MOXI® Care Instructions

After your MOXI® fractional laser treatment, please follow these instructions:

• Cleanse the skin two times a day with plain, lukewarm water and a gentle cleanser, beginning the morning after the treatment. Use your hands and gentle patting motions. Do not rub, scrub, or use an exfoliant or skin care brush on the treated area.
• Moisturizer should be applied generously with clean hands over the treated area and reapplied whenever your skin feels dry. Do not apply any other products that were not instructed by your provider (for example, essential oils, coconut oil, etc.).
• Sunscreen is a must and should be used daily beginning the day after treatment and used consistently for up to 3 months post-procedure. Use a physical sunscreen with Broadband UVA and UVB protection and a SPF of 30. Ensure you reapply during sun exposure.
• For general post-treatment discomfort, an over-the-counter oral pain reliever, i.e. Extra Strength Tylenol, might be prescribed by your provider. If an anti-viral was prescribed, continue to take it as directed. Avoid scratching and itching, as scarring and pigmentation complications can occur. Itching can be relieved by oral Benadryl but can cause drowsiness.

Tips and Tricks

• Use soft cloths and soft towels to avoid any scrubbing.
• Makeup can typically be worn once the peeling process is complete.
• Wear a wide-brimmed hat or protective clothing for 2 months post-treatment to avoid blistering, scarring, hyperpigmentation, and hypopigmentation.
• When showering, avoid getting shampoo directly on the treated area.
• Avoid strenuous exercise and sweating until after the skin has healed.

What to Expect and What You Should Do

• Feeling of Warmth: The treated area may be extremely warm for 1-2 hours after the treatment. Warmth may continue for 12-24 hours after the treatment. Cold compresses may provide comfort during this time. Also, a mineral water spray might provide some relief and much needed moisture to the skin.
• Redness (Erythema): Redness is normal and expected. Redness generally increases in intensity for the first few days after treatment with day 3 usually being the most intense. Redness can persist for up to 7 days depending on the intensity of treatment. Use gentle cleansers and keep your skin moisturized and out of the sun which will allow your skin time to heal and limit further stress on your skin.
• MENDs: MENDs (microscopic epidermal necrotic debris) will appear on the 2nd or 3rd day after treatment as tiny dark spots and a bronzed appearance to the treated skin. MENDs are part of the healing process where treated tissue works its way out of your body as new fresh skin is regenerated. During this time, your skin will be very dry and feel like sandpaper before flaking and peeling off. Keep your skin well moisturized to support the healing process. Do not pick at your skin.

Possible Side Effects

• Swelling (Edema): Swelling is common and expected immediately after treatment. The use of a cold compress will help to relieve the swelling. To avoid further swelling, you may choose to sleep in an upright position the first 2-3 nights after the treatment. The first morning post-treatment is when swelling is more prevalent, especially under the eyes. Swelling may last 2-4 days.

There may be some degree of swelling immediately post-treatment, however, if you experience excessive swelling or any of the following signs of infection, you should contact the office immediately. Signs of infection include:

• Drainage – looks like pus
• Increased warmth at or around the treated area
• Fever of 101.5 or greater
• Extreme itching

If you have any questions or concerns, please call 585.244.1010 during our business hours of Monday-Thursday 9am-7pm, Friday 8am-5pm, and Saturday 9am-4pm. If you have an urgent issue after hours, you may call 585.258.4851 to reach the physician on-call.