Procedures

Portrait PSR *NEW*
LUX IR *NEW*
LUX 1540 *NEW*

LASER:
Titan Skin Tightening
Hair Removal
Photofacials
Acne/Pimples
Acne Scars
Acne Blue Light
StarLux Acne Laser
Skin Rejuvenation
Age Spots
Pigmentation
Rosacea/Redness
Vein Treatment
Non-Surgical Face Lift
Titan Tummy Tuck
Vibradermabrasion
Tattoo Removal
Brown Spots

Cosmetic &
Dermatology:
Portrait PSR *NEW*
LipoDissolve
Acne Medicinal
Cryosurgery
Nu-Look™ Skin Peels
Poison Ivy
Sclerotherapy
Skin Cancers
Microdermabrasion
Skin Lesions
BOTOX®

Instructions:
Pre-Treatment
Post-Treatment

Skin Type Chart
Patient Forms
FAQS
Directions
Insurance Info
Before & After Pics

Pre- & Post-Treatment Instructions

Exclusion Criteria Summary (Should Be Read By All Patients)

Acne Laser Treatment (Pre-Treatment) (Post-Treatment)

Laser Hair Removal (Pre-Treatment) (Post-Treatment)

Laser Skin Rejuv/Photofacials/Non-Surgical Face Lifts (Pre-Treatment) (Post-Treatment)

Laser Vein Treatment (Pre-Treatment) (Post-Treatment)

Pigmented Lesions & Pigmentation Treatment (Pre-Treatment) (Post-Treatment)

Exclusion Criteria Summary For
Laser & Light-Based Services

· Unprotected sun exposure or use of tanning beds or creams. If you have had unprotected sun exposure in the areas to be treated in the last 4 weeks you must notify your treatment provider. Protected sun exposure means wearing of protective clothing or use of a SPF # 30 or greater sunscreen.

· Pregnancy - If you are pregnant you should not have any treatments with light based devices. Although there is no evidence at this time of fetal harm from a light-based system, the results of the treatment may be erratic/unreliable due to fluctuations in hormonal levels and changes in physiological conditions.

· Menstrual dysfunction - If you have menstrual dysfunction or are known to have elevated androgen levels you should see an endocrinologist for evaluation and possible medical treatment. You may tend to have excess hairiness due to your disease, which may respond to medical treatment.

· Use of mechanical epilation. Notify your treatment provider if you are seeking hair removal and have used a mechanical epilation method less than 6 weeks prior to treatment. This includes plucking, waxing, tweezing, electrolysis or sugaring.

· Allergies - Inform your treatment provider of any allergies to medications, latex, foods or other substances.

· History of seizures -If you have a history of seizures or are taking anti-seizure medication you should not have treatments with a light based device. Flashing lights may trigger a seizure.

· Medications- Inform your treatment provider of both prescription and non-prescription medications you are taking. Be sure to include herbal and natural remedies as some may cause photosensitivity. Consumers should not be taking Accutane, anti-coagulants or St. John's wort. We also prefer to avoid the tetracycline class of drugs during treatments.

· History of keloid & hypertrophic scar formation - Although scarring is rare, picking or pulling off of scabs or crusting can result in scarring. For this reason it is recommended to exclude you from the treatment if you have a known tendency to form keloid or hypertrophic scars.

· Active infections/Immunosuppression - Active infections and immunosuppression
compromise the healing ability of the body. If you currently have an active infection your treatment will be postponed until the infection is cleared.

· Open lesions - Treatment should only be done on intact, healthy skin.

· Herpes I or II within the treatment area. If you have a history of herpes outbreaks in the area of treatment you should consult your Primary Care Provider for medical evaluation and possible prophylaxis prior to treatment.

· Tretinoin (Retin-Aä, Renovaä): Although tretinoin use in the area to be treated is not absolutely contraindicated, it is however, known to make skin more sensitive and prone to exfoliation. You are advised to discontinue use of tretinoin and other skin exfoliating products 2 weeks before and during the course of treatment.

· Oral isotretinoin/Accutane - You will be excluded from treatments with the light based device if you have taken Accutane within the preceding 6 months. Accutane changes the underlying structure of the skin, which may cause unreliable results. It may also increase skin sensitivity to light.

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Acne Laser Spectrum Light Therapy

Pre-treatment Instructions:

· Discontinue sun tanning and the use of tanning beds and self-tanning creams four weeks
before the treatment session. This will reduce the chance of skin color changes.

· Always use a SPF-30 or greater sunscreen on all exposed treatment areas and re-apply as
necessary. Wear protective, light-occluding hats and clothing.

· Discontinue use of exfoliating creams such as Retin-A and other skin exfoliating
products two weeks prior to each treatment session. Avoid tetracycline products or
other photosensitizing medications for at least 1 week before each treatment session.

· If you have a history of herpes outbreaks in the area of treatment you should consult
either your Primary Care Provider or the Kansas City Skin Care & LipoDissolve physician for medical evaluation and possible prophylaxis prior to treatment.

· Be aware there is the possibility of coincidental hair loss when treating acne
lesions in hair bearing areas.

· Topical anesthetics are generally not needed for this procedure.

· Please do not wear make-up on the areas to be treated, or at least wash it off prior to
being seen by the laser specialist.

· If excessive hair is present over the lesions to be treated it should be shaved/removed at
least 24-48 hours prior to treatment so as not to absorb laser or pulsed light.

· Some people find it helpful to simply take two or three plain Tylenol or two or three
OTC Advil (ibuprofen) 2 hours before coming in for treatment. Some women who find
that they are less sensitive after their menses prefer to schedule their treatment sessions
to avoid the premenstrual and menstrual time. You will be less sensitive if you are well
rested, well fed, and not thirsty when you have your treatment. You should pamper
yourself on laser days!

· During the treatment, remember that: “We want to be doing this FOR you, not doing it
TO you.” Unexpected discomfort is Nature’s way of telling us something is wrong, so
please tell us and we will go slower, apply more cooling, or adjust the power of the laser
for you.

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Acne Laser Spectrum Light Therapy

Post- Treatment Instructions:

· A mild sunburn-like sensation is expected. This usually last 2-24 hours but can persist
up to 72 hours. Mild swelling and/or redness may accompany this, which usually
resolves in 2-3 days. In some cases, prolonged redness or blistering may occur. A non-
steroidal anti-inflammatory (such as ibuprofen or naproxen) or acetaminophen will help
reduce discomfort. Take according to manufacturer’s directions.

· Apply cold gel packs or cool wet clothes to treatment areas for 15 minutes every two to
four hours until symptoms subside.

· Bathe or shower as usual. Treated areas may be temperature sensitive. Cool showers
or baths will offer relief.

· Avoid aggressive scrubbing and use of exfoliants, scrub brushes and loofa sponges until
the treatment area has returned to its pre-treatment condition.

· Follow-up treatments are usually performed at 4 week intervals.

· Blistering or scaling is very uncommon, but usually resolves
over a few days or a week with a bit of Polysporin cream several times a day. If
blistering occurs, apply topical antibiotic to the area two times a day until healed.

· Use SPF-30 sunscreen on treated areas if sun exposure is unavoidable. Sun avoidance
will decrease the likelihood of skin color changes.

· Avoid shaving, waxing, swimming, hot tub/Jacuzzi, and do not apply any cosmetics to
the treated area while irritated. Avoid excessive exercise until the redness resolves.

· Acne medications may be used after the redness or irritation resolves. Remember to
follow the pre-treatment instructions prior to each treatment session.

· Report any unusual symptom to your physician or the laser clinic.

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Laser Hair Removal

Pre-treatment Instructions:

· Please refrain from waxing, tweezing/plucking, sugaring, electrolysis, or other epilation
methods for at least four to six weeks before treatment because hair follicles that do not have
hair shafts in them to absorb laser energy will not be killed by the laser energy.

· Please try to minimize sun exposure/tanning for a week or two before treatment if being
treated with the Nd:YAG laser. Minimizing sun exposure/tanning for four weeks prior to
treatment with the pulsed light hair removal system. Sun exposure or a fresh tan can interfere
with the effectiveness of the laser/light treatment.

· Please shave or closely clip the areas to be treated 4-24 hours before hair removal treatment
is to occur in order to minimize sensitivity. Shaving before you come in also allows you to
shape the exact area you want treated—this is sometimes very useful in areas like the hairline
and sideburns, and in the bikini area. Excess hair above the surface of the skin absorbs and
wastes laser energy, and reduces the amount of energy that reaches the hair root, where it is
really needed. Excess hair above the surface of the skin also increases the chance of burning
or irritating the skin.

· Always use a SPF-30 or greater sunscreen on all exposed treatment areas and re-apply as
necessary. Wear protective, light-occluding hats and clothing.

· Discontinue use of exfoliating creams such as Retin-A and other skin exfoliating
products two weeks prior to and during the entire treatment course.

· If you have a history of herpes outbreaks in the area of treatment you should consult
either your Primary Care Provider or the office physician for medical evaluation
and possible prophylaxis prior to treatment.

· Topical anesthetics are generally not needed for this procedure.

· Please do not wear make-up on the areas to be treated, or at least wash it off prior to
being seen by the laser specialist.

· Some people find it helpful to simply take two or three plain Tylenol to help relieve
discomfort 2 hours before coming in for treatment. Some women who find
that they are less sensitive after their menses prefer to schedule their treatment sessions
to avoid the premenstrual and menstrual time. You will be less sensitive if you are well
rested, well fed, and not thirsty when you have your treatment. You should pamper
yourself on laser days!

· During the treatment, remember that: “We want to be doing this FOR you, not doing it
TO you.” Unexpected discomfort is Nature’s way of telling us something is wrong, so
please tell us and we will go slower, apply more cooling, or adjust the power of the laser/light
energy for you.

· Finally, it is always best to relax and think about pleasant things—try to avoid being
apprehensive. Remember…you are doing this to feel better about yourself.

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Laser Hair Removal

Post- Treatment Instructions:

· A mild sunburn-like sensation is expected. This usually last 2-24 hours but can persist
up to 72 hours. Mild swelling and/or redness may accompany this, which usually
resolves in 2-3 days. In some cases, prolonged redness or blistering may occur. A non-
steroidal anti-inflammatory (such as ibuprofen or naproxen) or acetaminophen will help
reduce discomfort. Take according to manufacturer’s directions.

· Apply cold gel packs or cool wet clothes to treatment areas for 15 minutes every two to
four hours until symptoms subside.

· Bathe or shower as usual. Treated areas may be temperature sensitive. Cool showers
or baths will offer relief.

· Avoid aggressive scrubbing and use of exfoliants, scrub brushes and loofa sponges until
the treatment area has returned to its pre-treatment condition.

· Appearance of hair growth or stubble will continue for 7-30 days post-treatment. This is
not new hair growth, but the treated hairs being expunged/purged from the skin.

· Hairs that were in the resting phase at the time of treatment may enter the active phase in
one to six months depending on the body area.

· Follow-up treatments are usually performed at six to twelve week intervals or within one
to two weeks of new hair growth.

· Blistering or scaling after laser hair removal is very uncommon, but usually resolves
over a few days or a week with a bit of Polysporin cream several times a day. If
blistering occurs, apply topical antibiotic to the area two times a day until healed.

· Use SPF-30 sunscreen on treated areas if sun exposure is unavoidable. Sun avoidance
will decrease the likelihood of skin color changes.

· Avoid shaving, waxing, swimming, hot tub/Jacuzzi, and do not apply any cosmetics to
the treated area while irritated. Avoid excessive exercise until the redness resolves.

· Shaving, depilatory creams (such as Nair or Neet) or bleaching are OK between
laser/pulsed light treatments. Tweezing/plucking, waxing, sugaring, electrolysis, etc.
should be avoided because theses things could reduce the effectiveness of you next
laser/pulsed light treatment. It is important for the untreated hairs to remain in the
follicles for the subsequent treatments.

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Laser Skin Rejuvenation/Photofacials/Non-Surgical Face-lift

Pre-treatment Instructions:

· Discontinue sun tanning and the use of tanning beds and self-tanning creams at least 1 week before and after treatment with the Vantage Laser. For Intense Pulsed Light, one should generally avoid the sun for at least 4 weeks.

· Always use a SPF-30 or greater sunscreen on all exposed treatment areas and re-apply as
necessary. Wear protective, light-occluding hats and clothing.

· Discontinue use of exfoliating creams such as Retin-A and other skin exfoliating
products two weeks prior and 2 weeks after each treatment course.

· If you have a history of herpes outbreaks in the area of treatment you should consult
either your Primary Care Provider or the clinic physician for medical evaluation
and possible prophylaxis prior to treatment.

· Be aware there is the possibility of coincidental hair loss when using Intense Pulsed Light systems.

· Topical anesthetics are generally not needed for this procedure.

· Please do not wear make-up on the areas to be treated, or at least wash it off prior to
being seen by the laser specialist.

· Some people find it helpful to simply take two or three plain Tylenol or two or three
OTC Advil (ibuprofen) 2 hours before coming in for treatment. Some women who find
that they are less sensitive after their menses prefer to schedule their treatment sessions
to avoid the premenstrual and menstrual time. You will be less sensitive if you are well
rested, well fed, and not thirsty when you have your treatment. You should pamper
yourself on laser days!

· During the treatment, remember that: “We want to be doing this FOR you, not doing it
TO you.” Unexpected discomfort is Nature’s way of telling us something is wrong, so
please tell us and we will go slower, or adjust the power of the laser for you.

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Laser Skin Rejuvenation

Post- Treatment Instructions:

· A mild sunburn-like sensation is expected. This usually last 2-24 hours but can persist
up to 72 hours. Mild swelling and/or redness may accompany this, which usually
resolves in 2-3 days. In some rare cases, prolonged redness or blistering may occur. A non-steroidal anti-inflammatory (such as ibuprofen or naproxen) or acetaminophen will help reduce discomfort. Take according to manufacturer’s directions.

· Apply cold gel packs or cool wet clothes to treatment areas for 15 minutes every two to
four hours until symptoms subside.

· Bathe or shower as usual. Treated areas may be temperature sensitive. Cool showers
or baths will offer relief.

· Avoid aggressive scrubbing and use of exfoliants; avoid scrub brushes and loofa sponges until the treatment area has returned to its pre-treatment condition.

· Follow-up treatments are usually performed at 3-4 week intervals.

· Blistering or scaling is very uncommon, but if it occurs, usually resolves
over a few days or a week with a bit of Polysporin cream several times a day. If
blistering occurs, apply topical antibiotic to the area two times a day until healed.

· Use SPF-30 sunscreen on treated areas if sun exposure is unavoidable. Sun avoidance
will decrease the likelihood of skin color changes.

· Avoid shaving, waxing, swimming, hot tub/Jacuzzi, and do not apply any cosmetics to
the treated area until redness goes away. Avoid excessive exercise until the redness resolves. You may use aloe vera lotion or your favorite moisturizer to sooth any irritated skin. Acetaminophen, ibuprofen, or naproxen may be used as needed, for any minor discomfort.

·Report any unusual symptoms to your physician or to the laser clinic.

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Vein Laser Treatments

Pre-treatment instructions:

1. Please try to minimize tanning for a week or two before treatment: a fresh tan can interfere a bit with the effectiveness of the laser/pulsed light treatment, though this is less of a problem with the newer long wavelength lasers, than with older, short wavelength lasers.

2. Please do not wear makeup on the areas to be treated, or at least wear makeup that is easy to remove before treatment so that we can easily see all the vessels you would like to get rid of. If makeup absorbs laser energy, less energy will reach your unwanted blood vessels, and if the makeup heats up it could irritate or burn your skin. Makeup can be re-applied immediately after laser treatment, very gently, if you wish.

3. Please shave or clip the areas to be treated the day before treatment or on the morning of treatment. This way, the skin will be less sensitive. Excess hair above the surface of the skin absorbs and wastes laser energy, and reduces the amount of energy that reaches the unwanted blood vessels where it is really needed. Excess hair above the surface of the skin also increases the chance of burning or irritating the skin. We prefer you shave 24 hours before, but at the very least try and shave a minimum of 4 hours before the laser sessions.

4. Some people find it helpful to simply take two or three plain Tylenol 2 hours before coming in for treatment. Some women who find that they are less sensitive after their menses prefer to schedule their treatment sessions to avoid the premenstrual and menstrual time. You will be less sensitive if you are well rested, well fed, and not thirsty when you have your treatment. You should pamper yourself on laser days!

During the treatment, remember that: “We want to be doing this FOR you, not doing it TO you.” Unexpected discomfort is Nature’s way of telling us something is wrong, so please tell us and we will go slower, apply more cooling, or adjust the power of the laser for you.

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Vein Laser Treatments

Post-treatment instructions:

1. Redness often has faded greatly within a day or two. It would not be uncommon for the skin to be slightly drier that evening and to require more of your favorite moisturizer or aloe vera cream or lotion. The treated blood vessels may appear slightly more obvious for the next week or two, but this is seldom a cosmetic problem, and generally much less obvious than after injection sclerotherapy. Masking or concealer cosmetics may be used as necessary, but do not overly rub or irritate the vessels that have been treated.

2. Try to avoid tanning for a week or two after treatment, because occasionally the tan could be somewhat irregular (lighter and/or darker in the treated areas.) and sunscreens are always smart options to protect your skin.

3. You do not need to purchase expensive support stockings or special creams, and there is no special routine for you to follow, except if larger vessels are also treated by sclerotherapy with combination treatments with lasers, then you may be encouraged to wear support hose for several weeks.

4. Blistering or scaling after laser/pulsed light treatments with longer wavelengths of light for removal of blood vessels is very rare, but usually resolves over a few days or a week with a bit of Polysporin or aloe vera cream several times a day. Please call us if you feel you are having any unusual reactions, or if you have any other problems or questions.

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Benign Pigmented Lesions & Treatments For Pigmentation

Pre-treatment Instructions:

· Discontinue sun tanning and the use of tanning beds and self-tanning creams four weeks
before and throughout the treatment course. This will reduce the chance of skin color
changes, and development of new lesions.

· Always use a SPF-30 or greater sunscreen on all exposed treatment areas and re-apply as
necessary. Wear protective, light-occluding hats and clothing.

· Discontinue use of exfoliating creams such as Retin-A and other skin exfoliating
products two weeks prior to and during the entire treatment course.

· If you have a history of herpes outbreaks in the area of treatment you should consult
either your Primary Care Provider or the clinic physician for medical evaluation
and possible prophylaxis prior to treatment.

· An accurate diagnosis by a skin care physician of brown spots prior to treatment is
necessary before treatment of lesions.

· Be aware there is the possibility of coincidental hair loss when treating pigmented
lesions in hair bearing areas.

· Topical anesthetics are generally not needed for this procedure.

· Please do not wear make-up on the areas to be treated, or at least wash it off prior to
being seen by the laser specialist.

· If excessive hair is present over the lesions to be treated it should be shaved/removed at
least 24-48 hours prior to treatment so as not to absorb laser or pulsed light.

· Some people find it helpful to simply take two or three plain Tylenol or two or three
OTC Advil (ibuprofen) 2 hours before coming in for treatment. Some women who find
that they are less sensitive after their menses prefer to schedule their treatment sessions
to avoid the premenstrual and menstrual time. You will be less sensitive if you are well
rested, well fed, and not thirsty when you have your treatment. You should pamper
yourself on laser days!

· During the treatment, remember that: “We want to be doing this FOR you, not doing it
TO you.” Unexpected discomfort is Nature’s way of telling us something is wrong, so
please tell us and we will go slower, apply more cooling, or adjust the power of the laser
for you.

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Benign Pigmented Lesions & Treatments For Pigmentation

Post- Treatment Instructions:

· A mild sunburn-like sensation is expected. This usually last 2-24 hours but can persist
up to 72 hours. Mild swelling and/or redness may accompany this, which usually
resolves in 2-3 days. In some cases, prolonged redness or blistering may occur. A non-
steroidal anti-inflammatory (such as ibuprofen or naproxen) or acetaminophen will help
reduce discomfort. Take according to manufacturer’s directions.

· Apply cold gel packs or cool wet clothes to treatment areas for 15 minutes every two to
four hours until symptoms subside.

· Bathe or shower as usual. Treated areas may be temperature sensitive. Cool showers
or baths will offer relief.

· Avoid aggressive scrubbing and use of exfoliants, scrub brushes and loofa sponges until
the treatment area has returned to its pre-treatment condition.

· Follow-up treatments are usually performed at 4-6 week intervals.

· Blistering or scaling is very uncommon, but usually resolves
over a few days or a week with a bit of Polysporin cream several times a day. If
blistering occurs, apply topical antibiotic to the area two times a day until healed.

· Use SPF-30 sunscreen on treated areas if sun exposure is unavoidable. Sun avoidance
will decrease the likelihood of skin color changes.

· Avoid shaving, waxing, swimming, hot tub/Jacuzzi, and do not apply any cosmetics to
the treated area while irritated. Avoid excessive exercise until the redness resolves.

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OUR OFFICE WANTS TO CARE FOR YOU, AND HELP YOU TRY TO LOOK YOUR BEST. PLEASE CALL US FOR A PHYSICIAN CONSULTATION FOR LASER SERVICES: FOR LASER HAIR REMOVAL, LASER SPECTRUM LIGHT ACNE TREATMENTS, LASER PHOTO FACIALS AND SKIN REJUVENATION FOR WRINKLES, AGE SPOTS, REDNESS, ROSACEA, PIGMENTATION, AND FOR LASER TREATMENTS FOR VEINS AND SPIDER VEINS.

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