Prep for Fractional and Minimally Invasive Work: The Elevated Checklist
Why Wound-Class Projects Need the Elevated Prep
Fractional CO2/Er, RF microneedling and injections open the barrier — infection and delayed-healing risks run a class above non-invasive work. Add four items to the universal frame (prep overview).
The Elevated Checklist
- Herpes prophylaxis: perioral/facial treatment or any history — prophylactic medication per physician (usually starting 1-2 days before); reactivation is among the commonest fractional complications.
- Drug windows: oral isotretinoin typically 6-12 months (physician-directed), topical retinoids/acids 3-7 days, anticoagulants cleared with the prescriber.
- Evening logistics: no major social plans or driving that day (anesthetic, swelling, light avoidance); prepare scarves/hats/masks.
- Check-in flow: arrive bare-faced, allow 30-60 minutes for numbing, sign consent and imaging authorization.
Skin-State Gates
- No active inflammation, infection or open lesions in the field.
- No fresh sunburn or recent tanning (2-4 weeks).
- Barrier assessment: dry, flaky skin repairs for a week first (sensitive skin).
Execution Notes
- Confirm the checklist by message before the day; unmet criteria reschedule, no negotiation.
- Design the numbing-wait-treat flow through the waiting area.
- Hand over the first aftercare pack in person with explanation (aftercare).
FAQ
No herpes history — still prophylaxis?
For high-risk facial fractional work, prophylaxis is advised (especially any past episode); truly never-affected clients on low-energy plans may skip per physician judgment.
Pregnancy or trying to conceive?
Pregnancy defers fractional work universally (the contraindication map); trying to conceive — individualize with the physician.