Fraxel re:store and Fraxel re:store DUAL Instruction Sheet
Prior to your laser procedure
Prior to your procedure, you will have your Consultation with Dr. Papalian. During your Consultation the correct treatment option and treatment level
will be decided upon considering your current findings, expectations and importantly your recovery allowances. The large advance of the Fraxel re:store and Fraxel re:store DUAL is the ability to individualize the treatment.
During your consultation, you should discuss your current skin care regimen
and plan for proper skin care after your laser treatment. It is critical that you not be using topical or oral steroids (creams or pills), Retinoids (topical or oral) or Accutane within the last 6 months.
Your medical condition will be reviewed. If you are pregnant or breast feeding
you are NOT a candidate for Fraxel re:store or Fraxel re:store DUAL treatment.
If you have a history of “cold sores” or peri-oral HSV, please let Dr. Papalian
know. Medication can be prescribed to minimize the possibility of an outbreak following your treatment.
For darker skinned patients, patients with melasma or a history of
hyperpigmentation, medications will be discussed and prescribed to minimize the possibility of hyperpigmentation following your treatment.
Active tanning must be discontinued 2 weeks prior to your treatment. Both
sun tanning and tanning booths must be avoided for 2 weeks prior to your treatment.
Do not have any laser or light-based treatments until your Fraxel treatment
Do not have microdermabrasion or “peels” for 2 weeks prior to your Fraxel
re:store DUAL treatment. There is no need to “thin” the outer layer of skin prior to your treatment with the Fraxel re:store DUAL.
Do not have any facial waxing for 2 weeks prior to your treatment. Do not use irritating skin-care products such as glycolic or salicylic acids and
abrasive scrubs for 2 weeks prior to your treatment.
Smoking will increase your risks. It is imperative that you refrain from
Avoidance of Aspirin and Aspirin containing products is recommended for 7
It is recommended that you avoid alcohol for 24 hours pre operatively. “Herbal remedies” and “herbal supplements” are to be avoided for 7 days
You will be give instructions by Dr. Papalian, on which of your prescription
medications you should continue to take before your surgery at the time of your consultation.
Hydration is important. Drink plenty of water. The day of your procedure, eat light. Fraxel re:store and Fraxel re:store DUAL treatments are well tolerated. If you
feel that you will require “relaxing” medication prior to your procedure, discuss this with Dr. Papalian during your consultation and medication can be prescribed for your comfort.
You may drive to and from your appointment. If you require oral “relaxing”
medications, please arrange for someone to drive you home.
You should ask questions and feel free to contact the office if you need any
Have Ice Packs ready at home. Ice gel packs will be provided to you for your
trip home. Patients often have 2 bags of frozen peas at home for use as ice packs.
Please make sure you leave enough time in your schedule to allow for a proper
Fraxel treatment. You should plan on roughly 2- 2 ½ hours in the office, to allow for proper numbing, treatment and after care.
After your treatment you will use non-clogging, non-irritating skin cleansers
and lotions, such as Cetaphil. Plan ahead.
Eat light before your procedure. Do not eat a heavy meal. Your procedure will be performed in the office at The Plastic Surgery Center
Do NOT wear make-up to the office, or be prepared to remove your make-up
prior to your treatment. You may re-apply your make-up after your treatment, although most patients do not.
Please plan to arrive 1 hour and 30 min prior to your scheduled treatment time
in order to allow the topical anesthetic adequate time for numbing. If your schedule does not allow for numbing time in the office, please let us know and we can arrange to have you start the numbing process at home.
If you were prescribed oral “relaxing” medication, take it upon arrival at the
Your procedure will be performed under topical anesthesia. Upon arrival your will be asked to wash your face with a mild cleanser and
then alcohol. Do not wear heavy make-up to the office.
The topical anesthetic will then be applied and allowed to work for 1 hour and
Your procedure will last 30 minutes and then a soothing treatment mask and
You will have sunscreen applied and then be discharged. Before you go home, make sure to discuss your post laser skin care program
with Dr. Papalian and review your written post treatment instructions. Please ask any question that you may have.
It is best to schedule your next treatment at the time of discharge. The average
treatment interval is best between 3-8 weeks depending on your skin type. At the time of your consultation, Dr. Papalian will review your specific treatment plan.
Post Laser Instructions for Fraxel re:store
You will be discharged from the office after an application of sunscreen. After your treatment your will experience some mild burning that is
You will experience slight redness that is covered with make-up starting the
Upon your arrival home, use Ice Packs the remainder of the day. Patients
commonly use bags of frozen peas as ice packs.
Some patients benefit from Benadrly and Ibuprofen for the first 24-48 hours. It
is acceptable to use these over-the-counter medications.
The first night you should sleep with your head elevated on several pillows to
minimize swelling. Protect your linens with a towel over your pillow.
You may wash your face with a gentle cleanser, such as Cetaphil cleanser, but
You will notice swelling, particularly under your eyes, worst on the morning
after your procedure. Swelling typically last 1-3 days, depending on the aggressiveness of the treatment.
Your skin may feel dry as the skin heals. Apply non-clogging and non-
irritating moisturizer, such as Cetaphil lotion and sunscreen several times per day.
Sun avoidance and use of sunscreens is critical to avoid hyperpigmentation
(darkening of the skin.) Use a daily sunscreen SPF 30 or higher. Please contact the office if you have any questions regarding sun avoidance.
Avoid harsh irritating products on your skin for 10 days after your laser
You may shower and wash your hair the next day. After your laser procedure, you may resume your routine prescription
medications. Except for steroids, retinoids, and blood thinners.
Most patients return to work in 1-3 days, depending on the extent of your
Regular exercise can be resumed in 48 hours. Please contact the office should you have any questions.
Sujets divers Les manifestations hématologiques au cours Découverte concomitante d’une maladie de Biermer de l’infection à VIH et d’un myélome multiple : à propos d’un cas A Elira Dokekias * 1 ; A Elira Dokékias 1 ; F Malanda 1 ;K Doghmi * 1 ; M Ichou 1 ; Z Ouzzif 2 ; M Chemsi 3 ;G Boukatou Basseila 1 ; E Etoka 1 ; R Bopaka 1 ; O Galiba AtipoN Messaoudi 4 ; M El Oue
FINGER LAKES RUNNERS CLUB Wednesday, June 13, 2007 Martha Van Rensselaer Hall, Rushmore Conference Room (114 MVR), Cornell University Meeting commenced at 5:43 pm Board members present: Casey Carlstrom, Karen Grover, Joe Reynolds, Chris Reynolds, Steve Shaum, Katie Stettler, Nancy Kleinrock, Lorrie Tily, Evan Kurtz, Alan Lockett, Jim Miner, John Dailey, Jr., Tim Ingall, Don Tily