1. Hydrate – we recommend that for seven days pre-treatment you moisturize skin in the morning and evening, and drink at least 8 glasses of water per day to completely hydrate your skin and optimize treatment results. 
2. If you have a history of Herpes Simplex please let us know so that we can call in an antiviral prophylaxis 3-4 days prior to the procedure. Topical retinoid therapy should be discontinued 3-4 days prior to treatment. 
3. Avoid any prolonged exposure to the sun for the first 3 days.

1. 400-600mg of Ibuprofen is recommended 1 hour prior.  Safety considerations are important during the laser procedure. Protective eyewear will be worn by the patient and all personnel in the operative suite during the procedure to reduce the chance of damage to the eye. Your provider will take all necessary precautions to ensure your safety.

2. A smoke evacuator will be used to remove any smoke or debris from the air.

1. Immediately after treatment, most patients will experience a clinical endpoint of erythema (redness) for 5-10 days, however, for more aggressive treatments this may last longer.
   1. Slight to moderate edema (swelling) and a mild to moderate sunburn sensation are also common post-treatment and may last 5-10 days.
   2. After the second day, the skin will appear as an exaggerated tan.
   3. Skin will begin to flake at 5- 7 days on the face and neck; 7-10 days for the chest; and 10-14 for the hands 
2. Your provider may opt to use additional cooling methods such as cool compresses, gel packs, or facial mask for up to 4 hours after treatment. 
3. Before discharge a topical ointment (like Vaseline) may be applied to the face, no bandages or wraps are necessary. 
4. Your provider will prescribe the use of vinegar soaks to be applied multiple times a day followed by reapplication of topical ointment.
5. Your provider will inform you when you may resume the use of your usual skincare products.
6. There are no restrictions on bathing except to treat the skin gently, avoid scrubbing or trauma to the treated area as if you had a sunburn. 
7. Avoid unprotected sun exposure to reduce the chance of hyperpigmentation (darker pigmentation), especially for the first 3 days. 
8. The use of SPF 30+ at all times throughout the course of treatment is recommended.

Immediately after treatment, your skin will feel warm and tight, almost akin to a sunburn.  This feeling is temporary and usually subsides within a couple of hours.  We recommend not using any makeup for the rest of the day.  Avoid direct sunlight or tanning beds for two weeks after treatment.  If outside, apply a broad-spectrum sunscreen with at least SPF 30 or higher, making sure to reapply every two hours.  You can resume most of your normal activities immediately. It will look as if you have a mild sunburn.

A warm, flushed appearance is common and can last up to a week.  Avoid exfoliating scrubs, alpha hydroxy acids, and any prescription retinoids in the area for at least three days. Avoid hot showers and saunas until sensitivity has subsided.  The collagen remodeling process takes time but most clients will start to see results 2-4 weeks following treatment.

1. Avoid direct sunlight or tanning beds. If outside, re-apply SPF of at least 30 every 90 minutes.  Even if it looks cloudy, you still need to wear SPF protection.
2. Do not use any AHA, BHA, or topical prescriptions ie: Retin- A for 1 week. If you do not know if your products contain these ingredients please call or email your DLS provider.
3. Use gentle, hydrating, and reparative products. Products rich in soothing and healing ingredients are best to encourage new healthy cell growth. Peptides, Antioxidants, Stem Cells, Vitamins A, C, E, and growth factors work very well. 
4. Do not scratch or peel at the treated area to achieve the best results.
5. Avoid hot baths or showers, hot tubs, steam rooms, aerobic .exercise, massage, harsh cleansers, or chemicals on the treated area for 48 hours following treatment.
6. Once erythema subsides, resume prescribed home care

1. Immediately after the treatments, there should be redness and bumps at the treatment area, which may last up to 2 hours or longer.  It is normal for the treated area to feel like sunburn for a few hours.  You should use a cold compress if needed.  If any crusting, apply an antibiotic cream.  Some physicians recommend aloe vera gel or some other after sunburn treatment.  Darker pigmented people may have more discomfort than lighter skin people and may require the aloe vera gel or an antibiotic ointment longer.
2. Makeup may be used after the treatment unless there is epidermal blistering.  It is recommended to use new makeup to reduce the possibility of infection.  Just make sure that you have moisturizer on under your makeup.  In fact, moisturizer will help the dead hair exfoliate from the follicle, so use moisturizer frequently and freely on the treated area.  Any moisturizer without alpha-hydroxy acids will work.
3. Avoid sun exposure to reduce the chance of dark or light spots for 2 months.  Use sunscreen SPF 25 or higher at all times throughout the treatment and for 1-2 months following.
4. Avoid picking or scratching the treated skin.  DO NOT USE any other hair removal methods or products on the treated area during the course of your laser treatments, as it will prevent you from achieving your best results.
5. You may shower after the laser treatments, and use soap, deodorant, etc.  The treated area may be washed gently with a mild soap.  The skin should be patted dry and NOT rubbed.   You may apply deodorant after 24 hours.
6. Anywhere from 5-30 days after the treatment, shedding of the hair may occur and this may appear as new hair growth.  This is not new hair growth, but dead hair pushing its way out of the follicle.  You can help the hair exfoliate by washing or wiping with a washcloth.
7. Hair re-growth occurs at different rates on different areas of the body.  New hair growth will not occur for at least three weeks after treatment.
8. Please note:  Stubbles, representing dead hair being shed from the hair follicle, will appear within 10-20 days from the treatment date.  This is normal and will fall out quickly.

1. Immediately after the treatment, you should apply an ice pack to the area, as there may be mild swelling.  It is normal for the treated area to feel like sunburn for a few hours.  You should use a cold compress if needed.  Avoid any trauma to the skin for up to 2-5 days, such as bathing with very hot water, strenuous exercise, or massage.  
2. Avoid picking or scratching the treated skin to achieve your best results.  If any crusting appears, apply an OTC antibiotic cream like Neosporin.  We recommend using anti-inflammatories such as aloe vera gel on the affected area.  Darker pigmented people may have more discomfort than lighter skin people and may require the aloe vera gel or an antibiotic ointment longer.   Follow instructions as specified by your laser professional.
3. Makeup may be used once the swelling has subsided unless there is epidermal bleeding.   It is recommended to use new makeup to reduce the possibility of infection.  Keep the area moist.  Any moisturizer without alpha-hydroxy acids will work.
4. You may shower after the laser treatments in tepid water.  The treated area may be washed gently with a mild soap or cleanser.  The skin should be patted dry and NOT rubbed.  
5. You will experience redness for two to three days after treatment but may last up to five days.  Avoid direct sun exposure and tanning beds for 1-2 months and throughout the course of the treatment so as to reduce the chance of adverse reactions like hyperpigmentation or hypopigmentation.  Use sunscreen SPF 25 or higher at all times throughout the treatment when going outside.
6. Avoid waxing, bleaching, or chemical peels during the course of the treatment.   Do not use any irritants such as Retin-A (OTC retinol is okay after 1 week) or other prescription topicals.

1. The downtime associated with Kybella is substantial. While there is both swelling and bruising associated with the healing process, the swelling is the most significant. The worst swelling will be within the first 2 to 7 days after treatment. During this time, your neck will swell to look like a “bullfrog”. Your neck area will appear as if you have gained significant weight. After the initial week, the swelling will subside by approximately 80%, and the remainder of the swelling will dissipate over the next month. 
2. It is important to know that approximately 30 minutes after the injections, the treated area will feel numb due to the swelling pushing on the nerves. This numbness can persist for 1 to 3 months after treatment. The numbness will spontaneously resolve itself as the swelling goes down.

Proper post-treatment care is critical to ensure desired results and minimal side effects. With all of our Kybella skincare clients we recommend:

• If you would like to reduce swelling, apply ice every 20 minutes with a 20-minute break in between for the first 24 hours. You can also apply Arnica gel to help accelerate healing and reduce swelling and bruising. As swelling and inflammation are a necessary part of this treatment, if you can avoid applying ice, the treatment will be more effective.  
• Never touch or rub the injection area with the exception of applying ice and Arnica gel. 
• Take acetaminophen for pain.
• Sleep on your back with your head elevated for 3 to 5 days afterward. 
• Drink a lot of water and fluids for at least 7 days after treatment.
• Avoid alcohol, caffeine, cigarettes, high-sodium foods, high sugar foods, Niacin supplements, refined carbohydrates, and spicy foods for 48 hours after treatment.
• Avoid vigorous exercise, sun, and heat for 3 to 5 days after treatment.
• Avoid aspirin, cod liver oil, flax oil, garlic, ginkgo Biloba, Motrin, Vitamin A, Vitamin E, or any other essential fatty acids as they may increase bleeding and bruising for 3 to 7 days after treatment.
• Avoid injectables, laser treatments, ultrasounds, chemical peels, facials, or micro-dermabrasion to the treated area until recommended by your Denver Laser Solutions skincare professional.
• Contact Denver Laser Solutions immediately if you develop an asymmetric smile, facial muscle weakness, skin ulceration, difficulty swallowing, or if symptoms worsen.
• Speak with your doctor before changing any medicines or treatment programs.

Contact Denver Laser Solutions immediately (303.807.4333) if you develop an asymmetric smile, facial muscle weakness, skin ulceration, difficulty swallowing or if symptoms worsen.

Results start to show one month after treatment, and full results are visible three months after treatment. While 80% of the swelling from Kybella will dissipate in the first week, it will take approximately one month to heal completely. For this reason, we recommend scheduling your treatment at least four weeks, if not more, in advance of a special event. 

In the situation where there is less chin fat, some of our Denver skincare clients only require one Kybella treatment. While it is uncertain if additional treatment is necessary, we ask our clients to wait the full 3 months required to see the full results of the treatment before scheduling another appointment. If more skin fat is present and multiple sessions are necessary, Kybella treatments should be scheduled four to six weeks apart. Call us at 303.807.4333 to schedule today!

1. Aerobic exercise or vigorous physical activity should be avoided for the first 48 hours.
2. Direct sunlight exposure is to be completed avoided immediately following the treatment (including any strong UV light exposure and tanning beds.) If some sun exposure cannot be avoided, first apply sunscreen with an SPF of 30 or greater. Sunscreen (with at least 15 SPF) should become part of your daily skin care regimen as your skin will become more sensitive to the sun as a result of this treatment.
3. Gently moisturize your face multiple times a day topped with an occlusive petroleum-based product such as Neosporin, triple antibiotic ointment, or Aquaphor twice daily for the following seven days. 
4. Do not apply any type of glycolic acid or exfoliation products as this can severely damage or irritate the skin during the entire healing process.
5. Do not peel, rub, or scratch your skin at any time, whatsoever. This will cause damage and compromise your results as well as possibly cause severe scarring.
6. If you experience painful areas of the face, contact your skincare specialist immediately, especially if you are prone to cold sores. Any blisters that form will need to be reported immediately.