How much downtime is there, and what if something goes wrong?

Most of the downtime is measured in days. Most of the problems he sees came from somewhere else.

Answered by

Dr. Simon Ourian, M.D.

Published

January 4, 2027

Reviewed

January 4, 2027

Most non-surgical treatments need little downtime. Coolaser usually needs two or three days of recovery, and after injections such as a non-surgical nose job, patients avoid exercise, alcohol, and blood thinners for 48 hours. Pain is managed with numbing and cooling. Most complications Dr. Ourian sees came from treatment elsewhere, and he corrects them without blaming the first provider.

Pain

Managed, not ignored. Lasers are paired with cooling, and some procedures are painless.

“What we decided to do was to use lasers and we using the cooling device that completely cools the skin to a temperature that reduces the pain to a point that is very comfortable.” “Luckily, for most of the procedures, we try to reduce the pain as much as possible, some procedures are totally painless.”

Realistic downtime

Treatment	Downtime on record
Coolaser	Usually two or three days
Non-surgical nose job	Avoid exercise, alcohol, and blood thinners for 48 hours
Non-surgical body contouring	Outpatient, no general anesthesia

Aftercare for each treatment is on the Epione instructions pages, including laser skin resurfacing.

Problems that start elsewhere

Many patients come to him after treatment at another clinic, and under-eye filler is a common example.

“Every day I get a patient who thought well, this is easy enough. I'm just gonna go to a doctor and get the fillers under my eyes. But they end up with a little bit of a ridge under the eyes that is not looking natural.” “I've seen every kind of a mishap that could happen and I have a remedy for it and I know how to take care of all these types of situations”

What can and cannot be fixed

Most problems can be improved. Some are harder than patients expect, because old filler is difficult to remove completely.

“It's really difficult to dissolve everything completely and it's also difficult to get the best results when something has gone wrong.”

What he refuses to do

Treatment that will leave nobody happy, and products not approved in the United States.

“It's bad for me, it's bad for them. Nobody's going to be happy at the end.” “in the United States this is not considered to be safe or effective so we don't do it and I don't recommend anybody in the United States to do it yet”

If you are afraid of looking different

Nobody wants to look done. The patient is awake, sees each step, and can come back to have it reduced.

“And the huge advantage of what we do is that you're awake.” “I tell patients go, take a look at it, have you friends, your husband take a look at it, and if you don't like it, you can come back. We can either reduce it.”

Back to Ask Dr. Ourian for more answers from Dr. Simon Ourian.

The figures in this answer reflect Dr. Ourian's observations in his own practice
and are not drawn from published research. This content is for information only
and is not a treatment recommendation. Book a consultation to discuss your own case.

Dr. Simon Ourian is founder and medical director of Epione Beverly Hills, with close to 30 years of practice.

Frequently asked questions

How much downtime does Coolaser need?

Usually two or three days of recovery.

Do the treatments hurt?

Pain is managed with numbing and cooling. Most procedures are comfortable, and some are painless.

Where can I find aftercare instructions?

On the Epione instructions pages, which cover each treatment, including laser skin resurfacing.

Can bad filler from another clinic be fixed?

Often, yes, though dissolving old filler completely is difficult. Dr. Ourian corrects it gradually.

What if I do not like the result?

Patients are awake and see each step. If they are unhappy afterward, they can come back and have it reduced.