TREATMENT INSTRUCTIONS

Key West Med Spa

Pre and Post Treatment instructions

Feel free to call us with any questions or to schedule 786.652.7255
If there is a Medical Emergency, call 911

Laser Hair Removal

The great thing about our Fotona hair removal is that it is almost completely pain free! Hair follicles grow at different times and that is the reason we need multiple treatments. Pre-treatment is shaving the day before laser. Don’t worry if you forget, we have razors. UV exposure for 7 days pre- and post-treatment. Avoid sunburns and tans for at least 2 weeks prior to treatment. Avoid sunless tanning products for 7 days before treatment. 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. Clients who are pregnant cannot be treated with laser and sorry we cannot treat over tattoos, but we can treat around them. Deodorant can be used the next day if there is no/minimal irritation. Shaving may resume in 4-5 days if needed.
Treatments should be scheduled every 6 weeks with 6-7 treatments needed depending on hair thickness.

Fotona Treatments

Avoid any prolonged sun or tanning exposure (including suntan sprays or “fake tanners” bronzing lotion) 1-2 weeks before treatment. On the day of treatment keep your treatment areas clean, free of make-up & lotions. No problem if you forget, we have makeup remover. Clients who are pregnant can be treated with laser. Sorry, we cannot treat over tattoos, but we can treat around them. Please be sure to bring glasses if you are a contact lens wearer. For Fotona 4D you may have red or white patches in yourmouth and you mouth may be dry. You may use Biotene for dry mouth and/or Orajel for irritation. Your skin may feel warm with blotchy redness.
There may be mild swelling in areas treated. The redness usually goes away within 1-3 days. 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. You may use hydrocortisone cream available at your pharmacy without a prescription. For some facial procedures near the eyes, the eyes can get mildly dry or irritated. They should not be painful or scratchy. Refresh Tears, which is available over the counter at your pharmacy, help moisturize your eyes if they are minority irritated or itchy. You can continue to use makeup & skin care regimens following your procedure. If your eyes are painful or if you have difficulty with your vision, please go to the nearest emergency room.

Dr Cespedes recommends Obagi daily Hydro-Drops around the eyes and on the face. To clean your skin use a soothing cleanser, like Obagi Cleanser and Toner pat dry with a towel. Do not rub skin. Creams such as Obagi Moisturizer and Obagi Sun Shield may help to hydrate your face. Dr. Cespedes will give his recommendations during your consultation.

Fotona 4D and Smootheye Treatments may be scheduled every 14 to 21 days and 3-5 treatments are needed with a single yearly maintenance  treatment needed.

Juvederm and Fillers

Pre procedure Avoid vitamin E, Fish oil tablets, Ginko Biloba, Advil, Aleve, or Aspirin for 7 days prior. If you are under a doctor’s care and taking those under the doctor’s advice, please check with your prescriber. If you are taking any blood thinners such as Coumadin or Plavix, fillers may not be for you.

Post procedure avoid alcohol for 24 hours, avoid direct sunlight or saunas for a few days after fillers, always wear sunblock. You may use ice for swelling or Tylenol.

If you notice any white skin or worsening pain over the area injected please call Key West Med Spa or go to the Emergency Room immediately. This can be a sign of loss of blood supply to the area and needs immediate attention. Do not delay in taking care of the situation.

Fotona Acne Scar Treatment

Ready to leave those scars in the rearview mirror? This treatment is
usually started after active acne is under control with laser or medication.

Avoid the Sun and no tanning or tanners , skin bronzers for 1-2 weeks prior to your treatment. No make up for your appointment. If you forget don’t worry we’ve got makeup remover. Sorry we cannot treat over tattoos, but we can treat around them. The Acne scar treatments give a redness to the face immediately after and for 1-3 days. Then there usually is peeling for 3-5 days and the redness and peeling usually are gone within 7 days. Makeup can be applied within a day after treatment Side effects are uncommon but may include; Hyperpigmentation (darkening of skin), Hypo-pigmentation (loss of skin pigmentation), mild to moderate burns or blisters, permanent skin discoloration. Temporary redness is expected.

Hydrocortisone cream, available without prescription. At the pharmacy can be used the day of the treatment. Tylenol can be used for the itching or discomfort which can occur immediately after the treatment. Dr. Cespedes recommends beginning Obagi Moisturizer the day after the treatment. Begin Obagi Clenziderm if you have active acne in 5-9 days after the treatment. Immediately after the treatment and for at least a month, use Obagi Sun Shield Broad Spectrum Spf 50.

Treatments are performed monthly for 4 months or until the desired result.

Botox

Prebotox treatments it is best not to drink too much alcohol.

Post botox it is best not to drink too much alcohol for a day. Don’t lie down after a treatment for 4 hours. Don’t rub the areas where botox was applied. It is best not to work out for 12 hours after a Botox application.

You may use ice pack to the area if needed. Notify the office if you have any drooping of the eye brow or eye lid drooping. Rare allergic reactions such as trouble breathing or swallowing or hives need to be treated immediately in an Emergency Room setting. Go to the Emergency Room immediately.

Fotona Stretch Mark or Deep Facial Treatments

This is an ablative peel, a deep peel to get the skin to renew itself. This procedure can’t be used over a tattoo. Please bring large hat and large sun glasses for the face procedures. There will be bleeding and discharge for 3-5 days. There will be itching and mild discomfort post procedure. There is a risk of change in skin pigment. Side effects are uncommon but may include; Hyperpigmentation (darkening of skin), Hypo-pigmentation (loss of skin pigmentation), mild to moderate burns or blisters, permanent skin discoloration. Temporary redness is expected.

There may be some discomfort during the treatment.

Aquaphor should be used immediately after either treatments and reapplied every 4 hours for the first 1-3 days. You will need 3 tubes of Aquaphor at least after the stretch mark treatment, you will need surgical pads and Saran Wrap to be used for 1-5 days after the treatment. Then Obagi Moisturizer and Obagi Retivance to help with pigmentation prevention, should be used for 1 month. Dr. Cespedes will give his recommendations during your consultation. No tanning or sun exposure for 3-4 weeks. The results continue to improve for up to 6 months.

You will need to schedule a brief follow up appointment in 1-2 days to check on your progress and then in 1-2 months to get photo “after shots”. You will want those!
Treatment may be repeated in 6 weeks until desired results. 1-3 treatments can be performed, but usually only one is necessary.

Fotona Active Acne Treatments

Pretreatments

There can be slight discomfort during the procedure. Usually there is no post procedure discomfort. There can be a little redness for 1-3 days after the procedure. Usually the redness is for only a few hours. Side effects are uncommon but may include; Hyperpigmentation (darkening of skin), Hypo-pigmentation (loss of skin pigmentation), mild to moderate burns or blisters, permanent skin discoloration. Temporary redness is expected.

Don’t use any acne products the day of the procedure. Procedure is not to be performed on anyone who has had Accutane within the last 6 months. Post procedure treatments should be Obagi Cleanser and then Obagi Toner followed by Obagi Tretinoin Cream .05% or Obagi Retinol 1.0 Cream. Dr. Cespedes will give his recommendations during your consultation. Obagi Nu-Derm System + Tretinoin Cream .05% may be used as well. These treatments can be used after the laser treatment. Treatments can be performed weekly for 3-6 treatments until desired results. Then treatments are every 4-6 weeks to keep the acne away. The treatments may not need to be repeated as frequently if one of the above Obagi Systems are used.