SkinCeuticals Flagship Advanced Medical Spa

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SkinCeuticals Flagship Advanced Medical Spa 570 Long Point Road Mt Pleasant, SC 29464 843-881-0320

Table of Contents Spa Personnel Platelet Rich Plasam (PRP) Treatment Instructions TruSculpt Treatment Instructions Chemical Peels Treatment Instructions Chemical Peels Risks and Complications Laser Hair Removal Treatment Instructions Photo Rejuvenation (IPL) Treatment Instructions Sclerotherapy Treatment Instructions Smoothbeam Treatment Instructions

SkinCeuticals Flagship Medical Spa Heidy C. Revelo, MD American Board in Aesthetic Medicine Ellen Conde Spa Coordinator Medical Esthetician/Masters Exercise Science Amanda Jacobs Medical Esthetician Certified Medical Assistant Ashley Owens Laser Specialist Platelet Rich Plasma (PRP)

Treatment Instructions Please read carefully and follow any pre- and post- treatment instructions. There are minimal restrictions after your PRP injections allowing you to return to daily activities almost immediately. Please call with any questions you may have @ 843-881- 0320. Pre-Treatment Instructions for PRP Five (5) days prior to your treatment, do not take aspirin, Alleeve, Advil, Vitamin E, multi-vitamins with vitamin E, fish or plant fatty acids. Beginning three days before treatment, drink at least 64oz of water daily and avoid the following: Alcohol Caffeine Cigarettes Always maintain a healthy diet. Post-Treatment Instructions for PRP Do NOT touch, press, rub, or manipulate the treated area(s) for at least 8 hours after your treatment. AVOID aspirin, Motrin, Ibruprofen, Alleve, ginko biloba, garlic, flax oil, cod liver oil, vitamin A, vitamin E, or any other essential fatty acids for 3-7 days post treatment as these may impede the benefits of inflammation. If feeling pain or discomfort, you may take Tylenol or other Acetaminophen products. You may apply ice to the injected area(s) for 20-30 minutes after the procedure; however, refrain if you are able to do so. Do NOT: wash or take a shower for at least 6 hours after treatment. Do NOT: use any lotions, creams, or make-up for at least 6 hours after your treatment. AVOID: vigorous exercise, sun and heat exposure for at least 3 days after your treatment. Bruising, redness, itching, soreness, and swelling may last 3-10 days following your procedure. Please call the office at 843-881-0320 with any questions or concerns. TruSculpt

Treatment Instructions For best results, please follow these procedures. Pre-Treatment Instructions for TruSculpt Any excess hair should be shaved prior to your appointment. Hydrate well the day prior to and the day of your appointment. Arrive to your appointment without any lotions or tanning creams. Any tanning creams should be stopped one week before appointment. Notify the office for updates any medical, health history or medications since your last appointment. NOTE: This treatment is NOT going to change your BMI. NOTE: This treatment is contraindicated in patients with a pacemaker or defibrillator. Post-Treatment Instructions for TruSculpt Tenderness, redness and swelling may occur and resolve with 72 hours. Multiple treatments may be necessary. Visible results may take up to 4-6 weeks, with maximum improvement at three months. Notify the office if any of the following occur: Blisters, crusts, or skin burns develop. Tenderness, redness or swelling persists longer than 72 hours. Nodules or lumps in the treatment area occur. These may develop 72 hours post-treatment. Please call us at 843-881-0320 if you have any questions or concerns. Chemical Peels

Treatment Instructions Before Your Peel Do NOT apply any tretinoin, Retin-A, Renova, or Tazorac, adalapene, retinol, and /or Differin ONE week prior to one week after your treated area. Do NOT sun tan or use a tanning bed three weeks prior to and three weeks after your treatment. Stop any type of depilatory treatments (waxing, depilatory creams) to the area of treatment at least two weeks prior to two weeks after your peel. Stop electroloysis and any type of laser treatments (laser hair removal, IPL) to the area of treatment three weeks before and three weeks after your peel. After Your Peel Use a gentle cleanser such as SkinCeuticals Gentle Cleanser or Cera Ve Cleanser when cleansing skin. Do NOT scrub the skin or use abrasive cleansers. With any peel, the skin may begin to peel 1-3 days after the peel and continue to peel for 3-5 additional days; however, it is also possible your skin may not peel at all. None of these results indicates a bad result from the peel. Do NOT peel, pick or scratch the treated area as this may cause scarring or hyperpigmentation. Apply Cera Ve, Aquaphor or a moisturizer to dry flaky areas. Do NOT have any other facial treatments for at least two weeks after your chemical peel. Always wear sunscreen. Every morning and most definitely the two days following a chemical peel, apply a sunscreen with at least 50spf and 5% zinc oxide. If outdoors, apply sunscreen every two (2) hours. Avoid direct sun exposure. Please call with any questions or concerns @843.881.0320 x 221. Chemical Peels Risks and Complications

This list is NOT meant to be inclusive of all possible risks and complications associated with chemical peels, as there both known and unknown side effects associated with any medication or procedure. The possible side effects of a chemical peel include but are not limited to: Post-treatment discomfort, irritation, itching, drying, flaking, stinging, pain, tenderness, swelling, redness, bleeding, bruising, and discoloration. Usually this resolves during healing, but in rare situations it may be chronic. Infections can occur. In most cases these are easily treatable, but in rare cases, permanent scarring may occur in the area. Allergic reaction to the chemical peel may occur. A personal history of asthma, hay fever, eczema, or multiple allergies may increase the risk. Re-activation of herpes (cold sores or fever blisters) may be the result of a chemical peel. This may be minimized with the use of oral anti-viral antibiotics. Notify your physician if you have a history of fever blisters. An increased sensitivity to wind or sun may occur for at least two weeks after the peel. Extreme reactions such as scarring or keloids may occur after chemical peels. Alternative Treatments Alternative forms of management include not treating the skin with peeling agents or other medications. Improvement of skin lesions and skin wrinkles may be accomplished by other treatments. Risks and potential complications are associated with any forms of treatment. Results There is no guarantee, warranty, or assurance of results from any treatment. Clinical results vary from patient to patient. Multiple treatments or additional touch-up treatments may be necessary to achieve desired results. Treatments generally last six to twelve months. Please contact us if you have any questions or concerns @ 843.881.0320. Laser Hair Removal Treatment Instructions

Pre-Treatment Instructions Discontinue waxing, tweezing, threading, depilatories, and electrolysis for at least three weeks prior to treatment and throughout the treatment. Please shave all treated areas the night before, with the exception of the face. unshaven so it may be seen more easily. Leave facial hair Notify the office if you have a history of herpes simplex virus (cold sores, fever blisters). Laser hair removal may cause a flare-up up and preventative medications may be taken to avoid an outbreak. An active herpes simplex outbreak will result in rescheduling the appointment. Post-Treatment Instructions The treatment area is delicate and should be treated gently. Swelling and redness are common after laser hair treatments. Avoid direct sun exposure to treated areas for at least three weeks post-treatment and until all signs of redness and irritation have subsided. Always wear a sunscreen with SPF 30 or greater and with 5% or more zinc oxide. Completely cover any areas that have a crust present. Avoid any trauma to treated areas such as scratching, picking or rubbing. Avoid hot tubs, pools, Jacuzzis, saunas and steam rooms for seven days. Avoid deep exfoliation treatments or creams containing a chemical exfoliator for two weeks pre-and post-treatment, such as microdermabrasion, tretinoin, or glycolic acid. Apply cold compresses or ice packs to the treated area to ease discomfort. Apply Vaseline twice daily to blisters, crusted or irritated skin and call the office immediately. Apply hydrocortisone cream twice daily for three days as needed for redness, irritation and swelling. Treatments may need to be repeated every 4-6 weeks for 5-8 treatments. Please call at 843.881.0320 with any questions or concerns. Photo Rejuvenation (IPL) Treatment Instructions

A mild, heat-like sensation may be anticipated but usually resolves within 72 hours of your treatment. Mild swelling and/or redness rarely accompany this treatment and should resolve in 2-4 days. Application of a cool compress or ice pack to the skin immediately after the treated area is recommended to minimize edema and provide comfort. Treated lesions may initially appear raised and/or darker with a reddened edge. The lesions will gradually turn darker over the 24-48 hours and may progress to scabs and/or crusting. These will start to flake in 7-14 days. Bathe or shower as usual. advised. Treated areas may be temperature sensitive, so cool water is Avoid aggressive scrubbing and do NOT use exfoliates, scrubs or loofa sponges until the treatment are has returned to its pre-treatment condition. If blistering occurs, apply a Vaseline to the area twice a day until healed. crusts occur, do NOT pick, scratch or remove. Should blisters or To prevent unwanted side effects: Avoid the application of cosmetics on or near treated areas. Avoid hot tubs and Jacuzzis. Avoid activities that cause excessive perspiration. Avoid sun exposure to the treated area(s). Apply a sunscreen with 30 SPF or greater with at least a 5% zinc oxide daily to sun exposed skin between treatments and 4-6 weeks after treatment. Please call with any questions or concerns at 843-881-0320.

Sclerotherapy Treatment Instructions Sclerotherapy is a minimally invasive procedure performed to treat uncomplicated spider veins. The treatment involves the injection of a solution of Asclera into the affected veins causing them to collapse on themselves. Over time, the damaged veins are replaced with tissue. Individual results may vary. Many patients require multiple injection sessions for complete treatment success. Unfortunately, results are not instantaneous. It takes time for the veins to disappear. In fact, it is common and quite probable that the veins will look worse before getting better. Bruising at or near the injection or along the course of the vein is common. The bruising can be black and blue marks which eventually turn yellowish, or the bruising may be in the form of red marks. Small welts similar to mosquito bites may occur at the injection sites as well. All of these results are common and quite normal. Bruising typically fades in a week but can take longer. After bruising goes away, considerable fading of the veins often occurs. In some cases the veins may be gone completely; however, it may take up to 6-8 weeks for veins to fade to the maximum amount. A treatment should not be considered unsuccessful unless there is no significant improvement after 8 weeks. Rarely ulcerations can occur. noted. Call the office immediately if any crusts, blisters or ulcers are Patients should arrive to the office with a fitted pair of compression stockings. compression is extremely important to obtain optimal results. First night ONLY: sleep in your stockings 2-3 days: stockings work continuously day and night (remove for bathing) 2-3 weeks: during the daytime only (remove for sleeping and bathing) Venous Walking will help after treatment to alleviate discomfort. A mild analgesic such as Advil, Nuprin or Ibruprofen may also be taken if necessary. Exercise is a MUST for proper treatment effectiveness. Walking 20-30 minutes twice daily, once in the morning and once in afternoon is optimal. There is no need to modify your normal activity and patients may return to work immediately. Page 2 Sclerotherapy

Sun exposure should be AVOIDED for 14 days following treatment. Sun burning areas that have been recently treated may result in skin ulceration/damage/discoloration. Hot tubs, saunas, and long baths should be avoided for 1 (one) week following treatment. Please call with us at Mt Pleasant Dermatology with any questions or concerns. We may be reached at 843-881-0320.

Smoothbeam Treatment Instructions The Smoothbeam laser is used to treat general dermatological applications such as wrinkles around the eyes, sebaceous hyperplasia, and acne. The heating of the sebaceous glands creates a mild thermal injury that changes the activity and function of the glands. Shortly after the treatment you will see a reduction in the number of acne lesions on the skin. Your physician will recommend this treatment procedure for you. Contraindications and Precautions for the procedure include: Isotretinoin: wait 6 (six) months after the completion of isotretinoin therapy Tattoos: Tattooed skin, including decorative, permanent makeup and radiation port tattoos will not be treated History of photsensitivity to 1450nm light Pregnancy: the laser treatment is not performed on pregnant or lactating women Seizure Disorders: patients with light-induced seizures will not be treated Medications: patients taking anti-coagulation therapy, iron supplements, herbal supplements (ginko, gingseng, or garlic) may bruise more easily A test area may be necessary for patients using topical acne medications as they may increase photsensitivity of the skin. Some medications may need to be stopped 3-5 days prior to treatment. Patients with active HSV1 & 2 lesions in the treatment are may not be treated. Patients with a known history of HSV1 & 2 should be treated with prophylaxis prior to treatment as prescribed by physician. Treatment of open wounds and skin that is actively infected will be avoided. Patients with a history of keloids will be spot tested prior to treatment. Appointments with patients with sunburn will be rescheduled for at least 14 days after acute sun exposure. Post Treatment Care A chilled compress or gel pack may be applied after treatment. Use of sunblock with zinc oxide SPF 30 or higher is recommended. Patients should avoid scrubbing or trauma to the treated area. Patients may resume use of usual topical agents when irritation resolves. Please call with any questions or concerns at 843-881-0320.