Dr. Matthew Innes · Board-Certified Dermatologist · TheFrugalDerm.com

Photodynamic Therapy
Care Instructions

What to expect and how to care for your skin after PDT — precancerous lesion treatment

Nurse line: 801-776-7129  ·  After hours (Dr. Innes): 801-414-8443  ·  Website: thefrugalderm.com

What to Expect

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You may look and feel like you have a sunburn over the next few days. Redness, peeling, swelling, and mild stinging or itching are normal signs that the precancerous cells have reacted to the therapy — this is what we want to see.

Your Protocol — Read This Carefully

Dr. Innes will have told you which protocol applies to you today. Follow only that protocol's light exposure and rinse-off instructions.

1
In-Office Light Treatment Only
No additional daylight required  ·  Accumulate ~2 hrs of natural light  ·  Then rinse
☀️ Sunlight — Helpful, Not Required

You do not need to intentionally sit outside today, but you do not need to hide in a dark room either. Natural light — through windows, in the car, or outdoors — helps activate the medication and can improve your results.

  • Wear sunscreen whenever you are near windows, in the car, or outdoors — to prevent a conventional sunburn while the medication is still active
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When to Rinse Once you have accumulated roughly 2 hours of total light exposure — through car windows, indoor windows, or being outside — rinse the medication completely off your skin. Reapply sunscreen immediately after.
2
In-Office Light + Daylight Boost
Intentional light exposure immediately after leaving the office  ·  Then rinse

Dr. Innes has instructed you to get ambient visible light immediately after leaving our office to maximize precancer clearance. Apply sunscreen before going outside — it blocks burning UV rays while allowing therapeutic visible light to penetrate.

Treatment AreaTarget Light Exposure
Face & Chest2 hours
Scalp, Arms & Hands3 hours
  • You can sit in open shade, take a walk, run errands, or sit in your car with the AC or heat running
  • You do not need direct sun — bright ambient shade works very well and is more comfortable
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When to Rinse As soon as your 2–3 hours of daylight exposure is complete, thoroughly rinse the medication off your skin and immediately reapply sunscreen.
3
Primed Pre-Treatment + Light Therapy
You pre-treated with 5-FU or Klisyri  ·  Enhanced precancer response  ·  Expect more noticeable peeling

Because you pre-treated your skin with a topical agent (such as 5-FU or Klisyri) before today's appointment, your precancers are primed to respond to the light more effectively.

Follow the specific light and rinse-off steps under Protocol 1 or Protocol 2 as directed by Dr. Innes today. Expect a slightly faster or more noticeable peeling response over the coming week — a sign the treatment is working well.

Care for the Next 48 Hours

☀️ Sunscreen — Critical
Even after the medication is rinsed off, your skin remains significantly more susceptible to sunburn for 48 hours. Apply broad-spectrum SPF 30+ every morning and reapply every 2–3 hours if outdoors or near sunny windows.
🧴 Washing
Use your regular face wash or cleanser to rinse. Avoid scrubbing, washcloths, exfoliating acids, retinoids, or harsh acne treatments for 5–7 days after treatment.

Comfort & Swelling Relief

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Cold CompressIce pack wrapped in a soft cloth — 10–15 minutes at a time as needed
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Pain ReliefAcetaminophen (Tylenol) or ibuprofen (Advil/Motrin) as directed on the package
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Anti-Itch1% hydrocortisone cream or anti-itch lotion — up to 3 times daily for irritation or itching
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MoisturizerVaseline, Aquaphor, or a basic moisturizer to soothe tightness and peeling
📅 Follow-Up Visit

Unless Dr. Innes specifies otherwise, please schedule a follow-up visit in 6 months. Text 801-776-7129 when you're ready to schedule.


When to Contact Us

💬 Routine Questions & Scheduling

Text 801-776-7129 during business hours.

⚠ After-Hours Concerns

Text Dr. Innes directly at 801-414-8443.

🚨 Contact Us Immediately If You Experience:
  • Severe, unmanageable pain
  • Extensive blistering or open, weeping skin
  • Signs of infection — spreading warmth, thick yellow pus, or red streaks
  • Fever over 100.5°F or chills