Immediately After Treatment
The area treated will feel “hot” after the procedure (24-48 hours). Cold compresses can be applied to reduce this type of discomfort. This sensation is expected to be the worst during the first hour following treatment. Keeping your post care kit creams on the skin will help soothe and is very important!
Redness is normal and expected. It generally increases in intensity the first few days after treatment with day 3 being most intense. It can last for up to 7 days depending on the aggressiveness of the treatment.
Pinpoint bleeding (tiny spots of blood on the skin) may occur. This can last for a few hours and up to 12 hours depending on the treatment depth. You may only have bleeding in certain treated areas. If this occurs, wipe areas with damp gauze/soft cloth.
The first morning after treatment is when swelling may be more prevalent, especially under the eyes. Swelling may last 2 days depending on the aggressiveness of the treatment.
The treated area may be extremely warm for 12-24 hours after the treatment. Using cold compresses or ice packs may provide comfort during this time.
You will increasingly notice a bronzed or "burned" appearance to the treated skin. This is called the MENDS (Microscopic Epidermal Necrotic Debris). MENDS are microscopic wounds from the treatment. They contain large amounts of the skin darkening pigment melanin.
Do not try to peel or scratch them off. This is part of the healing process where treated tissue is working its way out of your body as new fresh skin is regenerated. This could result in scarring, pigmentation complications and infection! Gently washing the skin more frequently will help to promote the peeling process.
During this time, your skin will be very dry and have a sandpaper texture and will begin to flake and peel. If the face is treated, it could take 5-7 days for the peeling process to be completed. If the neck, chest or anywhere on the body was treated, this process could take up to 2 weeks.
After the peeling process is complete, your skin will have a rosy, pink glow that will gradually go away. Your clinician will advise you when you can use makeup and which kind.
If an antiviral was prescribed for you, continue to take as directed.
If you have discomfort after treatment you may take over the counter oral pain relievers such as Extra Strength Tylenol.
You may experience itching during the healing phase. This is completely normal. Taking Benadryl (diphenhydramine) by mouth may help itching but can cause drowsiness. Do not scratch the treated area because scarring and pigmentation complications can occur.
You may have pin point blood pooling under the skin. This will look like tiny red dots. This can last for 1-3 weeks after treatment.
You may have acne breakouts up to 3 weeks after treatment.
When showering in the next few days, avoid getting shampoo directly on the treated area. Take your shower with the back of your head to the water to avoid directly hitting your face with the full force stream of the water.
Apply moisturizer generously over the treated area and reapply whenever your skin feels dry. For severe dryness, add a small amount of Vaseline or Aquaphor on top of your moisturizer or mix it in with it.
You must commit to using sunscreen daily beginning the day of treatment and for up to 3 months after the procedure. Use recommended sunscreen with broadband protection (UVA and UVB) and a sun protection factor (SPF) of 30.
-Apply sunscreen 20 minutes before sun exposure.
-Reapply sunscreen every 2 hours.
-If direct sun exposure is necessary, wear a hat and clothing that covers
the treated area. If the treated area is exposed to sun (direct or indirect) blistering, scarring, hyperpigmentation or hypopigmentation could occur.
Avoid sun exposure for 2 months after treatment.
Typically, after the peeling process is complete, you can wear makeup.
Avoid strenuous exercise and sweating until after skin has healed.