Policy and Procedure

SkinPath, LLC

Clinical Aesthetic Services

Title:               Microdermabrasion with Organic Facial

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

Purpose:          To safely and properly exfoliate the skin utilizing the Microdermabrasion machine and to safely and properly exfoliate, hydrate, massage, manually cleanse and nourish the skin.

Scope:             All licensed aestheticians rendering client care

Definition:      Clinical Protocol

Indications:     To cleanse, exfoliate, nourish, and extract comedones. Aids in improving discoloration, fine lines, acne scarring, and overall texture of the skin.  An excellent alternative to clients that are sensitive to chemical peels.

Contraindications:  Use caution when treating sensitive areas, thin skin, or eczema.  Cannot be performed on clients with an active infection or virus, open lesions, rashes, burns, or suspicious lesions.  Clients that present with severe rosacea or chronic use of oral or topical steroids on the face.  Tan or sunburned skin cannot be treated.  Waxing and Filler injections (Collagen, Restylane, Etc.) should be avoided for 1 week prior to treatment.

Setting-up the Treatment Room:

1. Make 4 hot towels 1 hour prior to appointment.
2. Blinds are closed so as to create a dark room.
3. Pull down top blanket and flat sheet at an angle so that client can go under the covers.
4. Place white towel in a triangle shape over an unfolded white towel to go under the head and to wrap the hair.
5. Dim light to low.
6. Turn lamp to lowest output.
7. Fold gown nicely at the end of the bed.

Procedure:       

1. Perform skin history consultation, sign a Microdermabrasion 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. Have client change into a gown and “get cozy” under the covers.
4. Photographs may be taken if necessary.
5. Client is placed in treatment chair, supine and in a reclined position.
6. Clinician to perform service in latex or non-latex gloves
7. Clinician should not leave the room for any reason in the middle of the procedure or leave the client sitting without being massaged or treated in some way.
8. The client is properly draped, using linens that are laundered after each use.
9. The skin will be cleansed, with appropriate cleanser and soft gauze, removing all make-up except eye make-up.
10. Remove cleanser with HOT TOWEL.
11. Analyze the skin and determine the appropriate Microdermabrasion hand piece and setting to use during the treatment.
12. If necessary, prep skin with Glycolic Toner or 70% Alcohol.
13. Ensure skin is dry by either allowing it to air dry or using a fan.
14. Turn on the machine by flipping toggle switch.
15. Determine vacuum power by occluding the tip. Higher settings may be used on Chest, Back, Arms, Hands.
16. Test vacuum power on client’s mid forehead. Check for slight redness or excoriation (scratch).
17. Re-adjust vacuum to achieve desired result.
18. Proceed with mircodermabrasion: Hold the patient’s skin taunt, and apply gentle, even glide strokes to the skin’s surface ensuring consistency.
19. Cover the entire face, making two passes in opposite directions. Adjust vacuum pressure accordingly on various parts of the face. Be sure to turn down the vacuum and crystal flow before working around the eyes.
20. Do not lift the hand piece off of the skin directly, but rather angle the hand piece off the skin slowly to ensure there is no suction on the skin before removing the hand piece. 
21. Skin will be stimulated and appear pink.
22. Wipe skin down with cool water and soft gauze to remove dust from microdermabrasion.
23. Cover client’s eyes.
24. Turn on magnifying light.
25. Perform extractions using any or all of the following: fingers wrapped in Kim Wipes, comedone extractor or lancet.
26. Wipe down skin with Glycolic Toner to kill bacteria.
27. Clean goggles with 70% alcohol.
28. Determine appropriate mask and apply to clean skin.
29. Drape face with HOT TOWEL. And drape the hot towel with a dry towel over top. Clip together with large bobby pin.
30. Allow client to rest under heat towel for up to 10 minutes.
31. While client is under heat towel and mask treatment, massage decolette, shoulders, arms and upper back with massage lotion and lavender essential oil for 10 minutes.
32. Remove mask from face with a fresh HOT TOWEL.
33. Facial massage- start with acupressure massage and move into traditional facial massage movement of efflourage.
34. Apply appropriate moisturizer, SPF, eye cream and chapstick.
35. Unwrap hair.
36. Massage scalp to end the treatment.

Clean-up:

1. Dispose of Lancet into sharps red container. Thoroughly clean comedone extractor and place into Cavicide disinfectant tray for 10 minutes
2. Empty and clean steel water bowl with cavicide solution spray for 10 minutes.
3. Remove and replace bed linens.
4. Place dirty laundry and gown in appropriate receptacle.

Complications:

In case of complications or emergency, clients are advised to contact Natural Skincare Clinic immediately. If clinicians cannot resolve the matter, the physician is to be contacted and available within 30 minutes.