Treatment should be concluded when the results are satisfactory to the patient or
according to the physician's discretion. Generally, 3-5 sessions are needed for mild to
moderate depth settings. It is not typical to perform more than five consecutive
sessions however more sessions can be performed as per physician discretion. In
some instances, 1-2 sessions may be sufficient.
6.9 Post-treatment Recommendations
After each treatment session, the physician should advise the patient on proper care.
▪ Cool the treatment area for 10-20 min.
▪ Emollient cream or occlusive dressing could be applied to the treatment area.
▪ Alternatively, prophylactic antibiotic treatment may be prescribed for 1-3 days
post treatment. Patient is to contact the physician if there is any indication of
infection, excessive swelling, redness, undue pain, or any other unusual or
untoward symptom.
▪ Tiny scabs may appear after 1-3 days and stay for several days following the
treatment. The scabs should not be touched or scratched even if they itch and
should be allowed to flake off naturally.
▪ Blisters may be treated with a prescribed antibiotic ointment or burn treatment
cream as per physician's discretion.
▪ During the first two days following treatment the treatment area should be kept
clean to avoid contamination or infection; any mechanical or thermal damage to
the area must be avoided.
▪ Prophylactic antiviral therapy should be continued for patients with history of
cold sores (Herpes Simplex) when treating around the mouth.
▪ Moisturizer may be applied 24-72 hours after each treatment and then should be
applied regularly throughout the course of the treatment. Make-up may be
applied only 24-72 hours after each treatment session. Generally, 24 hours after
treatment, patients may use regular soaps, but not scrub soaps or exfoliates.
▪ The patient should use a high-factor sunscreen (at least 30 SPF) and protect the
treated area from over-exposure to sunlight for at least one month after the
treatment, starting 24-72 hours post treatment. Excessive tanning of any sort
(sun exposure, tanning beds, and artificial tanning lotions) is not allowed in the
treated areas during the entire course of the treatment.
▪ For Asian patients and skin types IV and V, a prescription or compounded
bleaching regimen may be prescribed by the physician for 6-12 weeks, 2-3 times
a week following the healing of treatment area (typically 7 days) to minimize risk
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