Pre-Treatment Instructions

We are excited that you have selected Rytualist for your next cosmetic treatment! Before you arrive for your treatment, please follow the below pre-treatment guidelines to prepare for a successful and enjoyable experience with your Aesthetics Injector and Rytualist team.

Neurotoxin Injections (Botox)

  • Avoid the consumption of alcoholic beverages at least 24hrs pre-treatment (alcohol may thin the blood and increase the risk of bruising).
  • Avoid anti-inflammatory/blood thinning medications, if possible, for 1 week before treatment. Medications and supplements such as aspirin, Vitamin E, Ginkgo Biloba, ginseng, garlic, St. John’s Wort, omega 3/fish oil supplements, Ibuprofen, Motrin, Advil, Aleve, and other NSAIDs have a blood thinning effect and can increase the risk of bruising and swelling after injections. Please consult your primary care physician prior to stopping any medications.
  • Be mindful of when you schedule your Botox appointment – it should be at least 2 weeks prior to a special event (i.e. wedding or vacation). Results take approximately 4-7 days to appear, with best results after about 14 days. Bruising and swelling may occur within this time frame as well.
  • To help minimize bruising, you can apply homeopathic Arnica ointment 3 times per day to bruising or you can take Arnica tablets 3 to 4 days prior. Also, a good nutritional food such as pineapple and papaya which is rich in Bromelain.
  • Discontinue use of Retin-A 2 days before and 2 days after treatment to avoid redness.
  • Please reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on the area.
  • If you have a history of cold sores, please let your provider know, they may put you on an antiviral medication prior to treatment.
  • It is recommended you wait at least 2 weeks to have a neurotoxin treatment if you have previously had laser, ultrasound, peels, facials or microdermabrasion. Please call us to reschedule if this is the case.
  • Be sure you have a good breakfast, including food and drink before your procedure. This will decrease the chance of lightheadedness during treatment.
  • You are not a candidate if you are pregnant or breastfeeding.
Day of Treatment
  • Come with a clean face. No makeup, please!
  • You may experience a mild amount of tenderness and mild stinging during injection and you may have a small amount of redness or swelling which is normal.
Procell Microchanneling (also applies for Mesogold Facial)
  • Exfoliate your skin at least 12 hours prior to each session. 
  • If you are prone to cold sores please begin your Acyclovir or Valcyclovir two days prior to your appointment and continue taking it 2 days post-treatment
  • Discontinue retinol (2% or higher) or tretinoin at least 3 days prior
  • You may take Tylenol 1-2 hours before your treatment to help reduce any discomfort
  • Please arrive without makeup and with clean skin, and for men a clean shaven face
  • If your treatment is for hair loss please arrive with clean, dry hair and as short of a haircut as possible. Please do not apply sprays or gels
  • If you have had Botox, Fillers or any recent injectables you must wait at least two weeks before having this treatment
  • Depending on the needle length, a topical numbing cream may be applied before your procedure. 
  • You can expect a mild redness, light swelling, tiny red flecks, and a tight warm sensation (similar to a sunburn) for the first 12-72 hours
  • It is preferable you avoid makeup for the first day, following treatment, but if you must wear it please wait at least 2 hours afters
The procedure CANNOT be performed if:
  • You are pregnant or nursing
  • Have a compromised immune system
  • Have Cancer and/or undergoing chemo or radiation treatments
  • Have uncontrolled diabetes
  • Are allergic to stainless steel
  • Have chronic inflammatory skin disease
  • Have Hemophilia or any bleeding disorder
  • Have an active Herpes virus
  • Have taken Accutane within the last 2 years

Skin Peels

At Rytualist, we use both PCA SKIN® and NOON Aesthetics brands for our skin peels. Both brands offer peels that range from superficial to medium and deeper treatments to address a range of skin conditions. Our RN and NP skin professionals will perform a skin analysis prior to the treatment to determine the best peel for your desired goals.

  • Please consult your skin care provider if you are breastfeeding. We do not recommend chemical peels for pregnant women.
  • Refrain from tanning bed use two weeks prior to treatment.
  • It is recommended that extended sun exposure be avoided, especially in the 10 days prior to treatment.
  • It is recommended to delay use of tretinoin, Retin-A®, Renova®, Differin®, Tazorac®, Avage®, EpiDuo™, Ziana® and high-percentage AHA and BHA products for approximately five days prior to treatment. Consult your physician before temporarily discontinuing use of any prescription medications.
  • PCA SKIN and NOON Aesthetic superficial peels result in little to no downtime but create dramatic and visible results. Treatments may cause slight redness, tightness, peeling, flaking or temporary dryness. Most patients find it unnecessary to apply makeup, as the skin will be smooth, dewey and radiant following your treatment. If you would like to apply makeup, allow approximately 15 minutes for the pH of the skin to stabilize before applying foundation.

General Information

After receiving a PCA Skin or NOON Aesthetic professional service, you should not necessarily expect to ‘peel’. However, light flaking in a few localized areas for several days is typical. Most patients who undergo these treatments may have residual redness for approximately one to twelve hours post-procedure.

Lip and facial dermal fillers

Rytualist uses Revanesse Versa Hyaluronic Acid (HA) for dermal lip fillers AND two products for our facial dermal fillers –

  1. Merz Radiesse – This dermal filler product is FDA approved and works by stimulating the body’s natural collagen – filling in wrinkles, and aiding your skin in developing new collagen in the process.Radiesse is made of calcium hydroxylapatite gel microspheres (CaHa).
  2. Galderma Restylane – This dermal filler product is FDA approved and is made of Hyaluronic Acid (HA) and is used as a filler only.

Preparing for your dermal filler appointment:

  • Schedule your Dermal Filler appointments at least four (4) weeks prior to a special event such as a wedding or a vacation to allow for complete healing and optimal results.
  • Results from facial or lip Dermal Filler injections will take approximately four (4) to seven (7) days to appear. Mild bruising and/or swelling may also be visible during this time period, particularly for fillers.
  • Reschedule your appointment at least twenty-four (24) hours in advance if you find a rash, cold sore, or blemish in the treatment area.
  • If you have a history of cold sores, please let your provider know. They may elect to put you on an anti-viral medication prior to treatment.
  • Avoid blood thinners if at all possible, prior to and after aesthetic procedures. Patients that bruise easily, or who take blood thinners including frequent use of NSAIDs may bruise more. Please be patient and allow additional time for final results. • Avoid alcoholic beverages at least twenty-four (24) hours prior to treatment. Alcohol may thin the blood and increase the risk of bruising.
  • Discontinue Retin-A two (2) days before and two (2) days after treatment.
  • If you would like to minimize the risk of bruising after treatment, please consider these options. They would generally need to be ordered online or purchased in advance of treatment.

Please note, this is entirely optional and at your discretion:

  • Homeopathic Arnica Montana ointment, or SinEcc (pill form). Usage depends on the formulation. For ointment, apply to bruising three (3) times a day. For capsules, it’s typically, one pill three (3) times a day for four (4) days beginning the day of treatment. o Bromelain (homeopathic medicine)
  • Good nutrition and fresh fruit consumption (pineapple and papaya recommended) o Ocumend gel pads (available online)


  • Please advise your service provider if you are pregnant or breast feeding, and your treatment may be modified accordingly.
  • We are unable to perform a hydra-dermabrasion treatment if you have active herpes (cold sore) on the lips.
  • Avoid sun exposure or use of tanning beds for a minimum of 72 hours prior to treatment.
  • To maximize the benefits and results from your hydra-dermabrasion treatment, we recommend that you begin a complete skin care regimen (optional)
  • Discontinue using skincare products containing retinol, glycolic acid, salicylic acid, benzoyl peroxide, or hydroquinone at least 48 hours prior to treatment.
  • If you are taking Accutane, you must discontinue its use at least 6 months prior to treatment.
  • If you have a history of “cold sores,” please let your provider know. Medication can be prescribed to minimize the possibility of a flare up following your treatment.
  • Refrain from waxing, electrolysis, or use depilatory cream at least 48 hours prior to your treatment.
  • Shaving the day of treatment is discouraged for men. If you choose to shave the day of treatment, please do so at least 3-4 hours prior to treatment.
  • Do not have microdermabrasion, chemical peel, or laser service in the treatment area at least 2 weeks prior to your hydra-dermabrasion treatment.
  • Wait 2 weeks after having Botox (or other neurotoxin) and 2 weeks after receiving facial filler before having your hydra-dermabrasion treatment.
  • You may have your botox or filler treatment on the same day as your hydra-dermabrasion, however any cosmetic injections/fillers should be done following the treatment.


At Rytualist, we offer a mini, hydra-dermabrasion treatment as part of every microcurrent facial to prepare the skin for optimal product absorption and benefits of the microcurrent. Treatment. Please review the pre-instructions for hydra-dermabrasion also.

There is very little preparation needed for microcurrent, however please note the following contraindications for receiving a microcurrent treatment.

You should not receive a micro-current treatment if you are in one of the following health categories:

  • Active cancer or benign tumor
  • Epilepsy
  • Pacemaker/serious heart condition
  • Pregnant
  • Serious rosacea
  • Wound infection
  • Phlebitis
  • Thrombosis

Although rare, some patients may experiencenausea, dizziness, weakness, and possible skin reactions including redness and/or other irritations.

Patients have also reported slight tingling sensations, flashing of the optic nerve and a metallic taste in their mouth.

We advise drinking plenty of water before and after the treatment.