• Pacemaker or internal defibrillator.
• Superficial metal or other implants in the treatment area.
• Current or history of skin cancer, or current condition of any other type of cancer, or pre-malignant
• History of any kind of cancer *
• Severe concurrent conditions, such as cardiac disorders.
• Pregnancy and nursing.
• Impaired immune system due to immunosuppressive diseases such as AIDS and HIV, or use of
immunosuppressive medications. *
• Diseases, which may be stimulated by light at the wavelengths used, such as history of Systemic Lupus
Erythematosus, Porphyria, and Epilepsy. *
• Patients with history of diseases stimulated by heat, such as recurrent Herpes Simplex in the treatment
area, may be treated only following a prophylactic regimen.
• Poorly controlled endocrine disorders, such as Diabetes.
• Any active condition in the treatment area, such as sores, Psoriasis, eczema, and rash.
• History of skin disorders, keloids, abnormal wound healing, as well as very dry and fragile skin.
• History of bleeding coagulopathies, or use of anticoagulants.
• Use of medications, herbs, food supplements, and vitamins known to induce photo-sensitivity to light
exposure at the wavelengths used, such as Isotretinoin (Accutane) within last 6 months, Tetracycline, or
St. John’s Wort within the last two weeks. *
• Facial laser resurfacing and deep chemical peeling within the last three months, if face is treated.
• Excessively tanned skin from sun, sun-beds or tanning creams within the last two weeks.
• As per the practitioner’s discretion, refrain from treating any condition, which might make it unsafe for
(*) Marked conditions may be treated at the discretion of, and under the full responsibility of the medical
director/physician, although not recommended. In such a case, a small area should be treated and assessed
a few days later to determine if the patient will tolerate the treatment without developing adverse effects.
Possible side effects
Although these effects are rare and expected to be transient, any adverse reaction should be immediately
reported to the physician. Side effects may include any of those conditions listed below. Side effects may
appear either at the time of treatment or shortly after. Some dark-skinned patients may have a delayed
response one-to-two days after treatment and should be evaluated post-test accordingly.
The side effects may include:
• Excessive skin redness (erythema) and/or swelling (edema)
• Damage to natural skin texture (crust, blister, burn)
• Change of pigmentation (hyper- or hypo-pigmentation)
• Avoid skin irritation or intentional skin tanning. Sunblock is advisable when outdoors during daylight
• The patient should discontinue any irritant topical agents for 2-3 days prior to treatment.
• The patient should arrive for treatment with clean skin. There should be no lotion, make-up, perfume,
powder or bath/shower oil present on the skin in the area to be treated.
• A topical anesthetic should be used only as directed by a physician and only if necessary.
• Areas of dental crowns, caps, braces, or other metal dental implants may be more sensitive to
treatment and the clinician may use dental rolls, gauze or a tongue depressor to isolate the area and
make the treatment more comfortable.
• Avoid the sun 4-6 weeks before and after treatment until your physician allows it.
• Your Provider may ask you to stop any oral or topical medications or other skin care products 3-5 days
prior to treatment.
• Tanned or darker skin types should not be treated. If treated within 2 weeks of active(natural sunlight or
tanning booth) tan, you may develop hypo-pigmentation (white spots) and this may not clear for 2-3
months, or even longer.
• The use of self-tanning skin care products must be discontinued 1-2 weeks prior to treatment. Any
residual self tanner must be removed prior to treatment.
• Your provider may apply a topical anesthetic for treatment discomfort. This should be removed just prior
• The skin is thoroughly cleaned prior to treatment.
• If treating the upper lip, the teeth may be protected with a moist, wet gauze. The gauze also serves to
support the lip during treatment, allowing a surface to push against.
• Safety considerations are important during the laser procedure. The patient and all personnel in the
treatment room MUST wear protective eyewear during the procedure to reduce the risk of eye injury.
Your provider will take all necessary precautions to ensure your safety and comfort.
• Multiple treatments may be necessary
Inform us if you take one of the following medication
Oils of citron,
Oils of citron,
St John’s Wort