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• Immune system disorder

• Hypertrophic scarring or keloid formation

• Patients that are pregnant, may be pregnant or breast feeding

• Persons with unhealthy psychology

• Persons taking aspirin or antioxidant.

• Abnormal blood coagulation

• Light sensitive skin

• Diabetes mellitus, skin cancer, psoriasis, eczema or dermatitis

• Active infection or history of herpes simplex Coagulation disorders.

• Patients with unrealistic expectations

• Patients unwilling or unable to follow post treatment care instructions.

• Allergic to topical anesthetics, antibiotics or similar medications.

• Use of Accutane within previous 12 months.

Treatment contraindications
  • If you have rosacea or significant vascular lesions, the condition should be treated and resolved prior to receiving an erbium peel procedure.

  • Several treatments (3-5) are recommended every two to four weeks.

  • The patient may see lightening of defined pigmented areas.

  • Skin improvements are subtle and will begin to be evident after a series of treatments.

  • Some erythema may last from a few hours to a few days.

  • Hyperpigmentation may occur if the patient does not avoid sun exposure. The patient must use sun block of at least SPF45 on a daily basis and not receive direct sun or artificial sun light for at least 6

  • weeks post treatment.

  • Disclose any new medications you may begin using during your treatment program.

  • Treatments cannot be performed on areas with a suntan or sunburn. Avoid direct exposure to the sun, tanning beds 4 weeks prior to treatment. A broad-spectrum sunscreen of SPF 30 or higher should be applied to any treatment area exposed to the sun.

  • Discuss and disclose any healing disorders such as caused by diabetes mellitus, connective tissue disease or radiation/ chemotherapy.

  • Disclose and discuss if there is an active infection or history of herpes simplex of the lips, mouth or face.

  • Do not proceed with the skin resurfacing treatment if you are pregnant or breast feeding.

  • Discuss and disclose allergies to topical anesthetics, antibiotics, or other medications.

  • Do not proceed with the treatment if isotrentinoin (Accutane) has been used within the past 12 months.

  • Discuss the history of any hypertophic scarring or keloid formations or other skin conditions.

If you purchased our ALASTIN Skin Resurfacing kit (we highly recommend). See the following guideline. Skin resurfacing kits are available in office for pick up or you can order online at

SKIN Preparation: Start 7-14 Days Pre-Procedure

Preparing and stimulating the skin 7-14 days achieves optimal condition prior to your skin resurfacing procedure. Pre-conditioning can help create healthier skin to support the renewal of skin post-procedure.


Mild erythema (redness) will be present in the treatment area and can last from a few hours up to a few days. Treatment areas almost always become erythematous. Immedicately following th e procedure, patients will experience a mild sunburn sensation that may include some mild discomfort. Most patients do not feel any significant discomfort, however, an ice pack (not direct ice) maybe applied to help soothe areas with discomfort. ​

  • DO NOT expose the skin to direct sunlight or artificial light (tanning bed) for at least 6-weeks post procedure. Edema or erythema may occur. It normally subsides within three months. While rare, the treatment area may blister or become ulcerated. If this occurs, consult the treating physician.

  • While rare; post-inflammatory hyperpigmentation may occur. This will normally diminish within three months.

  • Avoid chlorine, hot tubs and swimming pools during the treatment program. Shower as usual but be aware that the treated area may be a little temperature sensitive.

  • Avoid the use of exfoliants, loofah sponges and aggressive scrubbing to the treated areas.

  • Mild hyperpigmentation (rarely occurs)

  • Mild to moderate, postoperative acne flare-up (rarely occurs)

  • Scabbing/crusting/peeling can occur. If it does do NOT pick at it. Scaring can occur from picking at healing skin. Continue using Nectar and Recovery balm  or neosporin until the skin has completely healed.

  • If severe redness, pain or signs of infection present call our office.

  • Make up may be applied over the treated area 48 hours after procedure as long as the skin is no longer red.

  • Avoid shaving the treated area for 48 hours after the procedure.


Immediately After Procedure:

  • We will apply Nectar cream immediately after the procedure

  • We will apply Soothe + Protect Recovery Balm

Evening of Procedure:

  • Cleanse with Gentle Cleanser (As directed by provider)

  • Apply Regenerating Skin Nectar with TriHex Technology

  • Apply Soothe + Protect Recovery Balm

Daily Product Usage for Days 2-10 post-procedure:

(if the neck, chest or other areas of the body treated, this process could take up to two weeks)


  • Cleanse with Gentle Cleanser

  • Apply Regenerating Skin Nectar with TriHex Technology

  • Apply Soothe + Protect Recovery Balm 2-3 times/day or as needed

  • Morning Only: Apply Broad Spectrum SPF 30+ or Hydratint Pro Mineral SPF 36

Daily Product Usage Day 11 and beyond following procedure:


  • Cleanse with Gentle Cleanser

  • Apply Regenerating Sin Nectar with TriHex Technology

  • Apply Ultra Nourishing Moisturizer with TriHex Technology

  • Morning Only: Apply Board Spectrum SPF 30+ or Hydratint Pro Mineral SPF 36

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