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Pigmented Lesion Pre and Post Care Instructions

The following instructions are for laser and intense pulsed light (collectively referred to as laser) treatments for benign pigmented lesions.

PRE-TREATMENT INSTRUCTIONS

  • Avoid tanning bed, direct sun exposure, and sunless tanning products for 4 weeks prior to each treatment and the duration of treatments.
  • Use a broad-spectrum sunscreen of SPF 30 containing zinc oxide or titanium dioxide daily for the duration of treatments.
  • Do not use medications that cause photosensitivity (such as doxycycline and minocycline for at least 72 hours prior to each treatment).
  • If you have a history of herpes (oral cold sores, genital) or shingles in the treatment area, start your antiviral medication (valacyclovir, acyclovir) as directed for 2 days prior to treatment and continue for 3 days after treatment.
  • Discontinue use of glycolic and Retin-A containing products 1 week before treatments.
  • At the time of treatment, the area must be free of any open sores, lesions, or skin infections (e.g. active acne).

POST-TREATMENT INSTRUCTIONS

  • Immediately after treatment, pigmented lesions will appear darkened. The lesions will continue to darken and flake off over 1-2 weeks.
  • Some skin redness and swelling along with a mild to moderate sunburn sensation in the treatment area are common. This typically resolves within a few hours but may last up to 3 days.
  • Apply a wrapped cool compress or wrapped ice pack to the treated areas for 15 minutes every 1-2 hours as needed to reduce these symptoms. You may also apply hydrocortisone 1% over-the-counter cream two times per day on intact skin for up to 3 days to decrease any skin irritation.
  • Gently wash twice daily with mild soap, do not rub the skin vigorously and avoid hot water, as the skin will be fragile for several days.
  • Avoid activities that can cause flushing for 24 hours after treatment or until any swelling resolves.
  • Avoid any topical products that may cause irritation for 1 week following treatment.
  • Layer antibiotic ointment (such as bacitracin) to the area twice a day until the skin heals. Do not pick or attempt to remove scabs that form following your treatment, as this may incur infection or scarring.
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