Dr. Sridevi Siruvella MD

To provide the highest quality comprehensive family-centered health care for each individual and family.

Before and After Care Instructions

Providing the highest quality comprehensive family-centered health care for each individual and family.

Before and After Care

Instructions

Before and After Care

Instructions

At Signature Med Spa, we are committed to providing exceptional results while prioritizing your comfort and safety. To ensure the best possible outcome from your treatments, we recommend adhering to the following pre- and post-treatment care instructions. These guidelines are designed to enhance the effectiveness of your procedures and minimize any potential side effects.

Pre and Post-Treatment Instructions for Resurfacing Procedures

Before your Resurfacing Treatment

    • Avoid all sun exposure, self-tanning creams, spray tans, and tanning beds for at least two weeks before each fractional resurfacing treatment. A sunscreen with SPF 20-30 plus zinc oxide or titanium dioxide should be worn throughout the treatments.
    • Your laser procedure may include more than one treatment. We will present a treatment plan for
      you upon consultation and evaluation of your response to the laser system.
    • Please discontinue the following products two weeks before surgery: Aspirin, Motrin, Aleve, Ibuprofen, Excedrin, Vitamin E, Ginko, St. John’s Wort, and any photosensitive drugs such as Tetracycline, Minocycline with the permission of your primary care doctor.
    • Active skin care products such as Retin A, Retinol, Renova, glycolic acid products, and night creams with alpha hydroxy acids should be discontinued throughout these treatments. Mild cleansers, toners, and moisturizers may be used immediately after treatment.
    • You must wait at least two weeks after receiving Botox or Derma Fillers before you receive this
      procedure.
    • You will be asked to remove your makeup (which can be done at the clinic) and jewelry before a procedure. Contact lenses may be worn.

After Your Resurfacing Treatment

    • Application of cool gel packs and topical creams prescribed immediately following treatment can help improve post-treatment itchiness and stinging that may occur.
    • Edema, and sometimes blanching, is expected immediately post-treatment and generally resolves within 24-48 hours. It may last up to 3-5 days for some clients.
    • You must wait two weeks after your treatment to continue waxing.
    • Clients may experience significant redness, broken capillaries, or bronzing in the treatment area or 1-3 days after treatment. This may persist in a mild form for several weeks, particularly in areas other than the face.
    • Gentle cleansing and the use of non-irritating cosmetics are permitted after treatment. The use of
      retinoids should be avoided during the treatment period.
    • New skin will begin to form and it is essential to avoid injury and sun exposure at least two
      weeks following treatments. It is highly recommended that clients use sunscreen with SPF 30 or higher containing UVA/UVB protection along with a sun blocker such as zinc oxide or titanium dioxide between treatments.
    • Once the treatment area has healed, some itching or dryness may occur. This will gradually clear. The use of non-irritating moisturizers may provide some relief.

If you have any questions or concerns, please call our offices at (770) 266-0567.

Instructions for Solar Lentigines (Sun Spots) / Photorejuvenation Treatment

Before your treatment…

    • Avoid sun exposure, self-tanning products, and tanning beds for at least two weeks before IPL treatment.
    • Please remove all jewelry.
    • Wear loose clothing.
    • Your sunspot removal may include one to four treatments spaced four weeks apart. Your clinician will present a treatment plan for you upon consultation and evaluation of your response to the laser / light system.
    • A cold roller will be used to make the treatment more comfortable.
    • You may resume normal daily activities immediately following your laser treatment.

After your treatment… (Follow these directions for one week after each treatment)

    • The IPL treated area may look crusty or like particles of dirt where the spot was treated. The area should be cared for as a burn, some crusting may occur and should heal in 7 to 10 days.
    • Apply aloe vera gel twice daily for one week.
    • Take Tylenol per packaging directions as long as needed for discomfort.
    • No shaving over the treated area as long as the area is red and or swollen.
    • Avoid all sun exposure, sel-tanning products and tanning beds between laser treatments.
    • Apply a broad spectrum UVA/UVB sunscreen with a SPF-30 daily to treated area if in the sun for at least six months following the laser treatment.
    • Avoid swimming pools or hot tubs to prevent infection.

If you have any questions or concerns, please call our offices at (770) 266-0567.

Instructions for Facial Veins / Angiomas Treatments

Before your treatment…

    • Avoid sun exposure, self-tanning products, and tanning beds for at least two weeks before IPL treatment. A sunscreen with SPF 20-30 plus zinc oxide or titanium dioxide should be worn throughout the treatments.
    • Your laser procedure may include four or five laser appointments. We will present a treatment plan for you upon consultation and evaluation of your response to the laser treatment.
    • Please discontinue the following products two weeks before each procedure: Aspirin, Motrin, Aleve, Ibuprofen, Excedrin, Vitamin E, Ginko, St. John’s Wort, and any photosensitive drugs such as
      Tetracycline, Minocycline, with the permission of your primary care doctor. 
    • Active skin care products such as Retin A, Retinol, Renova, glycolic acid products, and night creams
      with alpha hydroxy acids should be discontinued throughout these treatments. Mild cleansers,
      toners, and moisturizers may be used immediately after treatment.
    • You will be asked to remove your make up (which can be done at the clinic) and jewelry before a procedure.
      Contact lenses may be worn.

After your treatment… (follow for one week after your laser / light treatment)

    • Your skin may appear red or blotching in the treated area for 24-48 hours after the laser treatment. You may temporarily experience a bumpy appearance. Please do not apply makeup if the area is still red. Once there is no sign of redness, makeup may be applied.
    • Wash the treated area gently with a mild cleanser or soap and water.
    • Apply post-op gel twice daily to the treated area. Take Tylenol per packaging directions as needed for discomfort.
    • No shaving over the treated area as long as the area is red and or swollen.
    • You may experience swelling of the eyes and face that may persist for 2-4 days. Sleep with two
      pillows at night and apply ice as needed for swelling.
    • Avoid all sun exposure and tanning beds between IPL treatments.
    • Apply a broad spectrum UVA/UVB sunscreen with SPF-24/zinc or titanium oxide daily to treated
      area if in the sun for at least six months following the IPL treatment.

If you have any questions or concerns, please call our offices at (770) 266-0567.

Instructions for Laser Hair Removal Treatments

Before your treatment …

    • Shave area to be treated the morning of the IPL treatment. Hair should be shaved cleanly.No
      waxing, tweezing, or depilatories one month prior to treatment. Shaving the hair will manage hair
      between treatments.
    • If the patient has a history of Herpes, prophylactic medications may be prescribed one week prior to treatment.
    • Do not tan or use self-tanning products as they may cause adverse effects. Stay away from aspirin
      or Aleve, ibuprofen, Advil, or Motrin and, Vit E one week before treatment.
    • Wear loose-fitting clothing that allows comfort and modesty to the area to be treated.
    • Please remove all jewelry.
    • No restrictions in normal daily activities following a hair laser treatment.

After your treatment … (follow for one week after your treatment)

    • Wash the treated area gently with soap and water.
    • Apply an Aloe Vera Gel twice daily to the treated area.
    • Take Tylenol per packaging directions as needed for discomfort.
    • No shaving over treated area as long as area is red and or swollen. Hair may remain for up to two
      weeks following your treatment. You may use a Loofa to remove loose hair after a treatment.
    • Apply a broad spectrum UVA/UVB sunscreen with a SPF – 30 and zinc or titanium dioxide daily to
      treated area if in the sun for at least six months following the laser treatment.
    • Avoid hot tubs, and swimming for one week afterward as chemicals can cause infection.
    • Your skin may appear red or blotchy in the treated area for 24-48 hours after the laser treatment.
    • If a blister appears, apply Aloe Vera gel to blistered area until resolved. Keep clothing from rubbing
      blistered area.

If you have any questions or concerns, please call our offices at (770) 266-0567.

Instructions for Rosacea Procedure

Before your treatment …

    • Avoid all sun exposure and tanning beds for at least two weeks prior to laser treatment. A
      sunscreen with SPF 20-30 plus zinc oxide or titanium dioxide should be worn throughout the
      treatments.
    • Your laser procedure may include four or five laser appointments. We will present a treatment plan for you upon consultation and evaluation of your response to the intense pulsed light system.
    • Please discontinue the following products two weeks before each procedure: Aspirin, Motrin, Aleve, Ibuprofen, Advil, Excedrin, Vitamin E, Ginko, St. John’s Wort, and any photosensitive drugs such as Tetracycline, Minocycline, Zithromax, and Cipro with the permission of your primary care doctor.
    • Active skin care products such as Retin A, Retinol, Renova, glycolic acid products, night creams
      with alphahydroxy acids should be discontinued throughout these treatments. Mild cleansers,
      toners, and moisturizers may be used immediately after treatment.
    • You will be asked to remove your makeup (which can be done at the clinic) and jewelry before a procedure.
      Contact lenses may be worn.

After your treatment … (follow for one week after your treatment)

    • Your skin may appear red or blotching in the treated area for 24-48 hours after the laser treatment. You may temporarily experience a bumpy appearance. Please do not apply makeup if the area is still red. Once there is no sign of redness, makeup may be applied.
    • Wash the treated area gently with a mild cleanser or soap and water.
    • Apply post-op gel twice daily to the treated area. Take Tylenol per packaging directions as needed for discomfort.
    • No shaving over the treated area as long as the area is red and or swollen.
    • You may experience swelling of the eyes and face that may persist for 2-4 days. Swelling is
      normal and indicates a good treatment response. Sleep with two pillows; apply an ice bag before bed and after rising.
    • Avoid all sun exposure and tanning beds between laser treatments.Apply a broad spectrum
      UVA/UVB sunscreen with SPF-24/zinc or titanium oxide daily to the treated area if in the sun for at
      least six months following the laser treatment.
    • Avoid alcohol, spicy foods and caffeine and exercise for one day after a procedure.

If you have any questions or concerns, please call our offices at (770) 266-0567.

After Laser Leg Vein Treatment

  1. Activity and care of your legs:
    • Resume normal activity, vigorous activity is discouraged for 72 hours.
    • Walking is encouraged, as this increases the blood flow. Please walk for 20 minutes a
      day for the next 5 days.
    • Please wear the support hose for at least 5 days elevate your legs for 3-5 minutes before
      putting your support hose on.
    • Caution when shaving your legs not to disrupt any healing.
    • Compression of the legs will accelerate healing, reduce swelling, and lessen discomfort.
    • Keep legs out of the sun without SPF 30 and zinc oxide for the next 6 months.

2. Complications, which may occur and what to do:

    • Blistering at the treatment sites, which can become open areas. These usually resolve in
      time. Use antibiotic ointment to these areas twice a day. This can be purchased over the
      counter at your drugstore. Please call our office if blistering occurs.
    • Hyperpigmentation, a darkening of the skin, frequently occurs at injection sites. This
      gradually fades throughout 12 to 18 months.
    • Tenderness and bruising may occur at injection sites. These will eventually disappear.
      These symptoms can usually be relieved with elevation of the legs. Use of a heating pad
      may also help, set it at a low-temperature setting to prevent burn.
    • A hard lump could form at the injection site. This may take three to six months do
      dissolve.

If you have any questions or concerns, please call our offices at (770) 266-0567.

Pre and Post Treatment Instructions for Pigmented Lesions

Precautions to take before your laser treatment:

    • No sun exposure, tanning beds and sunless tanning cream for 4 weeks prior to
      treatment. Sun exposure decreases the effectiveness of the laser treatment and can
      increase the chance of posttreatment complications.
    • Use a broad spectrum UVA/UVB sunscreen with an SPF of 30 or higher. Apply to the
      treated area every 2 hours when exposed to the sun and it is recommended to make this
      a part of your skin care routine.
    • Remove all makeup, creams or oils prior to treatment.

Instructions following your laser treatment:

    • Cleanse the treated area at least daily with water and mild soap, and then pat the area
      dry.
    • Do not rub or scratch the treated area.
    • If crusting/scabbing occurs, do not shave or pick area. Apply Aquaphor ointment (tattoo)
      or other moisturizer (face) to the area 2-3 times a day. Keep the area moist, and let the
      crusting/scabbing resolve on its own.
    • Discomfort may be relieved by cold gel packs and/or an over-the-counter pain reliever,
      such as acetaminophen.
    • Avoid contact sports or any other activity that could cause injury to the treated area.
    • Avoid swimming, soaking, or using hot tubs/whirlpools until the skin heals.
    • Contact Dr. Siruvella or her staff if there is any indication of infection (redness,
      tenderness or pus).

If you have any questions or concerns, please call our offices at (770) 266-0567.

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