Immediately After Treatment

• Expect mild redness, warmth, and tightness for several hours

• Apply a gentle barrier-repair moisturizer

• Avoid touching or rubbing the skin unnecessarily

First 24–48 Hours

• Do not wash face until day 2, then cleanse with a gentle, non-foaming cleanser

• Avoid heat, sweating, exercise, saunas, steam, and hot showers

• Do not use retinoids, exfoliants, acids, or vitamin C

• Apply broad-spectrum mineral SPF 30+ if outdoors

Days 2–5

• Mild roughness or dryness is normal — do not exfoliate

• Continue hydration and barrier support

• Makeup may be worn once redness subsides, usually the morning after laser

• Avoid prolonged sun exposure

Resume Actives

• Most patients can restart active skincare after 5–7 days, or as directed by their provider

What to Avoid Until Healed

• Scrubs, peels, retinoids, and facial devices

• Waxing or laser treatments in the treated area

• Tanning or unprotected sun exposure

When to Contact Us

• Redness lasting longer than 3 days

• Increasing discomfort, swelling, or irritation

• Darkening patches or unexpected skin changes

Immediately After Treatment

• Mild redness, warmth, or swelling is normal and may last a few hours

• Apply a gentle, soothing moisturizer

• Cool compresses may be used if needed (no ice directly on skin)

First 24–48 Hours

• Do not wash face until day 2, then cleanse with a gentle, non-foaming cleanser

• Avoid heat, strenuous exercise, saunas, steam, and hot showers

• Do not use retinoids, exfoliants, acids, or active treatments

• Use broad-spectrum mineral SPF 30+ when outdoors

Days 2–5

• Redness or slight darkening of treated vessels/pigment may occur before fading

• Continue hydration and barrier support

• Makeup may be worn once skin feels comfortable

• Avoid prolonged sun exposure

What to Avoid Until Skin Is Calm

• Scrubs, peels, and facial devices

• Waxing or additional laser treatments in the area

• Tanning or unprotected sun exposure

When to Contact Us

• Increasing redness, swelling, or discomfort after day 3

• Blistering, crusting, or signs of infection

• Persistent darkening or unexpected skin changes

Immediately After Treatment

• Expect redness, warmth, and mild swelling, similar to a sunburn

• Apply a gentle barrier-repair moisturizer as directed

• Use cool compresses if needed (no ice directly on skin)

First 24–48 Hours

• Cleanse with a gentle, non-foaming cleanser

• Avoid hot water, exercise, saunas, steam, and alcohol

• Do not exfoliate or use active products (retinoids, acids, vitamin C)

• Use broad-spectrum mineral SPF 30+ and a hat if going outdoors

Days 2–7 (if resurfacing / peel was performed)

• Peeling, dryness, or bronzing is normal — do not pick or scrub

• Continue hydrating and barrier repair

• Avoid direct sun exposure and heat

• Makeup may be used once skin is intact and comfortable

What to Avoid Until Fully Healed

• Retinoids, exfoliants, and harsh treatments

• Waxing or facial devices

• Prolonged sun exposure or tanning

When to Call Us

• Increasing pain, swelling, or redness after day 3

• Signs of infection (oozing, crusting, fever)

• Darkening patches that concern you

Immediately After Treatment

• Expect redness, warmth, tightness, and mild swelling (similar to a sunburn)

• Skin may feel sensitive or appear flushed for several hours

• Apply only approved calming or barrier-repair products

First 24 Hours

• Do not wash face until day 2

• Avoid touching, rubbing, or applying makeup

• Do not use retinoids, exfoliants, acids, vitamin C, or active ingredients

• Avoid exercise, heat, saunas, steam, and hot showers

• Use mineral SPF 30+ if outdoors (once skin tolerates it)

Days 2–5

• Cleanse gently with a mild, non-foaming cleanser

• Mild dryness, flaking, or rough texture is normal — do not pick or exfoliate

• Continue hydration and barrier support

• Makeup may be worn once redness has resolved and skin feels comfortable

• Avoid prolonged sun exposure

Resume Actives

• Most patients may restart retinoids, exfoliants, and active skincare after 5–7 days, or as directed by their provider

What to Avoid Until Healed

• Scrubs, peels, facial devices, waxing, or additional treatments

• Tanning or unprotected sun exposure

When to Contact Us

• Redness or swelling that worsens after day 3

• Signs of infection (increasing pain, oozing, fever)

• Darkening patches or unexpected skin changes

Immediately After Treatment (First 4-6 Hours)

• Remain upright — do not lie flat or invert

• Avoid touching, rubbing, or massaging the treated areas

• Facial movement (raising brows, smiling) is fine and can help uptake

First 24 Hours

• Avoid strenuous exercise, saunas, steam rooms, and hot yoga

• Avoid NSAIDS before and after to avoid bruising

• Avoid alcohol if possible

• Skip facials, massages, gua sha, or facial devices

• Makeup may be applied gently after several hours if there is no irritation

What’s Normal

• Mild redness, swelling, or small bumps at injection sites

• Temporary headache or tightness

• Minor bruising (may take several days to fade)

Results Timeline

• Initial effects may be seen in 3–5 days

• Full results develop by 10–14 days

• Effects typically last 3–4 months

When to Contact Us

• Significant asymmetry after 14 days

• Drooping eyelid or brow

• Persistent pain, swelling, or visual changes (rare)

Immediately After Treatment

• Mild swelling, redness, tenderness, or firmness is normal

• Small bumps at injection sites usually soften within a few hours to days

• Apply cool compresses as needed (no ice directly on skin)

First 24–48 Hours

• Avoid touching, rubbing, or massaging treated areas unless instructed

• Avoid NSAIDS before and after treatment to reduce risk of bruising

• Avoid strenuous exercise, heat, saunas, steam rooms, and hot showers

• Avoid alcohol to reduce bruising and swelling

• Sleep on your back with head elevated if possible

• Makeup may be applied gently after 24 hours if skin is intact

What to Avoid (48 Hours)

• Facial treatments, massages, gua sha, or facial devices

• Dental work unless cleared by your provider

• Prolonged sun exposure or tanning

What’s Normal

• Swelling that peaks at 24–72 hours

• Bruising that may last 7–14 days

• Temporary asymmetry while swelling resolves

Final results are typically seen once swelling subsides, around 2 weeks.

When to Contact US

• Increasing pain, blanching (white areas), or dusky/discolored skin

• Severe swelling, intense pain, or changes in vision

• Signs of infection (spreading redness, warmth, fever)

Immediately After Treatment

• Mild redness, swelling, tenderness, or small bumps at injection sites is normal

• These typically resolve within a few hours to a few days

• Apply cool compresses as needed (no ice directly on skin)

First 24 Hours

• Avoid touching, rubbing, or massaging treated areas

• Avoid NSAIDS before and after treatment to reduce risk of bruising

• Avoid strenuous exercise, saunas, steam rooms, and hot showers

• Avoid alcohol to help minimize swelling and bruising

• Remain upright for several hours after treatment

• Makeup may be applied gently once redness subsides and skin is intact

First 48 Hours

• Avoid facial treatments, gua sha, facial massage, or devices

• Avoid prolonged sun exposure or tanning

• Sleep on your back with head elevated if possible

What’s Normal

• Temporary texture changes or tiny bumps at injection sites

• Mild bruising

• Gradual improvement in skin hydration, smoothness, and glow over several weeks

Full results typically develop by 2–4 weeks and last up to 6 months.

When to Contact Us

• Increasing pain, blanching (white or dusky skin), or severe swelling

• Changes in vision

• Signs of infection (spreading redness, warmth, fever)

Attiva is a minimally invasive device that induces subdermal coagulation for the purpose of treating skin laxity. During the procedure, a tiny puncture is made with a needle and a fine cannula is placed just beneath the skin. The device then delivers controlled radiofrequency energy, heat, and electromagnetic pulses directly into the dermis and subcutaneous tissues. This process causes collagen fibers to coagulate and contract immediately while also stimulating new collagen and elastin production over time. The result is firmer, more lifted skin and improved elasticity, offering patients a non-surgical option for addressing mild to moderate skin laxity.

Prescription Medication:

***Please inform Dr. Stubbs of any allergies you have to medications.

Prior to the procedure you will be provided with a prescription for:

• Valium 2mg tablets, Qty 2 [to help you relax during the procedure]

• Gabapentin 300mg tablets, Qty 10 [to help with nerve pain during and after the procedure]

• Norco 5mg tablets, Qty 1 [to help with achy pain during and after the procedure]

• Ondansetron 4mg tablets, Qty 12 [to help with nausea from pain or medication]

Please fill these prescriptions PRIOR to the procedure and BRING THEM with you to the clinic on the day of the procedure.

Pro-NoxTM (50% Nitrous Oxide/50% Oxygen or “laughing gas”) is available in the office during the procedure for your comfort.

Over the Counter Medication:

We recommend that you have:

• Acetaminophen (Tylenol) 500mg tablets

• Arnica Montana 30X tablets

Start the Arnica Montana, 2 tablets three times a day, three days before the procedure (ex. If your procedure is on Thursday, start taking them on Monday).

You can choose to take the Tylenol (every 12 hours) in lieu of the Norco the day of the procedure. If you choose to take the Norco on the day of the procedure you will begin to take the Tylenol the night of the procedure.

One Week Before:

- Stop taking in NSAID medications (i.e. Naproxen, Aleve, Motrin, Ibuprofen), Aspirin, Vitamin E or Blood Thinners.

***The discontinuation of the blood thinners and/or aspirin must be approved by your provider.

Three Days Before:

- Start taking Arnica, 2 tablets three times a day

- Avoid Alcohol until the procedure.

- Verify you have a ride home following the procedure.

Day of Procedure:

- Arrive 15 minutes prior to your procedure for vitals and before pictures.

- Take 1 Valium tablet, 2 Gabapentin tablets, and 1 Norco tablet.

- Topical numbing with Lidocaine/Tetracaine will be applied for 1 hour.

- The procedure will take 1-1.5 hours depending on the size of the area.

- You will be allowed to rest in the office for up to 1 hour following the procedure.

- You are REQUIRED to have a ride home following the procedure.

- Please do not schedule your ride to arrive before 3 hours from your start time. If you have an afternoon procedure your ride must arrive by 5pm.

- Plan to start taking 1000mg of Tylenol at bedtime or 6 hours after the procedure if your procedure was in the morning.

Post Procedure:

- Plan to rest at home following the procedure until the morning.

- You may return to work the next day.

- Tylenol 1000mg (or two 500mg tablets) every 12 hours is recommended for the first 1-3 days.

- For the first 2 weeks do not participate in vigorous exercise.

- At 1 week you may return to light exercise (gentle walking, etc.). Stretching, jumping, lifting weights, etc. may put strain on the healing blood vessels and cause excess bruising, hematoma, or delayed healing.

- Dr. Stubbs recommends using a micro current device during the first month of healing to help lift the tissue while it is healing and the collagen fibers are remodeling.

Wound Care:

- Your wounds may or may not have bandaids on them after the procedure.

- Many wounds will close up and heal without issue immediately following the procedure.

- If you notice the wounds are still open apply Vaseline (i.e. petroleum jelly) or Aquaphor and cover them with a bandaid for 1 week.

- If they become pink, 1 week after the procedure, apply scar cream, Silagen, or silicone scar sheets for 1 month.

- For abdominal, thigh, and buttocks wounds it will be important to maintain your pre-procedure weight to prevent stretching of the skin while it is healing.

- Keep your wounds out of the sun for up to 3 months.

- If your wounds show significant signs of discoloration, please see us in the office, no later than 3 months from your procedure, for a complimentary treatment plan.

Immediately After Treatment

• Mild to moderate soreness, swelling, tenderness, and bruising are normal

• Small puncture marks may be visible at treatment sites

• Apply light compression if recommended by your provider

• You may shower the next day unless instructed otherwise

First 24–48 Hours

• Avoid strenuous exercise, heavy lifting, and high-impact activity

• Avoid hot tubs, saunas, steam rooms, and hot baths

• Keep the area clean and dry

• Over-the-counter pain relievers (like acetaminophen) may be used if approved
  (avoid NSAIDs unless directed, as they may increase bruising)

Days 2–14

• Bruising and firmness may persist and gradually improve

• Mild tightness or tenderness with movement is normal

• Resume light activity as tolerated

• Avoid massage, lymphatic treatments, or bodywork on the treated area unless cleared

What’s Normal

• Bruising lasting 1–3 weeks

• Swelling that improves gradually

• Continued improvement in cellulite appearance over several weeks

Results are often visible immediately, with continued improvement as healing occurs.

What to Avoid Until Cleared

• Aggressive massage or devices on the treated area

• Additional body contouring treatments

• Prolonged heat exposure

When to Contact Us

• Increasing redness, warmth, or pain

• Signs of infection (fever, drainage, worsening swelling)

• Severe or worsening asymmetry

Immediately After Treatment

• Mild warmth, redness, or tingling is normal and typically resolves within a few hours

• Skin may feel slightly tight or flushed

• You may return to normal daily activities right away

First 24 Hours

• Avoid excessive heat (saunas, steam rooms, hot yoga)

• Avoid strenuous exercise if skin feels sensitive

• Use a gentle cleanser and moisturizer

• Apply broad-spectrum SPF 30+ if exposed to sunlight

Skincare Guidance

• Active ingredients (retinoids, exfoliating acids) may usually be resumed the next day, unless your provider advises otherwise

• Continue hydration and sun protection to support collagen response

What’s Normal

• Temporary redness or warmth

• Gradual improvement in firmness, texture, and skin tone over several weeks as collagen builds

Results continue to improve over 4–12 weeks and may be cumulative with a series of treatments.