Practice Policies





Confirming Appointments via Email

When booking appointments via email with one of our coordinators, you must respond with a clear confirmation of your appointment date and time in order to be booking with that appointment. If you do not reply to our emails, we cannot hold the time for you. Note that appointment times are always first come, first serve, so know that a time that may have been available for you initially, may have been booked in the interim of your correspondence. We highly recommend calling the office in order to get on the books immediately.  

24 Hour Cancellation Policy

Your care is very important to us and your appointment time is reserved especially for you. We understand that unanticipated events happen occasionally in everyone’s life. In our desire to be effective and fair to 
all of our patients, the following policies are honored: 

A 24-hour notice is required when canceling an appointment. This allows the opportunity for someone else in need of an appointment to schedule a treatment or consultation.

Same Day Cancellation / Change / No Show Policy

If you are unable to make your appointment, we greatly appreciate a 24-hour notice so that we are able to re-book your appointment slot, however,

*IF YOU CANCEL, NO-SHOW, or POSTPONE YOUR APPOINTMENT ON THE SAME DAY AS THE SCHEDULED APPOINTMENT, you will incur a $200 cancellation/change/no-show fee. * 

Tardy Policy

If you are delayed beyond 15 minutes and you arrive late, there is NO GUARANTEE that you will receive same day treatment. Please arrive on time or 5 minutes early to your appointment.  

Payment Policy

Payment is due in full at the time of treatment. If paying by credit card, the card must be in the patient’s name. If not, then a credit card authorization form must be completed, signed, and returned to the Center staff in order to receive treatment.

Financing Policy

We are also happy to offer Alphaeon Financing to our patients. Please click here  to apply for pre-qualification. 

Important: Note that this is a “soft” credit check for the prequalification process. If you receive a “No Offer Match” message, we do not recommend completing the application. There is a 5% fee charged for all patients who opt in for Alphaeon Financing, and a $1,000 minimum for usage at Center Aesthetic. For further information, give us a call at 212-433-3344. 

If a patient intends to pay for their treatment with Alphaeon, the Center staff must be notified before treatment is administered. 

Please call us with any questions regarding Care Credit and Alphaeon Financing.   

Deposit Policy

For Nurse Lynn Wojton: Any appointment that is booked for more than 1hr, whether by patient request or required by treatment, will require a $500 deposit at time of booking. If the patient cancels the appointment within 48 hours of treatment, he/she will forfeit half the deposit ($250). If not, then the full deposit will go towards the treatment bill.

Consultation Fee with Dr. Cheryl Karcher

Any new patient seeking a first time consultation with Dr. Karcher will require a $300 fee. This fee will go towards any of the patient's first treatment cost.

Photo Policy

Please be prepared to remove your make up upon arrival for pre-treatment photos. All patients are required to have photos taken in the office at every visit. Make up can typically be reapplied immediately after treatment.


Pre Treatment Guidelines



It is important to note that if you take any blood thinners, they may cause an increased risk of bruising. Please avoid these medications if possible. Please discuss with your physician before discontinuing any of these medications. Medications to be aware of and possibly avoid are: Aspirin, Advil, Aleve, Naproxen, Vitamin E, and Turmeric.



We recommend abstaining from alcohol 24 hours before and after an injectable treatment as it can make you more susceptible to bruising, bleeding, and swelling after an injection. We also recommend from abstaining from coffee and exercise for 2 hours prior to an injectable treatment.  

EXILIS: Please remember to come well hydrated for your treatment. FRAXEL: Please come 1 hour prior to your scheduled appointment time to allow enough time to sit with numbing cream prior to your procedure. Men should come clean shaven.

EXCEL V & LASER GENESIS: Please avoid sun tanning or using any self-tanning products for 3 weeks prior to your treatment. Please be prepared to wash your face upon arrival prior to your laser treatment. Men should arrive clean shaven.

PRP with MICRONEEDLING: Please arrive well hydrated and please be sure to have eaten a meal prior to your arrival. 


Center Aesthetic & Dermatology
37 Union Square West, Fourth Floor
Union Square

New York, NY 10003
Phone: 212-433-3344
Office Hours

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