Policy and Procedure

SkinPath, LLC

Clinical Aesthetic Services

 

 

Title:               Hydro-Facial (Hydrodermabrasion) Express

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

Purpose:          To safely and properly exfoliate the skin utilizing the DermaJem machine and to safely and properly administer peel treatments and solutions by exfoliating with chemical peeling agents.

Scope:             All licensed clinical personnel rendering client care

Definition:       Clinical Aesthetics Protocol

 

 

Indications:  To help minimize fine lines and wrinkles, rejuvenate skin from discoloration and hyperpigmentation due to solar damage, aging, acne and acne prone skin, and large pores.

 

Contraindications: 

1. Do not treat 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.
2. Do not peel if client has significant product irritation or history of cosmetic related irritant/allergic reaction without a test patch.
3. Do not treat if client has recurrent contact dermatitis.
4. Use caution when treating sensitive areas, thin skin, rosacea, eczema, or areas of telangiectasias.
5. DO NOT use on open lesions, rashes, burns, or suspicious lesions.
6. Cannot treat skin if client has been on Accutane (Isotretinoin) within the past 6 months.
7. Use caution on skin that has been treated with Tretinoin (Retin A, Renova) or other   photosensitizing oral medications.
8. Contraindications:  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.

 

 

Procedure:        

1. All clients treated will have a 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. Photographs may be taken.
4. Client is placed in treatment chair, supine and in a reclined position.
5. The client lays on top of the blankets. Or draped if they care chilled.
6. Wrap hair with towel or headband.
7. The skin will be cleansed with Ultra Gentle Cleanser, with appropriate cleanser and soft gauze, removing all make-up except eye make-up.
8. Analyze the skin and determine the appropriate Hydrodermabrasion tip and setting to use during the treatment.
9. Degreasing the skin is optional, depending on the skin type and sensitivity.  Glycolic Toner or 70% alcohol may be used.  REMEMEBER:  the dryer the skin, the more intense the peel will be.
10. Fill the “SERUM” container with the Skin Deep solution.
11. Attach the Double Exfoliation tip to the handpiece.
12. Turn on the machine by flipping toggle switch on back of the machine.
13. Press the Hydra button on top so that it is lit red.
14. Adjust vacuum on right side of machine. Cover tip to pull solution through the cord to the treatment tip. Once you feel the solution on your fingertips you are ready to start.  Higher settings may be used on Chest, Back, Arms, Hands.
15. Ask client, “How is the vacuum pressure? Would you like the vacuum higher or lower?”
16. Re-adjust vacuum to achieve desired result.
17. Proceed with hydrodermabrasion with Skin Deep solution for 1 PASS: Hold the patient’s skin taunt if needed and after each stroke, using your other hand, massage the solution into the skin and catch any drips of the solution.
18. Detach the container with the Skin Deep solution and set aside in one of the holders on the cart.
19. Apply the Glycolic Solution with a fan brush or your fingers and massage into the skin for 5 minutes. You will need to add water to your fingers to make glide over the skin.
20. Remove with warm towel.
21. Next, change your tip to the Spiral Deep tip. Working only in the t-zone (middle forehead, nose and chin), turn the head in 180 degree circles so as to focus on suctioning out blackheads and congested pores.
22. Detach the container with the  solution and set aside in one of the holders on the cart.
23. Fill another container with the Peptide or Antioxidant Solution and attach to the machine.
24. Cover the entire face, making TWO passes in opposite directions. Adjust vacuum pressure accordingly around the eyes. Be sure to turn down the vacuum before working around the eyes.
25. 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. 
26. Apply appropriate moisturizer and SPF.
27. Skin will be stimulated and appear pink.
28. Sanitize all implements used, loupe, bowls, and work area (As described in the Policy and Procedures - Sanitation/Sterilization).

 

 

Post Treatment:

1. Apply moisturizer and anti-aging serum
2. Schedule a follow up visit in 2-4 weeks.

 

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.

 

ALL CHARTS MUST BE REVIEWED BY MEDICAL DIRECTOR