Aesthetic Facial Body Plastic Surgery
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Laser Resurfacing Preparation by Aesthetic Facial Plastic Surgery of Bellevue | Seattle

To prepare for your CO2 Laser Resurfacing Procedure you will need the following:
  • Topicals: Retinol Plus Smoothing Serum 10x, Rebrightalyze Kit and over the counter hydrocortisone 1%
  • Water or Distilled Water and White Grocery Store Vinegar
  • Our Aesthetic Facial Body Plastic Surgery Brand of Gentle Facial Cleanser with Green Tea Polyphenols, Emblica and Bisabolol.
  • Vaseline
  • Oral Benadryl
  • Our Aesthetic Facial Body Plastic Surgery Brand of Antioxidant Moisturing Sunscreen with 30 SPF, Green Tea Polyphenols, Squalane, Ectoin, Bisabolol
  • Our Aesthetic Facial Body Plastic Surgery Brand Triple Antioxidant Moisturizing Cream with Resveratrol, Caffeine and Green Tea Polyphenols or our Gentle Green Tea Antioxidant Moisturizing Lotion.
  • Mineral Makeup
  • Artificial Tears and Eye lubricant, such as Systane or Lacrilube

You can find a link to these products on our Plastic Surgery Patient Care Page on our Website. During this discussion if you ever have any questions you can call us at (425.990.3223), or email us anytime (contactus(at) We try to respond within the first day and we are constantly checking our emails throughout the day.

You should be aware of the precautions associated with Co2 resurfacing. Read the Co2 Resurfacing Surgical Consent. You should have no significant sun exposure for 2-6 weeks prior to your procedure. The topicals above should be applied for 2-6 weeks before your procedure and stopped one week before your procedure to allow your skin to recuperate from the topicals. The night before your procedure if you are going to have Intravenous Sedation, you should avoid eating and drinking at least 6 hours before your procedure. But prior to this time point, we suggest you drink 32-64 ounces of fluids (something with solutes like poweraide, gatorade, juice, etc but not just water). See our Preoperative Reminders to help you prepare for your procedure.

You will be prescribed the following medication or other medicines, based on your needs: Retinol Plus Smoothing Serum 10x, Rebrightalyze Kit (Kojic Acid), Over the counter 1% hydrocortisone, Percocet, Keflex or Clindamycin, and Acyclovir / Valtrex.

2-6 weeks before laser procedure:

Start ONE of these prescriptions 2-6 weeks before your procedure, applying a light layer and waiting several days for all of the redness to go away before starting the next coat (for example starting with just the Retinol Plus Smoothing Serum 10x). Repeat until you are able to use them as directed below. After the first medication is tolerated at max doses, you can then start the next medication in the same way. All three of these medications should eventually be used at the same time:

Apply Retinol Plus Smoothing Serum 10x at night

Apply Rebrightalyze Kit and Hydrocortisone 1% and build up to twice a day (morning and night)

Do NOT expose your skin to sun. Make sure to apply SPF 20 or greater daily.

Do not use self-tanning products.

You should decrease alcohol consumption.

1 week before your laser procedure:

You should:

a. STOP the Retinol Plus Smoothing Serum 10x, Hydrocortisone and the Rebrightalyze Kit and make sure that you have been on these for at least 2 weeks and better 4 weeks before stopping them. You can continue to do your regular skin care. Make sure that you are not using any harsh products such as peels and aggressive buffing and scrubs.


3 days before your laser procedure:

a. Start Valtrex 500mg every 12 hours / Acylcovir 400mg every 6 hours orally and continue for a total of 10 days.

1 day before laser procedure:

Call to make sure that you have all of your questions answered. Also Avoid eating or drinking for at least 6 hours before your procedure. See our Preoperative Reminders to help you prepare for your procedure.

On the day of your procedure:

Come to the office with a clean face; no eye make-up, no lotion, no sunscreen. Be sure to be on time. You may need extra time for topical anesthetic. Do not wear contact lenses. You will need someone to drive you home.

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