MultiFrax Pre and Post Treatment Instructions

• Avoid tanning beds, direct sun exposure, and outdoor activities without SPF protection.
• Discontinue use of self-tanners and bronzing creams.
• Apply a daily mineral sunscreen (SPF 30+).
• Inform your provider if you have taken Accutane within 6 months.
• Notify your provider about any conditions or medications that affect wound healing, light sensitivity, or bleeding.
• Inform your provider if you have a history of melasma or are awaiting results from a skin cancer screening.
• Apply Alastin Regenerating Skin Nectar twice daily, starting 1-2 weeks prior to treatment. This is optional but encouraged for improved healing and outcome. 

• Stop using Retin-A, retinol, glycolic acid, salicylic acid, AHAs/BHAs, benzoyl peroxide, and hydroquinone.
• Avoid blood-thinning medications and supplements such as ibuprofen, aspirin, vitamin E, and fish oil unless prescribed.
• Refrain from waxing or chemical peels.

• For patients with a history of cold sores and receiving treatment on the face, start taking valacyclovir
  500 mg twice daily starting 1 day before treatment and continuing 7 days.

• Arrive with clean skin — no makeup, lotion, or sunscreen.
• Reschedule if you are ill, recently on antibiotics, or have a rash, cold sore, or infection in the treatment area.

Note: Numbing cream will be applied 30 minutes before your session.

• Redness, warmth, and mild swelling are normal and may last up to 24 hours. If MultiFrax is combined
  with BBL, more swelling can be expected and may last 2-4 days.
• Do not wash your face until the next morning.
• Use a cold compress as needed for comfort.
• Avoid active ingredients and makeup for 24 hours post-treatment.
• Do not scratch, rub, or pick at the skin.
• Check our tips to help with swelling.
• Alastin Regenerating Skin Nectar will be applied in-office. Apply again at bedtime and then twice
  daily for at least 2 weeks. This does not take the place of a moisturizer.

• Cleanse gently twice daily with lukewarm water and a mild cleanser; avoid exfoliants, scrubs. (we
  recommend SKNV Face so Fresh sold in-office)
• Apply Bounce Back Skin Restoring Gel twice daily (available for purchase in office).
• Apply physical sunscreen (SPF 30+) daily and reapply during sun exposure. Our favorites, most sold in
  office are Alastin HydraTint or SilkSHIELD, Elta UV Physical, Core Ultra Shield, Vanicream
• Tylenol may be taken for discomfort; antihistamines (Benadryl, Claritin, Zyrtec) may help with itching or swelling.

Expect MENDs: Microscopic epidermal necrotic debris appearing as tiny dark dots and a rough texture. These will naturally slough off within several days. Avoid picking or exfoliating.

• Resume your usual skincare routine if skin feels fully healed.
• Gradually reintroduce active ingredients like retinol.
• Continue daily use of sunscreen to maintain results and prevent pigmentation.

• Ice for about 5 minutes every hour after your treatment until bedtime, then a couple times the next morning. Move packs around over areas to avoid over-icing, which can worsen swelling.
• Take Benadryl (25-50mg) the night of treatment.
• If there is severe swelling you may request a three-day course of oral prednisone, which can be called in during the first 1-2 days after treatment.
• Consider taking Arnica Montana 30x starting 1-2 days before treatment and continue taking it until the bruising and swelling have subsided. Take 3 tablets, 3 times daily.
  

  Important: Place tablets under the tongue and let dissolve. Do not brush your teeth, eat, or drink anything but water, 15 minutes before and 15 minutes after taking Arnica Montana.

• Ibuprofen 800mg every 8 hours in combination with the other items above can assist with swelling but may worsen any preexisting bruising, so take it only if bruising is not present.
• Sleep with your head slightly elevated the first 1–2 nights to minimize swelling.