For optimal results, we recommend starting with a package of three treatments spaced two weeks apart, followed by a maintenance treatment every six months thereafter. Microneedling with RF is a safe option suitable for all skin types.

• Avoid Vitamin E, fish oils, and Ginkgo Biloba for one week prior to treatment. 
  
  
• Avoid ASA (Abbreviation on a medication that indicates it contains acetylsalicylic acid (Aspirin) 2 weeks before treatment. (Please consult with your physician first if you are on ASA therapy). 
  
  
• Avoid antihistamine and inflammatory drugs one week prior to treatment. These negate the effects of the procedure. The body’s histamine and inflammatory responses are needed post procedure. 
  
  
• Stop Laser Hair Removal, Electrolysis, Waxing, and Depilatory creams one week prior to treatment. 
  
  
• Stop topical retinoids (tretinoin and retinoic acid (Retin-A, Renova, Refissa)) one week prior to treatment. 
  
  
• If using Accutane, a 3-month waiting period after discontinuation of medication is required. 

What to expect after your treatment: 

• Immediate pinpoint bleeding may occur, which will resolve within 10 minutes. Minor redness and swelling will occur for 1-2 days. 
  
  
• Minor peeling and flakiness will occur after a few days. Don’t pick at the loose skin.
  
  
• Call our office if you experience excessive redness, swelling, pain or drainage as they might indicate an infection. 

Post-Care 

• The initial 72 hours post-procedure are the most critical. 
  
  
• Avoid direct sun. This includes simple day-today tasks such as gardening, cooking over a hot stove for a long period of time, sitting next to a bonfire or fireplace, etc. 
  
  
• Discontinue use of any Alpha-Hydroxy products. You may resume your homecare regimen when skin is no longer flaking and peeling. 
  
  
• Use hydrating and reparative products. Products rich in soothing and healing ingredients are best to encourage new, healthy cell growth. Peptides, antioxidants, stem cells, Vitamin A, C, and E, and growth factors work very well. 
  
  
• Use physical sunscreen. Sun care products should be applied no less than every 30-90 minutes. DO NOT go outside without sun protection (even on a cloudy day). 
  
  
• No scratching or peeling. 
  
  
• Limit exercise in the first week. 
  
  
• Drink plenty of water. 

Allergy to botulinum toxin A include the following conditions:

• Lou Gehrig’s Disease
• Disorder of the peripheral nerves that cause movement
• Myasthenia gravis
• Progressive muscle weakness with carcinoma
• Condition where one object appears as two or more objects
• Double vision
• Blurred vision
• Food poisoning
• Drooping of the upper eyelid
• Infection of lung from inhaling stomach contents
• Decreased lung function
• Voice disorder
• Hoarseness
• Difficulty speaking
• Trouble breathing
• Difficulty swallowing
• Problems with bladder control

• Comfort scale: 1-3; numbing cream applied to the treatment area 15 min before treatment 
• Downtime: mild redness expected for 1-2 days after treatment, avoid makeup for 24 hours
• Appointment length: 1-1.5 hours depending on the areas treated

You will see and feel the natural filler effect from your very first treatment. In order to get the best results, a course of treatments is highly recommended and will ensure enhanced results.

After TriPollar treatments, you will immediately see the skin tightening and a general improved facial appearance. After a VoluDerm treatment your skin will feel tighter and volumized.

Following TriPollar treatments there may be slight redness and/or edema lasting from a couple of hours up to a day. After VoluDerm treatments there might also be some tiny scabbing which will naturally heal after a few days. The area may be covered with make-up if needed.