Treatment Guides
Explore our treatment guides for our cosmetic and wellness services at Spencer Aesthetics. With information guides right at your finger tips, you can view, download, or print pre- and post-care treatment instructions.
To ensure the safety and efficacy of your treatment, please review these guidelines carefully. Adhering to these instructions will minimize the risk of complications and maximize your rejuvenating results.

Cosmetic Pre- and Post Care Instructions
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Avoid the use of: Aspirin, Ibuprofen, Advil, Aleve, Motrin, Ginkgo Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, Omega-3, and Fish Oil for up to one week before and after your treatment, as they can increase your risk of bruising.
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Avoid the use of alcohol for 24 hours before and after your treatment to avoid excess bruising.
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You may take Arnica tablets 2-3 days before and after your treatment to reduce the risk of bruising.
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Do not use Botox if you are pregnant, breastfeeding, are allergic to any of its ingredients, or have a history of neurologic disorders.
Due to the possibility of bruising, we recommend scheduling your filler treatment at least two weeks before special events or vacations.
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Avoid the use of: Aspirin, Ibuprofen, Advil, Aleve, Motrin, Ginkgo Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, Omega-3, and Fish Oil for up to one week before and after your treatment, as they can increase your risk of bruising.
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Avoid the use of alcohol for 24 hours before and after your treatment to avoid excess bruising.
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You may take Arnica tablets 2-3 days before and after your treatment to reduce the risk of bruising.
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Do not use filler if you are pregnant, breastfeeding, allergic to any of its ingredients, or have a history of neurologic disorders.
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Inform your provider if you have a history of cold sores to receive advice on antiviral therapy prior to treatment OR take your antiviral before to prevent cold sores.
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Wash your face gently so you arrive with clean skin.
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Continue with your normal morning skincare routine, except for masks, peels, or deep exfoliation. It’s fine to moisturize and use sunscreen, but skip any treatments, as these may interact negatively with your facial.
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Avoid any intensive or invasive skincare treatments, like facial masks, peels, peel-off masks, or exfoliating treatments. Also, make sure to stop using chemical exfoliants and potential irritants a week or so before your treatment. This can irritate the skin when combined with facial treatments.
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Create a list of the skincare products and ingredients you’re currently using, as well as medications you’re taking and any allergies you have. Also inform your provider of what skincare concerns you have. This will help them create a targeted treatment that gives you the results you want. This helps your provider understand your current skincare habits, make recommendations or adjustments to improve your routine, and know about any potential issues before they get started.
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Consider taking a shower before your appointment. This helps open your pores and also ensures you arrive at your most hygienic.
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Drink plenty of water so you’re well hydrated, but not so much that you have to run to the bathroom in the middle of your appointment!
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Take some time to relax so you don’t go into your appointment stressed out. Facials are just as much about relaxing self-care as they are about healthy skin.
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Speak up if you’re nervous. Your provider’s goal is to give you a great experience, and they can talk you through the process or answer any questions to put you at ease.
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Do not shave or wax any treatment areas like brows, face, lips, legs, or bikini line, as shaving or waxing can make the skin extra sensitive before a professional facial or body treatment.
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Avoid drinking caffeine too close to your appointment time. It can cause facial twitching or make it hard to relax.
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Avoid scheduling your appointment too close to a major event. Depending on the type of treatment you get, you could experience redness or peeling for a few days after. Book your appointment about five to seven days before your event.
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Avoid excessive sun exposure, including tanning beds, spray tans, and self-tanning lotions, for 1 week before treatment, and use SPF 30 or greater daily to ensure coverage against UVA and UVB rays.
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Avoid products containing AHA, BHA, retinoids (retinol, AlphaRet) for 48 hours before treatment. Please avoid any type of exfoliating treatments. These include scrubs, glycolic acid, and enzyme peels to the area 48 hours before your HydraFacial treatment.
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Refrain from any chemical peels, chemical resurfacing, or facial laser treatments for 2 weeks prior.
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Discontinue use of prescription topicals (Renova, Tretinoin, Retin-A, Retin A Micro, Tri-Luma, Solage, EpiDuo, etc.), adapalene (Differin), and Hydroquinone 5 days before treatment.
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Inform your provider if you have a history of cold sores. You may be placed on an antiviral medication prior to treatment.
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Notify Spencer Aesthetics if you develop a cold sore, acne, open lesions in the area being treated, or experience any type of illness before your treatment.
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Wait 2 weeks after dermal fillers and 1 week after neurotoxins to have a HydraFacial treatment. Injectables may often be performed immediately after your facial when appropriate.
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You may experience tingling and stinging during the treatment. These sensations generally subside within 3 hours of treatment.
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Please reschedule if you have a sunburn or windburn.
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Refrain from waxing 48 hours before treatment.
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Shaving is not recommended on the day of treatment. If you choose to shave, please do so at least 3-4 hours before treatment.
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Avoid medications that inhibit blood clotting, such as vitamin E, aspirin, or non-steroidal anti-inflammatory drugs for seven days prior to treatment. This will reduce the risk of bruising in the treated area.
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Do not wear makeup or other skin care products to the appointment, as you must arrive to your appointment with clean skin.
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Wear comfortable, loose-fitting clothing.
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As you prepare for your treatment, please notify staff of any changes to your medical history, health status, and personal activities that may be relevant to your treatment.
DAY ONE
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Leave the peel on for 4 hours post-treatment. The skin may be tight and more red than usual. The skin may feel tacky and have a yellow-to-orange tinge. This is temporary and will begin to fade within a few hours. It is vital that you wait until a minimum of 4 hours before washing your face or getting wet.
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After 4 hours, locate your post-procedure kit of supplies. These are the products that you will be using during the next 7 days following treatment. Then, cleanse the skin with a gentle cleanser containing no fragrance or active ingredients. Rinse with cool water and pat dry.
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Locate the towelette labeled Post Peel Towelette. Using gentle pressure, apply to areas where the peel was applied. Discard the towelette and wash hands. Wait 10 min, then apply a thin layer of Post Treatment Repair Cream. You may apply makeup if desired; mineral makeup is preferred.
BEDTIME
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One hour before bedtime, cleanse the skin using Gentle Purifying Cleanser. Rinse with cool water and pat dry.
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Locate the towelette labeled Precision Plus Post Peel Towelette. Using gentle pressure, apply to areas where the peel was applied. Discard the towelette and wash hands.
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Wait 30 min, then apply the 2nd Post Peel Towelette. Do not wash off.
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Wait 10 min, then apply a thin layer of Post Treatment Repair Cream.
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Sleep tight!
DAY TWO
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Cleanse the skin using Gentle Purifying Cleanser. Rinse with cool water and pat dry.
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Apply a thin layer of Post Treatment Repair Cream. Reapply as often as needed. You may apply makeup if desired; mineral makeup is preferred.
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Apply VI Derm SPF 50+ Sunscreen, even if it’s not a sunny day. Reapply throughout the day.
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Follow the bedtime routine from day one.
DAYS THREE - SEVEN
Peeling generally starts 36-48 hours after the procedure and lasts 2-5 days.
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MORNING - PEELING OR FLAKING USUALLY BEGINS
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Follow the same instructions listed under day two - morning.
EVENING
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Cleanse the skin. Rinse with cool water and pat dry. Apply Post Treatment Repair Cream as needed.
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After day 7, you may resume your normal skincare routine. For the biggest benefit from your VI Peel Treatment, we recommend continuing with the VI Derm Cleanser and SPF 50+, in addition to incorporating other skincare essentials from the VI Derm line.
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Avoid direct sun exposure for 2-4 weeks before your treatment.
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Apply sunscreen with a broad-spectrum SPF 30 or greater daily and reapply as needed.
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You cannot be treated if you have a sunburn, have recently tanned, or have sunless tanner on your skin. Avoid sunless tanners for 2-4 weeks before treatment.
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Avoid bleaching, plucking, waxing, or chemical hair removers (e.g., Nair) during the 6 weeks before treatment. These hair removal techniques can negatively impact treatment outcomes.
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Avoid irritating or drying products, acne medication, exfoliating agents, and active ingredients like topical retinoids (e.g., Retin-A, tretinoin, adapalene), vitamin C, glycolic acid, and salicylic acid in treatment areas 7 days before treatment. If you are concerned about any of the products you are using, please ask your provider.
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Treatment area(s) should be shaved within 1-2 days of treatment.
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Avoid unnecessary blood-thinning medications (e.g., NSAIDs like ibuprofen), but please take all medications that are prescribed by your primary physician as you normally would.
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Please arrive for your appointment with clean skin. Arrive without lotion, makeup, body oil, deodorant, etc.
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Come with loose-fitting clothes over all treatment areas.
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If you have a history of herpes simplex virus (HSV) in any treatment areas, notify your provider, as pre-treatment with an antiviral medication will be required. Your provider will give specific instructions.
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Notify your provider of all topical, prescription/medications, or products you are taking, as some medications can be photosensitizing (increases sun sensitivity) and influence the treatment.
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Notify your provider if you have medical implants in the treatment area; if you have a pacemaker or implanted medical device; if you have vitiligo or other pigmentation concerns; and if you have any new, changing, or unusual moles or skin lesions in the treatment area.
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Notify your provider if you have a history of human papillomavirus (HPV)/genital warts in the treatment area.
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Shave any hair in the treatment area
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You will be asked to remove all metallic jewelry, accessories, or electronic devices near the treatment area.
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Do not wear any make-up, lotions, or creams on the treatment area on the day of treatment.
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Ensure you do not have a sunless tan 7 days prior to treatment and discontinue the use of products with active ingredients such as Tretinoin, Retin A/Retinol, Benzoyl peroxide, and exfoliators 5 days prior to treatment.
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Do not undergo any skin peel or laser procedures for 2 weeks prior to the procedure.
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Stay hydrated; the more hydrated you are, the better your results will be. Avoid alcohol for 24 hours prior to treatment-it will cause dehydration.
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Wait for 2 weeks after injections to start Emface treatments (neuromodulators, filler, or Sculptra).
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No unusual preparations are required before the treatment; however, it is strongly recommended to keep your body well-hydrated.
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On the day of the treatment, it's advisable to wear comfortable clothing that allows flexibility for proper positioning during the procedure.
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To prevent excessive sweating, the treatment area should be shaved or the hair trimmed beforehand.
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You will be asked to remove all metallic jewlery, accessories, or electronic devices near the treatment area.
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Avoid blood thinners and non-steroidal anti-inflammatory drugs (NSAIDs). Stop aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and similar NSAIDs 7 days before treatment, as they may increase the risk of bruising and bleeding in the injection area. If you take prescription blood thinners, do not stop without speaking to your prescribing physician first.
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Pause blood-thinning supplements or herbs such as vitamin E, fish oil/omega-3s, krill, ginkgo, garlic or garlic tablets, ginseng, ginger, and green teas for 7–10 days prior. If any of these are medically necessary, check with your prescribing physician before stopping.
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Avoid alcohol and strenuous exercise for 48–72 hours before your treatment to minimize bruising and swelling.
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Pause smoking and vaping, ideally for 1–2 weeks before and after. Nicotine impairs healing.
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If you have recently received neurotoxin or filler in the area being treated, please discuss timing with your provider. Neurotoxin and filler treatments should be scheduled at least 2 weeks apart before treatment.
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Avoid skin procedures, including radiofrequency lasers, IPL, and Fraxel, for 1 month before.
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Avoid dental procedures, including cleanings and dental work, for 2 weeks before and after treatment.
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Consider starting Arnica, Bromelain tablets, or eating fresh pineapple and papaya, 3–5 days prior to help minimize bruising and swelling (optional; discuss with your provider).
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Hydrate well in the 24–48 hours leading up to your appointment, eat a light meal beforehand to keep you comfortable, and arrive with clean skin: no makeup, SPF, or product on the treatment area.
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Disclose your full history with your provider, including every medication, supplement, allergy, prior cosmetic treatment, and any history of cold sores.
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Avoid scheduling threads within 2–3 weeks of a major event such as a wedding, photos, or travel.
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If you have a history of herpes simplex virus (HSV) in any treatment areas, notify your provider, as pre-treatment with an antiviral medication is required. Your provider will give specific instructions.
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If you are prone to cold sores (oral herpes simplex), take your prescribed medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed in the 24 hours prior to your treatment.
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Should cold sores, infection, illness, or open skin be present in the treatment area, the treatment will need to be rescheduled.
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Please reschedule your treatment if you have had or will have any major surgeries within 6 months of treatment.
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If you have ever experienced suture rejection or complications with healing post-surgery, please let the provider know prior to your appointment, as you may not be a good candidate for PDO Threads.
Explore pre-care guides by clicking the tabs.
What to Expect
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Initial Appearance: Small, visible bumps may appear at the injection sites. These are normal and typically subside within a few hours as the product is absorbed.
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Timeline of Results: You will begin to notice effects within 2–7 days, with full results peaking at the 2-week mark.
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Follow-up Policy: If a refinement or additional product is desired, we require a minimum waiting period of 14 days post-injection to ensure the initial dose has reached its full effect.
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Bruising & Tenderness: Minor bruising, stinging, tenderness, or discomfort may occur during and/or following the treatment. This does not affect your final results and typically resolves within one week. To expedite healing, you may use Arnica Montana (topical gel or oral tablets).
Activity Restrictions and Positioning
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Post-Treatment Posture: Remain upright for at least 4 hours following your procedure. Avoid resting your head, lying down flat, or reclining during this window; sit upright. It is ok to momentarily lean down, but do not rest your head in a downward position for a prolonged period within the 4 hours following treatment.
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Physical Activity: Refrain from strenuous exercise for 24–48 hours.
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Temperature Regulation: Avoid activities that significantly elevate your core body temperature, such as saunas, hot tubs, or professional massages, for 48 hours.
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Pressure & Accessories: If your forehead was treated, avoid wearing tight hats or headbands for 48 hours.
Skincare and Cosmetics
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Gentle Cleansing: You may wash your face this evening using gentle motions. Do not massage the treated areas.
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Device Warning: Avoid using mechanical cleansing brushes (e.g., Clarisonic) or abrasive exfoliants/scrubs for at least 24 hours.
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Cosmetics: Resume your daily skin care regimen the evening after treatment. Makeup, moisturizers, and lotions may be applied the following day. Use a light touch and avoid applying firm pressure to the injection sites. Avoid dermal rollers for two weeks following treatment.
Managing Side Effects
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Muscle Engagement: "Making faces" or gently exercising the treated muscles (up to 10 times per hour for the first few hours) may help the product integrate, though it is not required for efficacy.
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Discomfort: For headaches, localized tenderness, or discomfort, you may use over-the-counter pain relief such as Ibuprofen (Advil/Motrin) or Acetaminophen (Tylenol).
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Vision Sensitivity: If you experience mild blurring or light sensitivity, we recommend wearing sunglasses and using lubricating eye drops. This typically resolves within 2–3 days.
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Systemic Symptoms: Rare, flu-like symptoms may occur. These are temporary and can be managed with rest, hydration, and standard over-the-counter medications.
Due to the possibility of bruising, we recommend scheduling your filler treatment at least two weeks before special events or vacations.
What to Expect
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Initial Appearance: Bruising and swelling can last anywhere from a couple of days to a couple of weeks. Please allow time for Injections to settle and integrate.
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Timeline of Results: You will begin to notice effects within 2–7 days, with full results peaking at the 2-week mark.
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Follow-up Policy: If a refinement or additional product is desired, we require a minimum waiting period of 14 days post-injection to ensure the initial dose has reached its full effect.
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Bruising & Tenderness: Swelling and bruising are possible and are normal side effects. Swelling will peak at 24 hours after treatment and will begin to decrease every day after. To minimize swelling/bruising/tenderness, ice the areas on and off for 24 hours, take Arnica tablets, and take antihistamines such as Allegra or Zyrtec. You may take Acetaminophen (Tylenol) if you’re experiencing mild tenderness or discomfort.
Activity Restrictions and Positioning
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Post-Treatment Posture: Avoid sleeping on your face the first night post-injection.
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Physical Activity: Refrain from strenuous exercise for 24–48 hours to reduce excess swelling or bruising.
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Temperature Regulation: Avoid activities that significantly elevate your core body temperature, such as saunas, hot tubs, or professional massages, for 48 hours.
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Cosmetics & Skincare: You may continue with your normal skincare routine. Make sure your hands are clean before touching your face. Avoid applying makeup to the treated area for 24 hours following injection. Avoid massaging the treated areas after treatment unless directed otherwise.
DO
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Drink plenty of water to keep yourself hydrated and help flush out toxins.
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Try not to touch your face or other treated areas, and skip any at-home facial massage. Your skin may be sensitive, so a hands-off approach is best.
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Avoid makeup for at least the rest of the day. While this isn’t 100% necessary, applying makeup right after a facial is not ideal and may clog your recently deep-cleaned pores.
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Wait at least two to three days before using skincare treatments or products that could irritate your skin or increase skin sensitivity. That means no toners, exfoliants, new products, or acne treatments. You should also avoid products with vitamin C and retinol.
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Stay out of direct sunlight and avoid high heat. Some products used during your treatment may make you more sensitive to the sun.
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Take some time to relax and let your skin rest. This isn’t a requirement for Geneo treatments, but it’s still nice to continue the relaxing spa vibe for the rest of the day.
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Make sure to use a clean pillowcase and clean towels. This will help keep dirt and oils out of your pores.
DONT
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Wash your face or take a shower until at least six hours after your treatment. The serums and treatments need to have time to absorb into your skin completely.
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Forget to use sunscreen with noncomedogenic ingredients. Sunscreen is always a must, but make sure your post-facial sunscreen is noncomedogenic, meaning it won’t clog your pores.
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Exercise right after your treatment. Sweating will remove the serums that are still being absorbed into your skin.
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Swim or apply water or steam to your face until at least six hours after your treatment. As with exercise and sweating, applying water or steam will remove the skincare products before they’re fully absorbed.
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Pick at your skin. While you should never do this, it’s especially important to avoid it after a facial when your skin is at its most sensitive.
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Wax, shave, or pluck hair in the treated area for at least a few days after treatment, as this can inflame your hair follicles.
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Forget to follow the post-facial care instructions provided by your esthetician. Your provider knows the best way to care for your skin based on the procedures and products used during your treatment.
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Keep your routine simple, gentle, and hydrating for the first couple of days since your skin is more sensitive. Use a clean pillowcase and towels. You may wash your face the following morning.
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Avoid unprotected sun exposure and/or use of tanning beds for at least 3 days post-treatment. Use a sunscreen of at least SPF 30 or higher daily for 3-5 days to prevent future damage and protect the results of your HydraFacial.
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Drink a lot of water.
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Avoid wearing makeup the day of your HydraFacial if you can, and use clean brushes to prevent breakouts. Makeup may be applied the day after treatment.
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Do not work out for the rest of the day.
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To keep the area clean, avoid heat sources, including hot showers, saunas, and cardio workouts that may produce sweat for 24 hours.
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Refrain from any harsh exfoliating treatments and lasers for 48 hours.
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Wait 72 hours after to use products containing AHA, BHA, retinoids, enzymes, scrubs, or benzoyl peroxide.
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Wait 72 hours after to use prescription topicals (Renova, tretinoin, Retin-A, EpiDuo) or adapalene (Differin).
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Wait until lesions heal and swelling and redness are resolved to resume laser treatments.
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Wait 6-7 days to resume neurotoxin treatments, 7-10 days to resume dermal filler treatments, and 30 days to resume chemical peels.
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Avoid waxing, threading, or any exfoliation to the area for 48 hours post-treatment.
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Please do not pick, scratch, or tweeze the area for at least 3-5 days.
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Treatments every 4-6 weeks are recommended for optimal results
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You may experience tingling and stinging during the treatment. These sensations generally subside within 3 hours of treatment.
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Your skin may experience temporary irritation, discomfort, tightness, or redness in the treated area for a few hours after treatment. These are all normal reactions that typically resolve within 72 hours depending on skin sensitivity. Call or text if redness, sensitivity, burning, or irritation feels unusual or does not begin improving.
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Client experiences may vary. Some people may experience a delayed onset of the previously mentioned symptoms. Contact us immediately if any unusual side effects occur or if symptoms worsen over time.
DAY ONE
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Leave the peel on for 4 hours post-treatment. The skin may be tight and more red than usual. The skin may feel tacky and have a yellow-to-orange tinge. This is temporary and will begin to fade within a few hours. It is vital that you wait until a minimum of 4 hours before washing your face or getting wet.
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After 4 hours, locate your post-procedure kit of supplies. These are the products that you will be using during the next 7 days following treatment. Then, cleanse the skin with a gentle cleanser containing no fragrance or active ingredients. Rinse with cool water and pat dry.
-
Locate the towelette labeled Post Peel Towelette. Using gentle pressure, apply to areas where the peel was applied. Discard the towelette and wash hands. Wait 10 min, then apply a thin layer of Post Treatment Repair Cream. You may apply makeup if desired; mineral makeup is preferred.
BEDTIME
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One hour before bedtime, cleanse the skin using Gentle Purifying Cleanser. Rinse with cool water and pat dry.
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Locate the towelette labeled Precision Plus Post Peel Towelette. Using gentle pressure, apply to areas where the peel was applied. Discard the towelette and wash hands.
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Wait 30 min, then apply the 2nd Post Peel Towelette. Do not wash off.
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Wait 10 min, then apply a thin layer of Post Treatment Repair Cream.
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Sleep tight!
DAY TWO
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Cleanse the skin using Gentle Purifying Cleanser. Rinse with cool water and pat dry.
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Apply a thin layer of Post Treatment Repair Cream. Reapply as often as needed. You may apply makeup if desired; mineral makeup is preferred.
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Apply VI Derm SPF 50+ Sunscreen, even if it’s not a sunny day. Reapply throughout the day.
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Follow the bedtime routine from day one.
DAYS THREE - SEVEN
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Peeling generally starts 36-48 hours after the procedure and lasts 2-5 days.
MORNING - PEELING OR FLAKING USUALLY BEGINS
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Follow the same instructions listed under day two - morning.
EVENING
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Cleanse the skin. Rinse with cool water and pat dry. Apply Post Treatment Repair Cream as needed.
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After day 7, you may resume your normal skincare routine. For the biggest benefit from your VI Peel Treatment, we recommend continuing with the VI Derm Cleanser and SPF 50+, in addition to incorporating other skincare essentials from the VI Derm line.
Cleansing & Hydration
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Use a gentle, non-abrasive cleanser. Avoid washcloths or scrubbing.
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Apply moisturizer in a normal/moderate amount. Over-moisturizing can prevent the skin from shedding naturally.
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Cleanser Recommendations: Hermosa Soothing Green Tea Cleanser, Cetaphil, or EltaMD Intense Moisturizer.
Sun Protection
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Limit direct sun exposure as much as possible.
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Apply SPF 30 or higher daily starting 24 hours after the treatment.
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Makeup and SPF can be applied only after you have used the 1st post-peel towelette
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SPF Recommendations: NeoStrata Matrix Support.
Activity & Irritation Management
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First 24 Hours: Avoid strenuous exercise or any activity that induces heavy sweating.
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Discomfort: A cold compress may be applied to soothe the skin.
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Irritated Areas: You may apply 1% Hydrocortisone cream for up to 3 days to manage localized irritation.
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Enhancement: Use an antioxidant or Vitamin C moisturizer to support skin recovery.
Strict Prohibitions
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DO NOT PEEL: Allow dead skin to shed naturally. Manually peeling or picking the skin can lead to scarring and persistent redness.
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DO NOT EXFOLIATE: Avoid all physical or chemical exfoliants until the skin is fully recovered.
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Wait 1-2 weeks for neurotoxins, 2 weeks for fillers, 4-6 weeks for the next peel, and 6 weeks for any surgical procedures or ablative lasers.
Things to Avoid
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Avoid sun exposure during the peeling process. You must use SPF. After peeling is finished, you can go out in the sun, but you must wear SPF as the skin will be more sensitive to UV rays. Always reapply your SPF when outside
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Avoid sweating and exercise for 1 week post-treatment
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Do not peel the skin yourself. If desired, you can trim longer peeling on the face using a small pair of scissors
Things to Note
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Areas with pigmentation may appear darker immediately after treatment or within 2-3 days. This is a normal response and temporary. The same is true for acne purging, as exfoliation can bring impurities to the surface
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The level of peeling may vary from flaking to heavy peeling. You will peel as much as your skin needs to peel.
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Your skin may experience slight irritation, itchiness, or inflammation.
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Avoid sun exposure for 7 days after your VI Peel Treatment.
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Avoid rubbing, pulling, picking, and peeling the skin. This can cause irritation, scarring, and pigmentation.
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Avoid activities that cause excessive sweating until your peeling begins. Once peeling has begun, resume your exercise routine but we recommend avoiding the sauna, hot tubs, and steam rooms until your peeling has completed on day 7.
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Avoid hot water when cleansing your face.
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Stay hydrated and drink lots of water.
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After application of each towelette, wash hands with soap and water.
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Day 3 is when peeling usually starts, beginning around the mouth and moving outwards. The forehead and neck are typically last to peel. Most of the peeling occurs over Days 3-6.
Aftercare Product Tips
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The post-treatment repair cream can sting upon application. This will subside. If the skin feels excessively red, dry, and/or chapped, you can apply Aquaphor at this time. If any significant discomfort occurs with any post-treatment products, discontinue use and cleanse the skin with a gentle, fragrance-free, no active ingredients cleanser
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Post-procedure skin care must be continued in the second week after peel application. Regimens should include a gentle, fragrance-free, no active ingredients cleanser, the post-treatment repair cream, and SPF 50+. No exfoliating, use of washcloths, or facial brushes during this time
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If the post-peel towelette causes extreme itching, wash it off and apply the post-treatment repair cream 10 minutes later. This happens in a small portion of people. If it causes irritation, use the 2nd post-peel towelette at night only for Day 2
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Immediately following your peel, your skin may appear flushed and feel tighter than usual. Peeling typically begins within 2–3 days and may continue for up to 14 days. Please note that "micro-peeling" (shedding at a cellular level) is also possible; you do not need to see visible flaking for the treatment to be effective. Treat your post-peel skin with the same care you would a baby’s skin.
WHAT TO EXPECT
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You may notice the smell of burned hair during and immediately after the session. This is normal and will subside with cleansing.
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It is normal to experience mild redness, swelling around the hair follicles, and mild discomfort/sensation similar to a sunburn. You may use aloe gel or apply cool packs/compresses to the treatment area until the sensation resolves.
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Avoid shaving and wearing tight clothing over any treated areas. Do not apply makeup, petroleum-based products, or deodorant on any treated areas.
DAYS ONE - THREE
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Avoid direct sun exposure between treatments. Should a tan or sunburn develop between sessions, the treatments may need to be postponed.
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Continue to use broad-spectrum SPF 30 or greater daily.
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Keep the skin cool and avoid higher body temperatures.
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Avoid hot tubs, saunas, hot tubs, intense exercise, and strenuous sports activities for up to 48 hours after treatment to minimize irritated and prolonged redness. Let your provider know if you experience irritation or blistering as you resume normal activities.
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Avoid using loofahs or abrasive scrubs for at least 72 hours, or until any redness and sensitivity subside.
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In rare cases, crusting, blistering, prolonged redness (lasting beyond treatment day), or discoloration can occur. If you observe any of these rare side effects, please reach out to your provider immediately.
FOR THE NEXT WEEK
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Avoid the following active ingredients in treated areas: topical retinoids (e.g., Retin-A, tretinoin, adapalene), vitamin C, glycolic acid, salicylic acid.
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Scaling/hair shedding occurs during this time; let the hair fall out naturally.
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Do not rub, exfoliate, or pick any treated areas.
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Use a gentle cleanser and moisturizer in the morning and evening. Moisturize more frequently, if needed.
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Before going outdoors, apply sunscreen with SPF 30 or greater on all treated areas and reapply as needed. Please continue safe sun practices throughout the duration of your treatments.
Contact Spencer Aesthetics if crusting or blistering develops or the treatment area worsens. Apply Vaseline or ointment twice daily to keep the area moist until healed.
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Hydrate well after treatment, as this will help ensure optimal treatment results.
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Use daily broad-spectrum sunscreen as sun protection will support overall skin quality. Additionally, keep the skin hydrated and stick to a consistent, gentle skincare routine.
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Do not undergo laser treatments, chemical peels, waxing, the use of depilatories, or microdermabrasion for 3-4 weeks after treatment. Avoid facials for at least 48 hours after an Emface treatment.
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Refrain from active ingredients like Vitamin A (Retinol), Salicylic Acid, and Glycolic Acid. Your provider may suggest products to enhance and maintain your Emface results. The use of products such as hyaluronic acid and retinol will help to stimulate collagen and elastin alongside this treatment.
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Avoid excessive sun exposure and tanning; hot saunas or swimming; and facial scrubs or facial massages.
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You may experience temporary muscle spasms and headaches, blisters, burns, dry skin, tenderness, sensitivity, swelling, warmth, and redness on the treated areas for a few days to a week after treatment.
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You can return to your normal routine and activities immediately.
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It is normal to experience mild tenderness, redness, muscle fatigue or soreness, and warmth.
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For best results, stay hydrated and eat a healthy, protein-rich diet.
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Maintain your regular exercise routine, and complete your recommended treatment sessions.
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Cool compresses or ice packs can be used for 15 minutes per hour to reduce swelling. Ice the treated area for a few minutes, four to five times during the day for the first week, if you are experiencing slight bruising or swelling.
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Restrict facial movements for one day. Avoid excessive facial movements, manipulating or massaging the treatment area, and straining or placing pressure on your face.
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Avoid applying makeup or facial cream for at least two days. A gentle cleanser, moisturizer, and mineral SPF are recommended. Ensure that you wash your face gently and do not vigorously scrub the treatment area.
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Avoid excessive heat and sun exposure for 24 hours after the treatment. Heat can increase flushing, bruising, and blood pressure, which may negatively impact treatment results.
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Do not pull, massage, scrub, or exfoliate the skin for at least three weeks.
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Avoid strenuous activity or heavy lifting for three weeks.
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You can take pain medication as required after the procedure. Tylenol can be used to help with discomfort for 7-10 days. If possible, avoid anti-inflammatories (NSAIDs, ibuprofen, aspirin, etc.) for the next two weeks after treatment to prevent side effects, such as bruising, from worsening or lingering.
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Avoid fish oils, vitamin C, A, and E for a week to prevent blood clotting.
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Bruising and swelling can be treated with over-the-counter topical arnica.
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Try keeping your head elevated for at least a week. Sleep on your back to prevent any swelling.
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Do not schedule dental treatments for at least two weeks after getting the PDO thread lift.
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Avoid saunas and facial, laser, radiofrequency, IPL, or microdermabrasion treatments for 4 weeks after treatment.
THINGS TO NOTE
DAYS ONE - THREE
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Apply a cold compress gently, 10–15 minutes on and 10–15 minutes off, for the first 24 hours. Do not apply pressure or massage the area.
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Sleep on your back with your head elevated for the first 48 hours to reduce swelling and prevent thread displacement.
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Do not touch, rub, or massage the area.
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Use a mild, gentle cleanser and pat dry. Avoid scrubbing for 7 days.
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Avoid makeup on the treatment area for at least 48 hours.
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Minimize big facial movements (e.g., avoid wide yawning and exaggerated expressions).
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Use Tylenol (acetaminophen) only for discomfort, and avoid NSAIDs for 48–72 hours post-treatment.
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Avoid alcohol for 48–72 hours, as it worsens swelling and bruising.
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Stick to a soft diet for 3–5 days. Do not chew gum or eat hard, crunchy foods. Cut food into small pieces.
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Avoid strenuous exercise for 72 hours; light walking is fine.
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Avoid heat, including saunas, steam rooms, hot tubs, hot yoga, and tanning beds, for 72 hours.
Weeks One - Four
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Protect your skin from the sun. Once entry points are sealed, wear SPF 30+ daily.
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Avoid facial treatments, including facials, peels, lasers, microneedling, RF, and ultrasound, for 3–4 weeks. Wait 4 weeks for a professional facial massage.
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Avoid dental work for 2 weeks, as prolonged mouth-opening can shift threads.
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Avoid neurotoxin or filler treatments in the treated area for at least 2 weeks after your PDO Threads appointment unless otherwise directed by your provider.
What's Normal After Treatment
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Mild swelling, tenderness, or bruising that peaks at 24–72 hours and improves over 1–2 weeks.
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Stinging, pulling, and itchy sensations will decrease 3 to 5 weeks post-treatment.
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It’s normal to feel some tightness or pulling as the tissue settles — this typically fades within 1–3 weeks. You may also notice mild discomfort when chewing, smiling, or making facial expressions during the first few days, which should ease as swelling goes down.
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Small dimples or puckering near entry points, typically resolving within a few days to two weeks.
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Mild asymmetry during the healing phase, which often evens out as swelling resolves.
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Pinpoint redness or scabs at insertion sites that heal within several days.
Contact your provider if you experience any of the following:
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Pain that is worsening or not controlled by Tylenol.
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Swelling that increases after 72 hours rather than improving.
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Signs of infection, including spreading redness, warmth, drainage, pus, fever of 100.4°F (38°C) or higher, or chills.
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A thread that is visible, palpable at the surface, or poking through the skin.
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Persistent dimpling, puckering, or visible irregularity lasting beyond 2 weeks.
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Numbness, tingling, or facial weakness that does not improve within a few days or is worsening.
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New, firm, painful nodules or lumps.
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Significant asymmetry that persists after swelling has resolved.
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If you experience a medical emergency, call 911 or go to the nearest Emergency Room.
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Do not hesitate to contact us with any questions or concerns.
Explore post-care guides by clicking the tabs.
Wellness Pre- and Post Care Instructions
It is vital that we are aware of whether a patient is taking any vitamins, supplements, or medications to prevent overusing vitamins and adverse side effects related to that. It may benefit patients to continue regular supplements and vitamins when necessary; however, this must be discussed with and approved by a provider to ensure safety.
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Before the treatment, remove any body hair in the area; shave all pubic hair beforehand.
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Be well hydrated, and maintain a well-balanced diet, eating healthy foods.
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On the day of the treatment, you are advised to wear comfortable clothes which allow flexibility for correct positioning and increased comfort during the treatment.
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You will be asked to remove all metallic jewelry, accessories, or electronic devices near the treatment area.
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Avoid caffeine or diuretics for 24 hours prior to your procedure.
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Before the treatment, remove any body hair in the area; shave all pubic hair beforehand.
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Be well hydrated, and maintain a well-balanced diet, eating healthy foods.
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On the day of the treatment, you are advised to wear comfortable clothes which allow flexibility for correct positioning and increased comfort during the treatment.
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You will be asked to remove all metallic jewelry, accessories, or electronic devices near the treatment area.
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Avoid caffeine or diuretics for 24 hours prior to your procedure.
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We offer several different medical weight loss options, including GLP-1 injections, B12 injections, metabolism booster shots, weight loss pills, and supplements.
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All interested patients must first complete lab work before beginning any of our medical weight loss options.
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Patients are welcome to complete the labs through our office or another provider of their choosing.
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The fee through our practice is $200 for all necessary tests.
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If you choose to get your labs through another provider, please bring a physical copy for Dr. Spencer to review.
The required tests are:
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CBC (Complete Blood Count)
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CMP (Comprehensive Metabolic Panel)
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TSH (Thyroid Stimulating Hormone)
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Consult with your primary care provider if you have any ongoing medical conditions to ensure a B12 injection is appropriate for you.
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Discontinue use of NSAIDs and other blood-thinning medications for three days before administration to help reduce the risk of bruising or bleeding (discuss with your physician before discontinuing prescribed medications).
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Eat a meal and drink plenty of water before your injection to stay nourished and hydrated, to help prevent lightheadedness and support absorption.
Hormone Replacement Therapy Guide
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Interested patients must complete testosterone and estrogen tests. Additionally, a comprehensive blood panel may be required and can be discussed with your healthcare provider.
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One week before the procedure, if possible, a provider may ask you to stop all NSAIDs (aspirin, ibuprofen, acetaminophen, naproxen sodium, etc.).
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Fasting before the procedure is not required.
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Preparation for EXOMIND therapy is straightforward and requires no special measures. You may eat, drink, and take your usual medications unless otherwise instructed by your physician.
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It is recommended that you avoid the consumption of alcohol, tobacco products, caffeinated beverages, or other substances before the session.
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For safety reasons, it is essential to remove all jewelry or metal objects near the treatment area, as the magnetic field may interact with metal. To ensure comfort during the session, it is advisable to wear loose and comfortable clothing.
Explore pre-care guides by clicking the tabs.
It is vital that we are aware of whether a patient is taking any vitamins, supplements, or medications to prevent overusing vitamins and adverse side effects related to that. It may benefit patients to continue regular supplements and vitamins when necessary; however, this must be discussed with and approved by a provider to ensure safety.
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You can return to your normal routine and activities immediately after each session. Thirty minutes of light physical exercise or activity is beneficial with 12 hours of the procedure.
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Stay hydrated, and maintain a healthy diet.
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You may experience mild redness, swelling, and tissue tenderness for up to 48 hours afterwards. Bruising, skin blisters, and burns are rare.
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Wear a light pantiliner for several days if spot bleeding occurs.
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You can return to your normal routine and activities immediately after each session.
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Maintain pelvic floor exercises (Kegels and supportive movements), such as pelvic tilts and the bridge pose, at home, as the pelvic floor muscles need regular exercise to maintain their strength just like any other muscle.
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Once Dr. Spencer has reviewed your results and approved you to begin, we can then schedule you to start our medical weight loss program.
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For optimal results, schedule B12 Injections routinely (frequency as recommended by your provider).
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Keep the injection site clean and covered to lower the risk of infection.
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Avoid touching or rubbing the area.
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The most common side effects are bruising or tenderness at the injection site. Please contact your provider if you experience ongoing fatigue, tingling, dizziness, weakness, nausea, mood changes, or headaches.
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Drink plenty of water after your injection to help your body metabolize and absorb the B12 effectively.
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Avoid strenuous physical activity for 24 hours after your injection to prevent additional swelling, bruising, or tenderness.
Hormone Replacement Therapy Guide
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During the office visit, the insertion site will be cleaned and numbed during your exam. The most common insertion site is the upper buttock.
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Once the insertion site is numb, a small incision is made for the pellets to be inserted. After the pellets are implanted, the insertion site is sutured. The total procedure normally takes less than 10 minutes.
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For a week after your pellet insertion, it is recommended that you avoid exercise. Walking is permitted; however, extraneous activity, swimming, hot tubs, baths, and sitting for long periods of time should be avoided.
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The pellets are bioidentical; they contain nothing more than the hormones your body naturally produces. The pellets are completely dissolved and absorbed by your body as they are needed. The pellets do not leave anything behind once they are utilized by the body.
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Your provider will closely monitor your progress and adjust treatment settings as necessary to maximize effectiveness and minimize discomfort.
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Patients are encouraged to involve caregivers or family members in monitoring their symptoms and reporting any significant changes.
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No recovery time is required after the session, and patients can resume their usual daily activities immediately.
Explore post-care guides by clicking the tabs.