Policy and Procedure

SkinPath LLC

Clinical Aesthetic Services

Title:               (Face Reality) Acne Peels #1, 2 & 3

Policy:            All clinical aesthetic staff rendering client care will adhere to this protocol

Purpose:          To safely and properly administer peel treatments and solutions by exfoliating with chemical peeling agents on the face, neck, hands, chest, arms, legs and back.

Scope:             All licensed aestheticians rendering client care

Definition:      Clinical Protocol

 

Indications:  To reduce appearance of acne and PIH. To be used during the Acne Program.

 

Contraindications: 

1. Do not peel if client has a sunburn. Cannot treat clients with frequent unprotected sun exposure or tanning bed usage. 
2. Do not peel if client has a Herpes Simplex Virus (HSV) outbreak.  If client has a susceptibility to HSV, avoid common outbreak area with solution.  Can take prescription Valtrex or Zovirax prior to treatment, or immediately after treatment if beginning signs occur.  If client needs a prescription, notify Overseeing Medical Director.
3. Do not peel if client has significant product irritation or history of cosmetic related irritant/allergic reaction without a test patch.
4. Do not peel if client is sensitive or allergic to specific chemical peeling agents.  If client is allergic to aspirin, do not use Salicylic Acid solution.
5. Do not peel if client has recurrent contact dermatitis.
6. DO NOT use on open lesions, rashes, burns, or suspicious lesions.
7. If client is pregnant, written authorization is required from her medical provider approving chemical peels during pregnancy. 
8. Cannot treat skin if client has been on Accutane (Isotretinoin) within the past 6 months.

10.  Use caution on skin that has been treated with Tretinoin (Retin A, Renova) or other   photosensitizing oral medications. 

 

 

Procedure:       

1. All clients treated will have a skin history consultation, signed a chemical peel consent form during which time questions are answered, as well as discussing potential risks, complications, and anticipated results.  These completed forms will be present in the chart.
2. Any drug allergies will be noted on the front cover of the chart.
3. Photographs must be taken.
4. Clinician to perform service in latex or non-latex gloves.
5. Client is placed in treatment chair, supine and in a reclined position.
6. The client is properly draped, using linens that are laundered after each use.
7. The skin will be cleansed, with appropriate cleanser and soft gauze, removing all make-up except eye make-up.
8. If client is on the Acne Program, review current regimen by having them recite to you the products they are using, in the order they use them. Review diet changes and make sure they are taking their herbs and supplements.
9. Analyze the skin and determine the appropriate products to use during the treatment.
10. Degrease the skin with the Glycolic/Lactic Toner.  REMEMEBER:  the dryer the skin, the more intense the peel will be.
11. The client is given a motorized fan to be placed comfortably on the chest area.
12. Apply ONE LAYER of Acne Peel #1, 2 or 3 Peel solution on a 4 x 4 rough gauze. Hold the skin taunt, and apply gentle, even glide strokes to the skin’s surface ensuring overlap and consistency. Start on the forehead, then proceed to the right side of the face with downward strokes, then to the left side applying slight pressure.  Have the client keep their eyes closed during the procedure.
13. Cover the clients eyes with goggles.
14. Perform extractions.
15. Apply a SECOND LAYER of Acne Peel #1, 2 or 3 Peel solution on a 4 x 4 rough gauze. Hold the skin taunt, and apply gentle, even glide strokes to the skin’s surface ensuring overlap and consistency. Start on the forehead, then proceed to the right side of the face with downward strokes, then to the left side applying slight pressure.  Have the client keep their eyes closed during the procedure.
16. DO NOT DO MORE THAN 2 LAYERS.
17. Leave the peel solution on as it self-neutralizes.
18. The client may experience slight warmth for up to an hour after the treatment is administered.
19. DO NOT apply moisturizer or SPF. The peel self neutralizes and can be left on the skin for up to 24 hours.
20. If on the Acne Program, write out the next two weeks regimen of the prescription pad.
21. If on the Acne Program, pull any new or refill skincare and herbs/supplements they will need for the next two weeks of the program.

 

 

Post Treatment:

1. Give client post care instructions if it is their first treatment.
2. No active products for 24 hours then return to normal regimen.
3. Schedule follow-up in 2 weeks.