Post-Procedure
Instructions
Post-Procedure Instructions
At Dr Brent Howley, Plastic Surgery our clients are our first priority. Keeping you informed about your personal treatment plan is critical to achieving the results you want. We have carefully put the following information together for your review, following your treatment.
BOTOX Cosmetic & Dysport Post-Procedure Instructions
Post-procedure Instructions English (PDF) Instructions post-procèdure français (PDF)
Try to exercise your treated muscles for 1 hour after treatment (e.g. practice frowning, raising your eyebrows, or squinting). This helps to work the neuromodulator into your muscles. Although this is thought to help, it will NOT impact your treatment negatively if you forget to do this.
If you have been taking Advil, Vitamin E, Coumadin or other blood thinners, be aware that you may have a greater risk of bruising. Feel free to take Advil after the treatment if you have a small headache.
Do NOT rub or massage the treated areas for 4 hours after your treatment.
Do NOT do Yoga or any other type of strenuous exercise for 4 hours after treatment.
Do NOT lie down for 4 hours after treatment. This is to avoid the risk of pressure on the treated areas from your pillow and to avoid the risk of having the area rubbed accidentally.
Avoid facials or saunas for 4 hours after your treatment. This will minimize the risk of raising your blood pressure and therefore the risk of temporary bruising.
Feel free to shower and go about most other regular daily activities.
Be assured that any tiny bumps or marks will go away within a few hours. If you need to apply makeup within 4 hours of the treatment, apply it gently to avoid rubbing on the treated areas.
The results of your treatment may take up to 14 days to take full effect. Please wait until the 14 days have passed before assessing if you are pleased with the result.
Facial injections, such as BOTOX Cosmetic® and Dysport®, are temporary procedures and at first, you may find that your treatment results will last approximately 3 or 4 months.
If you have any questions or concerns please feel free to contact our office.
eCO2 Laser Post-Procedure Instructions
Post-procedure Instructions English (PDF) Instructions post-procèdure français (PDF)
Immediately After
- Avoid direct sunlight to the face, walking from the practice to the car.
- Turn on the air conditioner and aim it at your treated area on the way home.
- If you have glasses, place a piece of gauze between the bridge of the nose and the glasses to
- avoid irritation to the treated skin.
2-4 hours
- You can take an analgesic (i.e. Acetaminophen) for discomfort. We will provide your with a prescription for pain medication. If you are taking the prescribed pain medication, do not take any additional pain medication.
- You can apply cool compresses to your treated areas but avoid direct contact to the skin. You should have some type of cloth between the cooling agent and the skin.
- You may blow air from a fan to help with the cooling process.
- When intense heat subsides, start cleansing with your Skin Ceuticals Gentle Cleanser; apply a light coat of Vaseline to the treated areas post cleansing.
First night
- Sleep on your back, with the head slightly elevated and continue this every night until swelling subsides.
- Place a towel over the pillow to protect the pillow from the Vaseline and possible drainage.
- If you are experiencing irritation to your eye, you may use an eye lubricant such as Systane™ or Lacrilube.
- After cleansing the treated area with Skin Ceutical Gentle Cleanser and cool water you can use an additional disinfectant t (1-3 teaspoons of vinegar in one quart of distilled water which can be gently applied to the face with gauze pads 3 – 4 times day). Followed by a few drops of Skin Ceuticals CE Ferulic and then light coat of Vaseline.
First day after
- We strongly recommend that you stay indoors and avoid direct sunlight.
- You can start taking a lukewarm shower and wash your hair. Be careful not to let the shower water hit the treated area. This can force off the skin and lead to scarring.
- After cleansing the treated area with Skin Ceutical Gentle Cleanser and cool water you can use an additional disinfectant t (1-3 teaspoons of vinegar in one quart of distilled water which can be gently applied to the face with gauze pads 3 – 4 times day). Followed by a few drops of Skin Ceuticals CE Ferulic (apply twice a day morning and evening) and then light coat of Vaseline.
- You should never rub or massage the treated area as this can lead to scarring. Always gently apply water and cleanser with fingers to the treated area to avoid forcefully removing the flaking, peeling skin.
Day 2-4
- Continue the cleansing regime as above.
- Itching (particularly along the jaw-line) tends to begin on this day. Hydrocortisone 1% OTC and oral Benadryl may reduce the itching. Intense itching or pain may indicate infection and your doctor should be notified.
Day 5-7
- Continue the cleansing regime as above.
- Your itching has usually subsided by this point.
- Vinegar/water solution can be stopped at day 5.
Day 7+
- You will receive a post care laser recovery kit at your follow up visit customized for your treatment.
- Vaseline application at this time are to be stopped.
Morning routine;
I. Continue cleansing face with our Gentle Cleanser.
II. Apply a few drops of CE Ferulic followed by a few drops of Phytocorrective Gel.
III. Apply a light coat of Epidermal Repair.
IV. Apply a light coat of Sheer Physical/ Physical Fusion SPF 50.
V. Make up may be apply at this time.
Evening routine;
I. Continue cleansing face with our Gentle Cleanser.
II. Apply a few drops of Phytocorrective Gel.
III. Apply a light coat of Epidermal Repair.
General Information
- Eat a healthy diet rich vitamin C, D and essential fatty acids (Omega 3), minerals, and proteins.
- Drink 2-4L of water every day.
- Avoid alcohol.
- Avoid exercising until face is healed. Any type of exercise that might raise your blood pressure should be avoided. Leisurely walks are ok, but no work-outs. At 2 weeks you can start your exercise program slowly.
- Avoid environmental irritants during the healing process (i.e. Dust, dirt, sun and hairspray).
- Avoid exposure to excessive sun for the first 6 months if possible. Hat or clothing must be used to protect the treated areas.
- Vaseline and serums can be kept in fridge for soothing purpose
For all surgeries, we see patients on the following schedule:
- 1 week with nurse
- 6 weeks with nurse and Dr. Howley
- 6 months with nurse for after pictures
- Whenever needed
A pre and post skin care treatment is complementary to your procedure. This will be done by our Skin Care Specialist Lisette a few days prior and at the 6-8 week mark. These treatments will prepare the skin before the procedure and help assist with the healing process.
Our on-site Clinical Aesthetician will be assisting and serving you throughout the process: DERMAK Aesthetics.
Dermal Filler Post-Procedure Instructions
What can I expect after the treatment?
- Slight discomfort. We recommend taking Tylenol, rather than Advil, for the first 48 hours after your treatment if you have any discomfort.
- Redness, bruising and swelling typically resolves within a few days after injection into the skin and within a week after injection into your lips.
If you were to develop excessive swelling, please call our office immediately.
What we recommend:
- Applying ice to the treated area for a maximum of 10 minutes 2 to 3 times every hour for the first 48 hours. This will reduce swelling.
- Do NOT expose the treated area to intense heat or extreme cold at least until the initial swelling and redness have resolved.
- Do NOT rub or massage the treated area for 24 hours following. You may wash your face, but it is very important that you do not rub or apply pressure to the treated areas. Avoid any type of facial treatment such as facial massage or laser for the 14 days after your injection.
IPL Laser Instructions
IPL Laser Post-Procedure Instructions
- Scab-forming after skin rejuvenation and pigmented lesions treatment is to be expected.
- Do NOT pluck hair. Hair should not be pulled out after treatment, but left to fall out naturally. If hair is plucked artificially, folliculitis can cause inflammation.
- Pigmented lesions could be darker for 2-3 days, and will be lighter afterwards.
- Thicker hair is a normal reaction for a week (hairs pop up) after hair removal treatment.
- Mild redness around treated area is a normal skin reaction due to the heat created by the IPL.
- The scab disappears naturally after 1-2 weeks. It is recommended that further treatment should only be performed after scab has disappeared.
- Inflammatory acne treatment might be performed at 2 week intervals.
- Hair removal treatment should be performed at 4-6 week intervals.
- All other treatment (except for acne and hair removal) should be performed at 3-4 week intervals. Treatment should be performed after disappearance of scabs.
Post IPL treatment Care
- Apply ice to treated area.
- In case of severe erythema (redness), apply cooling on the area for more than 20 minutes.
- Dryness and forming corneous tissue are normal reactions after thermal effect, so please apply moisturizer cream frequently.
- Do not use scrubbing product for 1 week after treatment (exfoliators).
- Do not use functional cosmetics (ex: Retinol, AHA) for 2 days after treatment.
- Avoid saunas for at least 1 week.
- Do not use cosmetic products (toner, lotion) containing alcohol, it may cause skin irritation. Use mild moisturiser.
- Apply sun block cream (at least SPF 30) everyday, preventing post inflammatory
- hyperpigmentation. It is advisable to wear a hat and take an umbrella when going outside for 30 days after procedure.
If you have any questions or concerns, please feel free to contact our office.
Dr. Howley and his office staff are committed to the highest standards of quality and individualized patient care. The practice prides itself on making patients feel comfortable and well informed about their care and surgical planning.
Minor Procedure Post-Procedure Instructions
Limit stretching of the areas around your wound, this will help prevent bleeding and swelling. Try not to bump or hit your wound against anything, as this could open the wound.
With Dressing
- The dressing is waterproof, you are able to shower unless otherwise instructed by Dr. Howley or our nurse.
- Pat dressing dry after showering, DO NOT rub.
- Remove dressing 2-3 days after procedure. Polysporin and a bandaid can be applied at this time, until you have seen our nurse.
No Dressing
- You are able to shower, pat incision dry, DO NOT rub.
- Polysporin and a bandaid can be applied at this time, until you have seen our nurse.
Stitches
- Excision on face: stitches will be removed 5-7 days after the procedure by our nurse.
- Excision on the body: stitches will be removed 10-14 days after the procedure by our nurse.
Contact our nurse if:
- You have severe pain in your wound area
- You have redness or swelling in your wound area
- You have pus coming from your wound and notice a bad smell
- You see red streaks on the skin around your wound