• Cetaphil cleanser​

• Gauze​

• Saline or clean water​

• White vinegar (for dilute vinegar soaks); use 1 TBSP white vinegar in a cup of saline or water​

• Pick up your antibiotics and Valtrex at the pharmacy and start these the day before the procedure

• Put a layer of numbing cream on the whole face, not so thick that it drips but decently thick. You have 5 grams of numbing cream to use. ​

• Apply it appx 1 hour before your appointment​

• You can have some nerve blocks for extra comfort if desired​

• Wash off the ointment with Cetaphil cleanser​

• Soak any areas with saline if they are painful or bloody​

• You can use ice packs 10-15 min per hour if they are soothing to help reduce swelling​

• Apply plastibase ointment (we give you a large tub) whenever the area dries out​

• You can take Tylenol/Advil for pain but it should not be terribly painful

• The area is a little bloody, wash this off with Cetaphil cleanser​

• Soak the face with dilute vinegar soak on the wet gauze (use 1 TBSP white vinegar for 1 cup of water or saline). If this hurts just use saline or water. Vinegar is antibacterial.​

• The face will begin to ooze a yellowish substance called fibrin. This is a normal part of healing but if you let it accumulate a lot it can slow the healing. That’s why we want you to soak 3x per day for the first few days​

• After the soak, reapply plastibase ointment

• Wash off ointment​

• Soak 3 times per day for 10-15 minutes​

• Apply another layer of ointment

• Still very red but new skin has grown; much less fibrin oozing​

• Reduce soaks to once or twice/day​

• Apply ointment 2-3x day or whenever it’s feeling dry

• Redness starts to go down​

• You can stop soaks unless there is an area that is still oozing fibrin​

• Continue to wash and apply ointment 2-3x day​

• The grid pattern will still be present; it will fade!

• You can switch to Cetaphil moisturizer or another moisturizer that you like, 2-3 x day​

• If any areas are not healed, please call or text Dr. Bar

2 weeks- still some faint redness