Endopeel Early Edema is the results of single or many factors.It affects mostly the face.
Theorically all patients which have no contra- indications can be included.
But -heavy smokers as
-alcoholics need to be well informed that they will get more easily edema.
It is then recommended for each facial session ( no need for the body) to prescribe to those patients Corticoids per os 25 mg / day for 3 consecutive days and to begin 1 hour before the procedure .
-Never desinfect with alcoholic or acetonic agents
-Never desinfect with products which contain Iode ( we strongly recommend chlorexidin without alcohol, citric acid or lemon juice, as Aseptiderm )
-Never use needles which are not flexible.( Actually the most flexible ones are from BD. ( Carbolic acid going through any needle makes it harder, easily breakable and less flexible- In such case such ,, not adapted,, needles provoke a long lasting edema .
-PerOp as PostOp care are too very important: patient need to use a skins cooler , especially adapted for per and post endopeel care to avoid more edema . Such skins cooler is called Rose Du Desert.
Other cosmetics else than Rose du Desert have not resolved the problema of edema but may have provoked a longer duration of this early edema up to 2 weeks !
-A subcutaneous injection ( face ) lead to a longer duration of the endopeel effect but with more edema. That is why it is recommended for the first 3 sessions to inject only in the muscles ( facial treatment).then from 4 th session you may alternate IM and SC injections to increase the effect duration.
-After each injection, you need to remove the needle/ syringe quickly.A slow removal traumatize the tissues and provoke edema.
-Change the needle ( which ned to be flexible) for each 1 ml syringe or more ( if it is hard to inject) . An unflexible needle lead always to edema.
-Concerning the face : Never inject for the first 3 sessions the superficial muscles . We recommend strongly not to treat the forehead, eyebrow,periocular as perioral area for the first 3 sessions. You may begin from the 4 th session.
- During the procedure, massage with Rose du Desert of the treated areas are obligatory to avoid edema.
-It is recommended not to smoke 3 days before and 2 days after treatment in case of smokers patients.
-Patient should not drink alcoholics ( even beers) 1 day before and 1 day after
- Hot beverages ( coffee, tea,..) are forbidden 24 hours after the procedure
- Hot dishes are forbidden 24 hours after the procedure
- Sun exposure as hot ambiance ( beach, sauna ) is forbidden 24 hours after procedure
- In case of persisting edema after 24 hours, hot ambiance as sun exposure are not recommended.