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Summit Plastic Surgery & Skin Care Center offers you Sciton® BBL (BroadBand Light) laser for treatment of acne, pigmented lesions, skin resurfacing and hair removal.

We provide you the following instructions to help you prepare and care for your laser treated areas.

BBL – Hair Removal

Post-treatment considerations

Patient response can vary after a hair reduction treatment. Redness and swelling around the hair follicles in the treated area are sometimes noted within a few minutes after the completion of the procedure and typically completely resolve within 24-48 hours. A sunburn sensation in the area treated is also normal and expected.

The treated area must be treated with care. BE GENTLE! Do not scratch or pick at your skin.

Until sensitivity has completely subsided, avoid all of the following:

  • Applying make-up over the treated areas
  • Use of scented lotions or soaps, deodorants, exfoliant creams (Retin-A, glycolic/salicylic and alpha- hydroxy acids), acne creams or gels, loofa sponges and aggressive scrubbing
  • Hot or cold water - wash with tepid 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 typically only needed within the first 12 hours after the treatment.
  • Vitamin E or Aloe Vera applied to the treatment area may provide a soothing effect.
  • Post treatment discomfort is typically minimal but if the area is very uncomfortable, oral pain reliever; i.e. Extra Strength Tylenol, may be used.
  • In the unusual case of crusting of the skin in the treated area, apply an antibiotic ointment twice a day to the affected areas. Do not pick at these areas, as this may result in infection or scarring.
  • If the skin is broken or a blister appears, apply an antibiotic ointment and contact the office immediately. Keep the affected area moist and avoid direct sunlight.
  • In rare cases, hives have been reported after laser hair reduction treatments. If you experience an irritated raised rash after treatment contact the office. Benadryl may be taken to help relieve the itchiness.
  • Do not use any other hair removal methods or products on the treated area during the course of your laser treatments (tweezing, waxing and depilatories), as it will prevent you from achieving your best results.
  • Strictly avoid any sun exposure to the treated area for a minimum of 7 days after the procedure for laser and 14 days after BBL. The treated area is more prone to sunburn and pigmentation change. Keep the area covered and use a sun block with a protection factor of 30+. Delayed blistering secondary to sun exposure has been noted up to 72 hours post treatment.
  • Hair may take up to 4 weeks, or in some cases, as little as a few days, to fall out following treatment. Do not be alarmed if hairs appear to be “growing” during this time.

Subsequent treatments are based upon your clinician’s recommendation and are typically 4-8 weeks apart. The number of treatments required will depend upon the body location, the amount of hair present, the character of the hair and your skin type.

BBL – Phototherapy

Post-treatment considerations

Phototherapy involves the reduction of signs of aging and skin defects using non-invasive pulses of BroadBand Light (BBL).

If brown spots are the target, BBL penetrates the skin to reach the melanocytes. The particles of the cells left behind will peel or slough off within 7-14 days.

If redness is the target, blood vessels in the deeper layers of the skin absorb the light and the heat created by the light damages the vessels. The vessels are shut down and the body continues to absorb the destroyed vessel remnants.

There is no recovery time and a low risk of complications with Phototherapy treatments. Multiple sessions are performed every 2-4 weeks until the desired result has been achieved.

The treated area must be treated with care. BE GENTLE! Do not scratch or pick at your skin

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, loofa sponges and aggressive scrubbing
  • Hot or cold water - wash with tepid 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 typically only needed within the first 12 hours after the treatment.
  • Skin may be appear red and swollen and have a mild sunburn sensation. This is a normal reaction. It can last from a few hours to days after treatment. Applying an ice pack for the first 24 hours will help minimize swelling.
  • Vitamin E or Aloe Vera applied to the treatment area may provide a soothing effect. 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.
  • Freckles and sunspots may turn slightly darker initially and then flake off within 7-14 days. This is a desired and normal reaction.
  • There may be erythema (redness) and slight edema (swelling) around the treated vessels. Often they are lighter in appearance and look somewhat smudgy or less defined.
  • Makeup may be applied immediately after the treatment as long as skin integrity has not been compromised.
  • In the unusual case of crusting of the skin in the treated area, apply an antibiotic ointment twice a day to the affected areas. Do not pick at these areas, as this may result in infection or scarring.
  • If the skin is broken or a blister appears, apply an antibiotic ointment and contact the office immediately. Keep the affected area moist and avoid direct sunlight.
  • Strictly avoid any sun exposure to the treated area for a minimum of 7 - 14 days after the procedure. The treated area is more prone to sunburn and pigmentation change. Keep the area covered and use a sun block with a protection factor of 30+, and reapply every 2 hours. Delayed blistering secondary to sun exposure has been noted up to 72 hours post treatment.
  • If in the middle of a series of Phototherapy treatments, sun exposure should be avoided between treatments and a sunblock should be used on a daily basis.

Subsequent treatments are based upon your clinician’s recommendation and are typically 2-4 weeks apart.

ProFractional

Pre-treatment considerations

  • If you have previously suffered from facial cold sores, there is a risk that this treatment could contribute to a recurrence.
  • No one who has taken the medication Accutane or its generic forms within the last year may have this procedure.
  • No one on anti-coagulants may have this procedure.
  • Skin care or treatment programs may be used before and after laser skin treatments in order to enhance the results.

Treatment considerations

  • The procedure necessitates a post treatment wound care regime that must be followed.
  • The ProFractional treatment may produce pinpoint bleeding in the area of the channels. This event usually subsides in a few minutes to a few hours. More uncommon, it can persist up to 24 hours.
  • Redness and exfoliation (flaking of skin) is associated with this procedure and may last from 2 – 5 days depending on the depth and concentration (percentage) of the laser channels of the treatment performed. There may also be initial weeping or crusting. Keeping the area moist with a light application of an occlusive barrier will aid in the healing process.

Post-treatment considerations

Patient response can vary after a ProFractional treatment. Redness and possibly swelling and pinpoint oozing are the desired responses within a few minutes after the completion of the procedure. The degree of redness, oozing and healing time will increase with the depth and percentage of your treatment.

  • Redness normally persists for 24 hours – to 3 days depending upon the depth of the treatment.
  • Oozing may persist for 24 hours after the treatment.
  • Swelling is typically a short-term response. Use of a cold compress or ice packs will help to relieve the swelling. To avoid further swelling, you may choose to sleep in an upright position the first night after the treatment.
  • If an antiviral was prescribed for you, continue to take as directed.
  • While not commonly needed, post treatment discomfort may be relieved by oral pain relievers; i.e. Extra Strength Tylenol.
  • A cold compress or an ice pack can be used to provide comfort if the treated area is especially warm. This is typically only needed within the first 12 hours after the treatment.
  • Cleanse the skin two times a day with plain, lukewarm water and a gentle cleanser; i.e. Cetaphil, beginning the morning after the treatment. Use your hands to gently apply the cleanser and water and finish by patting dry with a soft cloth. Be careful not to rub the treated area.
  • After cleansing your face, reapply the occlusive barrier, i.e. Aquaphor, taking care to cover all treated areas. The occlusive barrier is needed to provide a protective barrier that will hold moisture into the skin and provide protection to the skin from pollutants in the air as the skin heals. Typically, the occlusive barrier is only needed 24 – 48 hours. Reapply the occlusive barrier as needed. Do not allow the treated area to dry out.
  • Peeling and flaking generally occur within 24 hours post treatment and should be allowed to come off naturally. DO NOT PICK, RUB, OR FORCE OFF ANY SKIN DURING THE HEALING PROCESS, THIS COULD RESULT IN SCARRING AND INFECTION! Gently washing the skin more frequently will help to promote the peeling process.
  • Avoid direct sunlight for up to 2 months post treatment.
  • Once skin has healed (no longer wearing the occlusive barrier), you may begin to wear makeup. If you are able to wear makeup, a sunblock should be worn on a daily basis to help prevent any hyperpigmentation that could be caused by direct and indirect sunlight.
  • When showering, be sure to wash your hair behind you to avoid getting shampoo directly on the treated area.
  • Avoid strenuous exercise and sweating until after skin has healed.

ProFractional treatments are usually performed in a series. Your next treatment will typically be within 4-6 weeks.