Post Care

Be gentle to treated area. Do not scratch or pick at your skin.

Until sensitivity has completely subsided, avoid all of the following:

  • Use of scented lotions or soaps, exfoliant creams (Retin-A, glycolic/salicylic and alpha- hydroxy acids), acne creams or gels, loofa sponges and aggressive scrubbing
  • Hot or cold water – wash with tepid water
  • Shaving
  • Swimming pools and spas with multiple chemicals/chlorine
  • Activities that cause flushing or excessive perspiration, including exercise, hot temperatures, consumption of alcohol or spicy foods, saunas, etc.

A cold compress or an ice pack can be used to provide comfort if the treated area is especially warm. This is typically only needed within the first 12 hours after the treatment.

Hydro cortisone cream can also be applied to provide comfort if the treated area becomes itchy.

Skin may be appear red and swollen and have a mild sunburn sensation. This is a normal reaction. It can last from a few hours to days after treatment. Applying an ice pack for the first 24 hours will help minimize swelling.

Vitamin E or Aloe Vera applied to the treatment area may provide a soothing effect. Post treatment discomfort is typically minimal but if the area is very uncomfortable, oral pain relievers; i.e. Tylenol or Advil, may be used.

Freckles and sunspots may turn slightly darker initially and then flake off within 7-10 days for facial areas and 14 – 21 days for body areas. This is a desired and normal reaction.

There may be redness and slight swelling around the treated vessels. Often, they appear lighter in appearance and are less defined.

Makeup may be applied immediately after the treatment, as long as skin integrity has not been compromised.

In the unusual case of crusting of the skin in the treated area, apply an antibiotic ointment twice a day to the affected areas. Do not pick at these areas, as this may result in infection or scarring.

If the skin is broken or a blister appears, apply an antibiotic ointment and contact the office immediately. Keep the affected area moist and avoid direct sunlight.

Strictly avoid any sun exposure to the treated area for a minimum of 7-14 days after the procedure. The treated area is more prone to sunburn and pigmentation change. Keep the area covered and use a sun block with zinc oxide or titanium dioxide and reapply every 2 hours. Delayed blistering secondary to sun exposure has been noted up to 72 hours post treatment.

If in the middle of a series of PhotoTherapy treatments, sun exposure should be avoided between treatments and a sunblock should be used on a daily basis.

Subsequent treatments are based upon your Provider’s recommendation and are typically 4 weeks apart.

Sea suave con el área tratada. No se rasque ni pellizque la piel.

Hasta que la sensibilidad haya disminuido por completo, evite todo lo siguiente:

  • Uso de lociones o jabones perfumados, cremas exfoliantes (Retin-A, ácido glicólico / salicílico y alfa-hidroxiácidos), cremas o geles para el acné, esponjas, estropajos y exfoliación agresiva.
  • Agua fría o caliente – lavar con agua tibia.
  • Afeitado
  • Piscinas o spas con múltiples químicos / cloro.
  • Actividades que provoquen enrojecimiento o transpiración excesiva, incluyendo ejercicio, altas temperaturas, consumo de alcohol o comidas sazonadas picantes, saunas, etc.

Se puede usar una compresa fría o una bolsa de hielo para brindar comodidad si el área tratada está especialmente caliente. Por lo general, esto solo es necesario las primeras 12 horas después del tratamiento.

La crema de hidrocortisona también se puede aplicar para brindar comodidad si el área tratada le da comezón.

La piel puede aparecer enrojecida e inflamada y tener una leve sensación de quemadura solar. Esta es una reacción normal. Puede durar desde unas pocas horas hasta días después del tratamiento. La aplicación de una bolsa de hielo durante las primeras 24 horas ayudará a minimizar la inflamación.

La vitamina E o la Sábila aplicados al tratamiento pueden proporcionar un efecto calmante. El malestar postratamiento suele ser mínimo, pero el área es muy incómoda, analgésicos orales; es decir, se puede utilizar Tylenol o Advil.

Las pecas y las manchas solares pueden oscurecerse un poco al principio y luego desprenderse en 7-10 días para las áreas faciales y 14-21 días para las áreas del cuerpo. Esta es una reacción normal y deseada.

Puede haber enrojecimiento y ligera inflamación alrededor de los vasos tratados. A menudo, pueden tener una apariencia más clara y estar menos definidos.

El maquillaje se puede aplicar inmediatamente después del tratamiento, siempre que no esté rota la integridad de la piel.

En el caso inusual de formación de costras en la piel en el área tratada, aplique una pomada antibiótica dos veces al día en las áreas afectadas. No toque estas áreas, ya que pueden provocar una infección o cicatrices.

Si la piel está rota o aparece/n ampolla/s, aplique una pomada antibiótica y comuníquese con el consultorio de inmediato. Mantenga húmeda la zona afectada y evite la luz solar directa.

Evite estrictamente cualquier exposición al sol en el área tratada durante un mínimo de 7-14 días después del procedimiento. El área tratada es más propensa a sufrir quemaduras solares y cambios de pigmentación. Mantenga el área cubierta y use un bloqueador solar con óxido de zinc o dióxido de titanio y vuelva a aplicar cada 2 horas. Se han observado ampollas retardadas secundarias a la exposición al sol hasta 72 horas después del tratamiento.

Si se encuentra en medio de tratamientos de Fototerapia, se debe evitar la exposición al sol entre tratamientos y se debe usar bloqueador solar diariamente.

Los tratamientos posteriores se basan en la recomendación de su proveedor y, por lo general, se realizan cada 4 semanas.

Patient response can vary after a BBL Acne treatment. Erythema (redness) is usually noted within a few minutes after the completion of the procedure. A slight sun burn sensation in and around the area treated is also normal and expected. These reactions tend to subside within 1-4 hours after the treatment.

The treated area must be treated with care. BE GENTLE! Do not scratch or pick at your skin.

Until sensitivity has completely subsided, avoid all of the following:

Use of scented lotions or soaps, exfoliant creams (Retin-A, glycolic/salicylic and alpha- hydroxy acids), acne creams or gels, loofa sponges and aggressive scrubbing
Hot or cold water – wash with tepid water
Swimming pools and spas with multiple chemicals/chlorine
Activities that cause excessive perspiration
A cold compress or an ice pack can be used to provide comfort if the treated area is especially warm. This is rarely needed but if so, usually within the first 4 hours after the treatment.

Makeup can be applied immediately after treatment as long as skin is intact and there are no signs of blistering.

Vitamin E or Aloe Vera applied to the treatment area may provide a soothing effect.

Post treatment discomfort is typically minimal but if the area is very uncomfortable, oral pain relievers; i.e. Extra Strength Tylenol or Advil, may be used.

If the skin is broken or a blister appears, apply an antibiotic ointment and contact the office immediately. Keep the affected area moist and avoid direct sunlight.

Strictly avoid any sun exposure to the treated area for a minimum of 7 – 14 days after the procedure. The treated area is more prone to sunburn and pigmentation change. Keep the area covered and use a sun block with a protection factor of 30+ reapplying the sun block every two hours. Delayed blistering secondary to sun exposure has been noted up to 72 hours post treatment.

Subsequent treatments are based upon your clinician’s recommendation and are typically 1- 2 treatments per week for at least 4 weeks or until acne clears. The number and frequency of treatments required will depend on the severity of your acne and how well it responds to treatment.

Clinical studies suggest that at least two BBL acne treatments are needed to begin to see results and results have been reported to last up to 6 months.

Botox is contraindicated if you have a sensitivity to eggs.

Dysport is contraindicated if you have a sensitivity to the protein in milk.

No exercise for 24 hours post treatment.

No hot tubs or saunas for 24 hours post treatment.

If you are on antibiotics at the time of treatment your Botox/Dysport may not be as effective, so please let us know and we will reschedule your treatment.

Do not travel by airplane for 48 hours post treatment

Remain upright for at least 4 hours

Apply numbing cream one hour prior to treatment.

Please note you will not be treated if you have any type of fever blister, rash or active acne breakouts in the area to be treated.

You will have a “sunburn like” sensation.
Use the following on your skin post treatment:

  1. A gentle cleanser
  2. A healing restorative skincare product for hydration like AVENE CICALFATE
  3. A chemical free sunscreen like Elta MD Physical.

Mineral make-up can be applied 12 hours post treatment.

Non mineral make-up may be applied 24 hours post treatment.

Avoid excessive exercise for 12 hours post treatment

Avoid excessive sun exposure for 72 hours post treatment

No Glycolic acids, retinoids or PH lowering products for at least 4 days post treatment

You will require a minimum of 3 treatments 3-4 weeks apart for best results

Aplicar crema anestésica una hora antes del tratamiento.

Tenga en cuenta que no recibirá tratamiento si tiene algún tipo de herpes labial, erupción cutánea o brotes de acné activo en la zona a tratar.

Tendrá una sensación de “sol quemada”.
Use lo siguiente en su piel después del tratamiento:

  1. Un limpiador suave.
  2. Un producto reparador curativo para el cuidado de la piel para la hidratación como AVENE CICALFATE
  3. Un protector solar libre de químicos como Elta MD Physical.

El maquillaje no mineral se puede aplicar 12 horas después del tratamiento.

Evite el ejercicio excesivo durante las 12 horas posteriores al tratamiento.

Sin ácidos glicólico, retinoides o productos para reducir el pH durante al menos 4 días después del tratamiento.

Se require un minimo de 3 tratamientos 3-4 semanas de diferencia pare recibir el major resultado.

No exercise for 24 hours post treatment.

No Clarisonic for 24 hours post treatment.

No hot tub or sauna for 24 hours post treatment.

Ice as needed for swelling.

Take ibuprofen for discomfort.

Do not massage unless instructed to do so.

These pre & post care instructions are intended to guide you through the treatment process and get you on your way to gorgeous!

Cleanse the skin two times a day with plain, lukewarm water and a gentle cleanser, beginning
the morning after the treatment. Use your hands and gentle patting motions. DO NOT rub, scrub, use an exfoliant or skin care brush such as a Clarisonic on the treated area.

Moisturizer should be applied generously with clean hands over treated area and reapplied whenever your skin feels dry. DO NOT apply any other products that were not instructed by your doctor – eg. essential oils, coconut oil, etc.

Sunscreen is a MUST and should be used daily beginning the day after treatment and used consistently for up to 3 months post procedure. Use a physical sunscreen with Broadband UVA and UVB protection and a SPF of 30. Ensure to reapply during sun exposure.

For general post-treatment discomfort, an over-the counter oral pain reliever, i.e. Extra Strength Tylenol might be prescribed by your doctor. If an anti-viral was prescribed, continue to take as directed. Avoid scratching and itching, as scarring and pigmentation complications can occur. Itching can be relieved by oral Benadryl, but can cause drowsiness.


  • Use soft cloth and soft towels to avoid any scrubbing
  • Make-up can typically be worn once the peeling process is complete
  • Wear a wide-brimmed hat or protective clothing for 2 months post treatment to avoid blistering, scarring, hyperpigmentation and hypopigmentation
  • When showering, avoid getting shampoo directly on the treated area
  • Avoid strenuous exercise and sweating until after skin has healed

There may be some degree of swelling immediately post-treatment, however if you experience excessive swelling or any of the following signs of infection, you should contact the office immediately. Signs of infection include:

  • Drainage – looks like pus
  • Increased warmth at or around the treated area
  • Fever
  • Extreme itching



Feeling of Warmth
What to Expect:
The treated area may be extremely warm for 1-2 hours after the treatment. Warmth may continue for 12-24 hours after the treatment.

What to Do:
Cold compresses may provide comfort during this time. Also, a mineral water spray might provide some relief and much needed moisture to the skin.

Redness (Erythema)
What to Expect:
Redness is normal and expected. Redness generally increases in intensity for the first few days after treatment with day 3 usually being the most intense. Redness can persist for up to 7 days depending on the intensity treatment.

What to Do:
Use gentle cleansers and keep your skin moisturized and out of the sun which will allow your skin time to heal and limit further stress on your skin.

What to Expect:
MENDs (microscopic epidermal necrotic debris) will appear on the 2nd or 3rd day after treatment as tiny dark spots and bronzed appearance to the treated skin.

What to Do:
MENDs are part of the healing process where treated tissue is working its way out of your body as new fresh skin is regenerated. During this time, your skin will be very dry and feel like sandpaper before flaking and peeling off. Keep your skin well moisturized to support the healing process. Do not pick at your skin.

Swelling (Edema)
What to Expect:
Swelling is common and expected immediately after treatment.

What to Do:
Use of a cold compress will help to relieve the swelling. To avoid further swelling, you may choose to sleep in an upright position the first 2-3 nights after the treatment. The first morning post treatment is when swelling is more prevalent, especially under the eyes. Swelling may last 2-4 days.

Congratulations on your decision to have a ProFractional™ treatment. Please take a moment to read over the pre-procedure instructions.

  1. Please stop the use of Retin-A, Tretinoin, Retinol, AHA, or any other acid peel products for 3 days before your procedure. Do NOT start back on these products for 1-2 weeks after treatment.
  2. Have your anti-viral prescription filled prior to your procedure and start the pills the day before your treatment. Prescription is enclosed. Also, purchase Cetaphil or Cera Ve cleanser and Aquaphor for post-procedure care.
  3. Please come in to our office with a clean, dry face. No moisturizers, make-up, contacts, etc.
  4. Please leave jewelry at home and wear comfortable clothing without a high collar.
  5. No sun exposure TWO weeks prior to your procedure.
  6. If you are receiving sedation, please be sure you have a driver to take you home.
  7. Remember, there is pinpoint bleeding after treatment and please make your driver and family aware of this.
  8. Enclosed is a Derm Info Sheet. Please complete the form and mail it into our office several days prior to your procedure. If there is not enough time to complete this form and mail it, please bring it with you the day of your procedure. Enclosed is also a consent form. Be sure to read this prior to procedure day; however, do not sign until in the office.
  9. Redness, swelling, and a “sunburn like” sensation can be expected after treatment.
  10. Due to the nature of this procedure, be prepared to potentially be in the office longer than the anticipated time.
  11. If you wish to cancel, we ask that you give at least 48 hours notice.
  12. If you have any questions, please do not hesitate to call our office at (502) 625-2214.


  1. Do NOT go into direct sunlight without sunscreen (SPF 30 or higher) until redness has resolved. You must also use a physical block (i.e. hat, scarf, sunglasses, etc.)
  2. Do NOT use Retin-A or Tretinoin, Retinol, or AHA 1-2 weeks following treatment.
  3. Do NOT participate in strenuous exercise the night of the treatment.
  4. For the first 24 hours, keep area moisturized with Aquaphor or Biafine. Do NOT let the area become dry or crusted.
  5. The day after your treatment wash with a mild, gentle soap-free cleanser (Cetaphil or Cera Ve cleanser) then apply Cetaphil moisturizer. Re-apply moisturizer as necessary. Do NOT let the area become dry or crusted. Apply sunscreen on top of moisturizer.
  6. Tightness or redness may occur. This is a normal appearance post-treatment. Over the counter Hydrocortisone 1 % cream may be used as directed for any mild discomfort.
  7. If any unusual redness or swelling occurs, please call the office (502-625-2214).
  8. You may use ibuprofen or Tylenol for discomfort.
  9. If you experience itching, you may take oral Benedryl.
  10. You will receive a prescription ofValtrex (anti-viral). Take one table by mouth, two times a day for FIVE days. Begin medication the day prior to your procedure unless otherwise directed.
  11. It is VERY important that you begin a prescription strength/physician skin care program 2-3 weeks after your laser procedure. Please make an appointment with our cosmetic coordinator.
Vanquish is contraindicated in patients with metal implants as well as any active implanted device which includes, but is not limited to, a pacemaker, defibrillator, cochlear implant, diabetic pump. If you had one of these implanted devices in the past, but it has since been removed, please let your treatment provider know. VANQUISH is also contraindicated for women who are pregnant or lactating. Please be sure to share your complete medical history with us so we can make sure VANQUISH is right for you.

Please wear comfortable clothing on the day of your treatment so we can access the treatment area.

You will be asked to remove all jewelry.

Please arrive at your appointment well hydrated. HYDRATION IS CRITICAL!!! Drink at least 64oz water the day before, the day of, and the day after the scheduled treatment. Additionally, we recommend light physical activity after treatment to help with lymphatic flow.

Skin: Your skin may experience mild to moderate erythema (redness) that will last from a few minutes to an hour or possibly longer. Your skin may feel warm for up to a few hours after treatment as deep tissue retains heat longer. You may also feel tenderness in the treated area. Some patients experience swelling of the fatty tissue and develop a tender lump under the skin. This is a common side effect and will resolve over time on its own. Please call the office and we can discuss how to manage this side effect.

Hydration: Continue with therapeutic hydration the day of and day after treatment as this will assist with lymphatic drainage.

Diet: While no special diet is required, we do encourage healthy eating to help promote and maintain results.

Activity: You may resume your normal daily routine immediately following treatment. We encourage light physical activity to help promote lymphatic drainage.

Treatment Plan: For optimal results, it is important to follow the treatment plan that has been established for you. Treatments, generally 4-6 sessions, should be spaced 7-14 days apart.

Please massage your face with a moisturizer 5x’s a day for 5 minutes for 5 days

Apply ice packs for 10 minutes every hour for 48 hours.

Avoid excessive sun and UV lamp exposure until any initial swelling and redness have resolved.

If you have any questions or concerns, please call us at (502) 625-2214.

  1. The treated area may be slightly red, with mild soreness like a sunburn for a few hours to two days. These symptoms, if they occur, can be relieved using cool compresses and Tylenol. If a large facial area has been treated, you may experience swelling. If this occurs, keep your head elevated, and prop it up on several pillows at night. Some over-the-counter Benadryl by mouth at night can help with swelling. Avoid ice packs as these may cause increased swelling.
  2. For a week after the treatment, the treated area may have some small blue to purple spots. Makeup may be applied very gently starting 1-2 days after treatment. Makeup with a green or yellow tint can be especially helpful in neutralizing any purple or blue discoloration.
  3. Cleanse the treated area gently, and apply Vaseline jelly or Aquaphor ointment once or twice a day until the skin returns to its normal color. Use a moisturizer with sunscreen when going outdoors. Take lukewarm, not hot, showers, and avoid strenuous exercise for two days.
  4. Do not, under any circumstances, pick or rub the treated areas even if a scab forms (which is very rare). Call our office if any scabs or wounds occur.
  5. Avoid taking aspirin or ibuprofen (Motrin, Advil) and avoid alcoholic beverages for 7 days after the procedure. You may take Tylenol, which will not affect your laser results.
  6. Strictly avoid sun exposure for at least a month after treatment to minimize the risk of dark discoloration in the treated skin. Use sunscreen of SPF 30 or higher, preferably containing zinc oxide or titanium dioxide, and a hat or sun protective clothing.