PRE-TREATMENT REMINDERS

NOTES:

• Please arrive to your appointment with clean, makeup-free skin.

• If you generally have sensitive or reactive skin, a patch test is available for most peels up to 48 hours prior to receiving treatment. We will begin with a mild peel to assess your skin’s response before progressing to more intensive peels.

2 WEEKS PRIOR TO YOUR PEEL SESSION:

• Avoid tanning outdoors or in a tanning bed, or any type of prolonged sun exposure (must wait at least 2 weeks)

• Avoid any type of laser hair removal on the area to be treated (must wait 2 weeks)

• Avoid receiving any type of Botox or dermal filler treatment (must wait 2 weeks)

1 WEEK (OR LESS) PRIOR TO RECEIVING YOUR PEEL:

• Avoid any type of facial waxing (must wait 1 week)

• Discontinue use of prescription keratolytics/vitamin A topicals (5-7 days prior to receiving treatment)

• Discontinue use of non-prescription keratolytics/vitamin A topicals (3-5 days prior to treatment)

• Discontinue use of AHA/BHA-based products (2 days prior to treatment)

CONTRAINDICATIONS

Clinical peel treatments are a safe and effective way to improve the tone and function of the skin. There are a few contraindications for receiving peel treatments, however. Please review this list to ensure you are free from conditions that would prevent you from receiving treatment, and contact us if you have any questions prior to your scheduled appointment.

Precautions and Conditional Contraindications:

• Allergy to aspirin (will prevent use of certain peels)

• History of cold sores or fever blisters (must use an anti-viral medication such as Valtrex starting 24 hours prior to treatment)

• Pregnant or lactating (will prevent use of certain peels)

• Outdoor lifestyle (will discuss safe treatment options)

• Rosacea (will prevent use of certain peels)

• Facial waxing (must wait 1 week prior to treatment)

• Laser hair removal (must wait 2 weeks prior to peel treatment)

• Use of prescription keratolytics or Vitamin A topicals (discontinue 5-7 days prior to treatment)

• Use of professional retinol-based products (discontinue use 3-5 days prior to treatment)

• Botox or dermal fillers (must wait 2 weeks prior to treatment)

• Sunburned, wind-burned, or compromised skin (must wait 2 weeks prior to treatment)

• Use of antibiotics (may increase skin sensitivity; will discuss treatment options case-by-case)

Absolute Contraindications:

• Use of Accutane (must be off for 6-12 months prior to treatment)

• Current use of hydrocortisone on treatment area

• Visible redness, irritation, or inflammation

• Active cold sores or facial rash

• Active rosacea flare-ups

• Abnormal lesions

• Current treatment for serious medical condition (doctor’s note required)

• Autoimmune disease (doctor’s note required)

• Medications for diabetes, Lupus, or chemotherapy treatments

• History of keloids or hypertrophic scarring

• Frequent use of tanning beds or frequent sun exposure

• Any infectious disease

POST-TREATMENT SKINCARE REGIMEN

DAY OF TREATMENT:

We will provide you with a post-treatment kit to help care for your skin in the days following your appointment. When you return home, place your sheet mask in the refrigerator to cool.

We will apply potent topical serums and SPF to your skin on the day of treatment. Leave these on until you wash your face in the evening. You may wear makeup if desired. Stay out of the sun and avoid excess heat.

In the evening, gently cleanse skin with tepid water and a microfiber washcloth, using the cleanser in your post-treatment kit. Apply refrigerated hydrogel sheet mask to your face, and leave on for 10-20 minutes. This mask will instantly hydrate, calm, and feed your newly treated skin. Finish by applying the skincare products in your post-procedure kit as directed.

DAYS 1-2 POST-TREATMENT:

Morning & evening, wash skin and apply skincare products as directed in your post-treatment kit. Apply sunscreen daily and avoid direct sun exposure and excess heat. Avoid use of active topicals until skin has completely healed.

DAYS 3-10 POST-TREATMENT (and up to 14 days):

Same as Days 1-2. In addition, skin may become dry, flaky, or begin to shed during this period (depending on type of peel received). NEVER scrub or pick flaking skin. Allow skin to shed naturally to prevent complications. Once skin has returned to normal, you may resume your regular prescribed skincare regimen. Schedule your next clinical peel appointment for 2-4 weeks from today’s treatment.

HOME MAINTENANCE:

We will recommend a simple, customized homecare regimen for you to use between appointments, once your skin has healed. This regimen regimen will help keep your skin healthy, maintain your results, protect your skin, and keep pigment-producing cells and other skin agers at bay.

POST-PEEL EXPECTATIONS

1 – Similar to a mild to moderate sunburn, warmth, tightness, redness, and sensitivity are common side effects on the day of treatment, depending on the level of clinical peel performed. Level 1 (mild) peels will result in very minor side effects (if any), whereas Level 3 (advanced) peels will likely result in all of them. These side effects may persist for 3-11 days, depending on skin type and the strength and level of peel used.

2 – Mild edema (puffiness) is more rare, but is also a possible side effect of aggressive peels or for those with very sensitive skin. If needed, an antihistamine such as Zyrtec or Claritin may be taken to help reduce any puffiness caused by a histamine reaction. If present, puffiness is typically most noticeable in the under-eye area. For sensitive skin types or more aggressive peels, we recommend sleeping elevated for 1-3 nights to help avoid fluids pooling in the eye area.

3 – For aggressive peels, some discoloration of the skin may present itself as the skin is healing. This is temporary and will resolve during the healing process as pigment is lifted and sloughed off the skin.

4 – Dryness, flaking, and/or peeling are common side effects after receiving clinical peels, and the extent of these depends on type of peel and skin condition. Flaking or peeling is considered a side effect, and the amount does not correlate with the degree of improvement in the skin. Dry skin will most likely occur on Day 2 after receiving a clinical peel. Depending on the type and intensity of peel received, flaking, peeling, and/or shedding may occur from Days 3-7 (or up to 10-14 days for advanced clinical peels). Any dryness, flaking, and/or peeling is temporary and will resolve during the healing process.

5 – Skin will return to normal within 3-14 days, depending on intensity of peel.

6 – Once skin has completely healed, you may return to your normal prescribed skincare regimen.

TREATMENT BENEFITS & FREQUENCY

TO ACHIEVE BEST RESULTS: In order to maximize clinical peel results, we recommend undergoing a series of four to six progressive peel treatment sessions customized specifically to your skin and spaced 2-4 weeks apart (depending on the type of peel treatment). We recommend completing one to two SKIN STUDIO 360 peel programs per year.

TO MAINTAIN RESULTS: When not undergoing an active treatment program, we recommend facial treatments every 4-6 weeks in addition to following a simple, prescribed home maintenance skincare program. Our SPA 360 subscription program is the perfect way to stay on track with your skincare regimen.

REGULAR PEEL SESSIONS HELP TO:

• Speed up the skin’s natural renewal processes

• Reduce the visible signs of skin aging

• Increase skin smoothness and improve skin texture

• Keep acne under control

• Increase skin clarity

• Help diminish pigmented spots & skin discoloration

• Soften fine lines and wrinkles

• Create radiant, glowing skin

CANCELLATION POLICY

In order to accommodate last-minute changes to our schedule, we kindly ask that you provide at least a 24-hour notice to cancel or reschedule your appointment. Appointments cancelled less than 24 hours in advance will be assessed a 25% cancellation fee. Thank you for your understanding.

SIGNATURE

By signing and submitting this form, I acknowledge that I have read and understand all pre- and post-treatment guidelines and contraindications as outlined above for receiving clinical peel treatments. I understand a patch test is available to me prior to my clinical peel treatment and have checked the box if I would like to receive a patch test. I understand the cancellation policy detailed above and will allow at least a 24-hour notice prior to cancelling or re-scheduling my appointment. If I have any questions or if there is something I do not understand, I agree to reach out to SIMPLY DAWN for clarification prior to my appointment. I understand that 1) before and after photos may be taken to document treatment results, 2) these photos may be used by SIMPLY DAWN for business and/or marketing purposes, and 3) I may request to have my identity masked prior to posting publicly. I agree to abide by all guidelines prior to receiving treatment, and I agree to inform my practitioner of any changes in my skin, overall health, or medications prior to my scheduled appointment.