Aftercare Instructions

Molluscum contagiosum is a viral skin disease with firm, round, translucent papules present. Molluscum is spread by human contact and is very contagious.

Verruca Vulgaris (wart) is a benign growth in the skin caused by human papillomavirus. A wart is spread by human contact and is very contagious. A typical wart is a rough surfaced nodule that may be either lighter or darker than the surrounding skin. Diagnosis is typically made on the clinical appearance.

Canthacur is a topical solution used to treat benign growths such as warts and molluscum. Canthacur is an agent that is used to induce blister formation and help the body trigger an immune response to fight the virus.

Some of the risks/side effects inherent to the treatment are tingling, itching, and/or burning with a few hours of applying the medication to the skin, painful blisters within 24 hours, inflammation, very tender skin for 2 to 6 days, scarring and/or permanent white (depigmented) or dark (hyperpigmented) marks may result from treatment.

Some discomfort may occur when the blisters form. You may treat this discomfort with Tylenol or Advil. If the patient is a child, please be sure to follow the instructions on the label closely for correct dosing. Like any viral condition, there is no guaranteed therapy. Part of the ability to get rid of a viral condition depends on the patient’s immune response.

Multiple treatments may be required until complete improvement is noted. New lesions may appear between treatment intervals.

Wound Care

1. Wash your hands with soap and water.
2. Change the band-aids after a few hours.
3. Wash off the treated areas with soap and water.

Cryotherapy involves using liquid nitrogen to freeze and destroy abnormal skin tissue including, but not limited to, warts, skin tags, seborrheic keratosis, actinic keratosis, and other benign or pre-cancerous growths.

What To Expect

• The area that was treated will become red and swollen.
• You may experience a burning sensation that can last up to 24 hours post treatment. The discomfort may be relieved with Tylenol, Advil, or a similar over-the-counter pain medication.
• Within 24 to 48 hours a blister may form. Do not try to remove the blister yourself, this could leave you open to the possibility of infection. Allow the blister to resolve on it’s own.
• Clean the area treated with soap and water as you normally would.
• Call the office if any signs of infection occur, such as redness, swelling, warmth, increased pain, or a yellow/green discharge.

Please call the office if you have any questions or concerns.

• Remain upright for 4 hours after injection (you may lie in a reclined position, just do not lay flat)
• Do not wear a headband or hat where the band goes across your forehead if you have had injections between the brows or in the forehead
• Refrain from aerobic exercise that increases your heart rate greatly (running, swimming, bicycling, etc…) for 24 hours following injections. Walking or other low impact forms of exercise are fine
• Do not massage or manipulate injected areas for 24 hours after injections. Washing your face and applying make-up is fine. Please avoid using a Clarisonic facial cleanser, have a facial, put your face in a massage cradle, or be face down in a chiropractor’s chair for 24 hours following the injection.
• Refrain from using ibuprofen, aspirin, fish oil supplements, or vitamin E for 24 hours following injection
• If bruising appears, apply ice to area for 15 minutes every hour to decrease bruising
• The most common side effect is headache with Botox injections. You may use Tylenol to relieve this. If you are a chronic headache sufferer and have prescription headache medication, you may take it as prescribed by your doctor.
• Botox will gradually take effect over 7-10 days with optimum result at 2 weeks. If this is your first Botox injection, we recommend scheduling a follow up appointment 2 weeks after your injection.



 
•  

• Immediately after the skin may feel tight and appear more red than usual
• The degree of peeling may vary depending on your skin type and skin condition at the time of the peel. The success of the peel should NOT be determined by the amount of peeling, but by the end results that the peel will produce.
• Regardless of the degree of peeling, the skin is still sloughing off at an accelerated rate, which will result in the improvement in skin tone and texture, and diminishment of fine lines and pigmentation.
• Peeling may start 1-3 days after treatment, usually starting around the nose and mouth
• Avoid direct exposure to heat or sun for 48 hours post peel
• Do not pick or scratch at treated skin – Premature peeling of the skin may cause hyperpigmentation.
• Avoid the following products/procedures until your skin has completely stopped peeling: Retinoids or retinols, alpha-hydroxy acid (AHA) products or beta-hydroxy acid (BHA) products, bleaching creams, and facial waxing or the use of depilatory creams.
• Wash face gently with mild cleanser and apply moisturizing cream twice daily.
• Recommend follow up and repeat treatments in 4-6 weeks.
• Best results are obtained in a series of 4-6 treatments.

• Skin will appear pink/red, as though you have a moderate to severe sunburn, and your skin may feel warm and tighter than usual.
• Slight swelling may be present, this is normal and should subside after 1 to 2 hours and will normally diminish within the same day or 24 hours.
• Wash with lukewarm water for the initial 24 hours to rinse the treated area. After 24 hours, use a gentle cleanser to cleanse the face for the following 72 hours and gently dry the treated skin. Always make sure that your hands are clean when touching the treated area.
• Apply the SkinPen® Lift HG gel provided for moisture over the next 24 hours.
• Do not take any inflammatory medicines for at least 2 weeks post treatment. This includes Motrin, Advil, Aleve, etc.
• It is recommended that makeup or sunscreen should not be applied for 24 hours after the procedure. Do not apply any makeup with a makeup brush, especially if it is not clean.
• After the initial 24 hours, apply a broad-spectrum UVA/UVB sunscreen with a minimum SPF 30 for two weeks. A physical sunscreen is highly recommended.

• Bruising, pinpoint bleeding, minor scabbing, minor breakouts, swelling and/or redness may occur and will resolve within 7-10 days of treatment.
• Do not pick, peel, rub, scrub or irritate your skin in any way while it is healing, as this may cause scarring.
• Avoid use of any products containing retinols/retinoids, glycolic acid, salicylic acid, lactic acid.
• Avoid heat, saunas, hot tubs, and sweaty activity; this includes exercise of any kind.
• Do not use any electric or manual facial brush of any kind (i.e. Clarisonic, Foreo).
• Make-up may be worn, however, we recommend leaving skin clean for this time period if possible.

A skin biopsy is a procedure to remove cells or skin samples from your body for laboratory examination. A doctor uses a skin biopsy to diagnose skin conditions and remove abnormal tissue.

What to Expect:

1. Leave your wound dressings in place for the rest of the day of the biopsy and keep them dry.
2. Change band-aids daily starting the day after the biopsy.
3. Showers are fine starting the day after the biopsy. Leave the band-aids in place while you shower and change them after you dry off.
4. If you need to use anything to clean the wounds, hydrogen peroxide is recommended. If the wounds are fine (i.e., no signs of infection), all that is required is a daily band-aid change. Do not apply Neosporin to biopsy site.
5. The wounds may or may not form a scab as they heal; either way is fine.
6. The local anesthetic used for the biopsy will usually last for 1 to 2 hours after the procedure. After it wears off, you may have some mild, localized soreness and tenderness at the biopsy sites over the next day or two. You may find regular Tylenol is helpful for the discomfort.
7. Once you are without the band-aid, the biopsy sites may look slightly red or darker than the rest of your skin. This discoloration will gradually fade and blend back with your normal skin color. This fading process may take anywhere from a few months up to a year.