1. Health Status: 

• Clients should be in good health and have no chronic illnesses or medical conditions that could affect the outcome of my treatment. 

2. Medications: 

• Have not currently taken Motrin, aspirin, or any other blood-thinning medications, and I agree to avoid these for 72 hours before any invasive treatment.
• Have not consumed antibiotics or steroids within the last 10 days. If I have, I will reschedule my appointment. 

3. Skin Condition: 

• Arrive with clean skin, free of makeup, lotions, and any other products. 
• Not using Accutane and have not used it within the last 6 months. 
• Do not used retinols or skin-lightening products in the treatment area for 7-10 days, unless otherwise instructed by my provider. 

4. Cold Sores: 

• Pre-treat for cold sores 3-7 days before treatments involving the face or private areas if I am prone to them. 

5. Hydration and Nutrition: 

• Maintain a minimum intake of 62 ounces of water daily for 5-7 days post-treatment. 
• Eat a protein-based meal before my treatment. 

6. Review and Questions: 

• Review the contraindications, pre, and post-instructions located on the Skin+Tonic Brighton website: www.skinandtonicbrighton.com. 
• If I have any questions, I will contact the office at 810-522-4799 (call or text). 

• Pregnancy or breastfeeding
• Active infections or rashes in the treatment area
• Severe or uncontrolled chronic conditions (e.g., diabetes, cardiovascular disease)
• History of severe allergic reactions or anaphylaxis 
• Recent surgery or invasive procedures in the treatment area 
• Use of immunosuppressive medications 
• Cancer or undergoing cancer treatments 

3-4 Weeks Before Your Peel:

• Skin Preparation: Begin using glycolic acid and/or resurfacing products. 
• Medications: Discontinue use of Accutane, Hydrocodone, and clear any other topical products. 

1 Week Before Your Peel:

Avoid the Following: 

• Waxing or depilatories 
• Laser hair removal 
• Facial services 
• Microdermabrasion 
• Dermaplaning 
• Sun exposure 

1-3 Days Before Your Peel: 

• Discontinue: Use of retinol products.

Day 1 – Day 7: 

• Avoid: Washing your face or applying makeup for at least 4 hours after the peel. 
• Avoid: Exercise or vigorous physical activity. 
• Products: Discontinue use of resurfacing products, abrasives, or facial brushes. 
• Cleansing: Use a gentle cleanser like Age Intervention Gentle Cleanser. 
• Protection: Apply a post-procedure barrier protection product like Marini BioShield. 
• Sun Protection: Apply Daily Face Protectant SPF 33 or Marini Physical Protectant SPF 45 daily and reapply as needed. Avoid sun exposure. 

Day 8 & Beyond: 

• Home Care: Continue with the recommended home care program to support peel results and skin goals. 
• Reintroduction: Gradually reintroduce resurfacing products, abrasives, or facial brushes. If redness or sensitivity occurs, pause these products. 
• Accelerators: Reintroduce Retinol Plus / MD, Marini Luminate Face Lotion / MD, or Duality / MD. 
• Sun Protection: Continue using Daily Face Protectant SPF 33 or Marini Physical Protectant SPF 45 daily and reapply as needed. Avoid sun exposure. Additional Tips: 
• Use Epionce Post Treatment Kit: Start use only after active peeling begins, typically by day 2-3. Skin will be more sensitive, so monitor for sensitivity and discontinue use if necessary. 

Contact Us: For any questions or concerns, please contact our staff at 810-522-4799.

1. If on a package or series, confirm your next treatment appointment. It is recommended to have 3-4 treatments sometimes 6 depending on the treatment, with maintenance sessions every 6 months and annual repeats to enhance and sustain results and collagen production.

   For Best Results

   1. Medical-Grade Skin Care: Use recommended products suited for your skin needs. Ask for assistance if unsure.
   2. Hydration: Continue with Aquafacials or Dermaplaning.
   3. Complementary Treatments:
   4. Skin Wave Aquafacial: Schedule before your next Virtue RF treatment to boost hydration and collagen production.
   5. CO2 Cool Peel: Consider for maximizing results.
   6. Botox: Consider injections at the end of your treatment series to maintain wrinkle reduction.
   7. Collagen Supplements and Hyaluronic Acid Topicals: Use to improve skin tone and volume.
   
   

   What To Do Next

   1. Appointment Scheduling: If on a package, confirm your next treatment appointment.
   2. Treatment Frequency: 3-4 treatments initially, with maintenance every 6 months; repeat annually to sustain results and collagen production.
   
   

   Additional Recommendations

   1. Pre-Treatment: Schedule a Skin Wave Aquafacial before your next treatment to boost hydration and collagen production.
   2. Advanced Treatments: Consider stacking a CO2 Cool Peel to maximize results.
   3. Maintenance: Continue with medical-grade skincare, take oral collagen supplements, and use hyaluronic acid topicals. 
   4. Botox injections at the end of your treatment series can help maintain wrinkle reduction.
   
   

   What To Do When Your Package Is Complete

   1. Photos: Submit post-treatment photos to help your provider track anti aging progression and share results.
   2. Reviews: Share your experience with a review on Google or Facebook
   3. Sun Protection: Use sunscreen consistently to protect your results.
   4. Schedule your follow up treatment plan to maintain your results and continue your recommended treatment plan. 
   
   

   When To Contact Your Provider

   For questions or concerns, please contact our staff at 810-522-4799.

Day 1 – Day 7: 

• Avoid: Washing your face or applying makeup for a minimum of 4 hours post-peel. 
• Avoid: Exercise or vigorous activity. 
• Products: Stop using resurfacing products, abrasives, or facial brushes. 
• Cleansing: Use a gentle cleanser such as Age Intervention Gentle Cleanser. 
• Protection: Apply a post-procedure barrier like Marini BioShield. 
• Sun Protection: Use Daily Face Protectant SPF 33 or Marini Physical Protectant SPF 45 daily and reapply as needed. Avoid sun exposure. 

Day 8 & Beyond: 

• Home Care: Follow the recommended home care program for peel results and skin care objectives. 
• Reintroduction: Slowly reintroduce resurfacing products and abrasives. Pause use if skin becomes red or sensitive. 
• Accelerators: Reintroduce Retinol Plus / MD, Marini Luminate Face Lotion / MD, or Duality / MD. 
• Sun Protection: Continue with Daily Face Protectant SPF 33 or Marini Physical Protectant SPF 45 daily. Avoid sun exposure. 

Additional Tips: 

• Clean Zyme Papaya Cleanser and Skin Zyme Papaya Mask: Start use once peeling begins, typically by day 2-3. Monitor for sensitivity and discontinue if needed. 

Contact Us: For questions or concerns, please call or text us at 810-522-4799.

3-4 Weeks Before Your Peel: 

• Skin Preparation: Incorporate glycolic acid and/or resurfacing products. 
• Medications: Stop Accutane, Hydrocodone, and other topical products as advised. 

1 Week Before Your Peel: 

• Avoid the Following: 
  • Waxing or depilatories 
  • Laser hair removal 
  • Facial services 
  • Microdermabrasion 
  • Dermaplaning 
  • Sun exposure 

1-3 Days Before Your Peel:

• Discontinue: Use of retinol products.

• Immediately After the Peel: Skin may appear frosted or sunburned with redness potentially increasing over several hours. 
• First 24 Hours: Expect dryness, tightness, and mild itching in the treated area. 
• Day 2: Skin may darken; continue to experience tightness and itching until sloughing and peeling begin. 
• Days 2-3: Peeling generally starts, often from the mouth area and spreads outward. Peeling may continue for 2-4 days. 
• Important: Do not scrub, pick, or pull at peeling skin. 

Day One

• Initial Care: For the first 4-6 hours after your peel, avoid washing, touching, or applying any makeup or sunscreen. Apply nothing to the skin during this period. 
• If Irritation Occurs: If you experience excessive itching or irritation before the 4-6 hour mark, you may gently cleanse the treated area with a mild cleanser and water. Do not use anything abrasive like sponges or washcloths. Taking Benadryl can help with itching if necessary. 
• After 4-6 Hours: Wash the area with a mild cleanser (we can recommend one if needed) and water using only your hands. Ensure the skin is thoroughly dried. Apply a post-peel retinoid towelette to the treated area 30-45 minutes after cleansing. Ensure the skin is completely dry before applying. Allow the product to absorb into the skin for at least 1 hour before bedtime. 
• Moisturizing: If the skin feels extremely dry or slightly stinging after using the towelette, you may apply the VI Derm Moisturizer provided in the kit. For additional relief of irritation or redness, you may use a light layer of hydrocortisone 1% or 2.5% cream. Benadryl can also be taken if needed. 

Day Two 

• Morning: Gently cleanse your face with a mild cleanser. Apply VI sunscreen and/or makeup as usual. Ensure you protect your skin from sun exposure. 
• Evening: 1-2 hours before bedtime, wash the treated area with a mild cleanser and water using only your hands. Dry the skin thoroughly, as it must be completely dry. Apply the second post-peel retinoid towelette to the treated area at least 1 hour before bed to allow for absorption. 
• Moisturizing: If you feel extremely dry or uncomfortable after applying the towelette, use the VI Derm Moisturizer included in the kit. You may also apply a light layer of hydrocortisone cream for additional relief of irritation or redness. Benadryl can be used if needed. 

Days Three to Five 

• Morning: Cleanse with a mild cleanser, then apply the provided moisturizer if needed, followed by sunscreen before applying makeup. You may use hydrocortisone cream if necessary. 
• Evening: Cleanse with a mild cleanser and apply the VI Derm Moisturizer. Hydrocortisone cream can also be used if needed. 
• Peeling Process: You will begin to see peeling, starting around the mouth area and progressing to other treated areas. It is normal to experience itchiness during this phase. Apply hydrocortisone cream to alleviate itching. 
• Ongoing Care: As peeling progresses, apply the VI Derm Moisturizer as needed for comfort and to manage any peeling. This helps prevent picking at the skin, which can lead to redness, irritation, and hyperpigmentation. 

Day Six and After 

• Resuming Regular Skincare: You may resume your regular skincare regimen once peeling is complete. If your skin remains sensitive, red, or irritated, wait until these symptoms subside before using strong products. This may take up to 2 weeks. 
• For Chest, Hands, & Back: Peeling in these areas will generally continue into the week following the peel. Follow the same instructions as for the face. After the second night of using the retinoid towelettes, continue using tretinoin at bedtime until peeling begins, which usually takes about 5-7 days. Tretinoin samples will be provided. When washing treated areas, use hands only and avoid scrubbing. Apply VI Derm Moisturizer after washing and patting dry. 

Additional Tips 

• Use of Vi Products: Stick to the Vi Derm products included in your kit for the next 7-10 days. If you run out, use a gentle non-retinol/acid cleanser and moisturizer. 
• Avoid Soaking: Do not excessively soak treated areas to prevent premature peeling. 
• Sun Protection: Avoid sunlight as much as possible during the peeling phase. Always use SPF 30 or higher daily. 
• No Facial Treatments: Refrain from any facial treatments (including waxing) for at least 2 weeks after peeling is complete. 
• Avoid Irritating Products: Do not use products that may burn or sting your skin. 
• Daily Maintenance: Continue using the Vi Derm system for daily skin maintenance to help preserve the effects of the peel. 

For any questions or concerns, please contact us at 810-522-4799. Thank you for choosing Skin+Tonic for your chemical peel treatment!

3-4 Weeks Before Your Peel: 

• Skin Preparation: Use glycolic acid and/or resurfacing products as recommended. 
• Medications: Discontinue Accutane, Hydrocodone, and any other topical products before treatment. 

1 Week Before Your Peel: 

• Avoid the Following: 
  • Waxing or depilatories 
  • Laser hair removal 
  • Facial services 
  • Microdermabrasion 
  • Dermaplaning 
  • Sun exposure 

1-3 Days Before Your Peel: 

• Discontinue: Use of retinol products. 

• Immediately After the Peel: Skin may appear frosted or sunburned with increasing redness over several hours. 
• First 24 Hours: Expect dryness, tightness, and mild itching. 
• Day 2: Skin may darken; expect tightness and itching until sloughing and peeling begin.
• Days 2-3: Peeling generally starts and may continue for 2-4 days. Peeling usually begins around the mouth and spreads outward. 
• Important: Avoid scrubbing, picking, or pulling at peeling skin. 

Immediately After the Peel: Your skin may appear frosted or sunburned with potential redness increasing over several hours.
First 24 Hours: Expect dryness, tightness, and mild itching in the treated area.
Day 2: Skin may darken and continue to feel tight and itchy until sloughing and peeling start.
Days 2-3: Peeling usually begins, often starting around the mouth and extending outward. Peeling may last an additional 2-4 days.
Important: Do not scrub, pick, or pull at peeling skin.

Contact Us: For any questions or concerns, please contact us at 810-522-4799.