Pre & Post Care Instructions

• No rubbing or massaging of the injected area for 4 hours after treatment, including facials.
• No strenuous exercise for 24 hours after treatment.
• Keep upright for 4 hours — no lying on your front.
• Avoid headwear that is tightly fitted across the forehead.
• Reduce excessive alcohol consumption or medically necessary blood-thinning medication before the treatment to prevent bruising.

• Avoid significant movement or massage of the treated area. Unless instructed by the provider.
• Avoid strenuous exercise for 24 hours.
• Avoid extensive sun or heat for 72 hours.
• Avoid consuming excess amounts of alcohol or salts to avoid excess swelling.
• 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.
• Take Arnica to help the bruising and swelling

• Apply an ice or cold gel pack to the area(s) treated (avoiding pressure) as this helps reduce swelling and the potential for bruising.
• Once you have adequately cooled/iced the area(s) as instructed and any pinpoint bleeding from the injection site(s) has subsided, you may begin wearing makeup.

IMPORTANT: You must follow the below massage instructions to ensure the best outcome of your treatment results.

Please follow the “Rule of 5s” your injector discussed after your treatment.

A feeling of fullness or thickness can be felt in the injection area. This is a normal response to treated tissue and the process of inflammation.

Simply massaging the treated areas gently 5 times per day for 5 minutes, for 5 days after the injection can help minimize thickness but also improve activation of the active ingredients in the injectable.

Sculptra® therapy injections are administered in a solution containing water, there will be an initial swelling (edema) that will be noticeable for at least several hours and perhaps as long as several days. This effect is temporary and does not affect the long-term tissue response.

• Small bumps under the skin, termed micro-nodules, which may be non-visible, may be felt in the areas of treatment. Usually, these bumps may only be felt when pressing on the skin.
• AVOID or minimize hard (strenuous) exercise and exposure to extensive sun, UV lamps, indoor tanning beds/booths, or extreme temperatures within the first 24 hours after treatment; you may resume other normal activities/routines immediately.
• As with all injections, this procedure carries the risk of infection. The syringe is sterile and standard precautions associated with injectable materials have been taken.
• You may take Acetaminophen/Tylenol if you experience any mild tenderness or discomfort.
• AVOID extended UV exposure until any redness/swelling has subsided. Be sure to apply an SPF 30 or higher sunscreen.
• Wait a minimum of four weeks (or as directed by your provider) before receiving any skincare or laser treatments.

• Avoid extreme temperatures of heat for 24 hours post treatment (i.e. Jacuzzi, hot showers etc.).
• Do NOT consume alcohol or sodium for 3 days post treatment to avoid excess swelling.
• Avoid strenuous exercise for 24 hours post treatment.
• Sleep on your back with your head elevated to decrease swelling.

• Avoid touching.
• Don't touch or rub the treated area for at least 24 hours.
• Avoid sun exposure.
• Avoid direct sunlight and tanning beds for at least 24 hours. You should also use sunscreen in the morning, as Skinvive can make your skin more sensitive to sunlight.
• Avoid strenuous activity.
• Avoid strenuous exercise, alcoholic beverages, and anything that increases your heart rate for 24 hours. These activities can cause temporary redness, swelling, and itching at the injection site.
• Avoid topical products like retinols, retinoids, glycolic acid, alpha hydroxy acid, and "anti-aging" products for two days before and after treatment. You should also avoid dental procedures, microneedling, peels, or lasers for two to four weeks.
• Use a gentle cleanser to wash your face for the first few days after treatment, and avoid harsh scrubs.

• Post treatment you may experience some redness in the treatment area that should resolve within a few hours.
• You may notice darkening of your pigmented spots, followed by fading and flaking off at a later stage.
• Cleanse your skin two times a day with plain, lukewarm water and a gentle cleanser. Do not rub, scrub, use an exfoliant soap, or skin care brush, etc. in the treated area.
• Moisturizer should be applied generously with clean hands over the treated area and reapplied whenever your skin feels dry.
• Sunscreen is a MUST and should be used daily beginning the day of treatment and used consistently. The treatment area is more prone to sunburn and pigmentation change. DO NOT expose your skin to direct sun exposure for 14 days.
• Follow your aftercare instructions until skin is completely healed-typically one week after the treatment. The skin on your body may take longer to heal, compared to your face.

• The treated area must be treated with care. BE GENTLE! Do not scratch or pick at your skin.
• Cleanse your skin two times a day with plain, lukewarm water and a gentle cleanser. Do not rub, scrub, use an exfoliant soap, or skin care brush, etc. in the treated area.
• Sunscreen is a MUST and should be used daily beginning the day of treatment and used consistently. The treatment area is more prone to sunburn and pigmentation change. DO NOT expose your skin to direct sun exposure for 14 days.
• 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, loofah sponges, and aggressive scrubbing.
  • Hot or cold water
  • wash with lukewarm water.
  • Shaving
  • 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 treatment.
• Makeup can be applied immediately after treatment as long as skin is intact and there are no signs of blistering.
• 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.
• Keep the affected area moist and avoid direct sunlight.
• If the skin is broken or a blister appears, apply an antibiotic ointment and contact the office immediately. We can be reached at 540-751-8828 during business hours or via text after business hours at 540-751-8828.

• Avoid products/cleansers with glycolic acid, salicylic acid, or benzoyl peroxide for 7 – 10 days post treatment.
• Apply sunscreen (minimum of SPF 30) before and after (we will apply sunscreen post treatment) treatment to protect your skin.
• The area treated may be red and swollen.
• Do NOT scratch or scrub the area as this can lead to scarring.
• Possible Pigmentation changes: Changes in pigmentation have been noted after treatment, especially with a darker complexion. This usually resolves within 24 hours.
• AVOIDING sun exposure (and tanning beds, which we strongly advise against using, at all times) after treatment is crucial to reduce the risk of color change.
• Makeup (mineral) may be used post treatment.
• All treatments may not be scheduled any sooner than 4 weeks, and no later than 6 weeks, from the prior treatment.

• Use a gentle cleanser two times a day with plain, lukewarm water beginning the morning after your treatment. Use your hands and gentle patting motions. DO NOT rub, scrub, use an exfoliant, or skincare brush on the treated areas.
• Moisturizer should be applied generously with clean hands over the treated area and reapplied whenever your skin feels dry. DO NOT apply any other products that were not instructed by your provider.
• 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 an SPF of 30 or higher. Ensure to reapply during sun exposure.
• Do not use retinols or skincare products with active ingredients for 7 days post-treatment.
• The treated area may be warm for 1-2 hours after the treatment. Warmth may continue for 12-24 hours. A cold compress may provide comfort during this time. Also, a mineral water spray might provide some relief and much needed moisture to the skin.
• Redness is normal and expected. Redness may persist for up to 7 days depending on the intensity of the treatment. Use gentle cleansers and keep your skin moisturized and out of the sun to allow your skin time to heal and limit further stress on your skin.
• MENDS (microscopic epidermal necrotic debris) will appear on the 2nd or 3rd day after the treatment as tiny dark spots and bronzed appearance to the skin.
• MENDS are a 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 can occur and is typically expected immediately after treatment.
• If you experience this, a cold compress will help to relieve the swelling. To avoid further swelling, you may choose to sleep in a more upright position the first 2-3 nights after your treatment. Swelling may last 2-4 days.

• Immediately following treatment, apply Microcurrent Dual Facemask for comfort and best results.
• If exosomes or growth factors were used during treatment, apply the microcurrent or biocellulose mask if/when directed by your provider.
• Cleanse your skin two times a day with plain, lukewarm water and a gentle cleanser. Do not rub, scrub, use an exfoliant soap, or skin care brush, etc. in the treated area.
• Use the moisturizer your provider recommended on irritated/inflamed areas.
• Sunscreen should be applied and consistently reapplied.
• Avoid saunas, hot yoga, extreme workouts for 48 hours post-treatment.
• No tanning or extreme sun exposure.
• No makeup is to be worn on irritated areas 24 hours post-treatment.

• Do not use the following products 3 days before or 5 days after your treatment (or until pinkness has subsided): Retin-A, retinoids, or similar vitamin A compounds, harsh scrubs or exfoliating products and bleaching creams, unless instructed otherwise by your provider.
• Avoid tanning or prolonged sun exposure 2 weeks before and 2 weeks after treatment. Sun may cause adverse reactions, as well as make your pigmentation worse.
• During treatment and just after, you may experience pinpoint bleeding; this is a normal response with this procedure.
• Use a gentle cleanser two times a day with plain, lukewarm water beginning the morning after your treatment.
• Apply your serum 2 times a day or as needed, for at least 5 days after treatment. You may use it longer for optimal results.
• Apply your Mineral Sunscreen the day after the treatment and re apply every 2 hours for incidental sun exposure such as driving. We recommend SPF 50+ Sunscreen.
• The next day, you may cleanse the treated area with your Gentle Cleanser with tepid warm water. Apply cleanser to fingertips with water in a gentle motion. Do not use a washcloth or scrubs. Use the Gentle Cleanser until the skin is healed. You may resume your regular skin care regimen 5 days after treatment.
• Although extremely rare, red stripping may occur and should subside within 3 days.
• Avoid exercise or excessive sweating for 24 hours after treatment.
• Avoid Dermal Fillers and Botox at least 2 weeks prior to treatment and 1 week after treatment.
• If you have a history of cold sores, ask about an antiviral prescription and use as directed.
• Redness: can be covered up with makeup the day after treatment if desired. Slight redness can remain up to 3 days and longer in rare cases.
• Dry Skin: the skin can feel dry or flake as a normal result of this procedure. This should resolve within a few days, in rare cases longer.
• You may experience a rough texture to the skin for a few days; this is a normal response after the SkinPen treatment. You may moisture more frequently if needed.
• Excessive scabbing, stripping or irritation should be reported to the office right away.
• We can be reached at 540-751-8828 during business hours or via text after business hours at 540-751-8828.

• Optimal results are only achieved by maintaining an undisturbed and DRY environment.
• Do NOT over cool. Cooling stops the tightening effect and could damage the tissue.
• Each morning and evening (while the scabs are present) apply a VERY THIN layer of the Subnovii Aftercare Cream. Pat the cream on with clean fingers and do NOT rub in or use a sponge.
• Repeat this process if you feel that the skin requires moisturizing during the course of the day and again in the evening.
• Subnovii Aftercare Cream must be used for several days to ensure optimal healing and results.
• Subnovii Downtime Reducer Powder should be used on top of the cream to absorb any excess moisture and keep the scabs dry.
• As long as the scabs are present, avoid the sun, sweating, sauna, and steam rooms.
• To treat temporary pain, 500mg Acetaminophen may be taken. Aspirin MUST NOT be taken, as this can cause more swelling. DO NOT take ibuprofen or any other anti-inflammatory medication.
• DO NOT intentionally remove the scabs. Every manipulation of the scabs can cause an adverse effect. They will fall off on their own within 3 to 7 days. This may take longer for smokers or those taking medications.
• While the scabs are present they should remain dry. Should the scabs become wet, do not rub. Use a hairdryer on the area until the crusts are dry. Apply Subnovii Aftercare Cream and Subnovii Downtime Reducer Powder directly afterwards.
• The skin beneath the scabs is sensitive. The pinkish coloration may last up to 6 months.
• When the scabs have fallen off, use a sunscreen with an SPF of 50 on the treated areas. Avoid extreme sun exposure for 3 months.
• Avoid extreme low temperatures for 2 weeks.
• If the above instructions are not followed, pigment deviations and dark spots may occur.
• Please note: depending on the desired results, more than one treatment may be necessary. Follow-up treatments may only be performed 12-16 weeks after the previous treatment as the collagen fibers are still contracting and the skin is very sensitive.

• Your skin may experience temporary irritation, tightness, or redness. These are all normal reactions that typically resolve within 72 hours depending on skin sensitivity.
• The treatment area is more susceptible to sunburn, sun damage, and hyperpigmentation. Avoid direct sun exposure and use a minimum of SPF 40 sunscreen.
• Aggressive exfoliation, waxing, and products containing acids should be avoided in the treatment area for a minimum of two weeks pre-and post-treatment.
• Avoid the use of Retin-A type products pre-and post-treatment.
• You will likely see results immediately after treatment and your skin will feel smooth and hydrated for one to four weeks.

• Let your scalp and hair dry for 15–20 minutes after the treatment so the solution and spray can be fully absorbed. Avoid using a hair dryer for at least an hour after the treatment or applying the spray.
• Wait at least 6–12 hours before washing your hair. When you do wash, use a gentle, sulfate-free shampoo designed for sensitive scalps and enriched with natural ingredients. Use lukewarm water instead of hot water, which can strip away your scalp's natural oils.
• Use the Scalp Health Spray daily for continued results. Spray 1–2 pumps directly onto the scalp in each problem area and massage in for 30–60 seconds. For best results, apply in the evening so the solution can remain on your scalp overnight.
• Avoid saunas, steam rooms, or any sweat-inducing activities for 24 hours. Avoid scalp exfoliation for 1 week and extreme or repetitive tension on your hair, such as tight ponytails or headbands. Wait 2 weeks before chemically treating your hair or receiving any PRP treatments.

• Avoid makeup application if possible for 24-48 hours following your appointment.
• Avoid AHAs, BHAs, and retinols for 14 days following your appointment.
• Avoid waxing, hair removal, or hair bleaching for 14 days following to your appointment.
• Avoid swimming and steam saunas for 14 days following your appointment.
• Avoid sunbeds, tanning, or self-tanning for 14 days following your appointment.
• Keep the skin hydrated with a gentle moisturizer.
• After the treatment, it is utmost important to wear a high broad spectrum SPF cream to protect your skin from sun damage and maintain best results.

• Day of treatment: Avoid touching the treated area for six hours, and don't sweat excessively. You should also avoid applying sunscreen or makeup for at least 30 minutes after washing and drying your face.
• Day two and after: Gently wash and dry the treated area twice a day, and apply the post-peel moisturizer as needed. You can use a thin layer of moisturizer 2–3 times a day to help with peeling and tightness. Caucasian patients should use the moisturizer for one week, while Asian, Hispanic, and African American patients should use it for two weeks. If you run out of moisturizer, you can substitute 1% hydrocortisone cream.
• Peeling: Let the skin peel naturally, and don't rub, pick, or pull on it, as this could cause scarring. You can use a hair band to keep your hair away from your face to avoid touching it.
• Sun exposure: Apply SPF 30 or higher every two hours when you're in the sun. You can also bring a hat or sun shield for extra protection.
• Other tips: Don't put water on your skin for six hours after the treatment. If you get pimples, don't try to treat them yourself, and have your esthetician take care of them instead. You should also avoid using active ingredient skincare products like retinol, growth factors, or hydroquinone until your skin has fully recovered from the peeling process, which is usually around day seven.

• Stay Away From Water
• No Stomach Sleeping
• Don't Poke or Prod
• Avoid most skincare and makeup products: For 24 to 48 hours, you will need to steer clear of most skincare and makeup products. No shampoo, creams, face wash, or mascara.