Medical Care
Clinical standards for energy-based treatments
How we practice
Medical aesthetics at Junovia is not a menu you order from. Radiofrequency, ultrasound, laser, light, and RF microneedling are medical procedures. They are offered only after a consultation, only when you are a candidate, and only with informed consent.
This page is a standard of care, not a diagnosis. Your clinician decides what is safe for your skin. If something here conflicts with the plan you are given in the room, follow the plan in the room.
Who treats you
Device treatments are performed by trained clinicians working under the written protocols of a supervising physician who serves as medical director, as Oregon requires for this class of care. That may include a nurse, an advanced practice provider, or a licensed aesthetician acting only within their license and those protocols.
Before energy is applied, you will be told who is treating you and which platform will be used. We do not switch devices mid-visit to “try another setting.” If a physician must be on site or must review your case for that platform, that happens before treatment, not after.
Consultation first, treatment second
A first visit for medical aesthetics is a consultation. Treatment on the same day happens only if you are cleared, the skin is prepared, and you choose to proceed. Many platforms are scheduled as a separate visit.
Consultation includes:
- Medical history, medications, and supplements
- Pregnancy, nursing, or plans to conceive
- Isotretinoin (Accutane, Absorica, Claravis, or any oral retinoid) and last dose
- Photosensitizing drugs, anticoagulants, and immunosuppression
- Cold sores (HSV), keloid history, scarring, and wound-healing problems
- Pacemaker, defibrillator, or other implanted electronics
- Metal, mesh, or recent surgery in the treatment field
- Recent toxin, filler, threads, or other procedures, and when they were placed
- Skin type (Fitzpatrick), recent tan, and planned sun or travel
- Photographs and a written treatment plan, consent, and aftercare
Pricing for medical treatments is quoted after this visit. Starting prices on the site are a guide, not a guarantee.
Who should not be treated
We defer or decline treatment when risk outweighs benefit. The list below is not exhaustive. Your clinician may add restrictions for your case.
We do not perform these energy-based treatments if you are pregnant.
We typically wait if you are breastfeeding. Elective radiofrequency, ultrasound, laser, and RF microneedling are postponed until you and your clinician agree it is appropriate.
We do not perform resurfacing lasers, ablative CO2, or RF microneedling until you have been off isotretinoin long enough to be cleared. That interval is commonly at least six months after the last dose. Tell us about every oral retinoid, even if you finished the course elsewhere.
We postpone treatment when any of the following is present in the field:
- Active bacterial, viral, or fungal infection
- Open wounds, dermatitis, or sunburn
- An active cold sore. Perioral work may also require antiviral prophylaxis if you have recurrent HSV
These require review and may be contraindications:
- Pacemaker, ICD, or other implanted electronic device — monopolar radiofrequency (including Thermage and some RF systems) is often contraindicated
- Metal or electronic implants in the treatment field
- Uncontrolled autoimmune disease, immunosuppression, or poorly controlled diabetes
- History of keloid or hypertrophic scar, especially for ablative CO2
- Recent or planned intense sun, or a tan in the field
- Photosensitizing medications
- Recent injectables. We commonly wait about two weeks after neuromodulator and two to four weeks after filler before treating over that area
- Darker Fitzpatrick skin types on IPL, BBL, and some lasers — settings change, or another platform is chosen, to reduce the risk of pigment change
Platform notes
Thermage, XERF, and other monopolar RF. Heat is delivered through a volume of tissue. Pacemakers and certain implants must be disclosed. Temporary swelling or numbness can occur. Collagen remodeling continues for months; a single visit is typical, not a weekly series.
Ultherapy PRIME, Sofwave, HIFU. Ultrasound is mapped to a defined layer. We do not treat over the thyroid, trachea, or cystic lesions. Soreness and swelling can last several days. Results build as collagen remodels.
Pico, BBL, IPL, Fraxel, Fotona. Pigment often darkens before it sheds. Strict sun avoidance is part of the treatment. Some work is a series. Melasma can rebound if heat and light are used carelessly; that is decided at consult, not at the machine.
CO2 fractional. This is ablative. Downtime is longer. It is not appropriate during or soon after isotretinoin, on infected skin, or when you cannot protect the field from sun. Darker skin types carry a higher risk of post-inflammatory pigment. Makeup waits until the surface has re-epithelialized.
RF microneedling (Morpheus8, Potenza, Secret RF, Secret PRO). Numbing precedes treatment. Redness and swelling for one to three days are expected. Secret PRO pairs RF with CO2 and follows ablative aftercare when CO2 is used.
AviClear. This 1726 nm laser targets sebaceous glands. It is not an IPL facial. It is given as a short series. Pregnancy is a reason to wait. Dryness and redness after each visit are common. It does not replace oral isotretinoin when that medicine is the indicated therapy, and it is not used to treat scars — scars belong on another path after breakouts quiet.
Aftercare
You leave with written instructions for the platform used. The outline below is the baseline. Your sheet governs if it differs.
For all energy-based treatments:
- Broad-spectrum SPF 30 or higher every morning. Hat outdoors. No tanning beds
- Do not pick, scrub, or peel flaking skin
- Pause retinoids, acids, and exfoliants until you are told to restart, often three to seven days
- Avoid sauna, hot yoga, steam, and hard exercise for 24 to 72 hours, as directed
- Use a bland moisturizer and cool compresses if the skin feels hot
After RF microneedling: expect pinpoint marks and redness for one to three days. Makeup is usually held for 24 hours.
After pigment and light treatments: treated spots may turn darker, then flake. That is expected. Sun on that skin raises the risk of lasting pigment change.
After ablative CO2: keep the field clean and moist exactly as instructed. No makeup until the surface has closed. Sleep with the head elevated if the face was treated. Write to us for spreading redness, pus, fever, or pain that is worsening after the first day.
After AviClear: moisturize. Expect dryness. Stay out of unnecessary sun. Complete the series unless your clinician stops it.
If something is wrong
Write to info@junoviaaesthetics.com if you have spreading redness, blistering, signs of infection, a cold-sore outbreak, or pigment change you were not told to expect. For a medical emergency, use emergency services. We are a studio, not an emergency department.