While these treatments are excellent for corrective work, they are the perfect maintenance strategy for anyone who has already completed an initial series of targeted treatments. Think of a TriBella or BiBella session as a high-performance “refresh” to protect your investment and sustain your results. We recommend scheduling one of these maintenance sessions every 3 to 6 months to keep your skin clear of new sun damage, maintain firmness, and ensure your texture remains smooth and resilient against aging.

Treatment Time: Because we are performing multiple procedures in one session, please allow approximately 1.5 to 2 hours for your appointment, which includes time for numbing  (prior to resurfacing) and the precise application of each modality.

Sensation: You may feel varying sensations, from the snapping of the IPL to the deep warmth of the RF and the light prickling of the NanoFractional tip. A compounded topical numbing cream will be applied prior to the resurfacing portion of the treatment, to maximize your comfort.  

Number of Treatments: For corrective results, a series of 3 treatments spaced 4–5 weeks apart is typically recommended. Once your goals are met, these become the perfect maintenance strategy, with one session every 3 to 6 months to protect your investment and sustain your results.

Downtime: Since these treatments include a resurfacing component, you should expect 24–72 hours + of social downtime. Your skin will feel like a moderate sunburn with noticeable redness and some swelling. Over the following 3–5 days, you will see the “coffee ground” effect from the IPL and tiny micro-crusts from the Viva tip, both of which will naturally flake away to reveal fresh, glowing skin.

Pre-Treatment

To ensure your skin is prepared for multiple clinical modalities and to minimize sensitivity, please begin these steps 5–7 days before your TriBella or BiBella session:

• Pause Actives and Exfoliants: Stop using Retinols, Glycolic Acid (AHA), Salicylic Acid (BHA), Vitamin C serums, and all physical or chemical exfoliants. This allows your skin’s natural barrier to be at its strongest for the treatment.

• Manage Hair Removal: Shave the treatment area 12–24 hours prior to your appointment. Avoid waxing, electrolysis, or hair removal creams for at least 2 weeks prior, as the hair follicle must be present for the IPL portion to be effective.

• Sun Awareness: Avoid direct sun exposure, tanning beds, or self-tanning products. We cannot treat skin that is sunburned, tanned, or irritated.

• Cold Sore Prevention: If you are prone to cold sores, please notify us in advance. We recommend taking an antiviral medication prior to treatment to prevent a breakout, which can be prescribed by our medical director in advance. 

Post-Treatment

Because TriBella and BiBella combine several technologies, following these steps is vital for a smooth recovery and clear results:

• The First 24 Hours: Do not apply anything to the treated area—including water, moisturizers, or makeup—for the first 24 hours. This is essential to allow the micro-channels from the resurfacing to heal properly.

• Gentle Cleansing & Hydration: After the initial 24-hour window, you may resume using a gentle, fragrance-free cleanser and a high-quality moisturizer to keep the skin hydrated.

• Continue Pausing Actives: Avoid all “actives” (Retinols, AHAs, BHAs, Vitamin C) and exfoliants for at least 5 days post-treatment to prevent severe irritation.

• SPF Protection: Your skin will be highly photosensitive. Apply a broad-spectrum SPF 30+ daily to all treated areas to prevent new hyperpigmentation.

• Avoid Heat: For the first 24–48 hours, refrain from extremely hot showers, saunas, steam rooms, and vigorous exercise to avoid unnecessary flushing or swelling.

• Protect the Surface: As targeted pigment darkens (the “coffee ground” effect) and micro-crusts form, do not pick, scrub, or scratch the area. Allow these to naturally flake off over 5–7 days to ensure even healing.

You cannot undergo a TriBella or BiBella treatment if any of the following apply:

• Active Electrical Implants: Use of a pacemaker, internal defibrillator, or any other active electrical implant in the body.
• Permanent Implants in the Area: This includes metal plates, screws, or silicone implants in the specific area being treated.
• Pregnancy & Nursing: Clinical treatments are not performed while pregnant or breastfeeding.
• Current or History of Cancer: Especially skin cancer or pre-malignant moles in the treatment area.
• Photosensitive Conditions: Disorders stimulated by light or heat, such as Systemic Lupus Erythematosus (SLE), Porphyria, or Epilepsy.
• Tattoos or Permanent Makeup: We cannot treat directly over tattoos or permanent makeup in the targeted area.

The following may require postponing your session or avoiding specific localized areas:

• Active Skin Infections: Any active cold sores (Herpes Simplex), Psoriasis, eczema, or rashes in the treatment area.
• Recent Sun Exposure: Excessively tanned skin from the sun, tanning beds, or self-tanning products within the last 2–4 weeks.
• Recent Injectables: You must wait at least 2–4 weeks after receiving Botox or dermal fillers before treating that same area with Venus Versa™ modalities.
• Recent Surgery or Resurfacing: Any surgical procedure, laser resurfacing, or deep chemical peels in the treatment area within the last 3–6 months.

Medication & Health Restrictions

• Isotretinoin (Accutane): Must be discontinued for at least 6 months prior to treatment.
• Photosensitizing Medications: Certain antibiotics (like Tetracyclines) or herbal supplements like St. John’s Wort must be discontinued for at least 2 weeks.
• Healing Disorders: A history of keloid scarring or abnormal wound healing may make you ineligible for the resurfacing portion of these treatments.
• Uncontrolled Disorders: Poorly controlled endocrine disorders, such as Diabetes or thyroid conditions, can negatively affect your skin’s healing response.

**Please note – due to the cost of the single-use tip, there is an $80 patch test fee for these treatments.  Patch test must be completed prior to proceeding with treatment to ensure suitability and parameter settings.