Pre-Treatment
- 6 months prior: Absolutely NO Accutane (Isotretinoin).
- 14 days prior:
- Avoid all laser treatments.
- Avoid tanning beds, self-tanner, and unprotected sun exposure.
- 7 days prior:
- Discontinue topical retinoids/retinols, exfoliating masks, hydroquinone, benzoyl peroxide, acne products, AHAs, BHAs, and any exfoliating or resurfacing agents.
- Avoid photosensitizing medications (e.g., doxycycline, minocycline, certain antibiotics) unless cleared by your provider.
- 5 days prior: Avoid excessive alcohol consumption to reduce risk of dehydration and bruising.
- 3–5 days prior: Increase water intake to 48–64 oz daily and continue through the day after treatment to support healing.
- 2 days prior (if applicable):
- Start antiviral medication if you have a history of cold sores.
- Active cold sores require rescheduling.
- General health considerations:
- Treatment cannot be performed if you are pregnant, breastfeeding, or if you have open wounds, active infections, rashes, or eczema flare-ups in the treatment area.
- Injectables: Avoid treatment within 2 weeks of dermal filler or neuromodulator injections in the same area.
- Alert your provider if:
- You are prescribed anticoagulant medication
- You are prone to keloid scarring
- You have a history of infection
- You have a compromised immune system
Post-Treatment
General Care
- Expect redness and a mild to moderate sunburn-like sensation immediately after treatment.
- Mild swelling may occur, especially around thinner skin (eyes, lips).
- Skin may feel dry, tight, or develop a “sandpaper-like” texture as it heals.
- Avoid ALL skincare products not provided or approved by your provider.
- Avoid warm or hot water until the skin has recovered.
- Cool compresses or cold, wet gauze may be used for comfort.
- Notify your provider of any unexpected reactions, changes in skin condition, or medication updates.
First 24 Hours
- Arrive to treatment with clean, product-free skin.
- Avoid lotion, creams, oils, and makeup on the treated area.
- Leave skin bare after treatment.
- Do not wash your face or apply makeup.
- If skin feels very dry or tight, you may lightly pat on EltaMD Enzyme HydroGel with clean hands.
- Treatment cannot be performed over active cold sores, lesions, severe acne, herpes simplex, or sunburn.
Days 2–5
- Light flaking or microscabbing is expected and typically resolves within 2–5 days.
- A rough or “sandpaper-like” texture may persist from 3–10 days as treated cells shed.
- Do not pick or scrub the skin.
- Continue the following routine:
Morning
- Wash with EltaMD Skin Recovery Amino Acid Foaming Cleanser.
- Apply a thin layer of EltaMD Enzyme HydroGel.
- Apply EltaMD Barrier Renewal Complex.
- Finish with EltaMD UV Skin Recovery SPF.
Evening
- Wash with Skin Recovery Amino Acid Foaming Cleanser.
- Apply Enzyme HydroGel.
- Apply Barrier Renewal Complex.
Days 5–10
- Continue using your EltaMD routine unless instructed otherwise.
- Skin may remain pink or slightly sensitive.
- You may resume active products (retinoids, exfoliants, vitamin C) after 7–10 days, or once skin feels fully calm.
After 10 Days
- Maintain consistent SPF use and gentle skincare.
- Resume full-strength active products when approved by your provider.
Important Reminders
- Avoid makeup for at least 24 hours; if applying afterward, ensure brushes are freshly cleaned.
- Reapply sunscreen every 2 hours during sun exposure.
- For the first 48 hours:
- Avoid direct sun exposure
- Avoid strenuous exercise
- Avoid hot yoga, saunas, steam rooms, and jacuzzis
- Excess heat and sweating may increase irritation or risk of complications.
Skincare Products to Avoid for 7 Days
- Vitamin A derivatives (retinol, Retin-A, tretinoin, adapalene, etc.)
- Exfoliating acids (AHAs, BHAs, PHAs, glycolic, lactic, salicylic, etc.)
- Scrubs, exfoliating brushes, resurfacing masks
- Hydroquinone and other lightening agents
- Strong vitamin C serums
