Pre and Post Instructions

Sculptra

Before Your Treatment:

Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as:

Ibuprofen, Advil®, Motrin®, Nuprin®,
Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses
of vitamin E for at least 7-10 days before
your appointment, unless medically necessary.
• You may take Tylenol® (if not contraindicated) one hour before your
appointment if you have concerns about discomfort.
• If you are taking prescription blood thinners such as Coumadin or Plavix,
make sure you inform the medical staff at Fillir. We do not recommend
stopping these medications unless directed by your physician.
• Avoid alcoholic beverages for 24 hours prior to procedure as this can
increase the risk for bleeding and bruising at the treated site(s).

If you have any history of Herpes Simplex (cold sores) on your face, make
sure you inform the doctor that you
have made your appointment with, one week prior to your appointment; this
will allow us adequate time to
prescribe a medication to prevent an outbreak.
• If you have a dental procedure (including dental cleaning) 2 weeks prior to
your appointment or 2 weeks after your appointment please notify the medical
staff at Fillir. We may need to reschedule your appointment to ensure both
treatments are free of complications.

• Come to your appointment with a clean face.
• Eat a small meal or a snack before your appointment.
• Bruising and swelling will be worse for the first 24-48 hours after you receive
your dermal filler injections. Refrain
from exercising for 24 hours following your injection(s). You may also want to
refrain from going to any
special events during this time.

• If you received vaccines (flu, covid, etc.) 2 weeks prior to your appointment
or 2 weeks after your appointment, please notify the medical staff at Fillir. Your
appointment may need to be rescheduled.

After Your Treatment:

TIMING: It takes 2-3 weeks for full results of dermal fillers to become
apparent. Please be patient. Not only are swelling and bruising common after
treatment, but dermal filler takes time to rehydrate and attract water molecules
to create a soft, natural result.

DURATION: Dermal fillers typically last anywhere between 6 months and 2
years. The duration of effect depends

on the type of dermal filler used, where on your face it was injected, how
expressive your face is, and your metabolic rate. After repeated use of dermal
fillers, many of our patients find that they have nice results that lasts even
longer than expected.

POSITION: The night of your treatment, sleep with your head elevated on 2
pillows, lying on your back if possible. Do not rub or massage the treated
areas after your treatment unless your injector has instructed you to do so.

EXERCISE: Do not perform strenuous exercise on the day of your treatment.
You can resume all normal activities the next day. Avoid facials or saunas for 4
hours after your treatment. Feel free to shower and go about most other
regular daily activities.

SWELLING/ BRUISING: Any tiny bumps or needle marks will go away within
a few hours. Bruises or residual marks

are common and may be covered with makeup, but please wait for 2 hours
and use a gentle touch to avoid rubbing the treated area. Please know that

our Injectors take great care to ensure meticulous symmetry with microdroplet
injection. Even still, it is common for temporary bruising and swelling to
appear asymmetric in the initial period after injection. This is temporary and
will go away on its own.

ICE: Use of ice or over the counter hydrocortisone 1% cream will reduce the
risk of bruising and swelling. Icing is recommended immediately following
treatment and for the first 2 days after treatment.

ALCOHOL/ BLOOD THINNERS: Drinking alcohol within 2 days of treatment
or using blood thinners such as Advil and Aspirin can increase your risk of
bruising.

COLD SORES: If you have had cold sores or oral herpetic infection in the
past, any treatment to your face can trigger reactivation. We recommend
taking an antiviral medication such as Valacylovir in advance of your treatment
and for several days afterward to reduce this risk.

Accidental injection into a blood vessel may block the vessel and cause
damage to the surrounding tissues. If you notice the injected area turning dark
blue/black (not like a bruise) or have intense pain in the injected area call the
office immediately. This is a medical emergency.

Before your treatment:

Avoid taking aspirin or other non-steroidal anti-inflammatory drugs such as
Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Gingko Biloba , St. John’s Wort and high doses
of vitamin E for at least 7-10 days before your appointment, unless medically necessary.

You may take Tylenol® (if not contraindicated) one hour before your appointment if you have concerns about discomfort.

• Avoid alcoholic beverages for 24 hours prior to procedure as this can increase the risk for bleeding and bruising at the treated site(s).

• If you have any history of Herpes Simplex (cold sores) on your face,
make sure you inform the doctor that you have made your appointment with,
one week prior to your appointment; this will allow us adequate time to
prescribe a medication to prevent an outbreak.

• Eat a small meal or a snack before your appointment.

• If you received vaccines (flu, covid, etc.) 2 weeks prior to your
appointment or 2 weeks after your appointment, please notify the medical staff
at Fillir. Your appointment may need to be rescheduled.

PRECAUTIONS
You would not be considered a candidate for Botox® if you have any of the
following:
• Myasthenia Gravis

• Allergy to Botulinum Toxin
• Neuromuscular disorder

• Pregnant or breastfeeding
• Allergy to human albumin.

After your treatment:

Try to exercise your treated muscles for the first hour after treatment (e.g.
practice frowning, raising your eyebrows or squinting). This helps to work the
treatment into your muscles. Although this may help your procedure outcome,
it will NOT impact your treatment negatively if you forget to do this.

·Do NOT have a facial, nor rub or massage the treated area for first 24 hours
after your treatment.

·Do NOT lie down or do strenuous exercise for four hours after treatment.
Also, avoid any exposure to a sauna, hot tub or tanning for at least 4 days
after treatment. Use SPF30-50.

·Avoid exercise for the first 24 hours after treatment. This will prevent your
blood pressure from rising and thus minimize the risk of bruising after
treatment.

·AVOID alcohol for 24 hours after treatment.

·Please be aware that some, though very few patients, experience a mild
headache. You may take Tylenol to help with this for pain relief. Avoid
aspirin-based products, no Excedrin, Ibuprofen, Aleve, or Advil for the first 3-
4 days.

·Be assured that tiny bumps or marks will go away within a few hours after
your treatment. There is a risk of bruising. If this occurs, do not worry since it
will only be temporary and can easily be covered up with makeup. Any little bit
of bruising may last up to one week.

·You may apply cold compresses for 5-10 minutes every 2 hours if swelling to
the affected areas for Botox.

·After Botox is placed into the targeted muscles, the weakening effect
gradually begins anywhere from 3-7 days and is not complete for two weeks.
Therefore, optimal results are not seen for at least two weeks.

·Botox will last approximately 10-12 weeks. However, if you maintain your
treatment appointments with the frequency recommended, the duration of
each treatment result may last longer.

Before your treatment:

**NOTE: Laser hair removal will work best on brunette and black hairs because these have a sufficient amount of pigment to be targeted by a laser. The lighter the hair (blonde, red, white), the less pigment it holds. Laser hair removal may not always work on faired hair people because there may not be enough melanin in the hair to target.**

●Hair should be cleanly shaven coming into the appointment. Please make sure the areas you are treating are cleanly shaven to avoid having to rebook upon arrival; we do not shave onsite.
● Do not wear makeup on the treated area the day of treatment
● No sun-tanning or self-tanners 4 weeks prior to treatment. This includes spray tans, tanning lotions, tanning beds, sun
exposure, etc.

● Some medications or supplements may increase the risk bruising.
Consult with your physician
● No waxing, plucking or tweezing at least 4 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 clinic with any changes to your health history or medications
since your last appointment
● History of herpes or cold sores may require an anti-viral prescription
prior to treatment

After your treatment:

Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen
● Redness and perifollicular edema (looks like a rash/bug bites) are
common and resolve with time
● Bruising and swelling are less common but may occur and will resolve
with time
● Hair may take up to 2 weeks to fall out
● Avoid heat – hot tubs, saunas, etc. for 1-2 days
● Avoid skin irritants (examples below) a few days post-treatment. Products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.
● Do not wax or pluck between treatments
● Notify clinic of any concerns (blistering, excessive redness/swelling,
etc.)
● Hair removal requires a series of treatments. The number of
treatments depends on body location and type of hair.
● Consult with clinic about when to resume skin care regime.

Before your treatment:

● Do not wear makeup on the day of treatment
● Excess hair may need to be shaved. Men should be cleanly shaved
● No sun-tanning or self-tanners 4 weeks prior to treatment

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

● Avoid treatments that may irritate the skin for 1-2 weeks prior to
treatment (waxing, depilatories, etc.)
● Notify clinic with any changes to your health history or medications
since your last appointment
● History of herpes or cold sores may require an anti-viral prescription
prior to treatment
● Notify medical staff at Fillir if you have been prescribed/taking oral
antibiotics or steriods 2 weeks prior to treatment. Taking these
medications can increase your skin's sensitivity and risk for burns after
a laser treatment.

After your treatment:

Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen
to prevent sun damage
● Bruising, redness and swelling may occur and resolve with time
● Avoid heat – hot tubs, saunas, etc. for 1-2 days
● Avoid skin irritants (examples below) a few days post-treatment
○ Products containing tretinoin, retinol, benzoyl peroxide,
glycolic/salicylic acids, astringents, etc.
● Multiple treatments are required
● Notify clinic of any concerns (blistering, excessive redness/swelling,
etc.)
● Consult with clinic about when to resume skin care regime.

Recommended Pre & Post Care for Pigmented Lesion Treatments

Before your treatment:

● Do not wear makeup on 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.
● Some medications or supplements may increase the risk bruising.
Consult with your physician.
● Avoid treatments that may irritate the skin for 1-2 weeks prior to
treatment (waxing, depilatories, etc.)
● Notify clinic with any changes to your health history or medications
since your last appointment
● History of herpes or cold sores may require an anti-viral prescription
prior to treatment

After your treatment:

Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen
to prevent further sun damage
● Bruising, redness and swelling are common and resolve with time
● Treated pigment will turn darker (brown to black) within 24-48 hours
○ Do not pick at treated areas
○ Treated pigment will exfoliate off the face in approximately 1
week
○ Treated pigment will exfoliate off the body in approximately 2-3
weeks
● Avoid heat – hot tubs, saunas, etc. for 1-2 days
● Avoid skin irritants (examples below) a few days post-treatment
○ Products containing tretinoin, retinol, benzoyl peroxide,
glycolic/salicylic acids, astringents, etc.
● Notify clinic of any concerns (blistering, excessive redness/swelling,
etc.)
● Consult with clinic about when to resume skin care regime.

Before treatment communicate with your healthcare provider or clinician about
the following:

• If you are pregnant, nursing, or attempting to become pregnant.

• If you have an allergy or sensitivity to metals (including gold,
chromium, and nickel) this treatment might not be for you. Please
schedule a consultation prior to your appointment to discuss with our
medical professionals.

• If you have a history of an autoimmune disorder.

• If you have permanent makeup, tattoos or have had micro-blading.

• If you are currently or have recently been on Accutane, anticoagulants,
had Gold Therapy for arthritis or taking photosensitizing medications.

• History of skin disorders, keloids, abnormal wound healing, as well as very
dry and fragile skin

• If you have been treated with or are taking any antibiotics.

• If you have any allergies or sensitivity to any topical numbing medications.

• If you have an active cold sore you may want to postpone treatment. If you
are prone to developing cold sores, contact our office at (412) 744-9400 and
we will discuss the option of prescription prophylactic treatment.

• If you have a Cardiac devices such as AICD’s (auxiliary internal cardiac
devices), Defibrillator,
mechanical valves, pacemakers, or neurological stimulating device.

• If you have metal implants in the treatment area, including a
Paragard/Copper IUD.

• If you have had filler within 30 days or have been treated with a neurotoxin
within 14 days before treatment you may want to postpone treatment.

● Avoid vaccines for 2 weeks before and after treatment (flu, covid, etc.)

Before treatment:

1. Avoid any known skin irritants such as retinoids and alpha and/or beta
hydroxy acids for 3-5 days prior to treatment unless otherwise directed by
your clinician.
2. Avoid treatments that may irritate the skin for 1-2 weeks prior to treatment
(waxing, depilatories, etc.)
3. Avoid direct sun exposure, self-tanners, tanning beds, and always use
sun protection for at least 4 weeks prior to treatment.
4. To minimize the potential for bruising, avoid use of non-steroidal
anti-inflammatory drugs (NSAIDs like aspirin, Motrin, Advil, ibuprofen, or any
other non-Tylenol, non-acetaminophen product) for 2 weeks prior to treatment,
unless the medications involved are prescribed for the treatment of an existing
medical condition.

After your treatment:

Immediately Following and up to 24 hours:
1. After the procedure, the skin will be red and flushed in appearance in a
similar way to moderate sunburn. You may also experience skin tightness and
mild sensitivity to touch on the area being treated. This will diminish greatly
after a few hours following treatment. After 3 days most visible erythema will
be resolved.

2. Bruising, redness and swelling may occur and will resolve with time.

3. You may gently cleanse the treated area 12 hours after treatment. *Avoid
products containing paraben 48 hours post treatment.

4. Avoid Sun exposure:

● Sunscreen (SPF of 30 or greater) may be worn after the majority of
your skin has sloughed (usually by day 5). This is very important in
reducing post inflammatory hyperpigmentation.
● Please remember that UVA light passes through the house and car
windows.
● Absolutely no artificial tanning or sun exposure without sun protection,
in the 4 weeks following the treatment.

5. Contact us if you have any concerns (blistering, excessive
redness/swelling, etc.)

6. Avoid skin irritants for 7 days post-treatment, for example; products
containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids,
astringents, exfoliants etc.

● 7. No shaving with a razor blade in the treatment area for 5 days
following treatment. You may use an electric razor after 3 days if
desired.
● 8. You may use a Vinegar soak:
You can use a vinegar soak 3-4 times daily beginning the day of your
treatment to promote healing and provide antiseptic benefits.
Mix 1 teaspoon of plain white vinegar to 2 cups of cool water. This
solution may be mixed up ahead of time and kept in the refrigerator.

● After 48 hours:
Makeup may be applied 48 hours post treatment as long as the skin is
not broken. If the skin is broken, apply antibiotic ointment and contact
our office. Mineral makeup is preferred.
● After 72 hours:
Some patients may experience flaking 3-5 days post treatment. If this
occurs do not pull or pick flaking skin and continue using gentle
cleanser a moisturizer until flaking resolves.
You may begin to use an electric razor in the treatment area as desired.
● After 7 days:
Resume your normal prescribed skin care regimen as instructed by
your clinician. You may find that you are sensitive to products that you
usually use and tolerate well. If your skin feels more sensitive than
usual, cleanse with a gentle, non-acidic cleanser.
Retinol can be resumed and should be applied around the frame of the
face and blended inward. You may resume exercise and any activities
involving heat, for example; hot tubs, saunas, etc.
You should always wear an SPF of 15 or greater when exposed to any
sunlight. Do not touch your face. Clean hands thoroughly before
applying product. Keep your hair off your face.

Sculptra Pre-Care Instructions:

Do NOT take aspirin, Motrin, ibuprofen, Naproxen, Aleve, Vitamin E,
Gingko Biloba, fish oil,
St. John’s Wort, garlic pills, or other anti-inflammatory medications for
1-2 weeks if okay with
your primary physician. These medications can increase the risk of
bruising. For mild pain or
headaches Tylenol is preferred.
● DO consider taking over the counter Arnica supplements (available at
The Derm Institute, most
supplement stores, Whole Foods, etc) starting 3-5 days before your
treatment as they have
been shown to decrease bruising.
● DO inform your nurse or physician if you have a history of medication
allergies, history of
anaphylaxis, and any other medical problems.
● The ideal time to schedule this procedure is at LEAST 2 weeks before
a big event
● Avoid excess sun exposure. Protecting your skin from the sun is always
important, but after treatment, excessive sunlight and UV lamp
exposure should be avoided until any initial swelling and redness go
away.
● Remember, Sculptra Aesthetic works by gradually replacing lost
collagen. It provides improvements subtly without making it look like
you’ve had work done.

Sculptra Post-Care Instructions:

Massage the treated areas five times a day for about 5 minutes for five
days after treatment.
● Hold ice packs on the treated areas gently for about 3-5 minutes a few
times that day. Feel free to wear makeup a few hours after. Treated
areas may be red, swollen, and bruised for the first 2-7 days and this is
normal.
● Do NOT get a facial or massage for two weeks after your Sculptra
procedure.
● Avoid strenuous workouts and alcohol for 24 hours.
● A few days after treatment, you will look as you did before treatment.
This is normal; over time, Sculptra will replace lost collagen.
● Follow up treatments should be scheduled about every 4-6 weeks.
Visible results may not be seen until three sessions have been
completed. Results can last more than two years.

*We recommend a consultation prior to this treatment*

**Patient needs to pre-treat skin 4-6 weeks prior to receiving the 3-step peel, using a form
of retinol and possibly hydroquinone, based on your skincare specialists instructions.**

Pre-Treatment Instructions

●Discontinue the use of alpha hydroxyl acids, benzoyl peroxide, retinols and other potentially
irritating products 3-4 days prior to pee
●Avoid laser hair removal, electrolysis, waxing and the use of depilatory creams for 5-7 days prior
to peel.
● Avoid having the peel until skin has completely healed from any procedures, such as IPL, laser, or
microdermabrasion.
●If you have a history of herpes infection will need to start an anti-viral medication on day prior to
this peel and continue for 7 days.

Post-Treatment Instructions
●Avoid washing face or treated area for at least 5 hours after the peel. Preferably wait to wash the morning after the peel.

●Wash the face or treated area with the gentle cleanser from your ZO daily skin care program.
●Wash the face gently for 30-40 seconds. Rinse and pat dry. Apply the 2nd half of the Retinol Cream.
●Apply a thin layer of Moisturizer Cream.
●Redness, stinging, itching, mild swelling, flaking, and peeling are all normal signs after the peel and
vary based on patient responses.
●Exfoliation generally will start 2 to 3 days after the treatment and ends approximately day 5.
●Avoid rubbing, scratching, peeling/picking the skin with your fingers while healing.
●Avoid direct sun exposure for at least 7-10 days following the peel. Sunscreen may be used after
the skin has completely healed.
●Besides the retinol crème, do not use alpha hydroxy acids, beta hydroxy acids, benzoyl peroxide,
retinoid and other potentially irritating products until the skin is healed.
●Avoid running water directly on your face while showering.
●Avoid strenuous exercise and sweating until skin is completely healed.
●Avoid procedures, such as facials, hair removal, microdermabrasion, and laser until skin is fully
healed.
●After skin is healed, return to your daily ZO skincare routine.

Contraindications
●Active herpes simplex or warts in the area to be treated

●Skincare routine must include retinols to be considered a candidate for this treatment
●Wounded or sunburned in the area to be treated

●History of radiation therapy in area to be treated
●Allergies to salicylates
●Currently pregnant or lactating

Neurotoxin

Laser Hair Remova

Laser Genesis

RF Microneedling

Dermal Filler