marie piantino - age management medicine group (ammg)derma plane electric brush ... delivers...

Types of ExfoliationMARIE PIANTINO

PEELS• Skin Resurfacing for beauty has been

• around for thousands of years.

• Ancient Egyptian recipes used fruit acids

combined with skin irritants

• Rather deep peel – clients hid from

society for 2 – 3 weeks and expected

a youthful appearance

• Modern peeling started about 100 years ago

% = CONCENTRATION

50%15 actives 500 actives50%

pH

BENEFITS OF PEELING

• Light peels

• Effect barely perceptible.

• Heavy peels

• Noticeable effect and peeling for a number of days.

• Healthy cells survive and damaged cells are removed.

• Promotes collagen formation.

• The appearance of rough and uneven skin tone is refined

• relieves problematic skin conditions.

• Helps to refine the texture of sun damaged skin leaving it smooth with a healthy

appearance.

SIDE EFFECTS Deep peels could possibly cause the following:

• Slow healing

• Post inflammatory scarring

• Hyper pigmentation

• Hypo pigmentation

• Bacterial infections

• ScarringScarring after Deep Peel

DIFFERENT TYPES OF PEELS PHENOL Toxic – has lead to deaths Deep dermal peel – complete epidermis destroyed Melanocytes, which produce melanin pigment granules are destroyed.

TRICLOROACETIC ACID Safe and effective, inactive when dry. Based on acetic acid, man-made chemical No known allergic reactions

ALPHA HYDROXY ACIDS (AHA) Safe and effective Weak Carboxylic Acid Found in nature

COMPLICATIONS• Hyper-pigmentation

• May occur as a result of inflammation.

• Hypo-pigmentation

• May occur as a result of very deep peels.

• Allergies

• Allergies to peeling agents is very rare, it is more likely to be an

area of over treatment.

PATIENT SUITABILITY▪ Problematic skin

▪ Rough, uneven texture

▪ Wrinkles and fine lines

▪ Superficial uneven skin tone

▪ Actinic keratoses

▪ Rosacea

▪ Enhance cosmetic surgery

CONTRAINDICATION• Skin not adequately prepared with Environ Vitamin A

moisturizers.

• Current using or recently stopped Cis-Retinoic Acid

(Accutane TM).

• Recent micro dermabrasion, dermabrasion or laser

resurfacing treatments.

• Waxing or extractions not recommended

10 days before or after peeling.

CONTRAINDICATIONS Cont.

Excessive sun exposure including

sun-bed users.

Current radiation treatment

Skin diseases i.e. Porphyria, eczema,

psoriasis.

Diabetes or other major illnesses,

doctors consent required.

Avoid peeling during pregnancy.

Unrealistic expectations vs possible

results.

SAFETY PRECAUTIONS

• Ensure the correct peel is being used.

• Keep the client’s head slightly elevated.

• Never hold the peel container over the

face when applying the peel.

• Always have water nearby.

• Herpes Labialis – apply neutralizing gel to

the lip line before peeling.

• Do not allow gel peels to “pool” – easy to

over-treat the area.

• Listen to the client.

NON-INVASIVE RESURFACING

Also known as - Microdermabrasion

- Mechanical exfoliation

- Microexfoliation

- Hydra dermabrasion

- Micro Resurfacing

Mediums - 1st generation = crystals

- 2nd generation = diamond / plastic tips

- 3rd generation = bristle tips

Physical Exfoliation

Microdemabrassion

Derma Plane

Electric Brush

Scrubs

NON-INVASIVE RESURFACING

Benefits Thicker epidermis because new cells produced rapidly

Cells of lower layers of epidermis are in "basket weave "configuration,

instead of haphazard arrangement

Barrier function of epidermis improves

Protects skin

Prevents TEWL

Benefits

-Nourishes cells, keeping them

vital

-Oxygen and nutrients to

working cells

-Skin becomes radiant from

blood flow and nutrients

-Internal oxygen treatment

-Controlled dermal injury for

collagen remodeling

NON-INVASIVE RESURFACING

NON-INVASIVE RESURFACING

Benefits

-No down time 30

minute treatment

-One of the top non-

invasive

cosmetic

procedures

-Safe for all skin types

NON-INVASIVE RESURFACING

• Dyschromias

• Photo-aging

• Fine lines

• Laxity

• Tone & Texture

• Blemishes

• Dry, dehydrated skin

• Oily, sebaceous skin

• Sensitive skin

• Reactive skin

• Melasma

• Acne scaring

Ideal for

NON-INVASIVE RESURFACING

w INFUSIONSControl Following Medium Coarse Tip

Courtesy: Aaron Tabor, M.D.

Delivers targeted skincare infusions, which penetrate the

skin, rejuvenating and

restoring the skin’s health

Acts as a gateway device for

aesthetic practice growth

With Peels, 2 of the aesthetic

industries top 5 minimally

invasive procedures are

incorporated into one

treatment.*

*Source: 2015 ASPS Statistics Report

Safe for all Fitzpatrick skin types

Recommended for

-Pigmentary disorders

-Photoaging

-Melasma

-Tone & texture

-Acne

-Fine rhytids

-Elastin & collagen

NON-INVASIVE RESURFACING

w INFUSIONS

NON-INVASIVE RESURFACING

w INFUSIONS Combination Therapy

Optimum Outcomes

Novel and unique combination of adipose-derived

stem cell conditioned media and fibroblasts.

Formulated with W3 Peptide (hexapeptide-33)

“G-Protein Coupled Receptor” activates cell vitality,

combats

wrinkles, brightens and tones. Potent bio-active

signaling peptides home damaged sites to aid in repair

and

restoration, while Gatuline Renew® helps to improve

skin

Addresses skin firmness, wrinkle reduction, and vitality

NON-INVASIVE RESURFACING

w INFUSIONS

Before 1 Month Following 3rd Treatment

Courtesy: Jay Calvert, MD

CHEMICAL PEEL INFUSION

Chemical exfoliants (peels)

-Exfoliate dead skin

-Increase cellular turnover

-Drive other ingredients deeper

TCA – increases cellular turnover

Blended with Kojic Acid, Lactic Acid, Azelaic Acid,

Glycolic Acid, Salicylic Acid, Hyaluronic Acid

No downtime or patient discomfort

TARGET KEY SKIN CONCERNS

Non-invasive resurfacing

Removes barrierExfoliation & circulation

Chemical resurfacing

Exfoliation

Cellular turnover

Infusion delivery

Increases cellular turnoverBrighten

Suppress melanin

Inhibit tyrosinase

Decrease inflammation

SUMMARY Mechanical Resurfacing has proven to improve skin

Topical serum/infusion containing peels, peptides, growth factors,

probiotics and antioxidants benefit aging skin

Both methods show improvement, combining gives a synergistic result

with vastly superior results

Mechanical Resurfacing + Pigment Infusion =

Superior Synergistic Result

THANK

YOU