
Physician‑Led Guidelines for All Treatments at Botox Oahu
To get the maximum benefit from and to minimize any complications from this treatment please follow the following guidelines recommended by Dr Schaefer
Pico Laser
🌺Before & Aftercare Instructions

Pico Laser treatments target pigmentation, sun damage, acne scarring, and overall skin clarity using ultra‑short pulses of energy. These before and aftercare guidelines help protect your skin barrier and ensure the treatment works safely and effectively. Following them supports faster healing and the most even, radiant results.
🩺 Universal Pre‑Treatment Guidelines
💊 Avoid Blood Thinners (5–7 Days Prior) Aspirin, Ibuprofen, Advil, Aleve, Motrin, and other NSAIDs increase bruising risk. If you take prescription anticoagulants (Coumadin, Dabigatran, Apixaban), please notify us.
🚭 Avoid Alcohol & Smoking (48 Hours Prior) Both increase bruising and slow healing.
🌿 Consider Arnica Montana Topical or oral Arnica can reduce bruising for patients prone to it.
🧴 Arrive With Clean Skin No makeup, sunscreen, moisturizer, or oils. We will cleanse again before treatment.
🧊 Optional: Numbing Cream Apply Lidocaine 30 minutes before your appointment. If you don’t have any, we can provide it in‑office at no charge.
💡 Pico Laser - Before Care
Avoid sun exposure, tanning beds, and self‑tanner for 2 weeks before treatment to reduce the risk of hyperpigmentation.
Discontinue retinoids, glycolic acid, salicylic acid, benzoyl peroxide, scrubs, and exfoliating brushes for 5–7 days prior.
If treating the face and you have a history of cold sores, antiviral medication may be recommended.
Avoid spray tans or bronzing drops for 2 weeks before treatment.
If you are actively peeling from a recent chemical peel or retinoid purge, reschedule until the skin barrier is intact.
🌈 Universal Aftercare Guidelines
✨ Mild Redness or Swelling Is Normal This typically resolves within a few hours.
🙅 Avoid Rubbing or Massaging Treated Areas Unless specifically instructed for your procedure.
🏃 Avoid Exercise & Lying Flat (4–6 Hours) This prevents product migration and reduces swelling.
🍷 Avoid Alcohol for 24 Hours Alcohol increases fluid retention and bruising.
🌿 Continue Arnica if Needed Avoid applying directly to injection sites.
💊 Resume Blood Thinners After 24 Hours Unless otherwise directed by your physician.
🌤️ Pico Laser - Aftercare
Dark spots may temporarily darken (“peppering”) before flaking off over several days — this is expected.
Avoid hot showers, saunas, steam rooms, and heavy sweating for 24 hours.
Avoid retinoids, acids, scrubs, exfoliating brushes, benzoyl peroxide, and active skincare for 5–7 days.
Keep the skin moisturized with a gentle, non‑active moisturizer until fully healed.
Avoid direct sun exposure for 2 weeks, and use SPF 30+ daily.
Makeup can typically be applied the next day if the skin is not irritated.
Do not pick, scratch, or exfoliate darkened pigment — allow it to shed naturally.
📞 When to Contact Us
Call or text (808) 261‑1121 if you experience:
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Significant or unexpected swelling
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Asymmetry or drooping
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Difficulty swallowing or speaking
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Any symptoms that concern you
Your safety is our priority.
✅ Why Patients Choose Botox Oahu
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Physician-led care with 25+ years of experience
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FDA-approved treatments and medical-grade protocols
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Fast, discreet appointments with minimal wait times
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Amazing results with unbeatable prices.
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5-star reviews on Google & Yelp
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Located in Aina Haina with free parking
Ready to look and feel your best?
🛡️ Physician-Led 💲 Transparent Pricing ⭐ 5-Star Rated ⏱️ < 15-Minute Waits
