Pre- and Post-Procedural Care Best Practices to Enhance Energy-Based Treatment Outcomes

August 2019 | Volume 18 | Issue 8 | Supplement Individual Articles | 187 | Copyright © August 2019

Suzanne L. Kilmer MD,a Roy G. Geronemus MD,b Nazanin Saedi MD,c Elizabeth Tanzi MD,d Kian Karimi MD,e A. Jay Burns MDf

aLaser & Skin Surgery Center of Northern California, Sacramento, CA bLaser & Skin Surgery Center of New York, New York, NY cJefferson Laser Surgery and Cosmetic Dermatology Center, Philadelphia, PA dCapital Laser & Skin Care, Chevy Chase, MD eRejuva Medical Aesthetics, Los Angeles, CA fDr. A Jay Burns Cosmetic Surgery, Dallas, TX

ergy-based procedures these physicians perform, it is evident that the participants in this roundtable were well-qualified to contribute in this discussion (Table 3). Light-based treatments, such as intense pulsed light, broadband light, and non-ablative lasers are the most commonly performed procedures by the authors.


Roundtable discussions were led by Drs. Suzanne Kilmer and Roy Geronemus. There was a general agreement that rejuvenation procedures represent large financial investments for most patients. Consequently, any pre- and post-procedural care that enhances treatment outcomes and improves recovery will increase patient confidence and overall satisfaction and should be part of the overall treatment experience. With the resurgence of more ablative resurfacing procedures, it was acknowledged that physician guidance in the selection of skincare products used peri-procedure has become even more important in the overall treatment process.

The objectives of this roundtable were to assemble thought leaders in the field of aesthetic medicine to discuss Best Practices for safe and effective pre- and post- procedural care when using energy-based devices for rejuvenation procedures and to determine how these practices have changed in recent years. Notably, pretreatment conditioning has become an important new aspect of treatment for all participants. Not surprisingly, product selection for use in post-procedure skincare is challenging because the skin is in a highly vulnerable state. At the outset, several participants commented on how and why they made the decision to add the Alastin Skincare® line of skin products to their protocols before and after procedures.

Dr. Tanzi: “I wouldn't say I was an especially early adopter of Alastin. I've probably been using it for about a year or two. But much of my impetus for adoption was driven by patients who really liked the products. I was always very skeptical of elaborate pre- and post-operative care regimens, but in this case it was patient-driven. I've been very pleased with the positive feedback from patients.”

Dr. Saedi: “I've been using Alastin for the past 2 years as a pretreatment and post-treatment regimen for my non-ablative and ablative patients, but I have also adopted it for other rejuvenation treatments, such as injectables.”

Dr. Karimi: “I have been a user of Alastin for at least the last couple of years. We use it mostly for our combination non-ablative, ablative laser with the Halo, which is really how I learned about Alastin, but I have also been using the products now for ablative laser resurfacing.”

Dr. Kilmer: “I started using Alastin Skincare mainly in an effort to decrease inflammation. Basically, enhance healing and enhance efficacy by adding in this topical skincare regimen. So, I think we were early adopters as well. And, as will come out later, I'm fully against anything that can cause problems when I'm doing a very big deal procedure, and I love when things are working well to enhance any procedure.”

Summary: All roundtable participants have been using the Alastin line of skincare products in their practice as a pre- and post-procedure treatment for a year or more and are pleased with the enhanced results.