Standard FORMA Dry Eye Treatment ( 50 minute appointment)

• Upper Lids FORMA-I
• Lower Lids FORMA-I or FORMA Meibomian Gland Expression

FORMA dry eye treatments typically take 4 sessions spaced every 2 to 3 weeks apart, however additional sessions might be needed in more advanced cases. Maintenance treatments are recommended at least every 6 to 12 months. FORMA dry eye treatments have absolutely no down time. Vitamin C supplements before and after treatments are recommended to enhance FORMA’s collagen genesis effect. FORMA treatments every 1 to 2 weeks will maximize and lengthen the duration of the accompanying skin tightening benefits. Results will vary among individuals with more mature skin possibly requiring extended treatments sessions for best results.

FORMA Contraindications:

• Pacemaker or internal defibrillator
• Permanent metal implants ( e.g. dental) in the treatment area
• Treatment within 1cm from cochlear implants in the ear
• Cosmetic fillers in the last 6 months, Botox within the last 7 days
• Pregnancy and nursing
• Under 18 years of age unless with parental consent

Cautions for FORMA:

• Current or history of skin cancer, suspicious or active lesions, or premalignant moles (Avoid treatment if you have active or suspicious lesions in the treatment area.)
• HA/collagen/fat/silicone fillers and injections within the last 6 months, and Botox within the last 7 days
• A history of diseases stimulated by heat, such as recurrent Herpes Simplex (cold sores, zoster blisters) in the treatment area ( Herpes patients should take Valtrex 500mg BID 2 days prior to treatment, and 5 days after treatment. Genital Herpes is not a concern.)
• Severe systemic illness or disease (Seriously ill patients may need to concentrate on getting better, however treatments can be beneficial for mental health. Treatments will not have adverse effects.)
• Impaired immune system due to immunosuppressive diseases or use of medications (Seriously ill patients may need to concentrate on getting better, however treatments can be beneficial for mental health. Treatments will not have adverse effects.)
• Use of Isotretinoin (Accutane) within the last 6 months (Although studies find no adverse effects of use within 1 month.)
• Poorly controlled diabetes with vascular complications (Due to poor healing.)
• Any surgical procedure in the treatment area within the last three months or before complete healing
• Facial laser resurfacing, facial dermabrasion, and deep chemical peeling within the last three months
• History of skin disorders such as keloid scarring, abnormal wound healing, as well as very dry and fragile skin
• Vitiligo (Best to avoid because heat can alter pigmentation.)

FORMA Day of Treatment:

• Please arrive without creams or makeup on the treatment area and have your hair tied back.

Standard LUMECCA Dry Eye Treatment includes:

• Tragus to Tragus IPL
• Meibomian Gland Expression

LUMECCA dry eye treatments typically take 4 sessions spaced every 4 to 6 weeks apart, however additional sessions might be needed in more advanced cases. Maintenance treatments are recommended every 12 months. LUMECCA dry eye treatments can cause redness and sensitivity after treatment, however there is no downtime. Please note that it is necessary to avoid tanning 4 weeks before and 2 weeks after IPL treatments.

LUMECCA Contraindications:

• Fitzpatrick V-VI skin type (rarely burns or easily tans), or if you have melasma
• Tanning within the last 3-4 weeks
• Use of Isotretinoin (Accutane) within 6 months prior to treatment or current use of doxycycline
• Not for treatment over tattoos or permanent makeup
• Cosmetic fillers in the last 6 months, Botox within the last 7 days
• History of skin cancer, active or suspicious lesions in the treatment area
• Pregnancy/nursing mothers
• Under 18 years of age unless with parental consent

Cautions for LUMECCA:

• A history of diseases stimulated by heat, such as recurrent Herpes Simplex (cold sores, zoster blisters) in the treatment area (Herpes patients should take Valtrex 500mg BID 2 days prior to treatment, and 5 days after treatment, genital herpes is not a concern.)
• Severe systemic illness or disease (Seriously ill patients may need to concentrate on getting better, however treatments can be beneficial for mental health. Treatments will not have adverse effects.)
• Impaired immune system due to immunosuppressive diseases or use of medications (Seriously ill patients may need to concentrate on getting better, however treatments can be beneficial for mental health. Treatments will not have adverse effects.)
• Use of Isotretinoin (Accutane) within the last 6 months (Although studies find no adverse effects of use within 1 month.)
• Poorly controlled diabetes with vascular complications (Safe in controlled diabetics but only on the face, not on extremities.)
• Any surgical procedure in the treatment area within the last three months or before complete healing
• Facial laser resurfacing, facial dermabrasion, and deep chemical peeling within the last three months
• History of skin disorders such as keloid scarring, abnormal wound healing, as well as very dry and fragile skin (In the unlikely event of a blister forming, scarring can happen.)
• Diseases which may be stimulated by light at the wavelengths used, such as history of Systemic Lupus Erythematosus, Porphyria, and Epilepsy
• Vitiligo
• Treating over tattoos or permanent makeup (OK to treat the rest of the face, but not lips, brows and eyelids.)
• Excessively tanned skin from sun, tanning beds or tanning creams and sprays within the last two weeks (IPL targets pigment and tanned skin as pigment near the surface, so IPL can cause burns on freshly tanned skin. OK to treat older tans (3-4 weeks), but not active tans like you would get from basking in the sun for an hour without sunscreen.)
• Current or prior history of Gold Therapy (IPL can heat up the gold fragments.)

Pre LUMECCA IPL Instructions:

• Avoid sun exposure and tanning beds for at least 4 weeks prior to treatment
• Avoid self-tanning products for 2 weeks prior to treatment
• Avoid aspirin or ibuprofen for one week prior to treatment
• Inform the doctor if you are taking blood thinners or aspirin and ibuprofen on a regular basis
• Avoid alcohol for 2 days prior to treatment
• Inform the doctor if you have taken Accutane in the past 12 months
• Have ice packs in your freezer ready for post IPL care if necessary

LUMECCA Day of Treatment:

• Please arrive without creams or makeup on the treatment area, and have your hair tied back.

What to Expect after LUMECCA IPL:

• Your skin will appear pink for a few hours, but it is fine to wear make-up.
• Brown spots and freckles may appear darker, like coffee grounds - please allow them to fade on their own, do not rub them off or exfoliate.
• Cold compresses ( 5 minutes on and 10 minutes off) will relieve redness and swelling.

Potential LUMECCA IPL Side Effects:

• Skin will look pink or red
• Mild edema or swelling
• Mild hyper or hypo pigmentation
• Burning / stinging
• Temporary discolouration /bruising of the skin
• Blistering and crusting
• Mild pain
• Facial hair loss

Most side effects will resolve within one week other than facial hair loss. Blistering and crusting are rare, however if these occur, please apply a thin layer of over-the-counter antibiotic such as Polysporin 3 times a day for 3 days, and notify the clinic.

Post LUMECCA Care:

• Use mild cleansers and moisturizers daily on your skin
• No hot showers for 48 hours
• Avoid taking aspirin, Ibuprofen, consuming alcohol, heavy exertion and activities which may cause flushing for 2 days after treatment
• Avoid harsh topical products such as retinols and glycolic acid products for one week post treatment
• Avoid direct sunlight on the treated area and use a sunscreen with SPF 30 or greater for 4 to 6 weeks after treatment.
• No swimming in pools with chemicals such as chlorine
• No hot tubbing
• Avoid activities that cause excessive perspiration
• Do not pick at or remove any loosening or peeling skin
• No electrolysis, facial waxing or hair removal products for 14 days after treatment