Below are a list of instructions for pre and post care of various procedures we do at our facility.

Post Chemical Peel

Care What to Expect

  • Microscopic (not always visible) peeling is a normal reaction to chemical peels. Some patients experience more significant peeling for several days.
  • Mild redness or irritation is possible and usually resolves in a few days, depending on type of peel.
  • FOR TCA PEELS ONLY: Dramatic redness (or a purplish burned look) and peeling are possible for l-2 weeks.

Care of Treated Areas

  • Wash with a gentle cleanser daily, such as Epionce, (can be purchased at fiont desk) however:FOR MANDELIC OR MELANOSTOP PEELS: Wait l2 hours before washing skin
  • Apply moisturizing cream, such as Medical Barrier Cream by Epionce (can be purchased at front desk)
  • Apply sunscreen with a minimum SPF 30 each morning. and reapply every two hours when outdoors.
  • Drink 8 glasses of water daily.

Activities to Avoid

  • Avoid sun exposure while healing. Wear a hat and use SPF 30 sunscreen. Very consistent sunscreen use following chemical peels will help maintain the benefit of the peel.  Avoid drying or irritating agents, such as benzoyl peroxide or Retin-A, while healing.
  • Do not peel, pull, pick, or scratch the treated skin. This can lead to permanent scaring. Hold cardio exercise for 24 hours, to prevent further skin irritation due to heat and exertion.

Next Steps

  • You may resume any topical retinoids (Retin-A, Tazorac,etc.) or topical acne medications in 5-7 days after peel. if skin is well healed.
  • Repeat chemical peel in 3-4 weeks for optimal results, as directed by aesthetician.

FOTONA 4D / TightSculpting/ EyeLase/ LipLase

TREATMENT REGIMEN & HOME CARE

Before TREATMENT

  • Avoid any prolonged sun or tanning exposure (This includes Airbrush or stains) 2
    weeks before treatment.
  • On the day of treatment keep your areas clean, free of make-up & lotions.
  • EyeLase: In some cases, eye shields are used directly in the eyes. Please be sure to
    bring glasses if you are a contact lens wearer for comfort

WHAT CAN BE EXPECTED?

  • Your skin may feel warm with blotchy redness.
  • Your skin may have a mild swelling in areas treated.
  • You may feel that your skin is tighter immediately following your procedure and for
    up to a few weeks. The feeling is due to an initial swelling or edema.
  • EyeLase: Your eye may be blurry from the eye drops or lubricant, but should not be painful or scratchy.
  • You can continue to use makeup & skin care regimens following your procedure.

INSTRUCTIONS:

  • CLEAN: Use a soothing cleanser with no abrasives and tepid water. Make sure your
    hands are clean & pat dry with a towel. Do not rub skin!!
  • TREAT: Creams such as CE Ferulic by Skinceuticals & Retinols (Zo Products) can
    be used to prolong & intensify results.
  • HYDRATE: Your skin may be more irritable than normal. Use post-laser creams
    such as our Epionce Essential Recovery Kit as needed for comfort.
  • PROTECT: Apply sun protection immediately after your procedure and use daily, even though you are already avoiding the sun. Landmark Aesthetics Clinic offers chemical free SPF, barrier protection without irritation.

TIPS & TRICKS:

  • Your aesthetician can provide product education for your best result.
  • Remember: It has taken years to break down the collagen fibers in your body. It can take up to six months to see the end results of this procedure. If you have any questions or concern regarding your procedure feel free to contact our
    office 903-589-8989

Post Skin Excision

Removal off various skin lesions may have some bleeding after the procedure. If they do the general treatment is to hold pressure over the area and try to elevate. If you can check your blood pressure to make sure it is normal will be helpful.

  • Avoid using ointment like Polysporin more than two days as the skin will heal quicker without it.
  • Avoid Direct sun exposure or sun tanning and use sunblock to prevent scar and pigment changes.
  • Tylenol or ibuprofen can be used for pain; the area should not be very painful after a few days
  • We do have the ability to treat with post treatment medications to diminish redness or inflammation. Also our Q-switch laser can help calm the redness.

LASER TATTOO REMOVAL

PRE-CARE,

Prior to your laser tattoo removal treatment, please avoid the following:

  • Direct sun exposure or sun tanning booths for 2l days, or more, prior to treatment
  • Use of sunless tanning creams for 5-7 days prior to treatment
  • Use of tattoo “fading creams” for 4-6 weeks prior to treatment
  • Clients scheduled for a laser tattoo removal treatment should make certain the skin is thoroughly cleaned and dried. removing any cosmetics  “oils, creams or self-tanning lotions”.
  • Comfortable loose fitting clothing that allows easy access to the treatment area should be worn. It is not recommended to take aspirin or ibuprofen before the treatment as this can produce pronounced bruising after the treatment is done.
  • Tylenol or other non-aspirin products can be used; however. Ibuprofen and ice packs are strongly recommended post treatment as they can provide some pain relief and alleviate some swelling. Due to the lidocaine we use, most do not have significant pain.
  • If Zensa or another topical anesthetic is being used, please make sure that it has been applied at least t hour prior to your appointment.

LASER TATTOO REMOVAL POST CARE,

  • A healing gel and a dressing may be applied to the area immediately after treatment, but as soon as the wound dries we do not recommend a covered dressing as this delays healing. Epionce medical barrier cream, Aquaphor or Polysporin 1-2 times daily are good for this.
  • If the skin becomes itchy and flaky later an unscented skin lotion may alleviate some of the discomfort or Landmark Aesthetics recommends Epionce barrier cream or Aquaphor.
  • If the itchiness becomes too much. there are some anti-itching creams and
    sprays that may help. Benzocaine containg compounds or Hydrocortisone cream, as well as Benadryl either by mouth or topically may help.
  • The treated area must be kept clean and dry. A shower can be taken the next day.
    although the treated area should never be scrubbed. If a scab forms it is vital that you do not pick or scratch it.
  • Avoid public pools and hot tubs for 2 weeks.
  • During the length of treatments and for several months afterward, it is important to keep the treated area out of the sun and to use SPF 30 or greater if the sun exposure is unavoidable. This will help prevent permanent pigment changes to your skin. Tanning beds are to be strictly avoided.
  • A healing gel and a dressing may be applied to the area immediately after treatment. Ex: Epionce medical barrier cream or aquaphor 1-2 times daily. Please leave dressing on until the treated area can be kept clean and ice can be applied directly with a barrier between the ice and skin. Always use unscented soap and water when cleaning treated area.
  • After the procedure, some redness, bruising, swelling, and blistering may occur, so is crusting. DO NOT PANIC. It will heal after some time, usually a week to 10 days, but sometimes up to 6 weeks.
  • It is CRITICALLY important to take good care of the area to aid the healing process and prevent infection. To ensure fast and safe healing, make use of a burn cream with regular dressing changes if necessary.
  • An antihistamine can usually alleviate most of the symptoms of a mild allergic reaction. For more severe reactions, seek medical help immediately.

Laser Hair Removal Post-Treatment Care

Potential Side Effects

  • The best way to minimize the risk of side effects is to avoid UV exposure for 7 days pre- and posttreatment.
  • Avoid sunburns and tans for at least 2 weeks prior to treatment.
  • Avoid sunless tanning products for 7 days before treatment.
  • Provide your technician with an accurate and up to date medical history in order to receive safe and effective treatments.
  • Side effects are uncommon but may include; Hyperpigmentation (darkening of skin), Hypopigmentation (loss of skin pigmentation), mild to moderate burns or blisters, permanent skin discoloration. temporary redness, follicular edema (little pink/red “puffiness and small bumps like “goose bumps”), swelling and itching in the treated area, hives, rashes, bruising and lack of desired results.
  • For best results the hair needs to be shaved the day before laser, and if a slow grower, maybe a few days prior. The longer the hair the more painful the treatment might be, and the less beneficial.
  • Clients who are pregnant cannot be treated with laser or radio frequency devices
  • Technicians cannot treat over tattoos.

What to Expect From Your Treatment

  • You may experience slight redness, bumps. and swelling in the treated area for up to 72 hours.
  • If the skin becomes itchy and flaky later an unscented skin lotion may alleviate some of the discomfort or Landmark Aesthetics recommends Epionce barrier cream or Aquaphor.
  • If the itchiness becomes too much. there are some anti-itching creams and
    sprays that may help. Benzocaine containing compounds or Hydrocortisone cream, as well as Benadryl either by mouth or topically may help.
  • Allow a minimum of 7 to l4 days post treatment for hair to “fall out” or shed from the skin.
  • On average, clients experience up to 30% reduction alter each treatment.
  • For best results, allow your technician(s) to customize your treatment schedule based on your needs.
  • Be advised clients may not bring children under the age of l2 to their appointments.

    Post-Treatment Care

  • Avoid extended UV exposure for 7 days post-treatment.
  • The following is rare with the Dynamis laser by Fotona (in fact we have not seen it)
    • lf blisters occur, do not puncture. If skin is broken, apply an antibiotic ointment like Polysporin until healed.
    • Tylenol is recommended for post-treatment discomfort.
  • Avoid any additional laser treatments or chemical procedures on the treated area for at least 2 weeks post-treatment, or until healing has occurred. Using the FRAC3 with Fotona we double treat often as this is such a safe and non-damaging pulse variation on the Nd:YAG.
  • Using a broad spectrum UVA/UVB SPF 30 or higher is critical when receiving laser treatments and is recommended ongoing for maintenance (have we said that enough?).
  • lf you experience any side effects, such as hypo- or hyper-pigmentation, prolonged redness or swelling, a histamine reaction (flushing redness), or blistering, call or come in for instructions on treatment.
  • To achieve the best results, complete the full treatment schedule at the intervals recommended by your technician.
  • Exfoliate treated areas to minimize risk of ingrown hairs.
  • Laser treatments around the lips can result in a herpes “cold sore” outbreak and if these are common for you, you may ask for Valtrex to prevent or treat the outbreak.

Botox Post Treatment Instructions

  • Avoid lying down for several hours following treatment.
  • We do recommend taking a zinc mineral supplement 3 days before and after to prolong the “botox” effect.
  • Facial exercise in the area of treatment is recommended [frown/smile every hour].
  • Avoid manipulation of the area the first four hours after procedure. These measures should minimize the possibility of ptosis (droopy eye).
  • Treatment effect may take 3-8 days to appear.
  • The benefits may last 3-6 months, the average is 4 months.
  • A touch-up may be necessary in 1-2 weeks.
  • Contact the practitioner as soon as possible after the eight [8th] day if you have not received the desired effect.

Post Treatment for Dermal Fillers

  • You may have minor discomfort from fillers, and  most have lidocaine to numb the site, but if pain is severe then contact us immediately as this may be a sign of a serious complication.
  • After your treatment with dermal fillers, you might have some redness and swelling. This is normally less than seven (7) days.
  • Cold compresses may be used immediately after treatment to reduce swelling. If the inconvenience continues beyond seven (7) days or if other reactions or side effects occur, please contact Dr.Baber.
  • Avoid touching the treated areas within six (6) hours following treatment. Do not massage the injection sites the day of the injections. After that, the area can be gently washed. (If there is a pea shaped nodule immediately after you may squeeze between fingers to flatten, but too much pressure can push your filler out).
  • You may shower and place make-up the following day.
  • Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappears.
  • Avoid exercise and alcohol for six (6) hours after treatment.
  • Take anti-inflammatories if you have any pain; this should be enough. You might develop a headache as a consequence of the injections.
  • You might see some bruising occurring one (1) to two (2) days after injections at any of the injection sites. If they are very noticeable then contact us and we can lessen that with our laser. These will eventually go away in several days.
  • If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to a recurrence. Speak to Dr.Baber about medications that may minimize a recurrence.
  • We generally like for you to return for a post-injection consultation in five (5) to seven (7) days.

Post Treatment Instructions after being treated with Asclera®?

Maintain graduated compression 2-3 days after treatment of spider veins or 5-7 days after treatment of reticular veins; for extensive varicosities, longer compression treatment is recommended. Post-treatment compression is necessary to reduce the risk of deep vein thrombosis. Bruising is expected to occur and undergo gradual color change.

If the following symptoms develop after treatment, call Landmark Aesthetics 903-589-8989 or seek care at an ER.

  • redness, or fever at injection site
  • redstreaks up leg
  • marked swelling to leg or calf pain
  • pain in chest or trouble breathing

Post  Thread Care Instructions

Most importantly limit any excessive movement of treated area, especially if you feel a tug by the threads with such movement. Limit vigorous exercise for 1 month after placement in the thighs , hips or breasts. There can be redness or occasionally a thread protrusion, please call if progressive or worsening as these can be signs of infection.

Can I use ice after my treatment?
You may apply ice to the treatment area for about 5-10 min every 30 min the same night to minimize any chance of swelling or bruising the following day.

Can I wash my face?
You can wash your face with regular soap, and water, or facewash. You may use a small alcohol wipe and clean over the injection area sites.

How soon can I put make up on?
Please do not put make up for 24 hours after the procedure to allow injection sites to fully close. This will greatly minimize the chance of getting an infection.

What can I put on my face the next day?
You can apply your regular moisturizer in the morning, but avoid using foundation or powder makeup.

What can I take if I have any discomfort after the procedure?
You may take 2 Extra Strength Tylenol pills or 2-3 pills of an over the counter medicines such as Motrin, Advil or Aleve.

What should I look for in the morning after?
It is perfectly normal to feel a little soreness and see mild swelling. You may also see small bruises. If they occur, it’s okay to put some topical Arnica gel if you desire.

Can I sleep on my side?
Please don’t sleep on your side, but rather flat on your back to avoid any chance of suture moving or breaking.

How can I protect my threads while I sleep?
Please wear a compression bandage around your face and/or neck as you sleep for about 5-7 days. This will keep your threads secure and in place. No recommended compression about the thighs though.

How long do I need to wait before getting a facial?
Please avoid any aggressive facial treatment that require rubbing and vigorous massaging for at least 1 month.

Which laser treatments should I avoid after facial threads?
You want to avoid getting deep laser treatments which may dissolve the threads for about 3 months after your procedure. It’s best to wait full 6 months if possible.

Post Treatment Instructions for Sculptra®

Expect that the fullness you see the first day will return to baseline in 1 to 2 days. Massage the area as demonstrated for 5 minutes 5 times per day for the next week. Follow up injections every month for a total of three sessions is routine.

Call our office with any questions and also watch for:

  • redness, or heat at the injection site
  • weakness with use of facial muscles
  • excessive swelling
  • call early on for signs of bruising as this can be minimized by laser treatments

BHRT Post Insertion Instructions for Women

Your insertion site has been covered with two layers of bandages. Remove the outer pressure bandage any time after 24 hours. It must be removed if it gets wet. You may replace it with a bandage to catch any fluid that may ooze out. The inner layer of the dressing is either waterproof covering or steri-strips. They should be removed in 3 days. We recommend putting an ice pack on the insertion area a couple of times for about 20 minutes over the next 4 to 5 hours. Do not take tub baths or get into a hot tub or swimming pool for 3 days. You may shower but do not scrub the site until the incision is well healed (about 7 days).

No major exercises for the incision area for the next 3 days, this includes running, riding a horse, etc. The sodium bicarbonate in the anesthetic may cause the site to swell for 1-3 days. The insertion site may be uncomfortable for up to 2 to 3 weeks. If there is itching or redness you may take Benadryl 25-50 mg, orally every 6 hours. Caution this can cause drowsiness! You may experience bruising, swelling, and/or redness of the insertion site which may last from a few days up to 2 to 3 weeks. You may notice some pinkish or bloody discoloration of the outer bandage. This is normal. If you experience bleeding from the incision, apply firm pressure for 5 minutes. Please call if you have any bleeding not relieved with pressure (not oozing), as this is NOT normal. Please call if you have any pus coming out of the insertion site, as this is NOT normal.

WHAT MIGHT OCCUR AFTER A PELLET INSERTION

A significant hormonal transition will occur in the first four weeks after the insertion of your hormone pellets. Therefore, certain changes might develop that can be bothersome.

FLUID RETENTION: Testosterone stimulates the muscle to grow and retain water, which may result in a weight change of two to five pounds. This is only temporary. This happens frequently with the first insertion, and especially during hot, humid weather conditions.

SWELLING OF THE HANDS & FEET: This is common in hot and humid weather. It may be treated by drinking lots of water, reducing your salt intake, taking cider vinegar capsules daily, (found at most health and food stores) or by taking a mild diuretic, which the office can prescribe.

UTERINE SPOTTING/BLEEDING: This may occur in the first few months after an insertion, especially if you have been prescribed progesterone and are not taking properly: i.e. missing doses, or not taking a high enough dose. Please notify the office if this occurs. Bleeding is not necessarily an indication of a significant uterine problem. More than likely, the uterus may be releasing tissue that needs to be eliminated. This tissue may have already been present in your uterus prior to getting pellets and is being released in response to the increase in hormones.

MOOD SWINGS/IRRITABILITY: These may occur if you were quite deficient in hormones. They will disappear when enough hormones are in your system. 5HTP can be helpful for this temporary symptom and can be purchased at many health food stores.

FACIAL BREAKOUT: Some pimples may arise if the body is very deficient in testosterone. This lasts a short period of time and can be handled with a good face cleansing routine, astringents and toner. If these solutions do not help,please call the office for suggestions and possibly prescriptions.

HAIR LOSS: Is rare and usually occurs in patients who convert testosterone to DHT. Dosage adjustment generally reduces or eliminates the problem. Prescription medications may be necessary in rare cases.

HAIR GROWTH: Testosterone may stimulate some growth of hair on your chin, chest, nipples and/or lower abdomen. This tends to be hereditary. You may also have to shave your legs and arms more often. Dosage adjustment generally reduces or eliminates the problem.

REMINDERS: Remember to go for your post-insertion blood work 5-6 weeks after the insertion. • Most women will need re-insertions of their pellets 3-5 months after their initial insertion. Please call as soon as symptoms that were relieved from the pellets start to return to make an appointment for a re-insertion.

Post Treatment Instructions for NeoGraft®

Post Op 24-48 Hours:

  • Avoid all contact to donor site and newly implanted grafts.
  • No washing scalp or full stream water pressure from shower head on newly implanted
    grafts.
  • No alcohol topical or oral
  • Consult with your physician before resuming any medications, including vitamins and
    herbal supplements (Gingko biloba,Garlic, Ginseng, Fish oil, Dong quai, Feverfew).
  • No ibuprofen (Advil/Motrin), aspirin or blood thinners that can be medically held.. Speak with your physician to see if a prescription strength medicine is needed for pain or ask for lidocaine soaked gauze.
  • Do NOT remove pressure bandage from back of scalp for at least 24 hours.
  • No hats, caps or beanies.
  • No activities that cause excessive sweating such as running, weight lifting or intense
    workouts for the first 14 days.
  • Avoid excessive sun exposure to grafts for the first 14 days.

For Sleep and swelling: 

  • Frontal Hairline Restoration:  Sleep in an elevated position for 2 nights following a procedure. It is best to use 3 pillows under your upper body or sleep in a recliner.
  • Crown Restoration:  Sleep with a neck pillow or rolled up towel under your neck, no pressure on newly transplanted grafts.

For Minor Bleeding: 

  • In occasional instances, minor bleeding may occur from the transplant site and/or donor
    area.  To control bleeding, apply gentle, but firm pressure on the area for 5-10 minutes with a
    dampened gauze pad. Press only, do NOT rub.
  • If excessive bleeding occurs, check your blood pressure, but if the bleeding cannot be stopped by firm pressure for greater than 20 minutes, proceed to the nearest ER or Urgent Care or contact Dr.Baber 3727.

After 48 Hours Post-Op:

  • The donor site should now be closed up and healing and you can remove the dressings.
  • You may gently wash your entire scalp including the sides and back of your head by
    using CopperK Shampoo Spray or Johnson and Johnson Baby Shampoo, and rinsing it by
    gently pouring luke warm (NOT hot) water from a cup over your scalp.
  • No direct water pressure on newly implanted grafts.
  • You may massage the donor site, but do NOT touch the recipient area with your fingers
    for 7 days post op as this may cause the grafts to dislodge. After 7 days you may begin
    to wash your hair normally.
  • Do NOT use any hair products NOT recommended to you by your physician for the first
    14 days.
  • As your scalp begins to heal, you will start to see scabbing on the donor and newly
    implanted graft site.
  • A very loose fitting hat/cap that does not come in contact with the grafts may be worn.
  •  After bandages are removed, apply Polysporin ointment over the donor area only at least 2
    times a day for the next 2 days  if needed to keep it moist.

72 Hours Post-Op: 

  • Swelling is a part of the healing process and typically occurs on day 2 or 3 post-op. It usually
    disappears in 5-7 days.
  • Do NOT apply ice directly to graft area. For swelling around eyes and forehead, apply ice pack to eyebrow area and below.  Do NOT use hot compresses.

2 Weeks Post-Op: 

  • After 2 weeks, or once the scabs have fallen off: Minor workouts can be added into your daily regimen.
  • You may use spray sunscreen or an adjustable fitted hat, if you will be out in the sun for
    more than 30 minutes.
  • Check with your physician before resuming Rogaine 5% foam. (Typically 1 month)
    Oral Propecia can continue to be used.
  • Additional Information:
    Do NOT PICK or SCRATCH at these scabs as this can endanger healing and could cause
    scarring or infection. Scabs will naturally fall off within 2 weeks and may contain small hairs. Do NOT be
    alarmed as this is normal. The hair bulb remains in the skin.
    CopperK Calming Spray will reduce discomfort, itching and inflammation. This can be
    used as needed, up to 2 times a day for 2 weeks post op to keep the scabs moist. You may also use a diluted saline solution by pouring the solution into a spray bottle. Spray onto irritated area up to 2 times a day for 2 weeks to keep the scabs moist.
  • You must wait 6-8 weeks before you can dye your hair. It is recommended that you color with semi-permanent dye as to not damage your grafts.