contact info
Quincy, MA
- Phone: (617) 472-6764
- Address:
500 Congress Street
Crown Colony Medical Building
Suite B1
Quincy, MA 02169 Plymouth, MA
- Phone: (508) 747-4424
- Address:
110 Long Pond Road
Long Pond Medical Building
Suite 203
Plymouth, MA 02360
Email: Info@DoctorReed.com
Dr. Reed Website
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patient instructions
aspirin or aspirin related drugs
These instructions are to be followed before and after your surgery.
For a two-week period prior to and after the scheduled date of your surgery, please do not take any medication that contains aspirin or aspirin-related products, such as ibuprofen (Motrin, Advil) as an ingredient. Aspirin has an effect on your blood's ability to clot and could increase your tendency to bleed at the time of surgery and during the postoperative period.
Please check the labels of all medications that you take, even those available without a prescription, to make sure you are not taking any aspirin or aspirin-like substances.
Please consult your physician before stopping any prescribed medication.
The following list is of the more common medications and substances that can increase your tendency to bleed.
If you are on any anti-rheumatoid, anti-arthritic, circulation, or anticoagulant medication (e.g., Motrin, Naprosyn, Persantine, or Coumadin), please inform us.
If you need minor pain medication, please take acetaminophen (Tylenol) or another non-aspirin medication. Tylenol or Anacin-3 are available at your local pharmacy without a prescription and have comparable pain relief potential to that of aspirin. If you are allergic to acetaminophen, (Tylenol) or unable to take it for other reasons, please notify us so that we might arrange a suitable substitute.
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botox® treatment
- It is recommended that you maintain an upright posture for at least 2 hours
- Aerobic exercise is prohibited for 2 hours
- Forward bending and laying down is prohibited during this period
- The treated area should not be rubbed vigorously or massaged
- Do use the muscles that were treated; that is, try to frown, squint, or raise your eyebrows. This may help to increase the response to the Botox-targeted muscles
- Bruising, usually at or near the injection site, may be increased with the use of aspirin or aspirin-like products, including vitamin E. This effect generally clears within 7-10 days. No treatment is necessary
- Headache and pain at injection site, related to the actual injections, is usually mild and transient, lasting less than 24 hours. This may be relieved with Tylenol and/or ice
If you have any questions regarding your treatment, please do not hesitate to call: (617) 472-6764.
Domeboro's Compresses
Domeboro (tablets, packets)
1 package dissolved in 1 pint of water.
Cool solution applied with dampened, thin cloths (thin facecloth, handkerchief, etc.) and applied to involved area. Compresses applied 2 to 4 times daily and allowed to air dry over approximately 15 minutes for bubbling or weeping areas. Compresses can be covered with dry towels.
Rinse treated area with tap water, pat dry and then apply any cream or lotion (if suggested).
A hand or foot may be soaked directly in the solution by using a flat basin (e.g., soaking for 15 minutes in the solution before rinsing).
If you have any questions, please do not hesitate to call: (617) 472-6764.
laser skin resurfacing
PRECAUTIONS TO TAKE BEFORE YOUR COBLATION TREATMENT
- A sunscreen of SPF 15 or greater should be applied to the area being treated whenever exposed to the sun, and throughout your course of treatment. The sunscreen should be continued following the treatment for at least three months to prevent hyperpigmentation.
- Do not use aspirin, or medications containing aspirin, for one week prior to resurfacing. Acetaminophen (Tylenol) may be taken. Also, anticoagulants (blood thinning medications), such as Coumadin, must be discontinued at three days prior to skin resurfacing.
- Please let the physician know if you have a history of herpes simplex infection (cold sores) on your lips or other areas of your face.
PRECAUTIONS TO TAKE FOLLOWING YOUR COBLATION TREATMENT
- Following treatment, the area can be cleansed by soaking with lukewarm water approximately every two hours for ten minutes. Gently pat dry, then apply Aquaphor ointment to the entire treated surface. DO NOT SKIP ANY AREA. On subsequent days, soak the face four times a day. Continue this regimen for at least 7 days or until fully healed.
- Immediately after skin resurfacing surgery, there may be swelling of the skin, especially if the cheek, nose, or eyelids have been treated. The swelling subsides in 3 to 7 days. Frequent applications of ice packs on the swollen area(s) may be used to reduce the swelling. The ice pack should be wrapped in a soft cloth and applied to the treated area for 30 minutes every hour. The head should be elevated on several pillows while sleeping. DO NOT LIE FLAT.
- Avoid strenuous exercise, heavy lifting, intense sunlight, and extreme heat and wind. After the crusting resolves, a sunscreen must be used when going outside for at least six months following the procedure. NO SUNBATHING DURING THIS PERIOD.
- Makeup may be applied after the crusting resolves. Be careful in applying the makeup, and remove the makeup gently.
- Showers are permitted, but gently pat the area dry. Do not rub with a towel or washcloth, as the area may be extremely delicate.
- Any discomfort experienced can be treated with Tylenol. A stronger pain reliever may be prescribed if required.
- Notify us at once if any new sores or erosions develop, fever, or new areas of tenderness occur.
If you have any questions regarding your treatment, please do not hesitate to call: (617) 472-6764.
liquid nitrogen treatment
Liquid nitrogen is a liquefied gas that is very cold: 321 degrees below zero Fahrenheit (minus 196° C). It is used to destroy superficial skin growths such as warts and keratoses.
The sensation of stinging and burning usually lasts less than 30 minutes, although on the palms and soles it may be sore for several days. Tylenol, aspirin, or ibuprofen may help if the area is too uncomfortable.
At first, the area will be red and puffy, and may even blister. Bleeding may occur within a blister, causing the lesion to appear red, blue, or black. This is normal. Over the course of 1-2 weeks, the lesion will become a hard, scabby crust and slough off. By 3 weeks, the area should be flat and smooth; if not, a return appointment may be needed.
Please leave any blisters alone, or protect them with a bandage. A painful or obtrusive blister can be broken from the side of the blister with a flamed and cooled needle, cleaned with alcohol. Do not try to remove the blister; just allow it to drain. In the event that the blister breaks or is opened intentionally, the area can be soaked for 10 minutes, 2 to 3 times a day, in a solution of one Domeboro (tablet or powder, obtained from your drug store) mixed with 1 pint of water.
If pain, redness, swelling, or oozing persists or increases after 2 days, call the office.
Treatment on the forehead and nose or around the eyes can result in painless swelling of the eyelid(s), especially noted in the morning. This will subside in 2-7 days.
DO NOT pick off the scabs/blisters. This will only traumatize the healing skin, and can cause scarring. Application of Aquaphor Healing Ointment (found in any pharmacy) or clean Vaseline will soften and speed healing of crusted areas. After the scab comes off, the area will be pink, and there may be an increase or decrease in pigment relative to untreated skin. This will gradually return to normal color.
If you have any questions regarding your treatment, please do not hesitate to call: (617) 472-6764.
non-sutured wound care
- Keep area dry for 24 hours
- Change the dressing once a day
- Wash your hands before and after dressing change
- Remove the dressing
- Wash area with soap and water
- Rinse and dry
- If wound is on your ear, rinse with a solution of white vinegar diluted with an equal amount of water
- Apply Aquaphor Healing Ointment or Bacitracin ointment
- Apply Telfa dressing, cut slightly larger than the wound
- Apply paper tape to hold Telfa in place
Continue wound care daily until area is healed. It is important not to allow a scab to form. Keeping the ointment and Telfa in place until wound is healed will prevent scab formation.
Watch for signs of marked swelling, redness, tenderness, and/or discharge. If these occur, or if you have any questions, please call the office at (617) 472-6764.
retin-a (tretinoin), differin (adalpaline), or tazorac (tazarotene)
- These creams/gels should only be used at night, since they are inactivated by sunlight, and can cause your skin to become sensitive to the sun while they are on your skin. The best thing to do is apply it to your skin before you go to bed, then wash it off in the morning. Here's how to apply it...
- Before you go to bed, wash your hands and face. Wait 20-30 minutes after washing your face to apply the medicine. Then, take just a pea-sized amount of the cream (or gel) and put it on the end of your index finger. Take that pea-sized amount, and dot it evenly all over your face (even to places where you do not have acne), concentrating more on the problem areas. Then, go back and rub all the little dots into your skin. After you have done this, if there is still some cream/gel showing on your face, then you have used too much! Using more than a pea-sized amount for your entire face can actually make your acne worse, not better.
- If your back and chest also break out in acne, you can apply one pea-sized amount to your chest, and another pea-sized amount to your back. Follow the same application directions as above.
- In the beginning, your skin may actually become more irritated from this nighttime cream/gel because your skin is not used to it. That's O.K. If this happens, then instead of using it every night, try every-other-night, or even every-third-night. Gradually, over the course of a month or two, you can try building back up to every night, as your skin starts to get used to it. If by the time of your next visit your skin is still irritated, we can change your medicine to a different one.
- If you experience some dryness on your skin during your course of using these medicines, you can certainly use some over-the-counter moisturizers that are "non-comedogenic" (i.e., "non-acne forming"). Examples are: Cetaphil, Aveeno, and Eucerin, among others.
- It usually takes about 6-8 weeks of using these medicines regularly until you start to see improvement. Be patient!
- These medications should NOT be used during pregnancy.
sclerotherapy
- Immediately after the injection session, you will be asked to put on your compression hose
- Maintain normal activities immediately after procedure. You are encouraged to walk as much as possible and avoid standing in a single position for prolonged periods of time
- Avoid strenuous activity, such as running, high-impact aerobics, and weight lifting for 72 hours after sclerotherapy
- Compression hose is recommended for up to 7 days after procedure. The hosiery does not have to be worn while sleeping
- Avoid blood-thinning medications such as aspirin, Advil, and Coumadin for 24 hours after therapy. Consult internist prior to stoppage of medication
- If any unusual post-procedure symptoms occur, such as persistent pain, unusual diffuse burning, or skin breakdown, or shortness of breath, call the office immediately
If you have any questions regarding your treatment, please do not hesitate to call: (617) 472-6764.
sutured wound care
- Keep area dry for 24-48 hours
- Change the dressing once a day unless you have been instructed otherwise
- Wash your hands before and after changing the dressing
- Remove the bandage
- Clean the area with soap and water over the sink or in the shower
- Rinse and dry
- Apply Aquaphor Healing Ointment or Bacitracin ointment unless you have a known allergy to these products
- Apply a non-stick bandage (Telfa) or bandaid
Continue wound care until stitches are removed (or in the case of no stitches, until area is healed). In the event of minor pain or discomfort, take one or two Tylenol tablets every 4 hours. You should avoid aspirin, ibuprofen, or naproxen products.
If the wound starts to bleed, apply continuous pressure to area for 15 minutes.
Strenuous activity or exercise should be avoided while the stitches are in place. Swelling at the surgical site is a common occurrence. It usually peaks at 48 hours, then gradually improves.
If the swelling reappears or worsens, if the drainage from the wound changes or is foul-smelling, or if the wound becomes red, painful, and/or hot, please contact the office.
After the wound has healed, the area will have increased sensitivity to the sun, and we recommend covering the scar using a sunscreen of SPF 15 or higher for at least 3 months.
If you have any questions or problems, please do not hesitate to call: (617) 472-6764.
billing and insurance
Financial Policy
We ask all patients to read our financial policy. If you have any questions or concerns about our payment policies, please do not hesitate to contact our office manager or financial manager.
Managed care plans (HMO's and some PPO's) require referral authorization for each visit or service in writing from the Primary Care Physician. Patients and parents and guardians of the patient are required to sign a waiver if the referral is not received at the time of the patient's visit. Claims rejected by the insurer are the financial responsibility of the patient or the parent/guardian of the patient.
If the correct insurance is provided to Kenneth M. Reed, M.D., P.C. at the time of service, we will submit all claims to the insurance carrier. Payment for services is due at the time when services are rendered including co-payments, outstanding balances, cosmetic procedures, or products. We accept cash, personal checks, money orders, cashier's checks, Visa, or MasterCard.
Your insurance policy is a contract between you, your employer, and the insurance company. All charges are your responsibility, whether your insurance company pays or not. Not all services are covered by benefits in all contracts. You should check directly with your insurance company for the extent of your coverage.
Cancellation Policy
Please call well in advance to cancel or reschedule appointments. We reserve the right to charge $50 per visit for missed appointments when not cancelled 24 hours in advance.
Managing Your Account
We understand that temporary financial problems may affect timely payment of your balance. We encourage you to communicate such problems so that we can assist you in the management of your account.
We appreciate your trust and we appreciate the opportunity to serve you.
post sciton laser treatment
ClearScan™ Laser Hair Removal Post Treatment Instructions
Post Treatment Response
Hair has three phases of growth: active growth phase, an intermediate non-growth phase, and a resting phase with no hair follicle present. Duration of hair growth cycles vary with the location on the body. The laser can only eliminate the hair that is currently in an active growth cycle so multiple treatments are necessary over a time span (6-8 week intervals) to remove hair from most areas. Final results may not be apparent for several months post treatment.
Erythema (redness) and edema (swelling) may be seen for 4 to 6 hours following the laser treatment. The treated hairs may take 7 to 14 days to exfoliate and may appear to be "growing" during this time. Blistering can occur during the first three days following the laser procedure. Blistered areas should be treated with care, keeping the area moist with an ointment until area has healed. Some patients develop raised papules similar to hives. This irritation usually subsides in a few hours.
Post Treatment Care
Post treatment discomfort may be relieved by acetaminophen or similar mild analgesic. A cold compress or an ice pack can be used after treatment to provide comfort and is recommended for darker skin types. Apply for about 10 minutes at a time and repeat every few hours if discomfort persists. Shower with cool water on the treatment area.
Avoid sun exposure or tanning lights. A broad spectrum (UVA/UVB) sun block with an SPF of 30 must be applied 15 minutes prior to casual sun exposure. Reapply every 2 hours or after swimming.
Ointment should be applied to the area to prevent drying and crusting. If crusting develops it should be allowed to fall off naturally (no picking). An antibiotic ointment should be utilized if there is any blistering or break in the skin. Contact the office if there is an indication of infection (redness, tenderness or pus).
You may shave the treated area after 3 days following treatment. No not pluck or wax or use a chemical exfoliant between treatments. So NOT Shave or trim the treated area for the first 3 days.
If treated area is irritated the area should not be rubbed with a face cloth or towel. Avoid scrubbing. The area should be patted dry. Caution should be used when applying or removing makeup. The treated area is very delicate and should be treated with care. Rough removal of makeup can increase the incidence of post treatment complications
Recommended time interval between treatments is a minimum of 6 weeks.
ClearScan™ Laser Vein Treatment: Post Treatment Instructions
Post Treatment Response
The laser energy is capable of deep penetration and selective coagulation of blood vessels without damage to the epidermis. Vessels may disappear, darken, lighten or appear unchanged but fade with time, variations depend on the depth, diameter and oxygenation of the vessel. Contraction, disappearance, lightening or darkening of the vessel will become apparent within 15 seconds after the laser treatment. Urticaria may be visible after 1-2 minutes. Erythema (redness) and edema (swelling) may be seen for 4 to 6 hours following the laser treatment. Blistering can occur during the first three days following the laser procedure. Blistered areas should be treated with care, keeping the area moist with an ointment until area has healed. Some patients develop raised papules similar to hives. This irritation usually subsides in a few hours.
Post Treatment Care
Post treatment discomfort may be relieved by acetaminophen or a similar mild analgesic. A cold compress or an ice pack can be used after treatment to provide comfort and is recommended for darker skin types. Apply for about 10 minutes at a time and repeat every few hours if discomfort persists. Shower with cool water on the treatment area.
Avoid sun exposure or tanning lights. A broad spectrum (UVA/UVB) sun block with an SPF of 30 must be applied 15 minutes prior to casual sun exposure. Reapply every 2 hours or after swimming.
Ointment or a moisturizer should be applied to the area to prevent drying and crusting. If crusting develops it should be allowed to fall off naturally (no picking). An antibiotic ointment should be utilized if there is any blistering or break in the skin. Contact the office if there is an indication of infection (redness, tenderness or pus).
Do NOT shave the treated area for 1 to 3 days following treatment.
You doctor may advise you to use compression stockings. Avoid activities that may dilate your vessels, such as aerobic exercise, use of a hot tub or sauna for 48 hours following your treatment. If you must stand on your feet for work, you should schedule your treatments toward the end of the day.
Caution should be used when applying or removing makeup. The treated area is very delicate and should be treated with care. Rough removal of makeup can increase the incidence of post treatment complications
You should schedule a follow up visit at 4 weeks.
Micro Laser Peel™ Post Treatment Instructions
Post Treatment Response
The epidermis is a robust and resilient structure and functions as a physical barrier to protect the deeper dermis, and retain the skin’s hydration. It is often the source of fine lines and discolorations in aging skin. A MicroLaser Peel will not fully remove the epidermal barrier of your skin, so your recovery time should be only a few days.
Patient response can vary. Generally, the more healthy your skin the less redness you will have from treatment, and the faster the healing response. The desired response is erythema (redness) and possible light edema (swelling) within a few minutes of laser application. The redness and healing (often similar in appearance to sunburn) will increase with the depth of your peel.
You should notice erythema, edema, and a sunburn sensation in your treatment area for up to twelve hours after treatment. Swelling should be present only as a short-term response. You may choose to sleep sitting upright the first night after the procedure to avoid swelling of facial tissues. You may peel or flake as a result of the treatment. Peeling or flaking usually occurs after 24 -48 hours. This may be expedited with a nonirritating exfoliant.
Post Treatment Care
Post treatment discomfort may be relieved by oral pain relievers or valium.
While not often used, a cold compress can be used after treatment to provide comfort. Apply for about 10 minutes at a time and repeat every few hours if discomfort persists. Shower with cool water on the treatment area.
It is important for the treated area to remain soft and pliable during healing with the use of a topical occlusive on the treated area (Aquaphor, Vaseline, etc). Do not allow the treated area to dry.
Avoid sun exposure or tanning lights. Always use a SPF-30 sunscreen whenever you go outside. Hydroquinone will reduce the probability of hyperpigmentation (temporary darkening) in Asian and darker skin types. Apply the hydroquinone twice daily, and after washing the treated area.
Do not pick at or scrub the treated area. Peeling or flaking should be allowed to come off naturally and may be accelerated with a non-irritating exfoliant.
Recommended time interval between treatments is a minimum of 8 - 10 weeks.
Contour™ Laser Skin Peel: Post Treatment Instructions
Post Treatment Response
The epidermis is a robust and resilient structure and functions as part of the physical barrier to protect the deeper dermis, and retain the skin’s hydration. It is often the source of fine lines and discolorations in aging skin. Contour laser resurfacing will not fully penetrate this barrier of the skin. Therefore the safety, shortened recovery time, and ease of care with these procedures are preferred by many patients.
Patients are able, in many cases, to experience improvement in damaged skin with the aid of a topical anesthetic cream and a recovery period of one to ten days often without cumbersome dressings, downtime, and general anesthesia. More aggressive resurfacing will require the use of general anesthesia and will promote the use of occlusive dressings for several days. Contour laser resurfacing is noted for safety, controllability, speed, and convenience. The result is seen as a smooth and even treatment of the skin without unwanted laser footprint or complication.
Erythema, edema, and a sunburn sensation should be noticed in the treatment area for up to twelve hours after treatment. This is a purely ablative procedure. Swelling should be present only as a short-term response. Note that resurfacing may lead to long term or permanent hypo or hyper-pigmentation. Darker skin types may have transient pigmentary loss after treatment. This transitory loss is a natural healing phenomenon with a potential period of 3 to 30 days.
Post Treatment Care
Apply a topical medication, such as Aquaphor or Neosporin. and sunscreen to protect the wound. It is important for the treated area to remain soft and pliable during healing through the use of topical occlusive applications (Aquaphor, Vaseline, etc) The site should not be allowed to dry.
Often tissue will peel or flake as a result of the ablation. Peeling or flaking usually occurs after 24 hours. The slough may be expedited with a nonirritating exfoliant. Do not pick at or scrub the treated area. Peeling or flaking should be allowed to come off naturally and may be accelerated with a non-irritating exfoliant.
Avoid sun exposure or tanning lights. Always use a SPF-30 sunscreen whenever you go outside. Sunscreen is essential to prevent hyperpigmentation. On day 4-7 begin treatment with hydroquinone to prevent hyperpigmentation in Asian or darker skin.
You may choose to sleep sitting upright the first night after the procedure to avoid swelling of facial tissues. A cold compress can provide some comfort after treatment. Post treatment discomfort may also be relieved by oral pain relievers or valium. Shower with cool water on the treatment area.
Recommended time interval between treatments is a minimum of 8 - 10 weeks.
Laser Skin Rejuvenation: Post Treatment Instructions
Post Treatment Response
The immediate goal is light, uniform erythema (redness) developing a few minutes after treatment. The longer-term treatment goal, after 3 to 6 months, is collagen remodeling resulting in subsequent rhytid improvement, followed by continued or maintained improvement with a maintenance program. Patients typically report feeling tighter skin in the days following treatment.
You may have slight bumps that may take an hour to a couple of days to resolve. Often red, raised and palpable, these are not blisters and usually will resolve spontaneously.
Erythema (redness) and edema (swelling) may be seen for 4 to 6 hours following the laser treatment. Blistering can occur during the first three days following the laser procedure. Blistered areas should be treated with care, keeping the area moist with an ointment until area has healed.
Results should be evaluated several weeks post treatment.
Post Treatment Care
While not often used, cold compress can provide some comfort after treatment.
Avoid sun exposure or tanning lights. A broad spectrum (UVA/UVB) sun block with an SPF of 30 must be applied 15 minutes prior to casual sun exposure. Reapply every 2 hours or after swimming.
Contact the office if there is an indication of blistering.
Caution should be used when applying or removing makeup. The treated area may be delicate and should be treated with care.
Recommended time interval between treatments is 4 - 6 weeks. Dermal changes from fibroblast activity may begin to be observed between 3 to 6 months after treatment. Incremental improvement may progress for six months or longer.
Sample BBL Post Treatment Care
- 1. Cold packs, aloe vera or any other cooling preparation may be used to ease temporary discomfort.
- 2. Quick warm showers are recommended. Avoid prolonged hot baths.
- 3. Aerobic exercise, use of saunas and hot tubs should also be avoided for 24-48 hours.
- 4. If the skin is broken or a blister appears, apply an antibiotic ointment and notify us. The area should be kept lubricated to prevent crusting or scabbing of tissue.
- 5. Prolonged sun exposure is to be avoided for 4 weeks before and after treatment. A total sun block, not a sunscreen, should be applied if it is impossible to comply. If further treatment is needed a commitment to stay out of the sun is necessary. Sun exposure may cause certain complications (possibility of blistering and/or hyperpigmentation).
- 6. Makeup can be applied as long as the skin is not broken. Makeup can also serve to protect the skin from sun exposure.
- 7. If you have any questions or concerns, please contact this facility without hesitation.