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SKAB37 Provide cosmetic skin peel treatments

SKAB37 Provide cosmetic skin peel treatments 1

Overview

This standard is about using legally available superficial cosmetic skin peel

products* and techniques to rejuvenate skin condition. It covers the skills

involved in providing a thorough consultation to establish the client’s suitability

for treatment and the formulation of a specific treatment plan tailored to

individual client needs; and following safe working practices. The ability to

provide relevant aftercare advice is also required.

To carry out this standard you will need to maintain effective health, safety and

hygiene throughout your work. You will also need to maintain your personal

appearance and good communication with the client.

The main outcomes of the standard are:

1. Maintain safe and effective methods of working when providing cosmetic

skin peel treatments

2. Consult, plan and prepare for treatments

3. Carry out cosmetic skin peel treatments

4. Provide aftercare advice

*NOTE: Cosmetic skin peel products are those approved by current EU

Regulations for cosmetic use by therapists and conform to

professional insurance requirements.

SKAB37

Provide cosmetic skin peel treatments


Performance criteria You must be able to:

You must be able to:

Maintain safe and effective methods of working when providing cosmetic

skin peel treatments

P1 set up and monitor the treatment area to meet safety, legal, hygiene,

treatment protocols, organisational procedures and manufacturers’

instructions

P2 wear suitable personal protective equipment throughout the treatment

P3 make sure that environmental conditions are suitable for the client and

the treatment

P4 ensure your personal hygiene, protection and appearance meets

accepted industry and organisational requirements

P5 effectively disinfect your hands prior to and after treatment

P6 ensure your own posture and position minimises fatigue and risk of

injury whilst working

P7 ensure all tools and equipment are cleaned using the correct methods

P8 position equipment and products for ease and safety of use

P9 ensure that peel and any neutralising agents are separated in clearly

identifiable containers

P10 ensure the client is in a comfortable and relaxed, supine position

suitable for the treatment

P11 maintain accepted industry hygiene and safety practices throughout the

treatment

P12 adopt a positive, polite and reassuring manner towards the client

throughout the treatment

P13 maintain the client’s modesty, privacy and comfort at all times

P14 check the client’s wellbeing at regular intervals according to

organisational policy

P15 dispose of single use items, hazardous waste and waste materials

safely and correctly, following current legal requirements

P16 ensure the treatment is cost effective and is carried out within a

commercially viable time

P17 ensure client record cards are up-to-date, accurate, complete, legible

and signed by the client and practitioner

P18 leave the treatment area, equipment and products in a condition

suitable for future treatments.

Consult, plan and prepare for treatments with clients

P19 use consultation and evaluation techniques in a polite and friendly

manner to determine the client’s treatment needs and suitability for

treatment

P20 refuse cosmetic skin peel treatments for people under the age of 18

P21 obtain signed, written informed consent from the client prior to carrying

out the treatment

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P22 clearly explain to the client what the treatment entails in a way they can

understand

P23 use consultation and evaluation techniques which accurately

identify the client’s medical history, skin classification, skin condition

and sensitivity and emotional state

P24 ask your client appropriate questions to identify if they have any contra-

indications to treatments

P25 accurately record your client’s responses to questioning

P26 encourage clients to ask questions and clarify any points of which they

are unsure

P27 take the necessary action in response to any identified contra-

indications

P28 give client advice without reference to a specific medical condition and

without causing undue alarm and concern

P29 take consistent, high quality pre-treatment photographs of the areas to

be treated following organisational practices

P30 clearly explain the physical sensation and appearance created by the

treatment and the need for post-treatment care

P31 carry out a test patch following manufacturer’s instructions, if necessary

for the product used

P32 establish with your client a scale to use to communicate the level of

accumulated heat or discomfort they are experiencing

P33 recommend alternative treatments which are suitable for the client’s

condition and needs if contra-indicated for cosmetic skin peel

treatments

P34 give the client suitable pre-treatment advice relevant to their skin type

and Fitzpatrick skin scale to ensure their skin is balanced and hydrated

in sufficient time prior to treatment

P35 give written aftercare procedures to the client and gain their

commitment to follow them

P36 confirm details on any existing records are correct and post treatment

reactions are recorded

P37 clearly explain and agree the projected cost, likely duration, frequency

and form of treatment needed

P38 agree in writing the client’s needs, expectations and treatment

objectives, ensuring they are realistic and achievable

P39 select suitable equipment and products to match the treatment

objectives.

Carry out cosmetic skin peel treatments

P40 leave the areas to be treated thoroughly cleaned and oil free prior to

treatment

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P41 ensure the client wears suitable protective clothing and occlusive

products and that their eyes remain firmly closed throughout the

treatment

P42 explain the treatment procedure to the client in a clear and simple way

at each stage in the process

P43 safely use products and materials throughout the treatment to meet

manufacturers’ instructions for the area being treated and the type of

peel

P44 ensure chemicals do not form pools in skin folds or drip from the area

being treated

P45 work systematically to cover the areas to be treated using movements

in the direction recommended in the manufacturer’s instructions,

avoiding unnecessary duplicated coverage

P46 adjust the duration and intensity of the treatment to suit the client’s

Fitzpatrick skin scale, skin type, skin condition, type of peel agreed

and manufacturer’s instructions

P47 ensure any re-application is carried out safely following manufacturer’s

instructions on the required area only, avoiding unnecessary duplicated

coverage

P48 constantly monitor the client’s skin reaction throughout the treatment

P49 discontinue treatment where contra-actions occur to meet

manufacturer’s instructions and treatment protocols

P50 accurately time and record the treatment to meet manufacturer’s

instructions

P51 remove the product in the same order as applied to ensure a consistent

treatment protocol

P52 effectively neutralise the skin after the required time has passed, if

necessitated by the manufacturer’s instructions

P53 leave the areas treated protected with a suitable product in order to

promote healing post treatment

P54 leave the areas treated protected with a suitable sun protection product

following manufacturer’s instructions

P55 ensure the finished result at the end of the course achieves the best

possible outcome for the client within the agreed treatment objectives

P56 take consistent, clear high quality post-treatment photographs of the

treated area following organisational practices

Provide aftercare advice

P57 give advice and recommendations accurately and constructively

P58 give your clients suitable advice specific to their individual needs.

SKAB37



Knowledge and understanding You need to know and understand:

Organisational and legal requirements

K1 your responsibilities under current health and safety legislation,

standards and guidance, including the Health and Safety at Work Act

(and any other relevant, current legislation)

K2 Local Authority guidance for cosmetic skin peel treatments where

applicable

K3 the importance of checking the legality of the products against current

EU Cosmetic Regulations and how to gain verification of legality

K4 the importance of not discriminating against clients with illnesses and

disabilities and why (including Disability Discrimination Act)

K5 the reasons why cosmetic skin peel treatments should not be carried out

on clients under the age of 18

K6 the importance of checking current insurance guidelines for the delivery

of cosmetic skin peel treatments

K7 the legal significance of gaining signed, informed client consent to

treatment

K8 manufacturers’, local authority and organisational requirements for waste

and hazardous waste disposal

K9 the importance of the correct storage of client records in relation to the

Data Protection Act

K10 the importance of producing consistent high quality photographic

evidence before and after treatment in line with organisational practices

K11 how to complete the client records used in your organisation and the

importance of and reasons for keeping records of treatments and gaining

client signatures

K12 your responsibilities and reasons for maintaining your own personal

hygiene, protection and appearance according to accepted industry and

organisation requirements

K13 your organisation’s requirements for client preparation

K14 your organisation’s service times and charges for cosmetic skin peel

treatments

K15 your organisation’s and manufacturers’ requirements for treatment area,

equipment maintenance and equipment cleaning regimes

K16 the importance and reasons for adhering to organisational and treatment

protocols for treatment procedures, salon management, client

consultation, record keeping, waste management, cosmetic skin safety

and aftercare procedures

SKAB37



You need to know and

understand:


understand:

How to work safely and effectively when providing cosmetic skin peel

treatments

K17 the importance of recognising your skills and limitations when carrying

out cosmetic skin peel treatments

K18 how to set up the work area for cosmetic skin peel treatments

K19 the necessary environmental conditions for cosmetic skin peel

treatments (including lighting, heating, ventilation and general comfort)

and why these are important

K20 the type of personal protective equipment that should be worn by clients

and yourself and why

K21 the importance and reasons for disinfecting hands and how to do this

effectively

K22 how to position yourself and the client for cosmetic skin peel treatments

and why this is important

K23 reasons for maintaining client modesty, privacy and comfort during the

treatment

K24 why it is important to maintain standards of hygiene and the principles of

avoiding cross-infection

K25 the importance of understanding and following manufacturer’s

instructions for the preparation, use and management of chemicals

K26 the importance of understanding and following manufacturer’s

instructions for cleaning and maintaining tools and equipment

K27 why it is important to constantly check the client’s wellbeing throughout

the treatment

K28 why it is important to complete services in the given time

K29 the risks and dangers associated with the delivery of cosmetic skin peel

treatments and how these can be minimised

K30 the importance of attending manufacturer theory and technique training

in relation to the detailed protocols of cosmetic skin peel treatments.

Client consultation

K31 how to use effective consultation techniques when communicating with

clients from different cultural and religious backgrounds, age, disabilities

and gender for this treatment

K32 the importance of effective communication and discussion

K33 why it is important to encourage and allow time for clients to ask

questions

K34 the importance of, and reasons for, not naming specific contra-

indications when encouraging clients to seek medical advice

K35 how to ensure that the client’s treatment expectations are realistic and

achievable

K36 the contents of a record card and preparation of a treatment plan

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understand:

K37 how to match the treatment to suit skin types, skin conditions, the

Fitzpatrick skin scale and treatment aims

K38 the importance of considering the client’s previous treatment (including

recent surgery, microdermabrasion, laser therapy, previous peels, IPL),

sun exposure, scarring and medical history prior to any treatment

K39 the importance of acclimatising the skin by using home care products or

test patches and how and when to carry them out to determine client’s

suitability for treatment

K40 how to describe the physical sensation and post-treatment appearance

to the client

K41 how pain threshold and sensitivity varies from client to client and

appointment to appointment

K42 the importance of questioning clients to establish any contra-indications

to cosmetic skin peeling

K43 the legal significance and importance of client questioning and recording

the client’s responses

K44 the importance of explaining the client commitment required to retain

optimum results

K45 why it is important to maintain the client’s confidentiality

K46 the factors that make certain clients less suitable for cosmetic skin peel

treatment

K47 the use of the Fitzpatrick skin scale in order to determine the outcome of

the peel treatments and avoid post inflammatory hyperpigmentation

(PIH)

K48 the importance of gaining informed consent

K49 the type of pre-treatment advice that should be given to clients prior to

treatment to optimise results and why this needs to be relevant to their

skin type and Fitzpatrick scale

K50 how to assess skin type and condition

K51 treatments that could be given in conjunction with or after cosmetic skin

peeling

K52 how to prepare consultation records to cover previous cosmetic skin peel

treatments, medical history, identified contra indications, emotional and

physical condition, sun-tanning history, Fitzpatrick skin scale, client

expectations, treatment aims and area to be treated

K53 how to position the client for consistent treatment photographs.

Anatomy and physiology

K54 the intercellular structure and functions of the skin (including epidermis,

dermis and its appendages and subcutaneous layer)

K55 the effects of genetics on the ageing process of the skin

K56 the effects of lifestyle and environmental factors on the skin (including

photo damage, smoking, alcohol, diet, premature ageing)

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understand:


understand:

K57 the process of desquamation, exfoliation and skin resurfacing

K58 the defensive role of the epidermis and the importance of barrier function

K59 the interrelationship between cellular reactions and the body processes

necessary for effective healing

K60 the impact of a compromised healing process and how to recognise and

respond to it

K61 the process of collagen and elastin synthesis including fibroblastic

stimulation

K62 the importance of the extra cellular matrix and the role Alpha Hydroxy

Acids (AHAs) play in stimulating glycosaminoglycans (GAGs)

K63 the inflammation process including post inflammatory hyperpigmentation

K64 understanding the topical effects of cosmetic peel ingredients on the skin

and skin conditions

K65 the process of melanogenesis.

Applied Chemistry

K66 the pH scale

K67 the action of acids and alkalines and their concentrations on the skin

K68 the relevance of pH on skin sensitivity

K69 the classifications of Alpha Hydroxy Acids (AHA) and Beta Hydroxy

Acids (BHA) and from what they are derived

K70 the chemical peel agents only suitable for medical use and why

K71 that each chemical agent has potential for harm (including from AHA,

BHA to Tricholoroacetic Acid (TCA), phenol, Jessner)

K72 the dangers of mixing different chemicals sequentially or simultaneously

within the same, individual treatment and within an overall course of

treatment

K73 the importance of restoring pH levels of the skin following treatment to

prevent adverse reactions

Contra-indications and contra-actions

K74 those contra-indications which prevent cosmetic skin peel treatment and

why (including recent radiation treatment; active bacterial, viral, fungal or

herpetic infection; open wounds; some drugs with photosensitising

potential; active inflammatory dermatoses such as psoriasis, atopic

dermatitis; keloids and hypertrophic scarring; uncooperative client; client

who is careless about sun exposure or application of medicine; client

with unrealistic expectations; isotretinoin use in the last 6 months; trying

to conceive, pregnant, lactating; any direct sun exposure; the current use

of any steroidal topical medication; allergy to aspirin (salicylic acid) or

use of retinoic acid or Retin A products; under age 18 years of age;

failure to follow all the pre-treatment programme)

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understand:


understand:

K75 those conditions that require medical approval for treatment and why

(including clients taking certain medications including blood thinners;

diabetes; recent surgery; undiagnosed swellings in treatment area;

evidence of medical conditions such as cardiac, hepatic, or renal

diseases; any radiation treatment)

K76 those contra-indications which restrict treatment and why (including skin

type; prior cosmetic surgery; poor mental and emotional state; herpes;

history of hypertrophic scarring, diabetes, epilepsy, anxiety, bruises,

recent microdermabrasion or cosmetic skin peels, IPL or laser and

epilation)

K77 possible contra-actions which may occur during or after the treatment

and how to deal with them (including blanching and frosting; excess

erythemia; flaking; pigmentary changes; discomfort )

K78 how to identify post-treatment reactions and how to treat them

Equipment and products

K79 the types of products used to clean the skin and remove oil prior to

treatment

K80 how to prepare, use and manage the equipment and products for

cosmetic skin peel treatments, including skin analysis aids

K81 the limitations of products and equipment used for AHA and BHA

cosmetic skin peel treatments

K82 the benefits and use of tyrosinase inhibitors to avoid post inflammatory

hyperpigmentation (PIH) when treating Fitzpatrick skin scale 4-6

K83 the type of chemicals that do and do not require neutralisation to be

performed

K84 the products necessary to prevent infection and promote healing and

how they should be used before and after cosmetic skin peeling

treatments

K85 why it is necessary to use a minimum of a SPF30 UVA and UVB product

post treatment

Treatment specific knowledge

K86 how previous treatments and skin care methods affect skin condition and

suitability for cosmetic skin peel treatment

K87 how medical history, medication and epidermal thickness can affect

suitability for cosmetic skin peel treatment

K88 how cosmetic skin peeling works to improve the condition of the skin

K89 how to select, use and adapt the use of cosmetic skin peel agents to suit

different skin types, skin condition and Fitzpatrick skin scale classification

and treatment objectives and why

K90 the importance of cleansing the skin and removing excess oil prior to

SKAB37




understand:

treatment

K91 how to carry out and interpret tactile and skin sensitivity tests

K92 the importance of prompt application, timing and removal of all cosmetic

skin peel products

K93 the importance of protecting any orifice within the treatment area

(including eyes, nostrils, lips) with suitable barrier products

K94 the immediate physical effects created by the use of cosmetic skin peel

agents and the visual changes during recovery time (including blanching

and frosting of the skin; peeling; flaking)

K95 how to work systematically and methodically, avoiding excess treatment

overlap across the areas to be treated

K96 the circumstances in which re-application may be necessary and how

this should be carried out

K97 the types of post-treatment products available and why they are

necessary

K98 the benefits of a course of treatment and the dangers of over treating

K99 why it is important to give aftercare advice.

Aftercare advice for clients

K100 the lifestyle factors and changes that may be required to improve the

effectiveness of the treatment

K101 ongoing maintenance to retain optimum results

K102 post-treatment visual skin changes and recovery time

K103 use of recommended skin care products during the healing process

(including use of minimum SPF30 UVA and UVB sun protection)

K104 post-treatment restrictions (including avoiding sun exposure and wearing

a hat, heat treatments, use of cosmetics, vigorous physical activity, to

avoid other exfoliating/resurfacing treatments and products, avoid

chlorinated water, avoiding excessive abrasion)

K105 likely future treatment needs

K106 post treatment contra-actions and the need to check for signs of infection

K107 post treatment assessment through client feedback, including

questionnaire, telephone call, next visit follow-up

K108 the importance of giving the client written aftercare advice

K109 the importance of ensuring the client is given a post treatment point of

contact

SKAB37



Additional Information Scope/range

1 Cosmetic skin peel treatments are cosmetically approved

1.1. Alpha Hydroxy Acids (AHAs)

1.2. Beta Hydroxy Acids (BHAs)

2 Equipment and products

2.1. skin analysis aids

2.2. applicators

2.3. identifiable cosmetic skin containers

2.4. cosmetic skin peel agents

2.5. pre-treatment products

2.6. post-treatment products

2.7. personal protective equipment

2.8. consumables

2.9. timers

3 Consultation and evaluation techniques

3.1. questioning

3.2. visual inspection

3.3. manual

3.4. reference to client records

3.5. reference to medical history

4 Treatment objectives

4.1. general skin rejuvenation

4.2. improvement of superficial blemishes

4.3. improvement of pigmentation variations

4.4. improvement of skin texture

4.5. improvement of skin hydration

5 Areas to be treated

5.1. face

5.2. neck

5.3. chest

5.4. hands

5.5. back

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6 Necessary action

6.1. explaining why the treatment cannot be carried out

6.2. encouraging the client to seek medical advice

6.3. modification of treatment

7 Skin types

7.1. oily

7.2. dry

7.3. combination

7.4. Fitzpatrick skin scale 1-3

7.5. Fitzpatrick skin scale 4-6

8 Skin conditions

8.1. sensitive

8.2. mature

8.3. dehydrated

8.4. congested

8.5. acne

8.6. hyper pigmentation

8.7. thickness

9 Advice

9.1. avoidance of activities which may cause contra-actions

9.2. future treatment needs

9.3. modifications to lifestyle patterns

9.4. healthy eating, drinking and exercise advice

9.5. suitable home care products and their use.

SKAB37



Developed by Habia

Version number 1

Date approved November 2012

Indicative review date

April 2015

Validity Current

Status Original

Originating organisation

Habia

Original URN SKAB37

Relevant occupations

Beauty Therapy

Suite Beauty Therapy Advanced Practices

Key words Skin improvements, cosmetic, skin peel; beauty therapy

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