The Ultimate Duo

The Ultimate Duo combines the VirtueRF and Tetra CO2 to stimulate collagen production at both the superficial and deep levels of the skin without any incremental downtime. The VirtueRF microneedling provides deep collagen remodeling and rejuvenation while the CoolPeel produces a superficial injury by delivering high energy in extremely short-pulses. The outcome? Impressive superficial skin resurfacing results with deeper, continuous collagen stimulation. This combination targets sun damage, fine lines and wrinkles, and overall skin tone and texture. Think of it as anti-aging tag teaming with little to no downtime.

The Ultimate Duo Pre-Care
This treatment cannot be done when pregnant, or if you have an electronic implant (Insulin pump, pacemaker, etc.)
Inform us of any medical conditions such as pregnancy, cold sore and fever blister tendencies, any type of allergy, recent facial peels or surgery, and all current medications (including both prescriptions and over-the-counter products) such as Accutane, tetracycline, hormone replacement therapy and/or use of Retin-A.
This treatment may activate any cold sores or fever blisters. Please contact the office if a prescription for an anti-viral is needed. OTC Lysine 500mg may be taken in prevention of cold sores.
The patient must quit taking Accutane for 6 months prior
Do not use self-tanning lotions or tanning booths two weeks prior to your treatment.
Do not sunbathe two weeks prior to your appointment.
Do not use any irritating skin care products such as Retin-A or drying agents for one week prior to treatment.
Avoid taking NSAIDs such as Advil, Motrin, Aleve, aspirin for 1 week prior to scheduled procedure.
Areas of dental crowns, caps, braces, or other metal dental implants may be more sensitive to the treatment and the clinician may use gauze or a tongue depressor to isolate the area to make the treatment more comfortable.

The Ultimate Duo Post-Care
Patient should feel a warm/sunburn sensation for a couple hours post treatment.
A light, non-burning, cream-based moisturizer should be used on the treated area.
Keep the area hydrated with the moisturizer. Do not let the skin dry out.
Sleep with a clean pillowcase and head slightly elevated.
Avoid sun exposure, intense workouts and sweating per provider instructions.
Do not expose the treated area to anything that may cause complications (dirt, pets, etc.) as advised by your provider.
Skin should feel rough like sandpaper for 4-7 (or more based on treatment area) days post treatment.
A cool misting spray may be used for comfort, if needed.
CoolPeel can be repeated on a monthly basis until desired results are achieved.

WHAT TO EXPECT:
Minimal pinpoint bleeding
Mild redness
Minimal swelling
Mild discomfort
Tingling sensation from anesthetic cream
Warmth and heat from RF energy
Sensation of a sunburn

SUN EXPOSURE / SPF + MAKE-UP: Avoid direct sun exposure for at least 3 days. Should you be outdoors, you can apply a SPF starting 24 hours post treatment. In addition, you may apply makeup 24 hours post treatment – just make sure to cleanse accordingly.
SKINCARE REGIMEN: To ensure optimal results from your treatment, your provider will consult with you on best skincare products and practices post treatment.
CLEANSING: Cold water may be used for the 1st day post treatment. After day 1, it is important to maintain clean skin. Be sure to use a simple and gentle cleanser. Do not use excessive pressure when washing. Talk to your provider about the products they recommend for you.
EXERCISE: Avoid exercise

The Ultimate Duo Consent
I understand that this RF Microneedling procedure may be performed in different areas for dermatologic and general surgical procedures for electrocoagulation and hemostasis, and the percutaneous treatment of facial wrinkles. The VirtueRF has many adjustable parameters including but not limited to the handpiece used, frequency, depth, energy delivery, and time on tissue. I have discussed with my provider the best approach, including all risks, to address my concerns. I understand that I may require several treatments to obtain significant, long-term results. I understand I may experience redness, dryness, scabbing, bruising, sloughing of the tissue, mild to moderate sunburn sensation and/or bleeding post treatment. I understand all the potential side effects, as discussed with me prior to treatment. I understand that genetics, hormones, medication and skin color may interfere with the ability to perform an effective treatment. I understand that the CO2 procedure works to ablate the tissue on the treatment area. I understand that I may require several treatments to obtain a significant, long-term results. I understand I may experience redness, dryness, sloughing of the tissue, mild to moderate sunburn sensation and/or bleeding post treatment. I understand all the potential side effects, as discussed with me prior to treatment. I understand that genetics, hormones, medication and skin color may interfere with the ability to perform an effective treatment.

The procedure may result in the following adverse experiences or risks:

  • DISCOMFORT/PAIN: Some discomfort and/or pain may be experienced during treatment, but is unlikely.
  • REDNESS/SWELLING/BRUISING: Redness (erythema) or swelling (edema) of the treated area is common and may occur. There also may be some bruising.
  • HYPOPIGMENTATION / HYPERPIGMENTATION: (Changes in skin Color): – During the healing process, there is a slight possibility that the treated area may become either lighter (hypopigmentation) or darker (hyperpigmentation) in color compared to the surrounding skin. This is usually temporary, but, on a rare occasion, it may be permanent.
  • WOUNDS: Treatment can result in burning, blistering, or bleeding of the treated area(s), but is unlikely.
  • SUN EXPOSURE / TANNING BEDS / ARTIFICIAL TANNING: May increase risk of side effects and adverse events.
  • INFECTION: Infection is a possibility whenever the skin surface is disrupted, although proper wound care should prevent this. If signs of infection develop, such as pain, heat, or surrounding redness, please call our office.
  • SCARRING: Scarring is a rare occurrence, but it is a possibility if the skin surface is disrupted. To minimize the chances of scarring, it is IMPORTANT that you follow all post-treatment instructions provided by your healthcare staff.

I acknowledge the following points have been discussed with me:

  • Potential benefits of the proposed procedure, including the possibility that the procedure may not work for me
  • Alternative treatments and my options
  • Possible complications/risks involved with the proposed procedure and subsequent healing period

For women of childbearing age: By signing below I confirm that I am not pregnant and do not intend to become pregnant anytime during the course of treatment.

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