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Post Treatment advice for Patients Indergoing UltraPulse Laser Resurfacing

  If you suffer from cold sores it is important to take a ten day course of medication to prevent an out-break. This is more effective if it commences prior to your laser treatment. If you have been prescribed antibiotics the course must be completed.
  If your eyelids have been treated it is normal to expect significant swelling. This subsides over the next two days. Expect swelling of all the treated areas to last for four to five days. If you sleep propped up on pillows (two or three) it will speed the resolution of the swelling.
  Continue to take pain relief as required. Follow the directions as prescribed. The discomfort usually subsides after 48 hours. It is normal for some tingling and itching. Resist the temptation to scratch as this may cause scarring. The itching can be treated with antihistamines, which are available from a chemist.
 

The secret to rapid wound healing is a moist environment. To achieve this the following guidance is recommended:

On the first morning wash the face gently in clean tap water. You can use a mild soap. Through the day many patients find it helpful to splash cool water on the face.

  Apply a thin layer of 50:50 Ointment (or Petroleum Jelly) three times a day. It helps if the Vaseline is warmed to body temperature. This can be achieved by placing a small amount in the palm of one hand and massaging it with the tip of a finger of the other hand. It can then be applied to the treated area and smoothed more easily. Some patients have found it useful to leave the jar of 50:50 Ointment in the airing cupboard.

Reapply the 50:50 Ointment four times a day. At night-time, just before going to bed apply a thin layer of 50:50 Ointment to the skin. This will keep the skin moist overnight. Do not expect to sleep well the first night. Throughout the day frequent splashes of cool water on the face will ease the discomfort. You may also try applying a wet flannel to your face.

Each morning wash off the 50:50 Ointment and any loose crusts very gently. Do not pick off any crusts since this may cause scarring. Cool water may be sufficient. You may use a mild soap solution such as "SIMPLE SOAP". Do not be afraid to touch the skin, it will do no harm. You may also shower. Scrubbing of the treated area should be avoided. The skin will heal in between four to ten days. Once healed, the red areas may be disguised with foundation cream. It is beneficial to choose a colour that matches your normal skin. A green concealer to camouflage the erythema (red discoloration) covered by a base powder or other make-up can usually allow normal activities once the skin has healed. It is good practice to use HYPOALLERGENIC products. The new skin can be sensitive to some types of cosmetics.

Once the skin has healed it is wise to apply a good moisturiser. The new skin can feel tight and dry at first, particularly in the morning.

It is normal to see white spots in the skin. These are blocked pores filled with dead skin. This will eventually disappear as the moisturising programme is continued.

It is advisable to avoid strenuous activity for two weeks after the treatment session.

For a minimum of six months after treatment it is important to use a sun block to the entire treated area. Again HYPOALLERGENIC products are to be advised, and those made for the very young (such as Uvistat Total Block) seem to be particularly well tolerated. Ambre Solare factor 60 for Sun Sensitive Skin is absorbed well into the skin.

In the year 2000 a norwegian research group found that the following two chemicals in sun-block products damage skin cells if used long term: Avobenzone and Octyl methoxycinnamate. It would therefore be sensible to avoid products containing these.

   
Warning signs If you experience any fevers or chills it is important to call the hospital immediately. Please state that you are calling on the instructions of your consultant and that your consultant wishes to be informed.
   
Further suggestions from previous patients

This information is presented as feedback from patients and as is. Mr Murison does not necessarily endorse one product in favour of another.

If you have a wide brimmed hat and a chiffon scarf to hide your face you may find it more acceptable to go out in public earlier than 10 days after the treatment. Please be careful not to let any material stick to your face

   
Once healing is complete

(usually 10 days after the treatment) the following products have been recommended by patients:

 

The following points I have not been able to confirm. Please check your facts prior to purchasing any products. Most of them are hypoallergenic and fragrance free.

 

Aloe Vera Gel is very soothing and anti-inflammatory. Use this only when the skin has healed. Try to find a formulation that is water based.

Witch Hazel in water can be helpful to ease the itching after the skin has healed. Don't use the Witch Hazel with an alcohol base, as this will unduly dry the skin.

Anthisan antihistamine cream for the itching.

Piriton tablets, which are available over the counter at the chemist, is also useful for itching. Piriton may make you drowsy.

Almay Hypoallergenic Moisture Renew Moisture Lotion prior to applying make-up.

Rosy Tone Colour Control Cream from Boots. UVA/UVB protection. This will hide some of the redness.

Este Lauder "Enlighten" shade of green to cover up the redness - good for chin, neck and forehead.

   
Sunblock

Kanebo Total City Block from BOOTS. Clinique F25 Super City Block is a skin tone block and it is oil free.

   
Foundation Creams

Boots No7 Moisture Cover Make-up with sun block
Oil of Ulay All Day Moisture Foundation gave a better coverage (SPF6)

   
Face Powder Boots No7 translucent loose face powder
   
 

To remove make-up Almay Moisture Balance Cleansing Lotion - using cotton wool pad and warm water. For areas above the eyebrow, and where the skin has not been treated Oil of Ulay Eye Shadow - Apricot. This has a pinkish shade.
After three months Boots factor 15 sunscreen - Dermacare range.

   

If you have better suggestions I would be very happy to pass the information on to subsequent patients.

Send us some ideas: