.g., products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.)
• Do not shave over the area if swelling, crusting, or scabbing is present.
• Do not wax or pluck between treatments.
• If swelling occurs, apply ice. Wrap the ice in a soft cloth. Discomfort or stinging may be relieved with acetaminophen. 
• If makeup is allowed, it must be applied and removed delicately. 
• Excess rubbing can open treated area increasing the chance of scarring. 
• Avoid sports and/or strenuous exercises for 2–3 days following treatment for hair removal and 7– 10 days for veins. Walking is encouraged. 
• The treated hairs will exfoliate or push out in approximately 2-4 weeks. 
• Hair growth after the treatment is not a sign that the treatment did not work. The hair that was already in the follicle has been targeted and needs to be released to the surface.
• In case of signs of infection (pus, tenderness, fever), contact the office immediately. 

Post-treatment skin care instructions must be followed to prevent any complications. 

Please contact the office with questions or concerns regarding your treatment.

• Keep hydrated by drinking water (at least eight cups daily) or hydrating fluids to improve treatment outcomes. 
• Avoid drinking alcohol for 24 hours in advance of treatment. 
• For three to seven days prior to treatment, at the physician’s discretion, avoid therapies that may cause erythema (redness) or irritation, such as retinols or products containing isotretinoin and any exfoliating acid preparations. 
• Shave visible hair from the treatment area. 
• Male beards should be shaved on the day of treatment

The same procedure should be followed prior to each visit. 

Do not scrub or exfoliate the skin. 

• Wash the area with warm water and a mild cleanser. 
• Do not apply liquid makeup for 24 hours; mineral makeup is acceptable after the erythema resolves. 
• If erythema after treatment persists, use an ice pack (or frozen peas) at home, but always use a protective barrier, such as a face cloth, between the skin and the ice pack. 
• Always wash your hands thoroughly before touching your face: there are micropathways opened into the dermis and hands will introduce bacteria. 
• If skin feels tight or dry, apply moisturizing cream frequently. 
• If you currently have skin breakouts, you may find that the condition may temporarily worsen due to inflammation or edema. 
• Do not pick at treated tissue: doing so may result in hyper- or hypopigmentation. 
• Avoid ultraviolet rays and apply sunblock >30 SPF UV A/B daily. 
• Avoid alcohol consumption if possible. 
• For 24 hours, refrain from high intensity aerobic exercise or activities that increase the body temperature like saunas, hot tubs, steam showers or exercise (i.e. jogging, weight training, kickboxing, etc.). 

Call your practitioner if any problems develop: concerns regarding rash, itching, erythema, etc., for more than 24 hours.

Prior to your neuromodulator treatment, you should:

• Avoid any medications or herbal supplements that increase risk of bleeding. These may include any Aspirin-containing over-the-counter products, NSAIDs (nonsteroidal anti-inflammatory drugs) like Ibuprofen and Naproxen, Rantidine (Zantac), as well as herbal supplements like ginko biloba, garlic, ginseng, fish oil, dong quai, feverfew, and tumeric, as well as high potency vitamin E, in order to avoid bruising at the site.

• Do NOT manipulate the treated area for 3 hours following treatment. Do NOT receive facial/ laser treatments or microdermabrasion after Botox injections for at least 10 days. Ask your provider if you are not sure about the time frame of certain services.
• Some providers believe that smiling and frowning right after Botox treatments helps the Botox find its way to the muscle into which it was injected after treated.
• Do NOT lie down for 4 hours after your Botox treatment. This will prevent the Botox from tracking into the orbit of your eye and causing drooping eyelid.
• It can take approximately 4 to 7 days for results to be seen. If the desired result is not seen after 2 weeks of your treatment you may need additional Botox. You are charged for the amount of product used. Therefore, you will be charged for product used during any touch up or subsequent appointments.
• Do NOT perform activities involving straining, heavy lifting, or vigorous exercise for 6 hours after treatment. This will keep the Botox in the injected area and not elsewhere.

• Avoid fillers if you are pregnant or breastfeeding, or allergic to any ingredients.
• If you have a history of cold sores, there is a risk that needle pricks could activate a recurrence of cold sores. Please advise Dr. Wu if you are prone to cold sores or herpes simplex infections so she can prescribe an oral medication called Valtrex to be started prior to your appointment.
• Avoid dental procedures or cleanings 2 weeks prior and 2 weeks after filler injections.
• Avoid CoVax or other vaccinations 2 weeks before and 2 weeks after a filler treatment.
• Please notify us in advance of your appointment if you have an active infection (such as dental infection, ear infection, sinusitis, urinary tract infection)
• Please be sure to share with us your current medications and supplements, and history of allergies.
• We need to know about your previous cosmetic treatments and surgeries
• Tell us if you are on immunosuppressive medication

1.  One week before your filler appointment:

• Avoid Aspirin (ASA, baby aspirin), Advil, Motrin, Aleve, Ibuprofen
• Avoid supplements including Omega 3 (fish oil capsules, flaxseed oil, chia, and hemp seeds), Vitamin E, Ginkgo biloba, garlic, ginseng, ginger, St John’s wort
• Avoid alcoholic beverages
• Avoid Green tea (herbal and black tea are fine)
• If you need pain medication in the week before your filler treatment, use Tylenol (acetaminophen) if possible

 2.  48 hours prior to your filler appointment

• Stop anti-aging skincare products containing Tretinoin (Retin-A, Steivaa), Retinol, Retinoid, Glycolic Acid, or other exfoliating agents
• Do not shave, wax, thread, pluck or use depilatory cream on the area to be treated
• If you are prone to bruising consider taking Arnica or eating fresh pineapple (contains bromelain which may reduce bruising)

 3.  Day of treatment

• Arrive with your face washed, and without makeup
• A topical numbing cream may be applied for your comfort
• Please have something to eat and drink prior to arriving so you are not on an empty stomach

Relax! We’ve got you covered!

• Do not rub, touch, wash or massage the treated area for 4 hours 
• Avoid strenuous exercise for 24 hours as it can trigger bruising
• Avoid extensive sun or heat for 72 hours
• Avoid consuming excess amounts of salts to avoid excess swelling
• Avoid blood thinners and alcoholic beverages for 24-48 hours after treatment to avoid bruising
• If you have swelling  you may apply a cool compress for 15 minutes each hour
• Use Tylenol for discomfort
• Try to sleep face up and slightly elevated if you experience swelling
• Avoid intense heat the day of the treatment, including hot yoga, tanning, facials or a massage the day of you Filler treatment

It is recommended that you take the following into consideration: 

• Use of AlumierMD home care products prior to your peel are recommended to prepare the skin, allow for better treatment results and reduce the risk of complications. It is recommended that you use AlumierMD home care products for 10 to 14 days prior to treatment 
• Please consult your physician or skin care professional for appropriate recommendations for your skin type and condition 
• If you are lactating, pregnant, or may be pregnant, consult your physician before receiving any treatment
• Avoid sun exposure and tanning beds for at least two weeks prior to treatment 
• Avoid the use of retinoid products (e.g., retinol, Retin-A®, Tazorac®) and high levels of AHA and BHA products for approximately 7 days prior to the treatment. 
• Consult your physician before temporarily discontinuing the use of any prescription medications 

AlumierMD skin treatments result in minimal to no downtime but create dramatic and visible results. Treatments can cause slight redness, tightness, peeling, flaking or temporary dryness. Most patients do not find it necessary to apply makeup, as the skin with be smooth, dewy and radiant following your treatment. 

• You may have light to moderate flaking in a few localized areas for 3 to 7 days. 
• You may or may not actually ‘peel’, it is likely that you will experience light ‘exfoliation’. It may take 2 or more treatments to target the deeper layers of skin to loosen and ‘peel’. 
• You may experience residual redness, which lasts in most patients from 1 to 12 hours. 
• It is recommended that you do not apply makeup the day of the treatment. It is ideal to allow the skin to stabilise and rest overnight.  
• Usually 3-5 days after the treatment, fresh new skin will develop after the peeling has run its course. Your new skin may feel tight and warm or may look somewhat red immediately after a treatment. Recovery time varies slightly, and skin might be temporarily lighter or darker than normal, depending on the patient. Not all patients will notice skin peeling.
• Avoid direct sun exposure and excessive heat.
• DO NOT cleanse your skin in the evening of your peel or treatment 
• DO NOT pick or pull any flaking skin 
• DO NOT tan or use a tanning booth for at least 14 days post peel. 
• DO NOT have electrolysis, waxing, threading or any other form of hair removal for 7 days post treatment 
• DO NOT use facial scrubs or mechanical forms of exfoliation for 14 days post peel 
• DO NOT use retinoic acid, AHA or BHA for 14 days post peel. 
• DO NOT have laser hair removal, photofacials, chemical peels or microdermabrasion for 14 days post peel. 
• DO NOT apply ice or ice water on the treated area 
• DO NOT use hot tubs, steam rooms, saunas, and/or excessively hot showers for 2 days post peel. 
• DO NOT go swimming for 2 days post peel 
• DO NOT participate in aerobic exercise for 2 days post peel. 

If you develop severe redness, swelling, blistering, ulcers, pain, or signs of infection then please get in touch immediately.

For questions or concerns, please call the office.

  * In case of emergency such as allergic reaction, please proceed to the nearest emergency room

Only use the following skin care products for 5 to 7 days post treatment. 

A.M. routine

Step 1: SensiCalm Cleanser 

Step 2: Recovery Balm 

Step 3: Sheer Hydration Broad Spectrum SPF 40 Sunscreen 

P.M. Routine 

Step 1: SensiCalm Cleanser 

Step 2: Recovery Balm

Discontinue use of any product that irritates your skin and contact your skin care professional. 

Important: Keep your skin hydrated. Hydration is key to proper healing.