Microneedling Pre and post procedure

MICRO-NEEDLING TREATMENT PRE AND POST INFORMATION It is through the use of a safe, natural, holistic alternative for resurfacing of the skin using micro needles without an aggressive machine, to produce optimal results. There may be some bleeding during the treatment for which I understand is temporary. There may be some mild discomfort during the procedure. Topical coolness or anesthetic cream may be used if needed for tolerance. Treatment achieves:

• Helps to build collagen

• Smoothes fine lines and may help fill in pitting or areas lacking structure • Smoothes acne scars

• Stimulates growth factors

• Post care includes no aggressive products for 48 hours after treatment and SPF of at least 30 shall be worn when outdoors. Pre-Treatment Instructions

Avoidance of Accutane for the past 6 months

Avoid retinoids, topical antibiotics, exfoliants, hydroquinone, sunburn, and benzoyl peroxide 3 days prior to procedure

Recommended skin care system for preconditioning for 4-6 weeks for optimal results

Avoidance of IPL/Laser procedures for the past 7 days prior

No waxing, depilatory creams or electrolysis 5-7 days prior to the peel.

If use of a peel was recommended in conjunction with the micro-needling, No topical agents that may increase skin sensitivity, reaction to the peel, or dryness 3-4 days prior to the peel (topical retinoid or hydroquinone products). No acids or defoliants that may be drying or irritating to the skin (such as alpha hydroxyl acid (AHA) beta hydroxyl acids (BHA), exfoliating masks, hydroquinone, or benzoyl peroxide acne products). If no peel, 24 hours without irritating products.

No shaving the day of the procedure

No significant changes in the skin recently reported including breakdown of skin or excess dryness or sunburn

Skin is clean without lotion, oil, makeup, deodorant, powder, perfume or sunscreen

Antiviral agent for 2 days prior to and day of treatment if history of cold sores

Patient denies today: active cold sores, herpes simplex, or warts in the area to be treated, open sores, sunburned, or excessively sensitive skin within the application area, pregnancy, dermatitis or inflammatory rosacea within the peel application area. Reports no allergies to salicylates Day of Treatment Instructions

• Omit lotions, creams, make up or deodorant in area to be treated

• Arrive with clean washed skin

• Inform provider of any changes in medical history and of all medications you are taking Post- Treatment Instructions Immediately after your Medical Micro-Needling procedure, your health care provider may apply moisturizer and sunscreen topically. Do not take any anti-inflammatory medications such as ibuprofen, Motrin or Advil. Continued on next page These agents will interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation. Avoid sun tanning and prolonged exposure to direct sunlight. When exposed to sun, always use sun screen SPF30 or above. You may clean your face with a gentle cleanser before bed.

• Redness or sensitivity might be present (and last up to a few days) after peel

• Peeling may start 3-5 days after peel. Do not pick or scratch at treated skin but instead keep moisturized

• Eat fresh pineapple to optimize healing

• Avoid strenuous exercise or sweating for 24 hours due to open pores

• Treat skin gently washing with a gentle cleanser, cool water, using hands only and pat dry no earlier than 4 hours after peel

• May use cool compresses after peel if excessive discomfort, burning, redness, or swelling

• Follow post peel instruction sheet if indicated

• Avoid sun exposure for 3 days and if possible 10 days. Apply a minimum of SPF 30 every 2 hours

• May use mineral makeup after 24 hours

• Restart regular skin care regimen in 48 hours and Retin A in 72 hours

• Recommend follow up and repeat treatments in 4 weeks and for best results a series of 3 – 5 treatments Day 1: On the next day, you may clean your face as usual and apply makeup, lotions and other topical products as usual. Stay away from exfoliants or glycolic acids that are present is cleaners as these can make your skin very dry after the procedure. Be sure to use an approved SPF30 or greater sunscreen! Days 2-7: Within two (2) days following your Medical Micro-Needling procedure, you will notice skin dryness and flaking. This is due to an increased turnover of skin cells. During this period, you may apply your regular skin moisturizer. Follow the instructions given to you by your medical professional. If your medical professional used the roller around the eyes, you may have a little micro bruising that may exist for three or four days. This can easily be covered with makeup. Days later, your skin will start shedding. These are skin layers that would regularly shed a week later, but the Micro-Needling brings this skin to the surface sooner. During this temporary process, your skin will shed and be dry. You may use your regular skin care products once your skin is not irritated. Days 7+: A week after the Medical Micro-Needling procedure, most patients notice that their skin is smoother and more radiant. Continue with sun protection every day and reapply every 2 hours if outdoors.

Micro needling after care

Micro-Needling Post Procedure Immediately after your Micro-Needling procedure, do not take any anti-inflammatory medications such as Ibuprofen, Motrin or Advil. These agents will interfere with the natural inflammatory process that is critical and responsible for your skin rejuvenation. Follow these simple steps: Day of procedure: No lotions, makeup or other topical products on your face before your procedure. After your procedure your medical provider may apply a lipopeptide booster, skin moisturizer, and sun screen. You may clean your face with a gentle cleanser before bed.

Day 1: On the next day, you may clean your face as usual and apply makeup, lotions and other topical products as usual. Stay away from exfoliants or glycolic acids that are present is cleaners as these can make your skin very dry after the procedure. Be sure to use an approved SPF30 or greater sunscreen! POST TREATMENT:

Days 2-7: Within two (2) days following your Micro-Needling procedure, you will notice skin dryness and flaking. This is due to an increased turnover of skin cells. If your medical professional used the roller around the eyes, you may have a little micro bruising that may exist for three or four days. This can easily be covered with makeup. Days later, your skin will start shedding. These are skin layers that would regularly shed a week later, but the Micro-Needling brings this skin to the surface sooner. During this temporary process, your skin will shed and be dry.

Days 7+: A week after the Micro-Needling procedure, most patients notice that their skin is smoother and more radiant. Results vary, but usually a course of 1-3 treatments (maximum of 5, depending on the condition being treated) is typically recommended. If you require MORE procedures than this, you may have an unrecognized underlying medical condition and should consult with your provider. Of course, results may vary from patient to patient. Keep in mind that the healthier your body is, the better will be the results you achieve from a Micro-Needling procedure. Your body’s function and overall health are reflected in your skin.

Dermapen Microneedling—Before and After Care

PRIOR TO TREATMENT:

• No Retin-A products or applications for 12 hours prior to treatment.

• No Auto-immune therapies or products for 12 hours prior to treatment.

• No prolonged sun exposure or sun burns to the treatment area 24 hours prior to treatment.

• Skin should be clean and make-up free.

• If an active or extreme breakout occurs before treatment, evaluate on a case by case basis.

HOME PREPARATION:

Preparing the skin for this procedure will ensure optimum results. Healthy skin will respond better and results will last longer. Skin cells need nutrients for best function and a Dermapen recommended anti-aging regime should include:

• Oral Supplements (omega-3, glucosamine and multivitamins)

• Cleansers and Toners

• Topical Vitamin A (avoid high dose)

• Topical Vitamin C (after a few days)

• Topical Antioxidants

• Topical copper peptides

• Topical Growth Factors

• Sunscreen ( natural, no chemical recommended)