Neurotoxin Treatment (Xeomin® & Dysport®)

Neuromodulator treatments such as Xeomin® and Dysport® help relax targeted facial muscles to soften the appearance of fine lines and wrinkles. Following these instructions can help optimize your results and minimize the risk of bruising or complications.

Before Your Appointment

• For 7 days before treatment, avoid non-essential blood-thinning medications and supplements that may increase bruising, including:

  • Aspirin

  • Ibuprofen (Advil®, Motrin®)

  • Naproxen (Aleve®)

  • Ginkgo biloba

  • Garlic supplements

  • Flaxseed oil

  • Fish oil or cod liver oil

  • Vitamin E

  • Other essential fatty acid supplements

• Do not discontinue any prescription medications without first consulting your prescribing provider.

After Your Treatment

For the first 24 hours, avoid:

• Strenuous exercise

• Excessive sweating

• Sun exposure

• Tanning beds

• Saunas and hot tubs

• Alcoholic beverages

• Massaging, rubbing, or applying pressure to treated areas

• Extreme heat or cold exposure

Additional post-treatment instructions:

• Remain upright for at least 4 hours after treatment.

• Avoid lying down, bending forward excessively, or placing pressure on the treated areas for 4 hours.

• You may apply makeup immediately after treatment if desired.

• Avoid facials, facial massage, microdermabrasion, and other facial treatments for 14 days.

• If needed, acetaminophen (Tylenol®) may be used for discomfort unless otherwise directed by your provider.

• Blood-thinning supplements such as fish oil, garlic, ginkgo biloba, flaxseed oil, and vitamin E may be resumed 48 hours after treatment.

What to Expect

• Mild redness, swelling, tenderness, or small bumps at the injection sites are normal and typically resolve within a few hours.

• Temporary bruising may occur and usually resolves within several days.

• Initial improvement is often noticeable within 4–5 days.

• Full results may take up to 14 days to develop.

• Results typically last approximately 3–4 months, although duration varies based on individual factors such as metabolism, activity level, treatment area, dosage, and muscle strength.

When to Contact Your Provider

Please contact our office if you experience:

• Significant swelling or worsening redness

• Severe pain

• Signs of infection

• Difficulty swallowing, speaking, or breathing

• Vision changes

• Any unexpected or concerning symptoms following treatment

Important Reminder

Neuromodulator treatments are temporary and require ongoing maintenance to preserve results. Please allow a full 14 days for your treatment to take effect before evaluating your results or requesting adjustments. Consistent treatment intervals, as recommended by your provider, can help maintain smoother, longer-lasting results.

Dermal fillers are used to restore volume, enhance facial contours, and soften lines and folds. Following these instructions can help optimize your results and minimize the risk of bruising, swelling, and other complications.

Before Your Appointment

• For 7 days before treatment, avoid non-essential blood-thinning medications and supplements that may increase bruising, including:

  • Aspirin

  • Ibuprofen (Advil®, Motrin®)

  • Naproxen (Aleve®)

  • Ginkgo biloba

  • Garlic supplements

  • Flaxseed oil

  • Fish oil or cod liver oil

  • Vitamin E

  • Other essential fatty acid supplements

• Avoid chemical peels, laser treatments, and other exfoliating or resurfacing procedures in the treatment area for 1–2 weeks before your appointment.

• Do not discontinue any prescription medications without first consulting your prescribing provider.

After Your Treatment

For the first 24 hours, avoid:

• Strenuous exercise

• Excessive sweating

• Sun exposure

• Tanning beds

• Saunas and hot tubs

• Alcoholic beverages

• Massaging, rubbing, or applying pressure to treated areas

• Extreme cold exposure

Additional post-treatment instructions:

• Blood-thinning supplements such as fish oil, garlic, ginkgo biloba, flaxseed oil, and vitamin E may be resumed 48 hours after treatment.

• Avoid chemical peels, laser treatments, microneedling, and other facial procedures in the treated area for at least 1 week before and after filler treatment unless otherwise directed by your provider.

• Avoid unnecessary pressure on the treated area for the first 24 hours.

What to Expect

• Mild swelling, redness, tenderness, and bruising are common and typically improve within several days.

• Some areas may appear uneven or slightly overcorrected immediately after treatment due to swelling.

• Small lumps or firmness may be present during the healing process and often soften as the filler settles.

• Final results are typically visible within 1–2 weeks once swelling has resolved.

• Results vary based on the type of filler used, treatment area, metabolism, and individual anatomy.

When to Contact Your Provider

Please contact our office immediately if you experience:

• Significant or worsening pain

• Severe swelling

• Blanching or whitening of the skin

• Skin discoloration that appears gray, purple, or mottled

• Signs of infection, including increasing redness, warmth, drainage, or fever

• Vision changes

• Any unexpected or concerning symptoms following treatment

Important Reminder

Dermal filler treatments provide immediate enhancement, but your final results should not be evaluated until swelling has fully resolved. Healing times vary from person to person. Following your provider's instructions and attending recommended follow-up appointments can help ensure the safest treatment experience and the best possible outcome.

XERF™ RADIOFREQUENCY TREATMENT

PRE- & POST-TREATMENT INSTRUCTIONS

XERF™ is a non-invasive radiofrequency treatment designed to heat targeted tissue and stimulate collagen remodeling for firmer, smoother, more youthful-looking skin. There is no required downtime, and most patients can return to their normal activities immediately following treatment.

BEFORE YOUR TREATMENT

Arrive with clean skin in the treatment area, free of makeup, lotions, oils, and skincare products.

Avoid applying self-tanner to the treatment area before treatment.

XERF™ does not target melanin; however, treatment should not be performed on actively sunburned or recently heavily tanned skin. We recommend diligent use of a broad-spectrum SPF 30 or higher before and after treatment and minimizing excessive sun exposure.

Inform your provider before treatment if you have any active skin irritation, infection, open wounds, or other changes in the treatment area.

Let your provider know about any recent cosmetic or aesthetic treatments performed in the area being treated. Your provider will determine whether an appropriate amount of time has passed before receiving XERF™.

Stay well hydrated before your appointment.

AFTER YOUR TREATMENT

XERF™ requires no downtime, and most patients can return to normal activities immediately.

Mild redness, warmth, or sensitivity may occur temporarily following treatment and should generally resolve on its own.

Keep the treated area clean and moisturized. Use a broad-spectrum SPF 30 or higher daily and minimize excessive sun exposure.

If your skin feels warm or sensitive, avoid excessive heat, including hot tubs, saunas, steam rooms, and very hot showers, for the remainder of the day.

Avoid aggressive exfoliation, scrubs, or irritating skincare products on the treated area for approximately 24 hours or until the skin feels comfortable.

Resume your normal skincare routine as tolerated.

Makeup may generally be applied immediately after treatment if the skin is comfortable.

WHAT TO EXPECT

XERF™ uses radiofrequency energy to heat targeted tissue and stimulate collagen remodeling. The treatment delivers controlled radiofrequency energy to the skin and underlying tissue to encourage the body's natural collagen-building response.

Some patients notice an immediate improvement in skin tightness following treatment. Longer-term improvements develop gradually as new collagen is produced and remodeled over the following weeks and months.

Results vary from patient to patient and depend on factors such as age, skin condition, treatment area, and individual response. A series of treatments may be recommended to achieve optimal results.

WHEN TO CONTACT YOUR PROVIDER

Contact our office if you experience symptoms that are unusual, persistent, or worsening after treatment, including significant or increasing redness, swelling, pain, blistering, skin changes, or any other unexpected reaction that causes concern.

IMPORTANT REMINDER

XERF™ is designed to stimulate collagen remodeling and improve skin firmness and overall skin quality over time. While some improvement may be visible immediately, optimal results develop gradually. Following your provider's recommendations and completing your recommended treatment series can help maximize your results.

Clarity II™ Laser Hair Removal

Pre- & Post-Treatment Instructions

Clarity II™ laser hair removal uses advanced laser technology to target unwanted hair at the follicle. Because hair grows in different cycles, a series of treatments is typically needed to achieve optimal long-term hair reduction.

BEFORE YOUR TREATMENT

Avoid sun exposure and tanning.
Avoid direct sun exposure, tanning beds, sunless tanning lotions, and tanning creams before, during, and after your treatment series. Apply a broad-spectrum UVA/UVB sunscreen with SPF 30 or higher to treated areas whenever they may be exposed to the sun.

Important: Tanning can affect treatment safety.
Even a slight tan can increase the risk of unwanted skin reactions, including blistering, particularly when the Alexandrite (755 nm) wavelength is used. If you have a tan or recent significant sun exposure, treatment may need to be delayed until the tan has significantly faded. Your provider will determine the safest wavelength and treatment settings for your skin.

Shave the treatment area.
Shave the treatment area within 24 hours before your appointment. Do not wax, tweeze, thread, or use other hair-removal methods that remove the hair from the follicle. The laser needs the hair follicle present to effectively target it.

Avoid leaving long hair above the surface of the skin. Overlying hair can absorb laser energy and may increase the risk of superficial thermal irritation.

Arrive with clean skin.
Remove all makeup, lotion, deodorant, oils, sunscreen, and other products from the treatment area before your appointment. The skin should be clean and completely dry prior to treatment.

History of hyperpigmentation.
If you have a history of developing hyperpigmentation after skin injuries or treatments, your provider may recommend a topical bleaching preparation before treatment. This should only be used as directed by your physician.

History of herpes or cold sores.
If you have a history of herpes or cold sores in or near the treatment area, please notify your provider before treatment. Preventive treatment may be recommended.

Skin evaluation.
Any suspicious skin lesions or lesions that are irregular in color, size, or shape should not be treated without appropriate medical evaluation.

AFTER YOUR TREATMENT

Mild redness, swelling, warmth, or sensitivity around the treated hair follicles is common following laser hair removal. These effects generally resolve within several hours, although some areas may remain mildly irritated for longer.

A cool compress may be used as needed for comfort. Do not apply ice directly to the skin.

Protect treated skin from the sun.
Continue to avoid tanning and unnecessary sun exposure throughout your treatment series. Apply a broad-spectrum SPF 30 or higher whenever treated skin is exposed to the sun.

Be gentle with your skin.
Avoid excessive heat, hot tubs, whirlpools, and activities that cause significant heat or irritation immediately following treatment. Follow any additional instructions provided by your treatment provider.

Do not wax or tweeze between treatments.
Shaving is permitted between treatments. Avoid waxing, tweezing, threading, or electrolysis because these methods remove the follicle targeted by the laser.

Hair shedding is normal.
Treated hairs will gradually shed from the follicle over the days and weeks following treatment. Do not pull or tweeze treated hairs as they shed.

YOUR TREATMENT SERIES

Laser hair removal works most effectively when hair is in the active growth phase. Since hairs are not all growing at the same time, multiple treatments are necessary. Your provider will recommend the appropriate treatment interval based on the area being treated, your hair growth pattern, skin type, and response to treatment.

Results vary from patient to patient. Laser hair removal is intended to provide long-term hair reduction, and maintenance treatments may be recommended.

WHEN TO CONTACT US

Contact HollaceMD if you experience significant blistering, unusual pain, persistent swelling, signs of infection, or any reaction that concerns you following treatment.

Please contact our office before treatment if you have had recent sun exposure, tanning, a sunburn, or any changes to your medications or skin.

Genius® RF Microneedling combines radiofrequency energy with microneedling to stimulate collagen production, improve skin texture, reduce fine lines, and address acne scars, skin laxity, and other signs of aging. Following these instructions can help optimize your results and minimize the risk of complications.

Before Your Appointment

• Stay well hydrated before your treatment.

• To help reduce the risk of post-inflammatory hyperpigmentation, your provider may recommend a pigment-suppressing product (such as hydroquinone) and daily sunscreen use for two weeks before treatment, especially for patients with darker skin tones.

• Do not discontinue any prescription or over-the-counter medications without first consulting your prescribing provider.

For at least 2 weeks before treatment, avoid:

• NSAIDs (such as ibuprofen and naproxen)

• Iron supplements

• Herbal supplements that may increase bleeding or sensitivity, including ginkgo, ginseng, garlic, and St. John's Wort

• Tetracycline antibiotics (such as doxycycline)

• Medications that may increase photosensitivity, unless approved by your prescribing provider

• Excessive sun exposure

• Tanning beds

• Spray tanning or self-tanning products

• Wrinkle relaxer injections in the treatment area

• Professional skin treatments in the treatment area

• Retinol, retinoids, AHAs, BHAs, and other active exfoliating products

Additional preparation instructions:

• Avoid dermal filler treatments in the treatment area for at least 6 weeks before treatment.

• If you have a history of cold sores (herpes simplex), notify your provider. Preventive antiviral medication may be recommended.

• Arrive with clean skin free of makeup, skincare products, lotions, sunscreen, or fragrance.

• If treatment includes a hair-bearing area, please arrive freshly shaved.

After Your Treatment

• Apply a gentle moisturizer as recommended by your provider.

• A cool compress or towel-wrapped ice pack may be used to reduce discomfort and swelling.

• Avoid picking, scratching, or exfoliating treated skin.

• Avoid harsh skincare products, exfoliants, retinoids, and alcohol-based products for 2 weeks or until cleared by your provider.

• After 24 hours, you may resume your normal skincare routine unless otherwise directed.

• Avoid vigorous exercise, excessive sweating, hot tubs, saunas, and excessive heat exposure for at least 1 week.

• Avoid direct sun exposure during the healing process.

• Beginning 24 hours after treatment, apply a broad-spectrum SPF 30 or higher daily and reapply as needed when outdoors.

• Wear protective clothing, hats, or seek shade whenever possible.

What to Expect

The following effects are common and expected after treatment:

• Redness similar to a mild sunburn

• Swelling

• Mild tenderness or discomfort

• Temporary pinpoint bleeding immediately following treatment

• Itching, dryness, or a warm sensation

• Mild crusting or rough texture that may develop within 1–5 days and gradually resolve over several days

• Occasional bruising, which may take 1–2 weeks to fade

Less commonly, patients may experience:

• Acne flare-ups

• Reactivation of cold sores

• Temporary track marks or small white bumps that generally resolve over time

• Temporary darkening or lightening of the skin during the healing process

When to Contact Your Provider

Please contact our office if you experience:

• Increasing redness, swelling, warmth, or pain after the first few days

• Signs of infection

• Persistent itching, irritation, or burning that worsens instead of improving

• Severe blistering

• Significant skin discoloration

• Fever or other concerning symptoms

• Any unexpected reaction that causes concern

Important Reminder

Results from RF microneedling develop gradually as your body produces new collagen and elastin. Multiple treatments are often recommended for optimal improvement. Protecting your skin from sun exposure before and after treatment is one of the most important factors in achieving the best possible outcome and reducing the risk of pigmentation changes.

LaseMD Ultra® is a non-ablative fractional laser treatment that helps improve skin tone, texture, pigmentation, sun damage, and overall skin quality. Following these instructions can help optimize your results and minimize the risk of complications.

Before Your Appointment

• Stay well hydrated before your treatment.

• To help reduce the risk of post-inflammatory hyperpigmentation, your provider may recommend a pigment-suppressing product (such as hydroquinone) and daily sunscreen use for two weeks before treatment, especially for patients with darker skin tones.

• Do not discontinue any prescription or over-the-counter medications without first consulting your prescribing provider.

For at least 2 weeks before treatment, avoid:

• NSAIDs (such as ibuprofen and naproxen)

• Iron supplements

• Herbal supplements that may increase bleeding or sensitivity, including ginkgo, ginseng, garlic, and St. John's Wort

• Tetracycline antibiotics (such as doxycycline)

• Medications that may increase photosensitivity, unless approved by your prescribing provider

• Excessive sun exposure

• Tanning beds

• Spray tanning or self-tanning products

• Wrinkle relaxer injections in the treatment area

• Professional skin treatments in the treatment area

• Retinol, retinoids, AHAs, BHAs, and other active exfoliating products

Additional preparation instructions:

• Avoid dermal filler treatments in the treatment area for at least 6 weeks before treatment.

• If you have a history of cold sores (herpes simplex), notify your provider. Preventive antiviral medication may be recommended.

• Arrive with clean skin free of makeup, skincare products, lotions, sunscreen, or fragrance.

• If treatment includes a hair-bearing area, please arrive freshly shaved.

After Your Treatment

• A warm, sunburn-like sensation is common for 1–2 hours after treatment.

• Apply a gentle, non-occlusive moisturizer frequently throughout the day as directed by your provider.

• A hydrating sheet mask may be used to help soothe the skin.

• Beginning the day after treatment, cleanse the skin gently and pat dry.

• Avoid scrubbing, rubbing, or picking at the treated area.

• Avoid retinol, retinoids, exfoliating acids, and other active skincare products for at least 2 weeks or until cleared by your provider.

• Avoid professional skin treatments in the treated area for at least 2 weeks.

• Avoid direct sun exposure during the healing process.

• Continue daily use of a broad-spectrum SPF 30 or higher and reapply as needed when outdoors.

• Wear protective clothing, hats, or seek shade whenever possible.

For 5–7 days, or until healing is complete, avoid:

• Strenuous exercise

• Excessive sweating

• Hot tubs

• Saunas

• Activities that generate significant heat

What to Expect

The following effects are common and expected after treatment:

• Redness similar to a mild sunburn

• Warmth or sensitivity for several hours

• Dryness and tightness

• A rough, sandpaper-like texture

• Mild crusting or flaking that typically resolves within 5–7 days

• Temporary darkening of pigmented areas before they improve

• Occasional breakouts related to skin dryness and healing

As the skin heals, it may appear brighter, smoother, and more even in tone and texture.

When to Contact Your Provider

Please contact our office if you experience:

• Increasing redness, swelling, warmth, or pain after the first few days

• Signs of infection

• Severe blistering or crusting

• Significant skin discoloration

• Fever or other concerning symptoms

• Any unexpected reaction that causes concern

Important Reminder

LaseMD Ultra treatments stimulate skin renewal and continued improvement over time. Protecting your skin from sun exposure before and after treatment is one of the most important factors in achieving optimal results and reducing the risk of pigmentation changes. Multiple treatments may be recommended depending on your skin concerns and treatment goals.

KeraLase™ combines LaseMD Ultra® laser technology with KeraFactor® growth factor serum to support healthier, fuller-looking hair. This treatment is designed to improve scalp health and optimize the environment for hair growth. Following these instructions can help maximize your results and minimize the risk of complications.

Before Your Appointment

• Stay well hydrated before your treatment.

• Do not discontinue any prescription or over-the-counter medications without first consulting your prescribing provider.

For at least 2 weeks before treatment, avoid:

• NSAIDs (such as ibuprofen and naproxen)

• Iron supplements

• Herbal supplements that may increase bleeding or sensitivity, including ginkgo, ginseng, garlic, and St. John's Wort

• Tetracycline antibiotics (such as doxycycline)

• Medications that may increase photosensitivity, unless approved by your prescribing provider

• Excessive sun exposure

• Tanning beds

• Spray tanning or self-tanning products

• Professional skin treatments in the treatment area

• Retinol, retinoids, AHAs, BHAs, and other active exfoliating products

Additional preparation instructions:

• If you have a history of cold sores (herpes simplex), notify your provider. Preventive antiviral medication may be recommended.

• Avoid excessive sun exposure to the scalp for 1 week before treatment.

• Avoid coloring your hair for 48 hours before treatment.

• Arrive with clean, dry hair.

• Wash your hair the night before or the morning of your appointment.

• Do not apply hair styling products on the day of treatment, including hairspray, mousse, gels, dry shampoo, root touch-up products, or scalp concealers.

After Your Treatment

• A warm, sunburn-like sensation of the scalp is common for 1–2 hours after treatment.

• KeraFactor® serum has no scent, dries naturally, and is designed to remain on the scalp after treatment.

• Allow your hair and scalp to air dry naturally following treatment.

• Leave the KeraFactor® serum on the scalp until the following day.

• You may resume your normal hair care routine and wash your hair the day after treatment.

• Wait at least 48 hours after treatment before coloring your hair.

• Avoid direct sun exposure to the scalp during the healing process.

• Wear a hat or seek shade when outdoors.

For 5–7 days, or until healing is complete, avoid:

• Strenuous exercise

• Excessive sweating

• Hot tubs

• Saunas

• Activities that generate significant heat

What to Expect

The following effects are common and expected after treatment:

• Mild redness of the scalp

• Warmth or sensitivity for several hours

• Mild tenderness

• Temporary dryness or itching

• A sunburn-like sensation for 1–2 hours after treatment

Some patients may notice temporary shedding of hairs that were already in the resting (telogen) phase of the hair growth cycle. While this does not occur in every patient, it can be a normal part of the hair renewal process and is typically temporary.

Hair restoration is gradual, and improvement is typically seen over a series of treatments. Individual results vary based on hair loss pattern, underlying causes of hair thinning, and adherence to the recommended treatment plan.

When to Contact Your Provider

Please contact our office if you experience:

• Increasing redness, swelling, warmth, or pain after the first few days

• Signs of infection

• Significant scalp irritation

• Excessive or prolonged shedding that concerns you

• Fever or other concerning symptoms

• Any unexpected reaction that causes concern

Important Reminder

KeraLase™ is designed to improve scalp health and support healthier, fuller-looking hair over time. Hair growth occurs gradually, and multiple treatments are typically recommended for optimal results. Following your treatment plan and attending recommended follow-up appointments can help maximize your outcome.

Ultra Skin Solutions™ combines Genius® RF Microneedling and LaseMD Ultra® Laser Resurfacing in a single treatment to address skin texture, tone, pigmentation, acne scarring, fine lines, and overall skin rejuvenation. Following these instructions can help optimize your results and minimize the risk of complications.

Before Your Appointment

• Stay well hydrated before your treatment.

• To help reduce the risk of post-inflammatory hyperpigmentation, your provider may recommend a pigment-suppressing product (such as hydroquinone) and daily sunscreen use for two weeks before treatment, especially for patients with darker skin tones.

• Do not discontinue any prescription or over-the-counter medications without first consulting your prescribing provider.

For at least 2 weeks before treatment, avoid:

• NSAIDs (such as ibuprofen and naproxen)

• Iron supplements

• Herbal supplements that may increase bleeding or sensitivity, including ginkgo, ginseng, garlic, and St. John's Wort

• Tetracycline antibiotics (such as doxycycline)

• Medications that may increase photosensitivity, unless approved by your prescribing provider

• Excessive sun exposure

• Tanning beds

• Spray tanning or self-tanning products

• Wrinkle relaxer injections in the treatment area

• Professional skin treatments in the treatment area

• Retinol, retinoids, AHAs, BHAs, and other active exfoliating products

Additional preparation instructions:

• Avoid dermal filler treatments in the treatment area for at least 6 weeks before treatment.

• If you have a history of cold sores (herpes simplex), notify your provider. Preventive antiviral medication may be recommended.

• Arrive with clean skin free of makeup, skincare products, lotions, sunscreen, or fragrance.

• If treatment includes a hair-bearing area, please arrive freshly shaved.

After Your Treatment

• Apply a gentle moisturizer as recommended by your provider.

• A cool compress or towel-wrapped ice pack may be used to reduce discomfort, redness, and swelling.

• A hydrating sheet mask may be used to help soothe the skin.

• Beginning the day after treatment, cleanse the skin gently and pat dry.

• Avoid scrubbing, rubbing, or picking at the treated area.

• Avoid retinol, retinoids, exfoliating acids, alcohol-based products, and other active skincare products for at least 2 weeks or until cleared by your provider.

• Avoid professional skin treatments in the treated area for at least 2 weeks.

• Avoid direct sun exposure during the healing process.

• Continue daily use of a broad-spectrum SPF 30 or higher and reapply as needed when outdoors.

• Wear protective clothing, hats, or seek shade whenever possible.

For at least 1 week, or until healing is complete, avoid:

• Strenuous exercise

• Excessive sweating

• Hot tubs

• Saunas

• Activities that generate significant heat

• Prolonged sun exposure

What to Expect

The following effects are common and expected after treatment:

• Redness similar to a moderate sunburn

• Swelling

• Mild tenderness or discomfort

• Temporary pinpoint bleeding immediately following treatment

• Warmth or sensitivity for several hours after treatment

• Dryness and tightness

• Itching during the healing process

• A rough, sandpaper-like texture

• Mild crusting or flaking that may develop within 1–5 days and gradually resolve over several days

• Temporary darkening of pigmented areas before improvement is seen

• Occasional bruising, which may take 1–2 weeks to fade

Less commonly, patients may experience:

• Acne flare-ups

• Reactivation of cold sores

• Temporary track marks or small white bumps that generally resolve over time

• Temporary darkening or lightening of the skin during the healing process

When to Contact Your Provider

Please contact our office if you experience:

• Increasing redness, swelling, warmth, or pain after the first few days

• Signs of infection

• Persistent itching, irritation, or burning that worsens instead of improving

• Severe blistering

• Significant skin discoloration

• Fever or other concerning symptoms

• Any unexpected reaction that causes concern

Important Reminder

Ultra Skin Solutions™ combines the collagen-stimulating benefits of RF microneedling with the skin-renewing benefits of LaseMD Ultra laser resurfacing. Results develop gradually as your skin heals and produces new collagen. Multiple treatments may be recommended for optimal improvement. Protecting your skin from sun exposure before and after treatment is one of the most important factors in achieving the best possible outcome and reducing the risk of pigmentation changes.

Ultra Glow Up™ combines advanced laser rejuvenation with targeted skin-enhancing ingredients to improve skin tone, texture, pigmentation, and overall radiance. Following these instructions can help optimize your results and minimize the risk of complications.

Before Your Appointment

• Stay well hydrated before your treatment.

• To help reduce the risk of post-inflammatory hyperpigmentation, your provider may recommend a pigment-suppressing product (such as hydroquinone) and daily sunscreen use for two weeks before treatment, especially for patients with darker skin tones.

• Do not discontinue any prescription or over-the-counter medications without first consulting your prescribing provider.

For at least 2 weeks before treatment, avoid:

• NSAIDs (such as ibuprofen and naproxen)

• Iron supplements

• Herbal supplements that may increase bleeding or sensitivity, including ginkgo, ginseng, garlic, and St. John's Wort

• Tetracycline antibiotics (such as doxycycline)

• Medications that may increase photosensitivity, unless approved by your prescribing provider

• Excessive sun exposure

• Tanning beds

• Spray tanning or self-tanning products

• Wrinkle relaxer injections in the treatment area

• Professional skin treatments in the treatment area

• Retinol, retinoids, AHAs, BHAs, and other active exfoliating products

Additional preparation instructions:

• Avoid dermal filler treatments in the treatment area for at least 6 weeks before treatment.

• If you have a history of cold sores (herpes simplex), notify your provider. Preventive antiviral medication may be recommended.

• Arrive with clean skin free of makeup, skincare products, lotions, sunscreen, or fragrance.

• If treatment includes a hair-bearing area, please arrive freshly shaved.

After Your Treatment

• A warm, sunburn-like sensation is common for 1–2 hours after treatment.

• Apply a gentle, non-occlusive moisturizer frequently throughout the day as directed by your provider.

• A hydrating sheet mask may be used to help soothe the skin.

• Beginning the day after treatment, cleanse the skin gently and pat dry.

• Avoid scrubbing, rubbing, or picking at the treated area.

• Avoid retinol, retinoids, exfoliating acids, and other active skincare products for at least 2 weeks or until cleared by your provider.

• Avoid professional skin treatments in the treated area for at least 2 weeks.

• Avoid direct sun exposure during the healing process.

• Continue daily use of a broad-spectrum SPF 30 or higher and reapply as needed when outdoors.

• Wear protective clothing, hats, or seek shade whenever possible.

For 5–7 days, or until healing is complete, avoid:

• Strenuous exercise

• Excessive sweating

• Hot tubs

• Saunas

• Activities that generate significant heat

What to Expect

The following effects are common and expected after treatment:

• Redness similar to a mild sunburn

• Warmth or sensitivity for several hours

• Dryness and tightness

• A rough, sandpaper-like texture

• Mild crusting or flaking that typically resolves within 5–7 days

• Temporary darkening of pigmented areas before they improve

• Occasional breakouts related to skin dryness and healing

As the skin heals, it may appear brighter, smoother, and more radiant with improved tone and texture.

When to Contact Your Provider

Please contact our office if you experience:

• Increasing redness, swelling, warmth, or pain after the first few days

• Signs of infection

• Severe blistering or crusting

• Significant skin discoloration

• Fever or other concerning symptoms

• Any unexpected reaction that causes concern

Important Reminder

Ultra Glow Up™ treatments stimulate skin renewal and continued improvement over time. Protecting your skin from sun exposure before and after treatment is one of the most important factors in achieving optimal results and reducing the risk of pigmentation changes. Multiple treatments may be recommended depending on your skin concerns and aesthetic goals.

Lipodissolve injections are designed to reduce small, localized pockets of unwanted fat. Following these instructions can help optimize your results, minimize side effects, and support the healing process.

Before Your Appointment

• Stay well hydrated before your treatment.

• Discuss your treatment goals, medical history, medications, and supplements with your provider.

• Understand that Lipodissolve is intended to treat localized fat deposits and is not a weight loss treatment.

• Do not discontinue any prescription medications without first consulting your prescribing provider.

For 5–7 days before treatment, avoid non-essential blood-thinning medications and supplements that may increase bruising, including:

• Aspirin

• Ibuprofen (Advil®, Motrin®)

• Naproxen (Aleve®)

• Fish oil or cod liver oil

• Vitamin E

• Other supplements known to increase bruising

Additional preparation instructions:

• Avoid alcohol for 24 hours before treatment.

• Wear loose, comfortable clothing, especially if treating the abdomen, thighs, arms, or other body areas.

• Multiple treatments are often recommended and are typically spaced 6–8 weeks apart, depending on your treatment plan and goals.

After Your Treatment

• Drink plenty of water to support healing and the body's natural elimination process.

• Maintain a healthy diet and active lifestyle to help optimize your results.

• Avoid massaging, rubbing, or applying heat to the treated area unless specifically instructed by your provider.

• Monitor the treated area for any unexpected changes.

• Attend all recommended follow-up appointments.

For the first 24–48 hours, avoid:

• Strenuous exercise

• Excessive sweating

• Activities that create significant friction or pressure on the treated area

What to Expect

The following effects are common and expected after treatment:

• Tenderness or soreness in the treated area

• Swelling

• Redness

• Bruising

• Itching

• Firmness within the treatment area

These effects are a normal part of the body's inflammatory response and may last several days to two weeks depending on the treatment area and individual healing response.

Results develop gradually over several weeks as the body processes and eliminates the treated fat cells. Multiple treatments may be necessary to achieve your desired outcome.

When to Contact Your Provider

Please contact our office if you experience:

• Severe or worsening pain

• Significant swelling that continues to increase

• Signs of infection, including increasing redness, warmth, drainage, or fever

• Persistent nodules or lumps that worsen rather than improve

• Skin ulceration or breakdown

• Any unexpected reaction that causes concern

Important Reminder

Lipodissolve treatments are designed to address small, localized fat deposits and are not a substitute for healthy eating habits, exercise, or weight loss. Results develop gradually and vary from person to person. Following your treatment plan and attending recommended follow-up appointments can help you achieve the best possible outcome.

VI Peel® is a medium-depth chemical peel designed to improve skin tone, texture, pigmentation, acne, acne scarring, sun damage, and signs of aging. Following these instructions can help optimize your results, support proper healing, and minimize the risk of complications.

Before Your Appointment

To ensure the safest treatment and best possible results, please review the following guidelines before your appointment.

For 7 days before treatment, avoid:

• Waxing, threading, sugaring, or depilatory creams in the treatment area

• Laser treatments, IPL, RF microneedling, chemical peels, or other resurfacing procedures

• Excessive sun exposure or tanning

• Self-tanning products

For 3–5 days before treatment, discontinue:

• Retinoids (Retin-A®, tretinoin, adapalene, tazarotene)

• Retinol products

• Exfoliating acids (glycolic, salicylic, lactic, mandelic acids)

• Benzoyl peroxide

• Scrubs, exfoliants, or other aggressive skincare products

Please notify your provider if you:

• Are pregnant or breastfeeding

• Have an active cold sore or a history of herpes simplex outbreaks

• Have eczema, psoriasis, dermatitis, or an active skin infection

• Have recently used Accutane® (isotretinoin)

• Have had recent cosmetic procedures or facial treatments

• Have known allergies to aspirin, phenol, hydroquinone, or other peel ingredients

Additional preparation instructions:

• Arrive with clean skin free of makeup, heavy moisturizers, sunscreen, or skincare products.

• Men should shave several hours before treatment rather than immediately beforehand.

• Stay well hydrated before your appointment.

After Your Treatment

• Do not wash your face for at least 4 hours after treatment, or as directed by your provider.

• Use only the post-peel products provided or recommended by your provider.

• Apply moisturizer as directed to support healing and reduce dryness.

• Wear a broad-spectrum SPF 30–50 daily once instructed by your provider.

• Reapply sunscreen every 2 hours when outdoors.

• Wear a wide-brimmed hat and seek shade whenever possible.

• Stay well hydrated throughout the healing process.

• Allow peeling skin to shed naturally.

For the first 48–72 hours, avoid:

• Excessive sweating

• Vigorous exercise when possible

• Hot yoga

• Saunas

• Steam rooms

• Hot tubs

• Activities that generate significant heat

Until your skin has completely healed, avoid:

• Picking, peeling, rubbing, or scrubbing the skin

• Retinoids and retinol products

• Exfoliating acids or scrubs

• Waxing, dermaplaning, or other exfoliating treatments

• Tanning beds or intentional sun exposure

• Laser treatments, RF microneedling, or other resurfacing procedures

What to Expect

Every patient's peeling process is unique. Some individuals experience significant visible peeling, while others experience only mild flaking. Both responses are normal.

Day 1 (Treatment Day)

• Skin may appear slightly red, tan, shiny, or tighter than normal.

• Mild tingling, itching, warmth, or sensitivity is common.

• The skin may feel similar to a mild sunburn.

Day 2

• Skin may feel tighter and appear darker or bronzed.

• Pigmented areas may temporarily become more noticeable.

• Continue using only the products recommended by your provider.

Days 3–5

• Peeling commonly begins around the mouth and chin.

• Peeling may extend to the cheeks, forehead, and neck.

• Sheets of skin may lift, flake, and shed.

Do not pick, pull, or forcibly remove peeling skin. Premature removal can:

• Increase irritation

• Increase inflammation

• Delay healing

• Increase the risk of post-inflammatory hyperpigmentation

Days 5–7

• Most visible peeling begins to subside.

• Skin may appear brighter, smoother, and more even-toned.

• Residual dryness or mild flaking may still be present.

Days 7–14

• Continued improvement in skin tone, texture, clarity, and radiance.

• Mild pinkness or sensitivity may persist in some individuals.

• Collagen stimulation and skin renewal continue beyond the visible peeling phase.

Common and expected side effects include:

• Tightness

• Dryness

• Flaking or peeling

• Mild redness

• Mild itching

• Temporary darkening of pigmentation

• Increased skin sensitivity

These effects generally improve within 7–14 days.

When to Contact Your Provider

Please contact our office if you experience:

• Severe or worsening swelling

• Significant blistering

• Extensive crusting

• Pus, drainage, or signs of infection

• Fever

• Severe pain

• Persistent redness lasting longer than 2 weeks

• A cold sore outbreak

• Any unexpected reaction that causes concern

Frequently Asked Questions

Will everyone peel?

No. Visible peeling varies from person to person. Even patients who experience minimal peeling still receive the benefits of the treatment.

Can I wear makeup?

Most patients may resume makeup once peeling is largely complete, typically around days 5–7. Follow your provider's specific recommendations.

Can I wash my face?

Yes. Follow the cleansing instructions provided after treatment. Use only gentle cleansers and avoid scrubbing.

Can I return to work after a VI Peel?

Most patients return to normal daily activities immediately. Visible peeling commonly occurs between days 3–5 and should be considered when planning social events.

How many treatments will I need?

Many patients notice improvement after a single treatment. However, concerns such as melasma, acne, acne scarring, sun damage, and pigmentation often require a series of treatments for optimal results.

When will I see results?

Many patients notice brighter, healthier-looking skin within 7 days. Improvement continues over the following weeks as cellular turnover and collagen remodeling occur.

Important Reminder

Protecting your skin from sun exposure is one of the most important factors in achieving optimal results and preventing post-inflammatory hyperpigmentation after a VI Peel®. Daily sunscreen use is strongly recommended before, during, and after treatment. Consistent sun protection and adherence to your post-care instructions will help maximize your results and support healthy skin renewal.

Microneedling creates controlled micro-injuries in the skin to stimulate collagen production, improve skin texture, soften fine lines, reduce acne scars, and promote overall skin rejuvenation. Following these instructions can help optimize your results and minimize the risk of complications.

Before Your Appointment

• Stay well hydrated before your treatment.

• To help reduce the risk of post-inflammatory hyperpigmentation, your provider may recommend daily sunscreen use and a pigment-suppressing product before treatment, especially for patients with darker skin tones.

• Do not discontinue any prescription or over-the-counter medications without first consulting your prescribing provider.

For at least 1 week before treatment, avoid:

• NSAIDs (such as ibuprofen and naproxen)

• Iron supplements

• Herbal supplements that may increase bleeding or bruising, including ginkgo, ginseng, garlic, and St. John's Wort

• Excessive sun exposure

• Tanning beds

• Spray tanning or self-tanning products

• Professional skin treatments in the treatment area

• Retinol, retinoids, AHAs, BHAs, and other active exfoliating products

Additional preparation instructions:

• Avoid wrinkle relaxer injections in the treatment area for 2 weeks before treatment.

• Avoid dermal filler treatments in the treatment area for at least 4–6 weeks before treatment.

• If you have a history of cold sores (herpes simplex), notify your provider. Preventive antiviral medication may be recommended.

• Arrive with clean skin free of makeup, skincare products, lotions, sunscreen, or fragrance.

After Your Treatment

• A warm, sunburn-like sensation is common for several hours after treatment.

• Apply only the products recommended by your provider for the first 24 hours.

• Keep the skin clean and hydrated with a gentle moisturizer as directed.

• Beginning the day after treatment, cleanse the skin gently and pat dry.

• Avoid scrubbing, rubbing, or picking at the treated area.

• Avoid retinol, retinoids, exfoliating acids, alcohol-based products, and other active skincare products for 5–7 days or until cleared by your provider.

• Avoid professional skin treatments in the treated area until the skin has completely healed.

• Avoid direct sun exposure during the healing process.

• Beginning the day after treatment, apply a broad-spectrum SPF 30 or higher daily and reapply as needed when outdoors.

• Wear protective clothing, hats, or seek shade whenever possible.

For 24–48 hours after treatment, avoid:

• Strenuous exercise

• Excessive sweating

• Hot tubs

• Saunas

• Steam rooms

• Activities that generate significant heat

What to Expect

The following effects are common and expected after treatment:

• Redness similar to a mild sunburn

• Mild swelling

• Warmth or sensitivity

• Tightness or dryness

• Mild tenderness

• Temporary pinpoint bleeding immediately after treatment

• Mild flaking or rough texture as the skin heals

These effects typically improve within several days.

Results develop gradually as collagen production increases over the following weeks. Multiple treatments are often recommended for optimal improvement in skin texture, acne scars, fine lines, and overall skin quality.

When to Contact Your Provider

Please contact our office if you experience:

• Increasing redness, swelling, warmth, or pain after the first few days

• Signs of infection

• Severe blistering or crusting

• Significant skin discoloration

• Fever or other concerning symptoms

• Any unexpected reaction that causes concern

Important Reminder

Microneedling stimulates your body's natural collagen production, and improvements continue to develop over time. Protecting your skin from sun exposure before and after treatment is one of the most important factors in achieving optimal results and reducing the risk of pigmentation changes. Following your provider's post-treatment instructions and completing your recommended treatment series can help maximize your outcome.

Clarity II™ Pigment & Laser Toning

Pre- & Post-Treatment Instructions

Clarity II™ can be used for the treatment of certain unwanted pigmentation and skin discoloration. Your treatment settings and wavelength will be selected by your provider based on your skin type, the pigment being treated, and your individual treatment goals.

BEFORE YOUR TREATMENT

Avoid sun exposure and tanning.
Avoid direct sun exposure, tanning beds, sunless tanning lotions, and tanning creams for at least 1 week before treatment. Sun protection is important throughout your treatment series.

Apply a broad-spectrum UVA/UVB sunscreen with SPF 30 or higher to the treatment area before any sun exposure.

History of hyperpigmentation.
Patients with a history of hyperpigmentation may require pretreatment to help minimize the risk of unwanted pigment changes. Your physician may prescribe a topical bleaching preparation approximately 2–4 weeks before treatment, when appropriate.

History of herpes or cold sores.
If you have a history of herpes or cold sores in or around the treatment area, notify your provider before treatment. Appropriate preventive treatment may be recommended.

Skin evaluation.
Lesions that are irregular in color, size, or shape should not be treated without appropriate medical evaluation. Please notify your provider of any new or changing skin lesions.

Arrive with clean skin.
Remove all makeup, lotions, deodorant, sunscreen, and oils from the treatment area before your appointment. The area will be thoroughly cleansed before treatment to remove residual oils and products, and the skin must be completely dry before the laser is applied.

AFTER YOUR TREATMENT

The treated area may appear red or mildly swollen immediately following treatment. Depending on the type of pigment treated and the settings used, pigmentation may temporarily darken before gradually fading.

Your provider will give you specific aftercare instructions based on your treatment.

Protect your skin from the sun.
Avoid direct sun exposure and tanning beds following treatment. Apply a broad-spectrum SPF 30 or higher daily and reapply as needed when outdoors.

Keep the area clean and protected.
Use gentle skincare products and avoid unnecessary rubbing, picking, or scratching of the treated area.

Avoid irritating products.
Your provider may recommend temporarily avoiding exfoliants, retinoids, acids, or other potentially irritating skincare products until the skin has recovered.

Do not pick or remove treated pigment.
Allow the treated area to heal and any pigment changes or superficial crusting to resolve naturally. Picking can increase the risk of prolonged redness, pigmentation changes, and scarring.

YOUR TREATMENT SERIES

Pigment often requires a series of treatments for optimal improvement. The number of treatments and results vary depending on the type and depth of pigmentation, skin type, sun exposure, and individual response to treatment.

Strict sun protection is an important part of maintaining your results and reducing the likelihood of developing additional pigmentation.

WHEN TO CONTACT US

Contact HollaceMD if you experience significant blistering, severe discomfort, signs of infection, or any unexpected reaction following treatment.

Clarity II™ Vascular Lesion Treatment

Pre- & Post-Treatment Instructions

Clarity II™ may be used to treat certain superficial vascular lesions, including visible blood vessels and other vascular concerns. Your provider will determine whether the treatment is appropriate based on the type, location, and appearance of the vessel.

BEFORE YOUR TREATMENT

Avoid sun exposure and tanning.
Avoid sun exposure, tanning beds, sunless tanning lotions, and tanning creams for at least 1 week before treatment.

Apply a broad-spectrum SPF 30 or higher to the treatment area before any sun exposure.

Vascular evaluation.
Raised veins and varicosities should not be treated with this procedure. Your provider will evaluate the area before treatment to determine whether laser treatment is appropriate.

Arrive with clean skin.
Remove all makeup, lotion, deodorant, sunscreen, and oils from the treatment area before your appointment. The area will be thoroughly cleansed prior to treatment, and the skin must be completely dry before the laser is applied.

AFTER YOUR TREATMENT

Redness, swelling, warmth, and mild discomfort are common immediately following vascular laser treatment and may last from several hours to a couple of days.

A cooling device and/or aloe vera may be used immediately following treatment to help soothe the skin.

Your physician may recommend an appropriate topical ointment to help prevent excessive drying or crusting and to support healing.

Blistering or crusting.
If blistering or crusting occurs, do not shave the treated area for 1–3 days or until the skin has healed sufficiently.

Avoid heat and vasodilation.
Avoid hot baths, hot tubs, whirlpools, and other significant heat exposure for approximately 1 week following treatment.

Avoid strenuous exercise or activities that cause significant vasodilation for approximately 1 week following treatment. Walking is encouraged.

Protect your skin from the sun.
Avoid sun exposure and tanning beds throughout your treatment series. Apply a broad-spectrum SPF 30 or higher whenever the treated area may be exposed to the sun.

Makeup and skincare.
If makeup is permitted by your provider, apply and remove it gently. Avoid rubbing or excessive friction over the treated area, as this may irritate the skin and increase the risk of complications.

Managing discomfort.
Mild swelling, redness, or discomfort can generally be managed with a cool compress. Acetaminophen may be used if appropriate for you and as directed by your physician.

EXPECTED VASCULAR CHANGES

Following treatment, red vessels may temporarily change in color and become darker or reddish-purple with associated redness. This is an expected response to treatment.

Some blue vessels may appear to constrict or become less visible immediately following the laser pulse.

The appearance and degree of these changes vary depending on the type and size of the vessel and the individual patient's response.

WHEN TO CONTACT US

Contact HollaceMD if you experience blistering, increasing pain, significant swelling, unusual redness or tenderness, drainage, pus, or other signs of infection.

Results vary from patient to patient, and multiple treatments may be recommended. Follow-up visits will be scheduled as appropriate to evaluate your response and determine whether additional treatment is needed.