Hyaluron Pen Training Manual PDF

- HYALURON PEN TRAINING MANUAL STUDENT TRAINING MANUAL & GUIDE Hyaluron Pen Injections are a wonderful skill to add to your treatment menu! Everyone on our team loves it and we know you will too when you see just how great the enhancements can be. The length of time it takes to finish this course w...

- HYALURON PEN TRAINING MANUAL STUDENT TRAINING MANUAL & GUIDE Hyaluron Pen Injections are a wonderful skill to add to your treatment menu! Everyone on our team loves it and we know you will too when you see just how great the enhancements can be. The length of time it takes to finish this course will vary from person to person. Some people with a background in aesthetics just looking to add a new service may finish in as little as 3 to 4 days. For people new to the industry sometimes it may take a month or more. While we are certifying that you have completed this course you should still investigate the medical guidelines for your area. They are different country to country, state to state, and city to city. We are so excited to teach you the art of Hyaluron Pen Injections and bring you into the world of aesthetics. These procedures can boost confidence and change lives. Your clients will love their results and you will love the extra income and high return this treatment provides. - WHAT’S INSIDE? HYALURON PEN INTRODUCTION HYALURON PEN & PLACEMENT HYALURON PEN SIZES - MEASUREMENTS LIP MAP – KNOWLEDGE BANK LIPS CONTOUR TECHNIQUE CONFIGURATION GUIDE PEN ADVANTAGES LIPS VOLUME TECHNIQUE USING THE HYALURON PEN - FACIAL ANATOMY OVERVIEW – THE FUNCTION OF HYALURONIC ACID MARIONETTE LINES TECHNIQUE - WHICH GEL & WHERE? – NASOLABIAL FOLDS TECHNIQUE HEALTH & SAFETY GUIDELINES ANATOMY OF THE LIPS, SKIN & FACE PROFESSIONAL ETHICS & STANDARDS DISQUALIFICATIONS CONTRA-INDICATIONS PRECAUTIONS & PROTOCOLS CONSULTATIONS & RECORDS - PRACTICAL DEMO PHOTOS - CLIENT AFTERCARE – - STORAGE – - INSURANCE, SAFETY & REQUIREMENTS – - Student Recap! – - KIT WISH LIST - - HYALURON PEN INTRODUCTION – The Hyaluron Pen is an adaptation of a pen, that the medical field has used for decades to combat needle phobias. Thanks to this medical field, it now offers us state of the art cosmetics training to provide beauty enhancement with noninvasive techniques and pain free procedures! This training manual offers you tailored lessons to develop your own business by increasing your knowledge on cosmetic enhancements, and expanding your skill sets with modern techniques to provide the best result for your clients. Within this course you will... © Understand the science behind enhancements with hyaluronic acid © Gain information on the anatomy of lips © Learn lip shaping and sizing through step-by-step instructions © Learn the facial anatomy © Understand the training theory To fully master the Hyaluron Pen training course, you will need to acquire the necessary equipment. If you have not purchased a training kit you will either need to purchase a kit or obtain your own equipment. Our goal at the end of this training, it to provide you with the skill sets and training needed to provide the highest level of enhancements for your clientele. Before we get started, you need to know a few key points about the Hyaluron Pen training. The Hyaluron Pen's needless enhancements cannot be compared to the needle injections. Since they are two different methods with two different liquids, the swelling and results will not be the same. Please be sure to let your clients know this beforehand. Hyaluronic Acid is naturally produced in the body, but as we age the production of it naturally decreases. The naturalness of it means the duration will vary from person to person, but the first round of results is between 1-3 months. By continuing the procedures your clients will see these results lasting longer between treatments. The last point to stress is for your clients, they will need to drink plenty of water before and after the procedure. - HYALURON PEN SIZES – There are 2 major sizes of Hyaluron Pen: © 0.3 Hyaluron Pen has narrower opening at the end & uses only 0.3ml ampoules. © 0.5 Hyaluron Pen has wider opening & only 0.5ml ampoules may be attached. © DUAL Hyaluron Pen can work with both 0.3ml & 0.5ml ampoules. 0.5ml ampoules work best with mesotherapy injections: cocktails, serum mixes or bio revitalizers that are injected into the mesodermal layer of the skin. Perfect for dissolving fat and much better for larger body areas. 0.3ml ampoules are used for lip and nose injections. HA filler for 0.3ml ampoule should be 15-22mg/ml thick. Any HA filler above 23mg/ml should be injected with needle. - HP KNOWLEDGE BANK – Rejuvenating treatments nowadays are among the most sought-after cosmetological services. Those who follow the latest trends in cosmetology might already be familiar with HYALURON PEN. To get an effective result in most cases, injectional therapy is applied using rejuvenating products. But not all beauty salon customers can tolerate injections. Some of the major disadvantages of such procedures are bruising, swelling, blood vessel thrombosis and long-lasting recovery periods due to a traumatic impact on the skin. DOWN WITH BRUISES AND SWELLINGS Today cosmetical labs and technical equipment factories are making efforts to create harmless alternatives for syringes and needles, which could be competitive with injection methods. Undoubtedly some skin problems cannot be treated without serious surgery or deep injections. But for cases when products are input in the outer layers of the epidermis, an efficient safe alternative already exists. One such devices which has proved its efficiency in the beauty industry is the innovative hyaluronic pen. HOW WAS THE DEVICE CREATED? Its design is based on special atraumatic handles, made for insulin injections for diabetic people. Such patients experience this hurting procedure rather often, as they require constant medication treatments. Medical developers answered to those people creating an insulin pen. The innovation has grabbed the attention of cosmetologists, and a similar device has evolved in the beauty sector now. Since spring 2018, HYALURON PEN has begun to be widely used in beauty salons. WORKING PRINCIPLE The device makes shallow injections of hyaluronic acid - the main skin refresher and moisturizer. With age, the amount of hyaluronic acid in human body reduces gradually, that’s why it must be regularly resupplied. The older the person is, the more frequent rejuvenation must be made. The new device is great for customers who do not go to beauty salons or do it rarely due to the pain they experience from the injections. Inside the device there is a piston, which is put to work by pressure and doesn’t feature a sharp head. Due to this structure, the hole in the pen was able to be made almost twice as small as the hole in a needle. Cosmetologist brings the device close to the area that needs correction and presses the piston. With the press, the composition is forced into the higher layers of epidermis in equal portions making no damage to the skin. The amount of the product is easily regulated during the process. To make it more comfortable, you can use special ready-made ampoules with a handle. The new technology helps inject not only biorevitalizants but any other mesotherapy and vitamin cocktails (Advanced). WHAT PROCEDURES CAN I USE A HYALURONIC PEN FOR? With the help of the device, more than a dozen natural skin lines are effectively corrected. Devices work only with liquids: Hyaluron pen fillers, biorevitalizants, lipolytic and are competitive in the use of drugs of this segment. Hyaluron pen is successfully used when it is necessary to fill and replenish: © papillary folds © shallow facial wrinkles © areas that lose their natural volume. Also, with the help of new technology, you can correct the shape of the lips, eye incision, eyebrows and perform other procedures that do not require significant skin invasions. When filling shallow nasolabial folds, correcting wrinkles, puppets, facial wrinkles on the forehead and around the eyes, cosmetologists today choose the innovative hyaluronic pen. OH, WAIT A MINUTE, IS IT EVEN LEGAL TO USE THIS DEVICE? One of the best things when it comes to Hyaluron Pen is simplicity. It is a simple procedure that allows inserting hyaluronic acid into the skin in a very safe manner. When it comes to legal aspects, you of course must find out your local legislation, however we can say that thousands of people are using int all over the world. In a way, it is a simple moisturizer of the upper layer of dermis that can well be used to enhance the shape and thickness of lips. Still, obviously everyone herself must clarify the rules and regulations in her specific perspective location of providing the service. As stated all over this site, we take no responsibility regarding how you use this information, we urge you to contact local health officers regarding that - CONFIGURATION GUIDE – PLEASE NOTE: ALWAYS FOLLOW THE MANUFACTURER INSTRUCTIONS INCLUDED WITHIN YOUR DEVICE PACKAGING - PEN ADVANTAGES – The main advantage of using the new atraumatic device is safety and almost complete absence of the risk of consequences in the form of vascular occlusion. The biggest problem with injection therapy is limiting tissue trophism due to a poorly performed procedure. Blocked sections of blood vessels can cause disturbances in the work of various organs located near the injection site. Using a hyaluronic pen, the drug is injected only into the papillary layers of the dermis, which avoids the risk of occlusion. In its niche, the pen device dominates due to the availability and ease of use, as well as the painlessness of the procedure. It's a disrupter in the cosmetic industry with its innovative methods, so now is the time for you to start your business. This innovative tool can be used for enhancing facial features such as lips and cheekbones, creating lip volume as well as contours, and reducing wrinkles. - USING THE HYALURON PEN – Regardless of how experienced and good we are as aesthetic injectors, we have come to discover through the years of using the Hyaluron pen, that product seepage is something that simply can’t be avoided. © © © © Yes, it helps to cut down on when injecting 0.01-0.02 at a time, Yes, it helps to cock the pen first and then twist the chamber, Yes, it helps to use very firm pressure when injecting, and yes, it helps to always keep your finger over the ampoule head. But even after practicing all those preventative measures, product will still seep out the sides when injecting or spray out of the ampoule head when twisting or pulling away from the skin. When seepage happens, it causes concern that nothing is making its way into the skin. We can be rest assured through thousands upon thousands of Hyaluron pen case studies that the product is penetrating the skin tissue. We can also be assured that patients will see results, but it might take time and more sessions to see results like that of needle injections. Typically, results are seen after two to three sessions and 2ml-3ml of product using the Hyaluron pen. Hyaluron pen injections is a slower process, and this is a very important fact to convey to your patients. Over the years many Hyaluronic acid filler manufacturers have experimented with all types of HA densities to see if injecting a much thinner product would prevent product seepage, but even when practitioners themselves have experimented with thinned down filler (using injectable saline 0.9% benzyl alcohol) there was still product seepage. If the product was thinned down too much the cross-linking and results were compromised. Therefore, injectors all over the world have come to accept that regardless of what type of Hyaluron pen you use and what type of product you use product seepage simply can’t be avoided. - THE FUNCTION OF HYALURONIC ACID – WHAT IS HYALURONIC ACID? Hyaluronic Acid (HA) is a natural sugar your body produces in your skin that holds moisture, which helps it to stay hydrated and plump. It helps to retain the moisture not only in your skin, but also in your joints and prevents the moisture from evaporating into the air. HA decreases as you get older which leads to wrinkles, sagging, and the thinning of facial features. The hyaluronic acid enhancement is a natural procedure to bring moisture back to the surface of your skin by binding water to our skin cells. This essential acid will rejuvenate your client's features with a younger and more beautiful appearance. HYALURONIC ACID GEL Hyaluronic Acid is a natural sugar molecule produced in the body to retain moisture and adds volume by binding to water in the epidermis. The use of acid in the name should not scare you or your clients away. This is a natural sugar produced in the body that retains moisture and can hold up to 1,000 times its size in moisture in the skin. These gels consist of cross-linked Hyaluronic Acid chains processed into a gel form ready for pressurized injection. The manufacturing of the gel is key given the different variables such as the concentration of HA, the cross-linkage, and the molecular size. Hyaluronic Acid Gel is cross-linked using hydrogen bonds allowing it to be more stable and finer than other gels to allow easy penetration through the hole of the pen and into the skin. This stability, fineness, and the omission of other chemicals in the gel provides clients with the reduced risk of hypersensitivity and reactions. It's natural production in the body and the lack of additional chemicals provides you with the confidence that your clients will have the desired effects with minimal side effects, especially compared to needle injections. However, the bonus is after opening the syringe it can be stored and used again for up to six months. However, the syringe must be sterilized and kept in an airtight sterilized container at 39.7 degrees Fahrenheit or at room temperature. Syringes will need to be placed into ampoules which are then placed into the Hyaluron Pen for injection. The ampoules will need to remain sterilized as well and kept in a sterilized container or envelope in a refrigerator. Before your clients come, have the area sterilized and prepped at least 30 minutes beforehand. - WHICH GEL & WHERE? – Hyaluronic Acid Gel seems to be the big craze now. The Hyaluron pen has given the beauty industry an opportunity to provide services at the fraction of the cost compared to recent Medical services that are costly for the average consumer. It has also brought a safer solution to needle injections. The top brand Celltrimi Gel is a product of ChaMeditech Group. Their patented cross-link formula allows the pen to easily apply the Hyaluronic Gel topically to the skin giving it premium results. The biggest problems users seem to be having is understanding which product to use and when. Here is a little guide on the value of each product. Celltermi Gel P, formerly HyaFilia Petit, is a smaller cross-link that is good for smaller folds and lips. Celltermi Gel C, formerly HyaFilia Classic, is a medium cross-link that is good for medium folds and lips. Celltermi Gel C, formerly HyaFilia Grand, is a large cross-link that is good for larger folds and lips. Practice, Practice, Practice! Just so you know, if you have had quality training and have a quality pen, you still need to practice! Someone can teach you how to shoot a basket, but that doesn’t mean you’re going to make it in the hole every time! You need to practice! We recommend practicing on 10 models before working with any paid clients. - HEALTH & SAFETY GUIDELINES We take you and your client’s safety personally, which is why we encourage you to take precautions when performing procedures especially when bloodborne pathogens are present. In the United States of America, we have an official government agency assembled to take on the responsibility of work safety. This official government agency is the Occupational Safety and Health Administration, more commonly known as OSHA. 198301-rev.qxd 3/16/09 2:06 PM Page 2 Students going through our training courses should seek out a bloodborne pathogen training course online as a safeguard to protect yourself and your clients under OSHA. This training can provide you with the valuable information INTRODUCTION I.V. THERAPY to protect yourself from healthTO hazards such as hepatitis B, hepatitis C, HIV, 2 malaria, brucellosis, syphilis, West Nile virus, and COVID-19 just to name a few. of I.V. therapy It is alsoRisks recommended that students be certified in Infection Control and Like other invasive procedures, I.V. therapy has its downside. Risks includecommon bleeding, blood vessel damage, fluid infilPrevention, since one of the most occupations foroverload, infections to happen Well, tration (infusion of the I.V. solution into surrounding tissues rather nobody’s the blood vessel), infection, overdose (because response to I.V. are in the healthcare andthan aesthetics fields. It is important to keep yourself perfect. and drugs is more rapid), incompatibility when drugs and I.V. solutions are mixed, and adverse and or allergic responses to infused substances. your clients safe from contamination infections, as well as reduce their Strings attached ability to spread. Although this is a needle-free procedure, you will still puncture Patient activity can also be problematic. Simple tasks, such as transferring to awill chair,need ambulating, and washing oneself, can of yourself and the skin with plasma energy so you to ensure the safety become complicated when the patient must cope with I.V. poles, I.V. lines, dressings. your clients from infections andandspreading them. Infections can live in multiple No such thing as a free lunch — or I.V.! areas, on various materials, and on the client, which is why it is extremely Finally, I.V. therapy is more costly than oral, subcutaneous, or intramuscular methods how of delivering medications. important for you to know to prevent infections. We recommend finding an accredited online course to help you safeguard Fluids, electrolytes, and I.V. therapy yourself protect clients. One of the and primary objectivesyour of I.V. therapy is to restore and maintain fluid and electrolyte balance. To understand how I.V. therapy works to restore fluid and electrolyte balance, let’s first review some basics of fluids and electrolytes. **Bloodborne Pathogen or BBP certification is valid for 1 year and must be We’re all wet (well, mostly) renewed. **Infection Control and Prevention certification is valid for 2 years and The human body is composed largely of liquid. These fluids account bebody renewed. for aboutmust 60% of total weight in an adult who weighs 155 lb (70.5 kg) and about 80% of total body weight in an infant. Of solvents solutes Any occupation or lineand of work where you can possibly have blood exposure, you Body fluids are composed of water (a solvent) and dissolved subneed to take every precaution tofluids keep everyone safe. stances (solutes). Theavailable solutes in body include electrolytes (such as sodium) and nonelectrolytes (such as proteins). Fluid functions - COVID-19 UPDATED What functions do body fluidsPROTOCOLS provide? They: • help regulate body temperature • transport nutrients and gases throughout the body • carry cellular waste products to excretion sites. Considering the current global COVID-19 pandemic, the CDC or Center for Disease Control and Prevention have passed guidelines to assist practitioners in their daily sanitizing protocols. Below are the basic tips to keep in mind. Then we will dive into safety methods to practice before, during, and after your client's appointment. BASIC TIPS TO FOLLOW Because you are working so closely with your client and they will not have anything over their mouth, the best way to keep yourself safe if it wears an N95 mask. However, whether you can acquire one may depend on your state or region. If N95 is not obtainable, it is recommended that you always wear a 3-ply face mask. If your clients are not having any work done on or around their mouths, or they are only having a consultation, have them wear a face mask. This will reduce the chance of contamination. If you or your clients show any symptoms, stay home to reduce the chance of passing it on. Be sure to sanitize everything from handles to chairs, to pens and anything in between. Share your disinfection protocol with clients and if you have one, your cancellation or rescheduling rules. Maintain multiple sets of your tools (plasma pens, needles) and supplies to allow for a quicker and more sanitary treatment turnaround time. Maintain 6 feet distance when possible and do not touch your face even with gloves on. Always wash your hands with a germicide-based soap and keep everything sanitized. If you can purchase an autoclave, it is a wise investment. This machine disinfects metal implements and tools. If you are unable to acquire one, be sure to have a disinfecting solution to clean or wipe your tools and implements with. Provide yourself additional time to clean between procedures to ensure your treatment space is disinfected. A support staff to help clean and keep the areas sanitized would prove to be beneficial. Another great way to keep your environment sterile and infection-free is to use a germicidal lamp. Some states do not allow for a waiting room, so if you are in one of these states be sure to schedule your clients accordingly to reduce their wait time. Also, you can suggest that clients wait in their car, and then you can call them when you are ready for them. If you are in a state that allows for a waiting room area, be sure the clients are six feet apart and wearing face masks. Have hand sanitizer available for them. We’re all wet (well, mostly) 198301-rev.qxd 3/16/09 The human body is composed largely of liquid. These fluids account for about 60% of total body weight in an adult who weighs 155 lb 2:06 PM Page 2 (70.5 kg) and about 80% of total body weight in an infant. solvents and solutes Read up onOfyour state's rules and regulations regarding COVID-19 to make sure Body fluids are composed of water (a solvent) and dissolved subyou areThecomplying. stances (solutes). solutes in body fluids include electrolytes (such as sodium) and nonelectrolytes (such as proteins). INTRODUCTION TO I.V. THERAPY 2 Fluid functions PRIOR TO PROCEDURE What functions do body fluids provide? They: • help regulate body temperature • transport nutrients and gases throughout the body therapy • carry cellular waste products to excretion sites. Like other invasive procedures, I.V. therapy has its downside. Risks include bleeding, blood vessel damage, fluid overload, infiltration (infusion of the I.V. solution into surrounding tissues rather than the blood vessel), infection, overdose (because response to I.V. drugs is more rapid), incompatibility when drugs and I.V. solutions are mixed, and adverse or allergic responses to infused substances. Risks comes, of I.V. make sure the room and all your tools are sanitized and Before your client clean. Have your hands washed using an alcohol-based soap, a nail brush, and Well, nobody’s have your mask on ready to greet them. Make sure your working station is perfect. sanitized and ready for them. It is recommended that you have multiple tools on hand. Do notStrings touch attached your client but greet them the best you can. Have them wear a Patient activity can also be problematic. Simple tasks, such as to a chair, ambulating, and washing oneself, can mask or provide them withtransferring one if possible. For your tools and products, be sure to become complicated when the patient must cope with I.V. poles, I.V. lines, and dressings. have a sterilized tray to hold them and keep your items organized. No such thing as a free lunch — or I.V.! AFTER PROCEDURE Finally, I.V. therapy is more costly than oral, subcutaneous, or intramuscular methods of delivering medications. After your work is complete, be sure to throw any linen or towels used in the Fluids, electrolytes, and I.V. therapy appropriate bins. Disinfect every tool, device, item, chair, and handle you or your One of the primary objectives of I.V. therapy is to restore and client encountered. Place your or machinery in the proper maintain fluidtools and electrolyte balance. To understand how I.V. sanitizing therapy works to restore fluid and electrolyte balance, let’s first solution or in the autoclave to beofrid ofandany possible contamination. review some basics fluids electrolytes. We’re all wet (well, mostly) Be sure you wash your hands after the procedure disposed of your The human body is composed largely once of liquid.you Thesehave fluids account for about 60% of total body weight in an adult who weighs 155 lb gloves. Another level of protection is to80%use contact-less payment methods. The (70.5 kg) and about of total body weight in an infant. Of touched, solvents and less surfaces the solutes better. If this is not possible, wipe down your payment Body fluids are composed of water (a solvent) and dissolved subprocessing devices after each stances (solutes). The solutes in body fluidsuse. include electrolytes (such as sodium) and nonelectrolytes (such as proteins). Fluid functions INFECTION CONTROL What functions do body fluids provide? They: • help regulate body temperature • transport nutrients and gases throughout the body • carry cellular waste products to excretion sites. Now more than ever, we need to educate ourselves on how pathogens spread, and what we can do to protect ourselves. In this module we will cover best practices for preventing the spread of infection, but we encourage you to take an infection control course to be fully aware of how best to protect yourself and your clients. HOW INFECTION SPREADS © Direct and Indirect Contact: We can encounter germs by touching a surface that has been contaminated by someone coughing or sneezing on it, or by infectious particles being transferred to the object in another manner. This is transmission via indirect contact. Direct contact involves directly touching another person. © Droplet Transmission: Droplets from sneezing, coughing, or talking can briefly travel in the air and infect another person though the mouth, nose, or eyes. Wearing a face mask greatly helps reduce the chance of droplet-borne transmission, © Airborne Transmission: When infectious particles are small enough to float in the air for an extended period, they can cause airborne transmission of disease. REDUCE THE SPREAD OF INFECTION It's helpful to know the chain of infection so that we can learn ways to disrupt this chain and reduce the chance of spreading sickness. The chain of infection is a sequence of events that must occur to cause a sickness. THE CHAIN OF INFECTION © Infectious Agent: This is the microscopic pathogen that can cause an © © © © © infection. Reservoir: Reservoirs are places in the environment where the infectious agent lives such as on or within an animal or human host. Portal of Exit: This is the specific way the infectious agent leaves the reservoir. - For example, many viruses exit a host by the respiratory tract. Bloodborne pathogens exist in the blood, so their portal of exit could be a cut or scratch. Mode of Transmission: There are many ways infections can be spread. The three most common ways an infectious agent can be transmitted to another host are by droplets (coughing, sneezing, talking), direct and indirect contact and airborne particles. Portal of Entry: A portal of entry is the way the infectious agent enters its new host. This could be through the nose, mouth, or other tissues. Susceptible Host: The susceptible host is the person the pathogen enters and infects. BREAKING THE CHAIN OF INFECTION Eliminating or Inactivating the Infectious Agent Example- pest control, antibiotics, antiviral medication, sterilizing surfaces, washing hands Preventing Contact Example- isolating or quarantining infected individual Preventing Infectious Agent Escape Example- covering the mouth when coughing or sneezing, wearing a face mask Blocking the Ports of Entry Example- wearing gloves, using a mosquito net while sleeping, wearing a face mask, wearing a face shield Resisting the Host Example- natural immune response, vaccines PRECAUTIONS TO PREVENT THE SPREAD OF INFECTION The best way to stop infections from spreading is by interrupting the chain of infection. The two main categories for breaking the chain of infection are standard precautions and transmission-based precautions. © Hand Washing: a simple yet effective way to reduce infections. Many pathogens, including coronaviruses have a fatty outer cell membrane. Soap can breakdown and dissolve fat. When you wash your hands, the soap is disrupting the molecular bond of these infectious substances. If you lather up long enough, you can completely kill many types of bacteria, viruses, and other infectious agents. Wash your hands for 20 seconds to help prevent spreading infection to yourself or someone else. © Sanitation: One of the most efficient ways to prevent the transmission of infections is to keep your work environment clean and sanitized. drugs is more rapid), incompatibility when drugs and I.V. solutions are mixed, and adverse or allergic responses to infused substances. Strings attached Patient activity can also be problematic. Simple tasks, such as PERSONAL EQUIPMENT transferring PROTECTIVE to a chair, ambulating, and washing oneself, can become complicated when the patient must cope with I.V. poles, I.V. lines, and dressings. Another way in which you can control the spread of infection is to use personal No such thing as a free lunch — or I.V.! protective equipment or PPE. Personal equipment is anor inexpensive yet Finally, I.V. therapy protective is more costly than oral, subcutaneous, intramuscular methods of delivering medications. effective way to impact two different sequences within the chain of infection. They can prevent transmission through aand portalI.V. of exit or infection by blocking Fluids, electrolytes, therapy portals of entry. One of the primary objectives of I.V. therapy is to restore and maintain fluid and electrolyte balance. To understand how I.V. therapy works to restore fluid and electrolyte balance, let’s first review some basics of fluids and electrolytes. PPE OPTIONS We’re all wet (well, mostly) © Masks, Goggles, Face Shields: used during procedures that are likely to The human body is composed largely of liquid. These fluids account for about 60% of total body weight in an adult who weighs 155 lb generate splashes or sprays of blood, body fluids, and secretions (70.5 kg) and about 80% of total body weight in an infant. © Gloves: used whenever is a potential for contact with blood, body fluids, Of solvents andthere solutes Body fluids are composed of water (a solvent) and dissolved submucous membranes, broken skin, or contaminated equipment stances (solutes). The solutes in body fluids include electrolytes (such as sodium) and nonelectrolytes (such as proteins). Fluid functions What functions do body fluids provide? They: FIRST AID FOR MINOR ACCIDENTS • help regulate body temperature • transport nutrients and gases throughout the body • carry cellular waste products to excretion sites. © Apply pressure to the area to reduce any bleeding. Grab a wrapped plaster from © © © © a first aid kit and apply this over the area with clean hands to reduce the risk of infection. Run the affected area under cool water for 20 minutes and remove anything from around the area, such as clothing or jewelry. Covering the burn with cling film will protect the area. If the burn is more severe seek professional medical help. If your client becomes dizzy, loosen any clothing or jewelry that might be too tight around the neck. Getting some fresh air or cooling your client down may help them feel better. If any products get into your client’s eye, rinse the eye straight away and soak a cotton wool pad with fresh water and hold it over the eye. Prevent them from rubbing their eyes. It’s super important that you don’t give out painkillers such as paracetamol or ibuprofen to your client. You may invalidate your insurance if they experience an allergic reaction. - ANATOMY OF THE LIPS, SKIN & FACE In this next lesson we will go over the anatomy of the lips, skin, and face to help you understand the different parts. This knowledge will help guide your consultations, the amount of gel to use, and where to place the injections with the Hyaluron Pen. Lips are the main focal point for your lower face. When consulting with your client on their lip enhancements, proportion is key. The lower lip should be larger and protrude out more than the upper lip. The volume of the upper lip should be about 2/3 the volume size of the lower lip. When consulting your client about a lip augmentation, know that 30% of the population will have one side of their lips higher than the other. To help maintain symmetry have them give a slight smile showing teeth so you can note which side rises slightly higher than the other. Use that information when administering the Hyaluronic Acid gel to provide an even and symmetrical finish Body of The Lips The body of the lips are the areas inside of the vermilion border considered lips. This is where most of the work is done and the enhancing abilities of the Hyaluron Pen are shown off. Your aim as the practitioner is to maintain most of the fullness in the two arches of the cupid's bow and in the middle of the bottom lip. The 2/3 rule needs to be in play when you're working on the lips, because the top lip needs to remain 2/3 the size of the bottom lip. It prevents what practitioners call 'duck lips' and nobody wants those. CUTANEOUS UPPER AND LOWER LIP Lips can be broken down into the upper (superior) and the lower (inferior) regions. The cutaneous upper areas are located to the left and right of the philtrum ridge but below the nose and above the vermilion boarder which is the line around what we call lips. The lower area is the skin from the bottom lip's vermilion boarder to the chin. Some practitioners inject HA gel into these areas, but we would recommend finding alternatives to reduce lines in these areas such as the Fibroblast technique. ORAL COMMISSURE The oral commissure are the corners of the mouth where your upper lip and bottom lips meet. Clients will ask for injections here to create a fuller corner to coincide with their fuller lips. We typically stay away from this area and will suggest that to our clients. The enhancement of this area should be left up to you and your client. If you both choose to enhance this area is recommended to place the Hyaluron Pen inside the corners of the lip, but do not over inject the product. If you do so it will create a long bottom lip and throw off the proportions. CUPIDS BOW Cupid’s bow is the double curve of the upper lip. The name is from the lip's resemblance to cupid's bow, who is also the Roman God of love. The middle peaks align with the philtral ridge and the vertical lines giving a defined bow appearance. Clients will ask to enhance these areas. When doing so you will place the Hyaluron Pen as close to the bow as you can while remaining centered and inside the arches. VERMILLION BORDER The vermilion border or vermillion border is the dividing line between the lip and the surrounding skin area. This area is also where lip liner is applied. When giving Hyaluron Pen injections place the pen as close as you can to the border. Once HA is injected, you will give a light squeeze to the border to keep the HA within the border. When going so you will create a slight protrusion and enhanced border. We would recommend doing so mainly to the upper lip. PHILTRUM RIDGES The philtrum ridge also known as the medial cleft or intranasal depression is the vertical indent located in the middle area of the upper lip. It is attributed with youthfulness but as we age so does the ridge, which is why some practitioners will inject into the ridges. However, with the Hyaluron Pen it is not recommended for use in enhancing the ridges. - PROFESSIONAL ETHICS & STANDARDS As a practitioner you should: © Maintain the highest standard of professional conduct. © Provide services in an ethical and professional manner in relation to clientele, © © © © © © © © © © © © © business associates, health care professionals and the public. Practice within the professional boundaries of your training. Ensure client comfort and safety. Protect client privacy. Respect client confidentiality. Maintain anonymity of the client when discussing the client’s case with other professionals unless written consent is obtained. Have adequate professional insurance. Never claim to cure a condition. Never treat a client with a condition that is contra-indicated to the treatment. Keep all records of treatments complete and up to date. Explain the treatment and answer any questions and queries prior to carrying out the treatment on the client. Never treat a minor or disabled person without prior consent from a parent or carer. Always treat all clients in a professional manner regardless of their colour, sex or religion. Refer clients to another professional/GP where required. Standards of Practice The following is a statement of standards and ethics, including standards of ethical and proper behavior. A practitioner should: © Conduct herself/himself in a professional, honest, and ethical manner. © Promote professionalism. © Establish goals with each client and evaluate the outcome at the end of each session. © Truthfully and accurately represent their credentials, qualifications, education, experience, training, and competence relevant to the practice. © Maintain confidentiality of the client. © Undertake continual professional development to enhance their skills. A practitioner will: © Take a full health history on the client's first visit. © Discuss and record any health problems, contra-indications, symptoms, or diagnosis from a conventional medical practitioner. Use this information to decide whether treatment is suitable for the client. Explain the treatment to the client. Give a full and professional treatment. Give full and correct aftercare advice. Write up full details of the treatment on the client's record card. On the client's next visit, discuss and record any changes that they may have noticed in their symptoms. © Refer the client to their GP/doctor if necessary. © © © © © © A practitioner should: © Be a good communicator, able to explain treatments to clients and ask © © © © © © © © appropriate questions. Have good listening skills. Be able to make clients feel relaxed and comfortable. Have empathy with clients. Be able to respect professional boundaries. Know when to advise clients to seek conventional medical advice. Keep accurate written records. Respect confidentiality. Have business skills if they are self-employed. - DISQUALIFICATIONS When consulting your client, you may encounter disqualifications preventing you from administering treatment. Disqualifications are any conditions your client may have that will stop you from being able to proceed with their requested treatment. If your presents with any of these conditions, the only way you can proceed is if you receive written confirmation from their General Practitioner or GP saying it is safe for them. Asking and documenting any of the below disqualifications is essential for the safety of you and your client. You must ask during their consultation if they know or are diagnosed with any of them. If you ignore any of these disqualifications and continue with the treatment, their condition may worsen. If they are unsure have them consult their GP before booking a treatment. As listed on the client forms below are some common disqualifications you may encounter © © © © © © © © © © © © © © © © © © © © © Cancer Immune Disorder AIDS/HIV High/Low Blood Pressure Pregnancy Spinal Injury Keloid Scarring Menopause Hysterectomy Claustrophobia No one 17 and younger Pacemaker/Defibrillator Rosacea Cold Sores Blood Clot Disorder Eczema Varicose Veins/Phlebitis Blush/Redden Easily Any Active Infection Headaches Diabetes © © © © © © © © © © © © © © © © © Skin Disease/Disorder Circulation Disorder Heart Disease Hepatitis A/B/C Thyroid Disorder Metal Implants/Pins Depression/Anxiety Bruise Easily Lupus Fibromyalgia Hormone Imbalance Alcohol or Drug Abuse Allergies Psoriasis Recent Dermal Injections/Fillers Epilepsy/Seizures Use of oral or topical Roaccutane or Retin- A, vitamin A or other such products in the previous 3 months for the treatment of acne or other dermatological conditions tration (infusion of the I.V. solution into surrounding tissues rather than the blood vessel), infection, overdose (because response to I.V. drugs is more rapid), incompatibility when drugs and I.V. solutions are mixed, and adverse or allergic responses to infused substances. Strings attached Well, nobody’s perfect. - CONTRA-INDICATIONS - Patient activity can also be problematic. Simple tasks, such as transferring to a chair, ambulating, and washing oneself, can become complicated when the patient must cope with I.V. poles, I.V. lines, and dressings. DEFINITE NO © © © © © No such thing as a free lunch — or I.V.! Pregnancy. Is never advised the 198301-rev.qxd 3/16/09 2:06 to PM do Page 2 procedure for pregnant women. The Finally, I.V. therapy is more costly than oral, subcutaneous, or of delivering medications. practitioner should takeintramuscular any riskmethods of being accused of whatever may happen with the pregnancy Fluids, and I.V. to therapy Hypersensitivity. One electrolytes, should not do the procedure the hypersensitive client because of the extended rate complications possible One of theof primary objectives of I.V. and therapy is to restore pain. and INTRODUCTION TO and I.V. THERAPY maintain fluid electrolyte balance. To understand how I.V. 2 Less than legal age (18 in most region). case the client is let’s less than legal age therapy works to restoreIn fluid and electrolyte balance, first review some basics of fluids and electrolytes. the procedure should never be done unless she comes with her parent. We’re all wet (well, mostly) Heavy skin decreases. In case see visually abnormalities on the skin of the Risks of I.V. therapy The human body is composed largely of liquid. These fluids account patient on the areas of possible treatment, itI.V. should be done. for about of total body weight in therapy an adultnot whoits weighs 155 lb Like other60% invasive procedures, has downside. (70.5 and about 80%blood of total bodydamage, weight in an infant. Riskskg) include bleeding, vessel fluid overload, infilWell,C Chronic illnesses. In case the(infusion patient from HIV, Hepatitis B, Hepatitis tration of thesuffers I.V. solution into surrounding tissues rather nobody’s Of solvents andthan solutes the blood vessel), infection, overdose (because response to I.V. perfect. (or similar), it is not advised to are do procedure (for general health-related Body fluids composed of water (a solvent) subdrugs is more rapid), incompatibility when drugsand anddissolved I.V. solutions stances (solutes). The solutes in body fluids to include electrolytes are mixed, and adverse or allergic responses infused substances. reasons). (such as sodium) and nonelectrolytes (such as proteins). Strings attached Patient activity can also be problematic. Simple tasks, such as transferring to a chair, ambulating, and washing oneself, can Fluid functions WITH CAUTION become complicated when theprovide? patient must cope with I.V. poles, What functions do body fluids They: I.V. lines, and dressings. • help regulate body temperature © © © © such thing as a free lunch — or I.V.! • carry cellular waste products to excretion sites. or client suffers from Acne andNo bed skin. In case the skin is very dry, damaged Finally, I.V. therapy is more costly than oral, subcutaneous, or intramuscular methods of delivering medications. heavy acne, she should consult her dermatologist first. Oral Herpes. In case of oral herpes, it should be treated within 2 weeks prior to Fluids, electrolytes, and I.V. therapy pen treatment (regardless of its visual sings) Client with a bad lifestyle. case the clientofconfirms badand lifestyle One In of the primary objectives I.V. therapy isher to restore maintain fluid and electrolyte balance. To understand how I.V. (solarium, sun, smoking, alcohol consumption, stress, sleep deprivation) the therapy works to restore fluid and electrolyte balance, let’s first review some basics of fluids and electrolytes. major influence of the lifestyle on the results of the procedure should be all client wet (well, mostly) explainedWe’re to the effectively. The human body is composed largely of liquid. These fluids account Client with unrealistic expectations. always understand the for about 60% of totalThe bodyclient weight inshould an adult who weighs 155 lb (70.5 kg) and about 80% of total body weight in an infant. limitations related to her concrete situation and realistic possible results. No solvents and solutes treatmentOfwith unrealistic goals should be done to clients that refuse to Body fluids are composed of water (a solvent) and dissolved substances (solutes). The solutes in body fluids include electrolytes accept reality. • transport nutrients and gases throughout the body (such as sodium) and nonelectrolytes (such as proteins). Fluid functions © © © MILD OBSTACLES What functions do body fluids provide? They: • help regulate body temperature • transport nutrients and gases throughout the body • carry cellular waste products to excretion sites. Medication. Although it is widely believed that any sort of medication treatment would contradict the procedure, it does not. Thin blood. If the blood of the client is thin (due to painkillers, alcohol, coffee, some effects of certain foods etc, the procedure can be done. However, the client must be warned that a refill may be needed, and the effects of the procedure may not be excellent. Hormonal problems. In case the hormonal level of the client is fluctuating, the procedure can still be done. However, the procedure itself may be more painful for the client and the results may not be excellent. - PRECAUTIONS & PROTOCOLS Before the procedure you will need to go over the pre-care and aftercare guidelines with your client. We will briefly summarize the information for you now. The document for pre-care and aftercare guidelines will have a signature line for your client to date and sign. You will keep this for your records, and you will hand them a blank copy to keep. This signed document should be kept in your records for the client. HA PEN CLIENT TREATMENT PREPARATION To be best prepared for success with Hyaluron Pen, follow the below steps before 198301-rev.qxd 3/16/09 2:06 PM Page 2 your appointment. © For 1-week prior avoid blood thinners & dehydrating substances like caffeine, alcohol, St. John’s Wart, Gingko Biloba, primrose oil, fish oil, vitamin E, aspirin, INTRODUCTION TO I.V. THERAPY ibuprofen, or 2 similar products (Advil, Motrin, Aleve). They can cause bruising, bumps, more aggressive pinpoint marks & lack of volume. Risks of I.V. therapy © For 1 week prior & 1 week after, avoid tretinoin, retinal, retinoids, glycolic acid, Like other invasive procedures, I.V. therapy has its downside. Risks include bleeding, blood vessel damage, fluid overload, infilpeels, skin sensitizing products. Well, tration (infusion of the I.V. solution into surrounding tissues rather than the blood vessel), infection, overdose (because response to I.V. drugs is more rapid), incompatibility when drugs and I.V. solutions are mixed, and adverse or allergic responses to infused substances. nobody’s perfect. © 72 hours prior & 72 hours after, avoid highly processed foods as they greatly dehydrateStrings the body. Instead, eat spinach, kale, and celery the week before to attached Patient activity can also be problematic. Simple tasks, such as boost your levels of Vitamin K. transferring to a chair, ambulating, and washing oneself, can become complicated when the patient must cope with I.V. poles, I.V. lines, and dressings. © Drink 1/2 No gallon or more water daily for 48 hours before and after treatment. such thing as a free lunch — or I.V.! Hyaluronic Acid bonds to other Hyaluronic Acid water. Finally, I.V. therapy is more costlyand than oral, subcutaneous, or intramuscular methods of delivering medications. © 24 hours prior and as needed after take arnica Montana tablets and an antiFluids, electrolytes, and I.V. therapy inflammatory to help with swelling and bruising. One of the primary objectives of I.V. therapy is to restore and maintain fluid and electrolyte balance. To understand how I.V. therapy works to restore fluid and electrolyte balance, let’s first review some basics of fluids and electrolytes. © 24 hours prior and after avoid flying or saunas as they dehydrate the body. We’re all wet (well, mostly) © 24 hours prior and afterThe avoiding fresh fillers need human bodyrigorous is composed workouts. largely of liquid.New These fluids account for about 60% of total body weight in an adult who weighs 155 lb time to set so lots of water and for 24 hours after is (70.5 kg) andlack about of 80%rigorous of total body movement weight in an infant. key. Of solvents and solutes Body fluids are composed of water (a solvent) and dissolved substances (solutes). The solutes in body fluids include electrolytes (such as sodium) and nonelectrolytes (such as proteins). Fluid functions What functions do body fluids provide? They: • help regulate body temperature • transport nutrients and gases throughout the body • carry cellular waste products to excretion sites. There are three common side effects your client may encounter with the enhancements. They are swelling, bruising, and possible bead size bumps or lumps. Do not fret, there is a minimal to no chance of your client encountering them when using the Hyaluron Pen. However, you will need to go over this information with your client. TIP 1: PREVENTING BRUISING © Avoid taking Vitamin E, Aspirin, Ibuprofen, or Aleve 1 week prior to injections, Multivitamins are okay © Do not drink alcohol or eat garlic two day prior to injections © Eating pineapple is recommended 1-2 days prior to injections at least 2-3 times © The day before injections take Arnica, which is a homeopathic supplement used to treat skin conditions such as bruising. You can find this at most drug stores, online, or at Whole Foods. © Stress to your clients they need to drink plenty of water before and after the procedure. TIP 2: LUMPS OR BUMPS Lumps or bumps in the lip after injection are due to the size of the lips and the thickness of the gel. If some occur in the lip, try to smooth them by massaging the area after injection However, if the lump is due to bruising, avoid massaging and let it heal on its own. Lumps and bumps usually smooth out after 7-10 days. Lumps or bumps that show up weeks or months are injections are usually due to having multiple injections or a reaction to the gel. If these occur there are techniques to help dissolve them, but since they are so minimal, we will not go over them. TIP 3: SWELLING Some swelling is common, and when it occurs encourage your clients to ice the area and to take Arnica. When they ice, tell them 20 minutes on and 20 minutes off for a few days after injection. TIP 4: ADDITIONAL NOTES If your client finds their results to be larger than desired, remind them HA attaches to water and they should drink minimal amounts of liquids. On the other hand, if their results are not as large as they desired tell them to drink more liquids to help with the HA attachment to water. Remind them their results can last anywhere from 1-3 months or longer depending on the site, the frequency of injections, and their body. The higher the frequency of injections, the longer their results will last. If they continue to have the injections done their results can last up to 12 months. The longevity is partially due to the HA encouraging natural collagen production. This is a great selling point and a way to have your clients coming back. Be sure to sell this point and your skill set in administering the injections. If they ask how there is no bleeding or minimal amounts, remind them the gel is pressurized into the skin without a needle reducing the chance of bleeding. - CONSULTATIONS & RECORDS ASSESSING THE CLIENT AND PREPARING TREATMENT PLANS You may be asking: ‘Why do I need to consult with my client?’ You may feel you 198301-rev.qxd 3/16/09 2:06 PM Page 2 already know what they want, and you just want to get them on the couch and get started. This, however, is the wrong approach. You wouldn’t expect a doctor to prescribe treatment, for example, without asking you some questions and listening carefully to your answers, INTRODUCTION TO I.V.would THERAPYyou? There are many reasons why we 2 must consult with our clients before carrying out any treatment: © To establish a rapport with the client Risks of I.V. therapy Like other invasive procedures, I.V. therapy has its downside. © To gain the client’s trust and confidence Risks include bleeding, blood vessel damage, fluid overload, infil- tration (infusion of the I.V. solution into surrounding tissues rather © To identify areas of client concern than the blood vessel), infection, overdose (because response to I.V. drugs is more rapid), incompatibility when drugs and I.V. solutions © To see how previous treatments, affect the current growth are mixed, and adverse or allergic responses to infused substances. Well, nobody’s perfect. and treatment plan Strings attached Patient activity can also be problematic. Simple tasks, such as © To identify indications and contra-indications transferring to a chair, ambulating, and washing oneself, can become complicated when the patient must cope with I.V. poles, © To promote and sell yourself, your skills, the treatment, and associated I.V. lines, and dressings. products.No such thing as a free lunch — or I.V.! Finally, I.V. therapy is more costly than oral, subcutaneous, or intramuscular methods of delivering medications. Before you carry out the treatment, make your client aware that you’ll be noting down their information and notes for future appointments. The personal Fluids, electrolytes, and I.V. therapy information you collect should be stored according to the data protection of your One of the primary objectives of I.V. therapy is to restore and maintain fluid and electrolyte balance. To understand how I.V. country. therapy works to restore fluid and electrolyte balance, let’s first review some basics of fluids and electrolytes. Your will fall We’re all wetclient (well, mostly) into 1 of 3 age categories... The human body is composed largely of liquid. These fluids account for about 60% of total body weight in an adult who weighs 155 lb (70.5 kg) and about 80% of total body weight in an infant. Of solvents and solutes Body fluids are composed of water (a solvent) and dissolved substances (solutes). The solutes in body fluids include electrolytes (such as sodium) and nonelectrolytes (such as proteins). Fluid functions Keeping an up-to-date record of your client will save time before What functions do body fluidsconsultations provide? They: • help regulate body temperature • transport nutrients gases throughout thetheir body details and remind future appointments, as you are able toand quickly refer to • carry cellular waste products to excretion sites. yourself of any issues, medical conditions, and skin history. Artists can complete and securely store client record cards electronically or using a record card and pen. Record cards should be securely stored in a storage box. For security reasons only relevant information should be taken from the client. It important to record the client’s response and gain a signature. It’s important to keep these records for: © Legal reasons (e.g., to prove the client has had the treatment) © Proof you carried out the consultation One of the primary objectives of I.V. therapy is to restore and maintain fluid and electrolyte balance. To understand how I.V. therapy works to restore fluid and electrolyte balance, let’s first review some basics of fluids and electrolytes. © © © © © ReferenceWe’re for future all wet appointments (well, mostly) The client human body is composed largely of liquid. These fluids account Allow you to monitor your loyalty for about 60% of total body weight in an adult who weighs 155 lb In case there is an insurance claim (70.5 kg) and about 80% of total body weight in an infant. solvents and solutes CompliesOf with data protection Body fluids are composed of water (a solvent) and dissolved subDuty of care stances (solutes). The solutes in body fluids include electrolytes (such as sodium) and nonelectrolytes (such as proteins). Fluid functions What functions body fluids provide? They: the phone, in person, or Your consultations can take many do forms such as over • help regulate body temperature transport nutrients and gases throughout the body over the computer. There• is one key component to remember which is visually • carry cellular waste products to excretion sites. seeing the area you will be working on either in person or with an up-to-date photograph. This is to ensure you see where they want the injections done, how much gel you will need, and how long it will take. Keep in mind your clients may not know what difference the milliliter of gel will make, so explain to them what the effects will look like for the different amounts. On average, a client will request 1ml of Hyaluronic Acid gel between the upper and bottom lip. Facial enhancements vary from customer to customer according to the area you will be working on and the lines but expect between 1ml-3ml. When quoting your clients there are some key items you need to pay attention to; have they had previous lip injections with a needle and the size of their lips. If your clients had lip filler injected before reminding them, they will not have the same results, since the Hyaluronic Acid gel provides a more natural look with no swelling. If they have previous experience with lip filler injections or have larger lips, they will be able to take more of the product. It is your job as the trained professional to provide them with a proper estimation and quote. The more realistic the quoting, the higher the client satisfaction, and the higher the chance you will have continued clientele. Clients experienced with lip filler injections may use the measurement cc or cubic centimeter when asking for an amount. The nice thing is cc is equal to ml or milliliter, so if they ask for 2cc the conversion would be 2ml. When you know the language, your clients will trust in you more. As stated above, your clients may have prior experience with filler injections. These clients may be used to different results and using less product for larger lips or facial enhancements. As a professional know that they may need more of the product than they are requesting. For example, if a client is used to having 1ml of lip filler done you may suggest 1.5ml for their first few visits, at least the first 4. If you are unsure, you can give them the amount they are used to then at a later session add a little more to reach their desired effects. To sell your services do not forget to include in your consultations the added benefits of: © © © © © © Lack of Numbing Agents Minimal Swelling to None Taking 20-30 Minute