D.13 Post-Treatment
Following treatment, gently cleanse the treated area from skin fragments with a moist cloth and follow post-op
care guidelines.
If adverse skin effects occur (such as excessive reddening or swelling), you may change the exposure time or
reduce the energy.
Meticulous wound care (open or closed techniques) is crucial after skin resurfacing; below are Alma Lasers
recommendations for follow-up. Physicians may refer to them, and then determine their own suitable regimen.
• Post treatment care: immediately after treatment, apply a wound healing product such as Humatrix
®
or
Biafine
®
and cool with Zimmer. Send patient home with Aquaphor
®
or equivalent to apply as needed for the
next 2 days. Instruct only to clean, moisturize and use sunscreen for the next 7 days. Discontinue Obagi
®
,
Retin-A
®
, etc. regimen until day 7. On day 7 microderm or use an aggressive exfoliator or micro-peel. Make-
up can be applied to minimize pixel appearance.
• Open wound care technique: allow ongoing surveillance of resurfaced skin; as to how well they minimize
the feeling of claustrophobia by the patient. These regimens theoretically would seem to be less likely to foster
infection, since there is no dressing under which bacteria may be trapped. However, open methods may be
more painful and inconvenient for the patient.
• During open wound care technique, soak with 0.25% acetic acid, normal saline, or cool tap water for 20
minutes every 2-4 hours, followed by gentle wiping of the skin.
• Cold compresses are immediately followed by the application of a bland emollient ointment. Popular
ointments include Catrix
®
-10 (Lescarden) and Aquaphor Healing Ointment (Beiersdorf AG).
• Closed wound care technique: provides a semi-occlusive environment that may protect the wound from
exogenous bacteria and foster exchange of oxygen and water vapor. Drainage of the wound exudates via the
dressing may prevent excess crust and simplify wound management.