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Before your COOL PEEL appointment:

It is prudent to follow some simple guidelines before your treatment. These guidelines can reduce possible side effects associated with the procedure and make all the difference between a fair result and a great result.
 

• Avoid sun exposure for 4-6 weeks before treatment.

• Do not apply self-tanner for 2-4 weeks prior to treatment.

• Discontinue all products containing retinol, glycolic, alpha/beta hydroxy acids, and exfoliants 1 week prior to treatment.

• Avoid taking anticoagulants for 10 days before treatment if the medical condition allows.  Consult with your physician.

• Patients should be off Accutane for a minimum of 6 months prior to treatment. Inform your provider if you have taken it in the past year.

• Over-the-Counter Medications- Avoid aspirin, naproxen, and Ibuprofen for one week prior to your treatment. Inform your provider if you are taking aspirin or Ibuprofen regularly.

• Supplements- Avoid fish oil, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other supplements one week before treatment.

• Alcohol – avoid alcohol for 2 days prior to treatment.

• Ice Packs- Store ice packs in your freezer for use after you get home from the procedure.

• Special Events- Schedule your treatment at least four weeks prior to a special event i.e., wedding, vacation, speaking engagement, to allow time for the healing process.

• Photographs- Take at-home photos to monitor your skin improvement.

• Please arrive at your appointment with clean skin. There should be no lotion, make-up, perfume, powder, or bath/shower oil present on the skin in the area to be treated. Wear comfortable clothing with an open collar.

• Notify your provider if you have a history of cold sores, an anti-viral will be prescribed and you should begin taking it one day before treatment and continue as directed

• Patients with darker skin types are recommended to apply a topical treatment that inhibits melanin production for 4 weeks prior to treatment. Please discuss this with your provider if applicable. We recommend Viktoria Deann Pepti-correct-HP.

• Hydrate. We recommend that for seven days of pre-treatment you moisturize your skin in the morning and evening, and drink at least 8 glasses of water per day to completely hydrate your skin and optimize treatment results.

• PRP (platelet-rich plasma) may be added to your treatment for an additional fee in order to further boost results and minimize downtime. Please inform our office of your interest in PRP at the time of booking to ensure enough time is booked with your provider for the full procedure.

• We also recommend using Alastin Skin Nectar for 2 weeks prior to your treatment to optimize results and minimize downtime.  We do not currently carry this item.

• Please anticipate the need to avoid face coverings for 24 hours following the procedure.

• Men should have a cleanly shaven face the night before or the morning of the procedure – without visible stubble.

Treatment day instructions:

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The COOL PEEL treatment:

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The pulse from the COOL PEEL delivers high heat in short pulses. The short pulses do not allow heat to accumulate and healing times are associated with inflammation caused by lingering heat. The laser pulse is not described as painful, however, the aftereffects after full face treatment may produce a moderate to severe amount of discomfort (burning sensation) for approx. one hour. Most clients report substantial relief 30" post-procedure. A cooling device is supplied for relief. A mask could also be applied for comfort. 

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• The COOL PEEL is a “no downtime” procedure, however, plan accordingly if you think you will be self-conscious about a red face. But there is no reason you should not be able to resume your normal daily activities immediately.

• You may wish to bring earbuds (not headphones) to use during treatment as the machinery can be loud.

• A sunburn sensation may linger for 1-3 days after the procedure is completed.

• Your skin may become very itchy in the early healing phase. You may take Benadryl, and apply a cold mask to the face.

• One day after treatment your skin will begin to feel rough like sandpaper.

• Keep a very thin layer of Aquaphor on as needed for up to 3 days or longer post-procedure. Do not let the skin dry out. Avoid dryness and dry scab formation.

• Wash your face with a gentle cleanser for the next week.  When washing, the old skin will come off.

• For the next 3-4 days you need only wash and apply Aquaphor. On day 3, also apply sunscreen if needed.

• Avoid makeup and sunscreen for a minimum of 2 days post-procedure – just cleanse and use Aquaphor.

• On day 3 begin using sunscreen as needed.

• Sleep with a clean pillowcase and head slightly elevated.  Mild swelling will occur upon wakening for the first 48-72 hours post-treatment.

• Avoid applying ACTIVE ingredients to the skin for 1 week.  This includes benzoyl peroxide, salicylic acid, AHA, BHA, retinol, vitamin C, and alcohol-based toners.

• Avoid direct sunlight for 48 hours after your treatment and wear SPF 50 thereafter to protect the skin.

• You may resume retinol products 7 days after your treatment.

• Avoid strenuous exercise for 24 hours after your treatment.

• Avoid hot tubs, saunas, and steam rooms for 1-week post-procedure.

• Use clean, disposable, breathable face masks after treatment, but avoid masks for up to 2 days if possible.

• Your skin may continue to be a little red and sensitive over the next couple of weeks as it fully heals.

• Apply ice mask provided (with cloth barrier) to the treatment area for up to 10 minutes per hour, several times a day for 24-48 hours, or as needed.

• Avoid direct sun exposure for at least one month after the procedure. Lifetime daily sunblock use is recommended to prolong your results and protect your skin from photo-aging.

• Bathing- There are no restrictions on bathing except to treat the skin gently.

• Acne or Milia formation- Flare-up acne or formation of milia can occur in the post-operative period. Please contact your provider if you experience acne or milia.

• Average duration of redness is expected to be about 24-48 hours for Cool Peel.