marie piantino - age management medicine group (ammg)derma plane electric brush ... delivers...
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Types of ExfoliationMARIE PIANTINO
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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
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% = CONCENTRATION
50%15 actives 500 actives50%
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pH
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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.
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SIDE EFFECTS Deep peels could possibly cause the following:
• Slow healing
• Post inflammatory scarring
• Hyper pigmentation
• Hypo pigmentation
• Bacterial infections
• ScarringScarring after Deep Peel
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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
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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.
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PATIENT SUITABILITY▪ Problematic skin
▪ Rough, uneven texture
▪ Wrinkles and fine lines
▪ Superficial uneven skin tone
▪ Actinic keratoses
▪ Rosacea
▪ Enhance cosmetic surgery
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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.
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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.
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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.
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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
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Physical Exfoliation
Microdemabrassion
Derma Plane
Electric Brush
Scrubs
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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
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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
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NON-INVASIVE RESURFACING
Benefits
-No down time 30
minute treatment
-One of the top non-
invasive
cosmetic
procedures
-Safe for all skin types
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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
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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
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Safe for all Fitzpatrick skin types
Recommended for
-Pigmentary disorders
-Photoaging
-Melasma
-Tone & texture
-Acne
-Fine rhytids
-Elastin & collagen
NON-INVASIVE RESURFACING
w INFUSIONS
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NON-INVASIVE RESURFACING
w INFUSIONS Combination Therapy
Optimum Outcomes
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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
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Before 1 Month Following 3rd Treatment
Courtesy: Jay Calvert, MD
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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
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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
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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
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THANK
YOU