Pre-Treatment
Instructions
Table of Contents
Potenza RF Microneedling Pre-Treatment Instructions
Microneedling with Potenza can help to address the most common aesthetic concerns with the added benefit of advanced radiofrequency (RF) technology. The Potenza RF Microneedling System delivers thermal energy to multiple layers of skin tissue, causing tissue contraction. The energy/heat combined iwth micro injury also triggers the body to produce collagen and elastin, resulting in skin tightening through soft-tissue coagulation. The RF energy is delivered via small gold needles. In addition to the benefits seen with the micro-injury provided by the microneedles, RF delivers energy deep into dermis so it can produce faster, more dramatic results than regular microneedling.
Contraindications: If you have any of these conditions or issues – this treatment is NOT for you.
- Clients with a pacemaker, or any metallic/electronic implanted devices.
- Clients who have previously had a gold-thread skin-rejuvenation treatment.
- Clients with keloid scar formation propensity.
- Clients with active, open or healing skin infections.
- Clients with allergy to gold.
- Clients who are pregnant or breastfeeding.
- Clients with unrealistic expectations – this is NOT plastic surgery, and results are seen in 4-6 weeks.
- Clients with moderate-severe Auto-immune disease, Diabetic complications, Herpes simplex virus, Epilepsy, HIV, or Dermatitis.
- Clients who have recieved fillers or neurotoxins (botox) should wait 2 weeks before recieving a Potenza treatment.
Keep hydrated by drinking water (at least eight cups daily) or hydrating fluids to improve treatments outcomes.
Avoid drinking alcohol for 24 hours in advance of treatment.
For 3 to 7 days prior to treatment, at the provider’s discretion, avoid therapies that may cause erythema (redness) or irritation, such as retinols or products containing isotretinoin and any exfoliating acid preparations.
Avoid medications that alter the healing response or hemostasis for 3-7 days (always check with your prescribing practicitoner before stopping any medications).
Shave visible hair from the treatment area.
Male beards should be shaved on the day of treatment.
Precautions:
*If you are prone to fever blisters/cold sores, please take prophylactic antiviral medication (Valcyclovir, Acyclovir) prior to treatment.
If you have lesions in the treatment area that have not been evaluated or diagnosed: they should be evaluated prior to treatment day.
If you have skin malignacies – this should be evaluated prior to treatment by your primary medical practicioner.
If you have used retinols/retinoids in the last 7 days, this can cause erythema and casue the skin to become heat sensistive and occasionally pinpoint bleeding.
If you have tattoos, permanent makeup, and permanent brows in the treatment area: caution must be used because the ink in these areas is unregulated and may have metallic components.
The same procedure should be followed prior to each visit.
Post-meopausal women may have decreased elasticity in their skin. The results of treatment may be favorable but could potentially not last the same amount of time as they would for non-menopausal women.
Over time, patients who smoke may see reesults diminish more quickly than nonsmoker’s results. Smokers may also be more sensitive to heat. Please bear these things in mind when you come for your treatment.
Please arrive 10-15 minutes prior to your treatment to to fill out your Medical History Intake and sign Informed Consents.
During the treatment you can expect to feel some tingling and even some “snapping” sensations – this is normal and the tingling will typically resolve within 48 hours post treatment.
You can expect to have some redness and even some “gridding” over the treated areas. The redness resoves quickly within hours and looks like you were out in the sun. The “gridding” is from the needles, and can last several days, but is barely noticeable – and may even feel bumpy. This is normal. You can expect to still go have a normal day post-treatment while following all the post care instructions.
Rare Complications:
Skin purging – the energy and tissue heat can cause bacteria and oils deeper in the skin to erupt and cause a breakout. This is incredibly rare and will resolve as the skin heals. Do not pick at the bumps.
Histamine response – again, this is a rare occurrence, so if you experience rash like itchy redness – take a benadryl or antihistamine to help with symptoms, topical hydrocortisone also helps – it goes away in a few days. Cool compresses or ice compresses may be used to ease any irritation.
Feel free to call us with any questions you have (360) 852-1672.
Thank You! We look forward to seeing you soon.
Neurotoxin Pre-Treatment Instructions
Botulinum toxin treatment involves the injection of highly diluted, individualized doses of botulinum toxin A into (or in proximity to) overactive muscles which are responsible for the formation of wrinkles. Botulinum toxin relaxes muscles by diminishing their ability to contract, thereby allowing for the body to replenish collagen under the wrinkles over time.
Pre-Treatment Instructions:
Avoid supplements such as Gingko, green tea, fish oil for 3-4 days prior to injections, to minimize the risk of bleeding or bruising.
Avoid medications such as aspirin and NSAIDS, including ibuprofen, Aleve, etc. for 3-4 days prior to injections.
Avoid chemical peels, topical retinoids, microdermabrasion, facials, and micro-needling for one week prior to injections.
Avoid drinking alcohol 24 hours before your botox visit – alcohol can cause bleeding and bruising from the lingering vasodilatory effects.
Please arrive with no makeup or topical medications on your skin if possible.
Please let our injector know if you have a history of myasthenia gravis, muscle weakness, or have had complications from any prior botox injections.
If you have any questions, please call us at (360) 852-1672.
Hyaluronic Acid Fillers Pre-Treatment Instructions
Schedule your injection at a time when minor swelling or bruising will not disrupt your social obligations.
To lessen the likelihood of bleeding or bruising, discontinue use of blood thinning products for 10 days prior to treatment, if approved by your primary care provider. This includes: aspirin, ibuprofen (Motrin or Advil), naproxen, Aleve, fish oil, St. John’s Wort, flax, Vitamin E, Vitamin D, garlic, Ginkgo Biloba, ginseng, etc.
Alcohol should be avoided 24 hours pre- or post- injectable treatment, as it can increase the risk of bleeding or bruising. You can consider taking Arnica Montana natural supplement to help bruising (take 5 tablets three times per day starting one week prior to treatment).
Please notify your provider if you have any history of cold sores, as we will consider pre-medicating with an antiviral prescription prior to injections.
Cancel your appointment if you have any open sores in the treatment area. It is important that you alert us of any medical conditions you may have and/or any prescribed medications you are taking prior to your treatment.
Any injection introduces the risk for infection. For this reason, the following is taken into consideration when proceeding with injections. We will delay injectables if you:
- Have had any infection, cold, virus, or flu in the past 14 days.
- Have had any dental procedures in the past 2 weeks or are anticipating dental procedures or cleanings in the next 2 weeks.
- Have had a surgical procedure in the past 30 days or are anticipating a surgery or procedure.
- Have had any immunizations in the past 2 weeks or if you’re anticipating immunizations within 2 weeks.
- Have had any tattooing or permanent makeup within the past 2 weeks.
- Take any immunosuppressive/injectable medications (ex: Biologics such as Humira, Skyrizi, Stelara, Enbrel, Taltz, Cosentyx, Tremfya).
- Additional contraindications: Pregnancy, breastfeeding, allergies to components of dermal fillers, open sores in areas to be treated.
- Please arrive to your appointment free of make-up, lotions, sunscreen, and with a clean face.
Please call, text us with any questions: (360)852-1672.
Botox for Hyperhydriasis Pre-Treatment Instructions
Keep hydrated by drinking water (at least eight cups daily) or hydrating fluids to improve treatment outcomes.
Avoid drinking alcohol for 24 hours in advance of your appointment.
Shave visible hair from the treatment area. The area to be treated should be clean, dry and intact. If you have any rashes, infections, or injuries at the area to be treated – please reschedule your appointment to ensure the best and safest possible outcome.
Do NOT use deodorant prior to your arrival.
The same procedure should be followed prior to each visit.
Hair Restoration Pre & Post-Treatment Instructions
PRP (Platelet Rich Plasma) OR PFR (Platelet Rich Fibrin) can help to address the most common aesthetic concerns regarding age-related hair loss.
You will have blood drawn into a lab tube that is then centrifuged for 5-12 minutes and the PRP/PRF will be drawn out to be delivered into your scalp by injecting it into the areas of concern.
You will be numbed with tiny injections of local anesthetic prior to the treatment to minimize any discomfort during treatment. PRP/PRF is delivered to the target area via injection with a tiny guaged needle and causes micro injury to the scalp to cause minor inflammation, which tricks your body into begining the healing process.
Contraindications: If you have any of these conditions or issues – this treatment is not for you.
- Clients with keloid scar formation propensity.
- Clients with active or healing scalp infections.
- Clients who are pregnant or breastfeeding.
- Clients with unrealistic expectations – this is NOT plastic surgery. It can take multiple treatments to see improvement in hair growth and hair quality.
- Clients with Auto-immune disease, Diabetic complications, Herpes simplex virus, Epilepsy, HIV, or Dermatitis.
The PRP/PRF provides protiens and growth factors neccesary for hair growth by nourishing the hair folicles deep in the dermis using the growth factors and stem cells from your own blood cells.
PLEASE:
Keep hydrated by drinking water (at least eight cups daily) or hydrating fluids to improve treatments outcomes.
Avoid drinking alcohol for 24 hours in advance of treatment.
For 3 days prior to treament – DO NOT use Rogaine/Minoxidil.
Avoid medications that alter the healing response or hemostasis for 3-7 days (always check with your prescribing practicitoner before stopping any medications).
Precautions:
If you are prone to fever blisters/cold sores, please take prophylactic antiviral medication (Valcyclovir, Acyclovir) prior to treatment.
If you have lesions in the treatment area that have not been evaluated or diagnosed: they should be evaluated prior to treatment day.
If you have scalp malignacies – this should be evaluated prior to treatment by your primary medical practicioner.
***The same procedure should be followed prior to each visit.
Over time, patients who smoke may see reesults diminish more quickly than nonsmoker’s results. Please bear these things in mind when you come for your treatment.
Please arrive 10-15 minutes prior to your treatment to to fill out your Medical History Intake and sign Informed Consents, if you have not submitted them online.
During the treatment you can expect to feel some tingling sensations – this is normal and the tingling will typically resolve within 48 hours post treatment. The local anesthetic wears off in several hours.
DO NOT WASH HAIR POST-TREATMENT for 24 hours. Use a gentle Baby shampoo. DO NOT rub, scrub, or apply any tonics, hair gels, or topical medications for up to one week post-treatment. You need to allow your scalp to heal.
You can expect to have some redness in the treated areas. The redness resoves quickly within hours and looks like you were out in the sun. This is normal. You can expect to still go have a normal day post-treatment while following all the post care instructions.
You may notice some hair loss initially after treatment – this is due to the new hair shafts pushing out the old hair – trust the process.
You need at least 6 inital treatments, scheduled 4-6 weeks apart to see the best results.
Consider using the AnteAGE Home Hair microneedling kit as an adjunct to PRP/PRF. The kit contains everything you need.
Consider Keravive scalp treatments monthly to cleanse the scalp and infuse growth peptides to jump start hair restoration – includes a take home peptide scalp spray for daily use.
Maintenance treatments should resume monthly from your initial treatment – and depending on your results you should plan to have 6 monthly treatments, followed by treatments every 3 months – which you and your injector will discuss which time frame is best for your individual needs.
Please schedule your treatments ahead of time so you don’t have a lapse in treatment as your hair may revert back to pre-treatment thinning.
Our provider will perform a scalp analysis using a magification device to evaluate the scalp and hair folicles.
Feel free to call us with any questions you have (360) 852-1672.
Thank You! We look forward to seeing you soon.
VI Peel Pre-Treatment Instructions
PRE TREATMENT INSTRUCTIONS FOR CHEMICAL FACIAL PEEL
Avoid microneedling 1-2 weeks before your chemical facial peel
Avoid sun exposure/ tanning beds 1 week before treatment
Avoid waxing, threading, or depilatory creams for 10-14 days before your chemical facial peel
Avoid electrolysis and laser treatments for 7 days before your appointment
Avoid using a Retin-A for 3 days before any chemical facial peel
Avoid Accutane (isotretinoin) use for 3-6 months prior to your chemical facial peel
IV Hydration Pre-Treatment Instructions
IV hydration treatments may take up to 90 minutes, depending on the infusion and other factors. Please plan your schedule accordingly, to allow for adequate time for your infusion.
Eat a good meal before arriving for your therapy. Meals cannot be consumed while in the medical spa. A meal combining protein and carbohydrates will help keep your blood sugar stable during the treatment.
If you experience a stinging sensation at the IV site notify your Provider, we can adjust the flow rate to keep it comfortable.
Inform your Provider of any changes in your medication or health status (weight gain/loss, shortness of breath, leg pain, bladder problems, etc).
Always drink 2 large glasses of water (24 oz) before and after your treatment. Your IV treatment is packed with many vitamins that are water soluble and proper hydration will facilitate the vitamins to nourish your body and maximize thier effectiveness.
Do not drink soda, coffee or tea prior to your treatment; these beverages cause dehydration and make it more difficult to start your IV.
Do not take vitamin or mineral supplements prior to your treatment unless otherwise specified by the Provider.
Do not engage in exercise 2 hours before or after your treatment.
Inform your Provider if you are pregnant or nursing.
During Your IV Hydration Treatment:
Inform your Provider immediately if you feel dizzy, nausea or a vitamin taste in your mouth. Adjustments will be made to ensure your IV is infusing properly. Your Provider will check in on you as you relax during your infusion to make sure you are comfortable.
Do not cross your legs during the treatment – this impairs circulation.
Bathroom: Always ask your Provider for assistance when using the bathroom. If blood should back up into the IV line, do not be alarmed. The IV bag should remain elevated above your head and the blood should clear the line. If you feel your IV has become compromised, notify your Provider immediately.
Avoid standing up too quickly to avoid becoming dizzy or a fall.
Vitamin hydration treatments are a wonderful way to care for your body from the inside out – we want the very best for you and will customize your IV vitamin formula to meet your needs.
PRP/PRF Pre-Treatment Instructions
In general, please avoid smoking, alcohol, and medications or supplements which may interfere with platelet function.
These include anti-inflammatory medication (i.e. Advil, Motrin, Ibuprofen, Aleve, Naprosyn, Aspirin, etc) and some supplements like glucosamine chondroitin, Gingko Biloba, ginseng, garlic, green tea, ginger, Omega 3 fatty acids (fish oil), Vitamin E. Try to avoid these supplements for 5-7 days prior to your treatment.
It is helpful to enjoy a healthy diet with lots of clear fluids before PRP/PRF treatments. Stay hydrated with water, avoid excess sugary drinks like soda pop or juice. Avoid Alcohol. Fatty foods should be avoided for about 4 hours prior to PRP/PRF tretaments.
Ideally, do not eat for 2 hours prior to treatment as this can make the plasma more lipemic.
Please do not stop any medication which has been prescribed by your doctor or health care provider without consulting with them first. Stopping medication on your own could lead to harmful effects on your health.
If you have any questions about this information, please feel free to submit your concerns to us via email: etherealaestheticsllc@gmail.com – we are happy to help.
For those having PRP/PRF Hair Restoration treatments:
Please wash your hair prior to arrival. Your scalp should be clean and dry without any products in it. Please do not use any hair spray, gels, or topical medications on the day of your PRP/PRF treatment.
For those having PRP/PRF injections for filler or facials:
Light moisterizer is fine to use prior to treatment. Please do not apply makeup if you are having PRP/PRF injections to your face. For PRP/PRF injections, the skin should be clean and dry. Males should shave prior to treatment.
Dermaplaning/Dermaflash Pre-Treatment Instructions
The only instructions before dermaplaning or dermaflash treatment is to come to your visit without makeup or creams.
Please let your Provider know if you are using any active topicals (retinols, tretinioin, prescription skin care), these can make your skin more sensitive.
We highly recommend having a soothing and hydrating quality UVA/UVB SPF for daily use (even when not getting a facial). You can pick some up in clinic.
We carry soothing medical grade mineral-based SPF,which is uniquely formulated to prevent sunburns, premature aging, minimize wrinkles, and reduce the risk of skin cancer. It is available for purchase at our medical spa.
HydraFacial Pre-Treatment Instructions
Hydrafacial is the only hydra-dermabrasion treatment that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin with little-to no downtime. The treatment is soothing, moisturizing, non-invasive and generally non-irritating. As with most procedures, visible results from Hydrafacial will vary from person to person.
Hydafacial is safe for pregnant/nursing women – please notify our provider so we can select products to meet your needs.
What to expect:
- Your skin may experience temporary irritation, tightness, or redness. These are all normal reactions that typically resolve within 72 hours depending on skin sensitivity.
- You may experience tingling and stinging in the treatment area. These sensations generally subside within a few hours.
- Client experiences may vary. Some clients may experience a delayed onset of these symptoms.
- You will likely see results immediately after treatment and your skin may feel smooth and hydrated for 1 to 4 weeks with appropriate home care to maintain treatment results.
- The skin is more susceptible to sunburn/sun damage. Avoid excessive sun exposure and use a minimum of SPF 40+ sunscreen.
Please notify the Ethereal Aesthetics Provider if you have any of the following:
- Active acne or infection
- Open lesion or cold sore
- An active infection in the treatment area
- Active sunburn
- Skin conditions such as eczema, dermatitis, or rashes
- An autoimmune disease such as lupus
- A viral concern such as HIV or hepatitis
- Anticoagulant Therapy
- Melanoma or lesions suspected of malignancy
- Pregnancy or lactation
- Neurological disorders such as epilepsy (LED Lights)
- Infection in the urinary system i.e. kidneys, bladder and urethra (Lymphatic drainage)
- Crohn’s Disease (Lymphatic drainage)
- Hyperthyroidism (Lymphatic drainage)
- Deep Venous Thrombosis (Lymphatic drainage)
- Lymphedema (Lymphatic drainage)
- Used Accutane, topical medications or antibiotics in the last 6 weeks
- Had recent aesthetic fillers, injectables or laser treatments
*Saying YES does not preclude you from receiving this treatment.*
Please call or text (360)852-1672 if you have any questions.
We look forward to seeing you!
Please alert the Provider and Ethereal Aesthetics staff if there are any changes to your medical history.
Keravive Pre-Treatment Instructions
You should complete your Medical History, Allergies, and Hydrafacial Questionnaire PRIOR to arriving for your appointment.
ARRIVE TO YOUR APPOINTMENT WITH WASHED & CLEAN HAIR, FREE OF PRODUCTS
We will have to reschedule your Hydrafacial Keravive appointment if you have not washed your hair or it is full of haircare products.
What to expect during treatment:
Our provider will review your history and allergies prior to assessing your scalp under magnification to view the health of the scalp and folicles, in multiple areas.
The Keravive treatment feels like a scalp massage as it works in small areas to cleanse the scalp deeply. It uses gentle suction to lift away oils, bacteria, and dead skin and infuses a serum rich with peptides formulated to nourish the hair folicles. Your scalp and hair will get damp during treatment, however, the serum absorbs rapidly, and your hair will dry in about 20 minutes without any build-up.
Bring a hat if you are shy about having damp hair when you leave the appointment.
Pro Tips for Best Results:
Consider adding the AnteAGE Home Hair Kit, it contains hair specific growth factors and stem cells and a microneedling kit for the scalp. We carry the kit in clinic, and the AnteAGE hair serum refills.
We also have AnteAGE hair growth factors that can be used at your Keravive visit, as a topical application, to boost the regenerative effects at the folicle at the cellular level for healthier hair growth.
PRP Hair Restoration can be beneficial as it uses your own stem cells and growth factors to stimulate folicles to produce healthier hair.
Using a DHT blocking shampoo and conditioner can also help with hair restoration efforts. DHT (a byproduct of testosterone metabolism) can cause hair follicles to shrink and stop producing hair. This shampoo blocks the DHT by penetrating the scalp to alleviate a contributing factor of hair loss. You can find one on Amazon, they are reasonably priced. Shiny Leaf is a brand we like.
If you have especially hard water, a shower filter can work to minimize the hard minerals that can weaken hair.
Please call or text (360)852-1672 with any questions you may have.
We look forward to seeing you soon!
Sculptra Pre-Treatment Instructions
Days before your appointment:
Avoid the use of Aspirin, NSAIDS, Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week pre and post injection as they will increase your risk of bruising.
Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid bruising.
You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising.
Do not apply products that are potentially irritating for 2 -3 days before and after treatment (examples- tretinoin/retin-a, glycolic acid, benzoyl peroxide, hydroquinone).
Inform your provider if you have a history of cold sores to receive advice on antiviral therapy prior to treatment.
Do not use the above stated if you are pregnant or breastfeeding or are allergic to any of its ingredients.
Please inform your provider if you have any questions about this prior to the treatment at (360) 852-1672.
Day of Treatment:
Please arrive to your Sculptra appointment with clean skin, free of make-up.
The treatment areas will be marked and injection sites numbed with either topical numbing or injected with Lidocaine for comfort.
Before your appointment we will discuss the procedure and collaborate on the areas that will be treated.
You may recieve either a topical numbing cream or injected Lidocaine to aid in comfort during treatment.
You may experience a mild amount of tenderness or stinging during and following injections.
Redness and swelling are normal. Some bruising may also be visible. If you are prone to bruising, your provider may send you home with some bruise cream to apply over the areas and will discuss instructions on how to use.
Please call/text (360)852-1672 with any questions.
We look forward to seeing you!
Radiesse Pre-Treatment Instructions
Days before your appointment:
Avoid the use of Aspirin, NSAIDS, Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week pre and post injection as they will increase your risk of bruising.
Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid extra bruising.
You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising.
Do not apply products that are potentially irritating for 2 -3 days before and after treatment (examples- tretinoin/retin-a, glycolic acid, benzoyl peroxide, hydroquinone).
Inform your provider if you have a history of cold sores to receive advice on antiviral therapy prior to treatment.
Do not use the above stated if you are pregnant or breastfeeding or are allergic to any of its ingredients.
Please inform our provider if you have any questions about this prior to the treatment at (360) 852-1672.
If you are scheduled to have radiographic testing (MRI, CT, X-rays) near the treatment areas, notify your ordering physician that you have Radiesse, as the product may be visible during the exam.
Day of Treatment:
Please arrive to your Radiesse appointment with clean skin, free of make-up.
The treatment areas will be marked and injection sites numbed with either topical numbing or injected with Lidocaine for comfort.
Before your appointment we will discuss the procedure and collaborate on the areas that will be treated.
You may recieve either a topical numbing cream or injected Lidocaine to aid in comfort during treatment.
You may experience a mild amount of tenderness or stinging during and following injections.
Redness and swelling are normal. Some bruising may also be visible. If you are prone to bruising, your provider may send you home with some bruise cream to apply over the areas and will discuss instructions on how to use.
Please call/text (360)852-1672 with any questions.
We look forward to seeing you!