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  • Wrinkles

  • Skin Tightening

  • Flat solar lentigo / Actinic keratosis / Seborrheic keratosis

  • Acne Scars

  • Rosacea – usually with Botox rubbing. Sometimes we get results even w/o Botox.

  • Periorbital wrinkles

  • Neck and Chest

Series of Treatments

  • For low setting treatment (with exposure time of 10ms and less), do treatment once every 4 to 6 weeks for 3-6 treatments.

  • For higher settings (12ms and more) do treatment every 6 to 8 weeks, for 2-3 treatments, sometimes even one treatment is sufficient.

  • Keep close touch with the patient in between treatments. Give patient your personal mobile number for follow-up with apps such as WhatsApp and ask patient to send daily pictures for 7 to 10 days (for patient treated with high settings).

  • Maintenance treatment: once or twice a year.

Season factor

  • Sun tanning is strictly prohibited, due to risk of Hyperpigmentation. Regime of sun avoidance is recommended between 9:00 to 16:00 daily for 3 months.

  • Please note that high SPF factors may not be enough to avoid post-inflammatory hyperpigmentation in darker skin types. Strongly advise patient against UV exposure before and after the treatment. Age

  • Patients can be from 18 to 85 years or beyond. Good response at any age. Younger patient usually seek treatment for acne scars.

  • However, it is important to match the expectations as older patient tend to respond less.

Caution as some patients that can give less satisfactory result. Watch out for:

  • Persons on diet and thus losing both fat and muscles.

  • Loosing mainly fat volume due to exercising that leads to fat loss but increase in muscle bulk. Patient weight may not be changed but body fat percentage dropped.

  • Some Vegans/vegetarians (not enough protein as a "building material" in the diet)

  • Heavy smokers

  • Heavy UV exposed persons

  • Stressed patients that leads to poor diet and sleep.

Prophylactics to reduce incidence of herpes labialis (cold sore)

  • Multivitamins and minerals supplements to boost the immune system prior to treatments.

  • Valacyclovir 2 grams at one go about 24 hours before the treatment. Those with frequent recurrence of herpes labialis of more than 3 episodes per year I suggest taking another Valacyclovir 2 grams stat immediately before or after the treatment.

  • If patient is suffering from herpes labialis, postpone the treatment at least for 4 weeks.

Preparation for treatment

  • Advise the patient to have no make-up for the day of the treatment. The skin should be clean.

  • Clean the skin before the treatment. I use hypochlorous solution (such as Clinisept + or Natrasan) or Isopropyl Alcohol (70%). Isopropyl alcohol preparation will result in more aggressive treatment.

Numbing materials

  • For higher settings (10ms and more) or for sensitive patients, use Emla, LMX or other (lidocaine based) topical anaesthetic. Very sensitive patients may need oral paracetamol or codeine with paracetamol.

Novoxel Presentation before and after approved for use
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