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CO2RE Fractional Resurfacing

(Wrinkles, Sun-Damaged Skin, Scars, Fine Lines, Discoloration, Rough Skin Texture)

Pre-treatment

  • Make sure to hydrate. At least 7 days before treatment, ensure that you moisturize skin morning and night, as well as drink at least 8 glasses of water per day to optimize results.
  • You may be provided an antiviral prophylaxis 3-4 days prior to the procedure if you are undergoing a deeper peel, or have a history of herpes simplex to avoid outbreak.
  • Topical retinoid therapy should be discontinued 3-4 days prior to treatment.
  • Avoid sun for 4-6 weeks before and after treatment. Wear broad spectrum SPF 30 or higher if needing to go outdoors.
  • Arrive with clean, freshly washed skin before procedure. There should be NO substances used beforehand including: topical anesthetics (can be provided in facility before treatment), hairspray, gel, makeup, lotions, deodorants, self-tanning products and ointments. Do not use flammable products in the vicinity of the equipment.
  • Do not use an alcohol based cleanser as this removes moisture from skin.

    • Post-treatment

    • Immediately after treatment, most patients will experience a clinical endpoint of redness for 1-3 days; however, for more aggressive treatments this may last longer. Slight to moderate swelling and a mild to moderate sunburn sensation are also common post-treatment and may last 1-3 days. After the second day, skin will appear as an exaggerated tan. Skin will begin to flake at 5-7 days on the face and neck; 7-10 days for the chest; and 10-14 days for the hands.
    • Your provider may opt to use additional cooling methods such as cool compresses, gel packs or facial mask for up to 10 minutes after treatment.
    • Before discharge, a topical petrolatum-based ointment (like Aquaphor or Vaseline) may be applied to the face; no bandages or wraps are necessary.
    • For more aggressive treatments, your provider may prescribe the use of vinegar soaks to be applied multiple times a day.
    • Your provider will inform you when you may resume the use of your usual skin care products. This will range between 5 to 10 days depending on how aggressive the treatment is.
    • There are no restrictions on bathing except to treat the skin gently. Avoid scrubbing or trauma to the treated area, as if you had sunburn.
    • Avoid sun exposure to reduce the chance of hyperpigmentation (darker pigmentation). The use of broad spectrum SPF 30 or higher at all times throughout the course of treatment is recommended.
    • Multiple treatments (3 or more) over a period of several months may be required to achieve the desired response. You may notice immediate as well as longer term improvements in your skin.
    • Make a plan with your provider on an appropriate skin care regimen to keep up your results and have long-lasting success.
    • Call Find A Better You at (636) 205-4070 with any questions or concerns you may have.

    Potentially Photosensitizing Medications:

    This is not an exhaustive list of all potentially photosensitizing drugs. The clinician should ultimately determine if a medication photosensitizes a patient to the spectrum of light emitted from our equipment.

    Acne Meds:
    Isotretinoin (Accutane) Tretinoin (Retin-A)

    Anticancer:
    Chlorambucil Cyclophosphamide Dacarbazine Fluorouacil Flutamide Mercaptopurine Methotrexate Procarbazine Thioguanine Vinblastine

    Antidepressants:
    Amitriptyline Amoxapine Clomipramine Doxepin Imipramine Isocarboxazid Maprotiline Phenelzine Protriptyline Trazadone Trimipramine

    Antiepileptics, Sedative, Muscle Relaxants:
    Carbamazepine Cyclobenzaprine Diazepam Meprobamate Phenobarbitol Phenytoin

    Antihistamines:
    Azatadine Clemastine Diphenhydramine Terfenadine Tripelennamine

    Antihypertensives:
    Captopril Dilitiazem Methyldopa Minoxidil Nifedipine

    Antimicrobials:
    Ciprofloxacin Clofazimine Dapsone Demeclocycline Doxycycline Enoxacine Flucytosine Griseafulvin Ketoconazole Lomefloxacine Methacycline Minocycline Nalidixic acid Narfloxacin Ofloxacin Oxytetracycline Pyrazinamide Sulfa drugs (Bactrim, Septra, Tetracycline)

    Antiparasitics:
    Bithionol Chloroquine Pyruvinium pamoate Quinine Thiabendazole

    Antipsychotics:
    Chlorpromazine Chlorprothixene Fluphenazine Haloperidol Perphenazine Prochlorperazine Promethazine Thioridazine Thiothixane Trifluoperazine Thioflupromazine Trimeprazine

    Cardiovascular:
    Amiodarone Atenolol Captopril Diltiazem Disopyramide Nifedipine Propranolol Quinidine gluconate Quinidine sulfate Verapamil

    Diuretics:
    Acetazolaminde Amiloride Bendroflumethiazide Benzthiazide Chlorothiazide Furosemide Hydrochlorothiazide Hydro flumethiazide Methyclothiazide Metalazone Polythiazide Quinethazone Trichlormethia-zide

    Hypoglycemics:
    Acetohexamide Chlorpropamide Glipizide Tolazamide Tolbutamide

    NSAIDS:
    Diclofenac Fenoprofen Flurbiprofen Indomethacin Ketoprofen Meclofenamate Naproxen Phenylbutazone Piroxicam Sulindac

    Others:
    Bergamot oil Oils of citron, lavender, lime, sandalwood Benzocaine Clofibrate Oral contraceptive Etretinate Gold salts Hexachlorophene Lovastatin St John’s Wort Gmethylcoumarin (used in perfumes, lotions, etc)

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