Photofacial/ IPL risks include bruising, skin irritation, tenderness, swelling, and burns.  We advise patients to share with us in detail all the medications and supplements they take.  Blood-thinning medications like Aspirin and fish oil may increase the risk of bleeding with photofacial treatments.  Certain antibiotics (like Doxycycline and Minocycline) are photosensitizing and should be avoided for 3-4 days before treatment to decrease the risk of burns.