Fast, Targeted Relief for Stubborn Skin Concerns

Bruising, mild redness, swelling, and discoloration can all be normal for several days-to-weeks after the procedure so please plan any major life events according to this healing period. 

Always inform your provider of all medications, including supplements you may be taking and whether there are any recent changes to your medications such as a new antibiotic.

Always inform your provider of your full medical, surgical, social, psychological, allergy, and medication history.

Always inform your provider of all of the products you are using as part of your skincare routine.

Certain medications can thin your blood and increase your risk of bruising. These medications include Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, Fish oil, Ginko Biloba, Garlic, Ginseng, Vitamin E, St. John’s Wort, as well as others. These medications should be avoided 14 DAYS PRIOR to your procedure if possible.

Other medications such as aspirin, blood thinners, and antiplatelet medications will also thin your blood but should NOT be stopped without discussing it with your doctor first. 

Avoid alcoholic beverages for 48 HOURS PRIOR to your procedure to reduce the chance of bruising.

You may consider starting oral arnica 7-10 DAYS PRIOR to your procedure to reduce risk of bruising. Follow the directions on the bottle.

If you have an active cold sore/fever blister, canker sore, shingles you will need to postpone treatment. ​If you are prone to developing cold sores/fever blisters or shingles, please contact us 1 week before treatment for recommendations.

Please note that you cannot be treated with intralesional steroid injection if any of the following pertain to you:

• If you have an active cold sore, fever blister, canker sore, shingles, bacterial infections, or active cancer in the area being treated

• If you are currently taking antibiotics or within two weeks of taking antibiotics

• If your have undergone any recent cancer treatment including chemotherapy or radiation within the last 12 months

• If you are taking immunosuppressants or have an immunocompromising condition such a diabetes or HIV/AIDs

• If you have advanced kidney or liver disease

• If you are allergic to corticosteroids

• If you are pregnant or breastfeeding

Please arrive to the appointment well hydrated. 

Eat a small meal or a snack before your appointment.

Following your procedure, you may experience mild soreness, tenderness, or pinpoint bleeding at the injection site. This should resolve over the next several days. 

Rarely, hypopigmentation (lightening) and thinning of the skin (atrophy) may occur. This may or may not resolve over the next several months. 

You may elect to ice the area post treatment but must do so very carefully. Use an ice pack with the fabric side against the skin or wrap a soft plastic ice pack in a wet thin towel. Apply the ice pack approximately 30 seconds on, and 30 seconds off. Icing too vigorously can cause frostbite and scarring. You may apply a cold compress to the area for 20 minutes per hour, and you may do this hourly for up to 3 days.

For 24 HOURS AFTER your procedure:

• Do not apply makeup or other skin care products to the treated area

• Do not exercise or perform other strenuous activities

• Do not use NSAIDs such as ibuprofen or aspirin unless advised by your doctor

• Do not drink alcohol

• Avoid becoming excessively hot and sweaty

Avoid any procedures/conditions that would make your body inflamed 2 WEEKS AFTER your procedure this would include any surgeries, dental procedures, immunizations, or illnesses (bacterial, viral, or fungal) whenever possible.

Depending on your condition, you may or may not need additional injections. If you do need additional injections, we recommend injections every 4-6 weeks until you reach a desired outcome. 

If you experience any significant pain, discoloration, skin indentation, spreading redness, swelling, or any other concerning symptoms please notify the office immediately.

If you have any signs of severe allergic reaction including: shortness of breath, wheezing, coughing, difficulty swallowing, swelling of the tongue, eyelids, lips, hoarseness of the voice, stomach pain, spreading hives, nausea, vomiting, or diarrhea, please contact 911 and go to your nearest emergency department.