Chemical Peel Application: Preparation and Protection

• Focus on preparation and protection to avoid injury when applying peels

Pre-Treatment Preparation

• Clients should follow pre-treatment care
• This care includes stopping retinoids, avoiding sun exposure, and reporting contraindications

Skin Analysis

• Conduct a thorough skin analysis to determine suitability for the peel

Application Technique

• Apply peel evenly, avoiding sensitive areas, such as eyes and mucous membranes
• Use protective measures with petroleum jelly around sensitive areas

Client Monitoring

• Assess the client's comfort during the procedure
• Be alert for excessive erythema, burning, or discomfort

Post-Treatment Care

• Guarantee client adherence to aftercare
• Aftercare includes avoiding sun exposure, using SPF, and hydrating the skin

Skin Thickness

• Thicker skin absorbs peel solutions differently than thinner skin

pH and Concentration of the Peel

• Stronger peels with lower pH levels penetrate deeper

Pre-Treatment Skin Preparation

• Previous use of exfoliating products affects peel absorption

Number of Layers Applied

• Applying more layers will lead to deeper penetration and stronger reactions

Client Skin Type and Condition

• Sensitive, dry, or acne-prone skin may react differently compared to oily or resilient skin

Blanching (frosting) definition

• Blanching (frosting) occurs when proteins in the skin coagulate due to chemical peel depth

Level 1 (Light Frosting)

• Mild white speckling indicates superficial penetration

Level 2 (Moderate Frosting)

• White haze indicates deeper penetration into the epidermis

Level 3 (Intense Frosting)

• Solid white frosting with erythema denotes penetration into dermis, usually in medium to deep peels

• The video showed the TCA Peel (Trichloroacetic Acid Peel) or Obagi Blue Peel

• The client reported redness, sensitivity, and prolonged peeling

• Redness, sensitivity and peeling were reported adverse effects with improvements in skin texture and pigmentation

Post-Treatment Instructions

• Avoid sun exposure
• Protect skin with SPF 25 or higher daily
• Use gentle skincare
• Refrain from exfoliating agents (AHAs, BHAs, retinol) for 3-7 days
• Hydrate the skin with non-irritating products
• Avoid heat and sweating
• Abstain from hot showers, saunas, or exercise for 24-48 hours
• Use a gentle cleanser, avoiding harsh scrubs or soaps

Skinceuticals Product Recommendations

• Epidermal Repair soothes and repairs compromised skin
• Phyto Corrective Masque calms and hydrates post-peel skin
• Serum 10 (Vitamin C) gives antioxidant protection
• Physical Sunscreen SPF 45 safeguards against UV damage

Peel Endpoints

Mild Redness (Erythema) and Tingling

• A normal reaction that indicates active exfoliation

Blanching/Frosting

• Normal with medium-depth peels but monitor for severity

Severe Burning or Excessive Erythema

• An abnormal reaction that requires immediate neutralization and cooling measures

• The Skinceuticals Gel Peel (Glycolic + Lactic Acid) is effective for brightening and hydrating the skin, while being gentle

• The 20% Glycolic Acid provides deep exfoliation and enhances texture

• 10% Lactic Acid hydrates and brightens.

• There is minimal irritation and is suitable for clients with sensitive skin

• It can be combined with other treatments

• It works well with microdermabrasion or IPL

Skinceuticals Review Peels/Product Knowledge Answers

Tyrosinase Inhibitor Serums

• Discoloration Defense contains 1% Kojic Acid
• Phyto A+ Brightening Treatment contains 2% Alpha Arbutin
• They both block melanin production, aligning with the requirements

Conditions Targeted by Superficial Skinceuticals Peels

• Textural imperfections, Wrinkles, Pigmentation, Acne lesions

Contraindications for Peeling

• An unstable skin barrier
• Accutane or topical retinoid use
• Sunburn
• Cold sore or fever blisters

Role of Phytic Acid

• The statement asserting that phytic acid stabilizes L-ascorbic acid is false because it is Ferulic Acid

Peel Endpoints

Erythema (Redness)

• Normal: Even pink-to-light red glow indicates the product is effective
• Abnormal: Patchy, Bright red or hot spots mean it is overdone and now it must be neutralized

Frosting/Blanching

• Normal: Faint white sheen (Level 1) is for superficial peels, fades fast
• Abnormal: Thick, uneven white (Level 2/3) indicates the peel is too deep for superficial

Stinging/Burning Feedback

• Normal: Mild tingle (3-4 on 1-10), levels off
• Abnormal*: Sharp burn (7+), keeps climbing

Acid Derived from Legumes

• Phytic acid is derived from legumes

The Key to Healthy, Younger Looking Skin

• Prevention from antioxidants and SPF is best

Ingredient in Phytocorrective for Brightening and Hydroquinone Derivative

• Alpha Arbutin ingredient used

Retinol as a Keratolytic Agent

• Topical retinol can be a keratolytic agent
• It speeds cell turnover and loosens dead skin

Gel Peel GL vs. Micropeel Sensitive,

Gel Peel GL is best for:

• Ingredients: Glycolic and Lactic Acids, at approximately 20-30%.
• Application: Applied with gauze or brush, up to two layers
• Timing: 1-5 minutes.
• Parameters: Stronger, needs neutralization with a pH around 3.0.
• Target: Addresses dry skin, fine lines, and pigmentation for rejuvenated skin

Micropeel Sensitive is best for:

• Ingredients: Mandelic or Lactic Acids, at approximately just 1½ tsp per protocol
• Application: Rough gauze, sweeping pattern
• Timing: 3-5 minutes, then be neutralized with water and gauze.
• Parameters: Milder, no harsh neutralizer needed
• Target: Addresses sensitive skin, mild texture issues, and slight pigmentation

Dual Purpose of Ferulic Acid

• Ferulic Acid (in CE Ferulic) stabilizes Vitamin C and provides more sun boost.
• Follow the general rule of applying products from thinnest to thickest.
• Serums should be applied first, then Gels, then Creams, then SPF should be done last

Skinceuticals Peel Preference

Micropeel Sensitive.

• It's gentle, low-risk, and it works on sensitive skin
• Less chance of drama in a practical setting

Assessment Prep:

• Review contraindications (retinoids, sunburn, etc.) and steps
• Practice timing (3-5 mins) and neutralization with water/gauze
• Brush up on comfort checks (1-10 scale) and keep Epidermal Repair/SPF ready

Benefits:

• Mild acids (likely mandelic/lactic) easy application with gauze and no harsh neutral

Features:

• Soothes sensitive skin, improves texture lightly and ensures minimal down time

Key Points

Fitzpatrick Scale and Treatment/Homecare:

Researchers suggest that skin typing and analysis can help predict how a patient will respond to treatments and help one decide on the homecare route to take Fitzpatrick skin types measure pigment and sun tolerance which assists in predicting potential treatment results. Types 1 2 and 3 have a lower Ultra Violet tolerance and are more likely to handle treatments better Types 4 5 and 6 have a higher Ultra Violet tolerance but often run the risk of developing issues with pigmentation Thorough skin analysis is vital to find home care plans that will aide in skin types such as Fitzpatrick respond better to esthetic services such as chemical peels. AHAs and BHAs separate desmosomal bonds and have proved to be very useful chemical agent with Glycolic being the most potent in this particular class. Generally Post-treatment care consists of shielding your skin from the sun not touching or scrapping at the affected area for at-least 48 hours.

Introduction to Skin Typing and Chemical Peels

The importance of Skin Classification:

Skin Typing as well as looking for other aging related traits are both essential to preform Esthetic medical related services properly as well as understanding your clients skin type so you can give them the best medical esthetic treatments such as chemical peels, IPL and lasers while minimizing side effects that may arise. A clients Fitzpatrick skin type can show if a superficial peel will react well with there skin with darker skin types who are prone to hyper-pigmentation.

Survey Note: Comprehensive Analysis of Chemical Peels and Skin Typing

The Fitzpatrick Scale:

The Fitzpatrick measures skin pigment and sun tolerance. Types 1 2 and 3 often have low tolerance to UV but can handle more types of treatments due to their low pigmentation risk while types 4 5 and 6 have higher levels of UV and are more at risk the of potential side effects such as hyperpigmentation.

The Lancer System:

The Langer System rather focuses more on ethnicity and does not measure for acne scarring and visible aging traits but is more broad for treatment planning. AHAs and BHAs are used for things such as glycolic acid this type of acid with its small molecular make up has the ability to heavily exfoliate as well damage such as sun damage at strong levels (13 – 30%).

Chemical Peel Applications and Safety:

Things such as glycolic acid contains small molecules and exfoliates deeply as well as helps treat conditions such acne and heavy sun damage. For chemical peels its advised that pregnant women who seek treatment of acids or peels be denied.

Key points from questions

1. Skin Typing and Analysis is key to creating a successful program.
2. The best approach is progressive treatments that reduce complications
3. Fitzpatrick can help manage pigmentation which can be achieved by preforming a deep analysis and by considering all the details and conditions
4. Latinx skin can undergo great harm as it comes with higher Trans Epidermal Water Loss and melanosomes. This type of skin is best advised to avoid a aggressive high level peel session and be given customized home care steps.

• Key ingredients:
  • Gylcolic acid:
    • Smallest AHA available easily penetrating the skin
  • Lactic acid:
    • Helps treat acne hyper-pigmentation and sun damage.

1. Superficial Exfoliates does not help remove such conditions and traits; it simply helps with fine lines pores and light pigmentation issues

2. The redness after such treatments will subside however there is always risks to a product or session that consist of such traits.

3. It will be wise during such session and when preparing to treat a patient to inquire an be aware of any redness or skin conditions the patients has as it might prove the patient to be a bad fit for peel.

4. Patients with eczema, rosacea, retinoid use, or broken capillaries is advised to avoid peels, as safety should always remain the top priority.

5. During consultation it is essential to assess the client for any condition of the face as it can bring the peel to cause greater risk that outweighs its benefits.

6. Sun exposure is to be advised against for 48 or more hours with post treatment being strongly advised.

Key aspects to consider

7. AHA/ BHA percentage
8. Skin type:

• ethnicity’s
• potential for UV damage needs to analyzed

Skin analysis key factors (key points to remember)

• The lower skin pigment the higher the sensitivity.*

1. Skin typing analysis in medical esthetics is key to the client’s success and as its the best parameter available.
2. In consultation with patience with high level UV exposure it is essential to do analysis and review potential conditions to avoid risks during the chemical peel session.
3. With different Ethnicity’s being prevalent it is best to custom prep based on ethnicity’s as there could be issues in pigmentation.

Treatment timeline and reactions

• 1st day slight redness and flushing
• 2 day splotchiness
• 3 tightness and dryness/ peeling process
• Key measures, clear post instructions Proper protection Regular skin treatment Immediate capability/
• Gycolic acid for AHA treatments and
• Lactic acid or combination AHA/BHA mix.

Learn how to prep skin safely before a chemical peel. Proper preparation, including avoiding retinoids and sun exposure, is essential. Protect sensitive areas during application and monitor client comfort to prevent injury and ensure optimal results.