Chemical Exfoliation Flashcards

1
Q

Chemical Exfoliation

A

-Also known as a chemical peel, the use of chemical solutions to dissolve or reduce dead skin cells & desmosomes

-Promotes cell turnover & induces desquamation (shedding, peeling or coming off in scales) of the stratum corneum

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2
Q

Most chemical exfoliation treatments improve

A

-Texture

-Fine lines & wrinkles

-Pigmentation

-Hydration

-Some forms of scarring

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3
Q

Chemical Exfoliation Frequency

A

-Schedule C.E. treatments in a series of 4-8 sessions

-The type of exfoliation determines treatment frequency

-Schedule C.E. treatments every 14 days

-A series of treatments every 3-4 months is typical recommendation

-Treatment can also be scheduled once a month as needed

-Optimum facial maintenance is once a month or every 6 weeks

-Schedule also depends on strength of product & client tolerance to C.E.

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4
Q

Types of chemical exfoliation depend on

A

-Depth of peeling product

-Actions on skin

-Target of acid medium

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5
Q

Three depths of chemical exfoliation

A

-Superficial/Light

-Medium

-Deep

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6
Q

Superficial/Light exfoliation characteristics

A

-Impacts the skin up to 0.1mm (.004”) of the epidermis

-Typically uses multiple types of acids such as glycolic, salicylic and mandelic acid

-Action is dependent on type of acid, contact time & overall formulation

-Should not be performed closer than 14 days between treatments

-All Fitzpatrick skin types can receive this level of service if skin is prepared correctly

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7
Q

Superficial/Light Side Effects

A

-Mild peeling

-redness

-Flaky skin

-Can last 7-10 days

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8
Q

Medium Exfoliation

A

-Impact all of the epidermis into the papillary layer

-Generally does not fall into the scope of practice for estheticians

-Peeling agents are usually trichloroacetic acid (TCA) of 35%-40% & pyruvic acid

-This level should be performed under medical professional supervision

-High risk of side effects if done incorrectly ; some sedation may be needed

-Causes client to look unappealing for 10 days post-peel

-Hydrating facial can be extremely helpful for this service

-USE CAUTION working with Fitzpatrick skin types 4-6

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9
Q

Deep Exfoliation

A

-Affect epidermis into reticular dermis

-Must be done in physician’s office & REQUIRES sedation

-Includes: Phenol & Carbolic acid

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10
Q

Three categories of chemical exfoliants

A

-Alpha-hydroxy acids (AHAs)

-Beta-hydroxy acids (BHAs)

-Blended or designer acids

*Effectiveness is related to pH of solution
*Free-acid is the active acid part of a peel

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11
Q

Key things to understand about pH

A

-Lower pH is more acidic

-pH below 2.5 can cause irritation

-Lower pH can increase efficacy, depending on acid

-The formulation determines effectiveness

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12
Q

Alpha-Hydroxy Acids

A

-AHA — a term for a group of acids that occur naturally in food

-Includes glycolic, lactic, phytic & mandelic acids

-Considered water-soluble & must be neutralized before removing

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13
Q

AHA benefits

A

-Aid in normalizing skin functions, like achieving the proper rate of exfoliation & increased hydration

-Encourage Collagen deposition & fibroblast formation

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14
Q

Beta-hydroxy Acids

A

-BHA also known as salicylic acid
-Salicylic acid is a unique hydroxy acid since it’s lipophilic, or attracted to oil

-Penetrates the sebaceous material in the hair follicle, causing exfoliation - even in oily areas of the face and scalp

-A component of a Jessner’s peel solution

-Jessner’s solution is a mixture of salicylic acid, resorcinol, lactic acid & ethanol. Used both for superficial & medium-depth peels; depends on concentration of acid & layers applied

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15
Q

Blended Acids/Designer Acids

A

-Popular combinations of formulations that are specific to a manufacturer

-Combinations are based on the effect that the manufacturer wants to see

-Some common blends are salicylic acid with low levels of TCA& skin-lightening ingredients like kojic acid

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16
Q

Key takeaways about blended/designer acids

A

-Always follow manufacturer’s instructions for use

-Identify the benefits from training

-DO NOT blend these formulations with any other formulations

17
Q

Chemical Exfoliation Benefits

A

-Improved texture, barrier function & moisture retention

-Increased cell turnover rate, hydration & intercellular lipids

-Reduced fine lines, wrinkles & surface pigmentation

-Smoother & softer skin

-Improved skin conditions such as acne, hyperpigmentation, clogged pores & dry skin

-Potentially stimulating elastin & collagen production

18
Q

Chemical Exfoliation Products 1-4

A

-Occlusive Skin Protectant — Protects delicate areas around nose and eyes; example is petroleum jelly

-Cleanser — cleanses face, gel to de-fat (degrease) the skin

-Toner — An astringent or prep product recommended by manufacturer

-Superficial chemical peel — performs exfoliation action

19
Q

Chemical Exfoliation Products 5-9

A

-Neutralizer — Stops action of chemical exfoliant

-Mask — non-setting; gentler than setting mask; remains moist, calming & hydrating

-Serum — Delivers calming & soothing ingredients

-Moisturizer — Replenishes skin’s moisture after peel solution is removed

-Sunscreen — Protects skin from UV exposure following treatment; non-chemical only

20
Q

Superficial Chemical Exfoliation Tools

A

-Peel applicator

-Spatula

-Small Mixing Bowl

-Eye Protection

21
Q

Chemical Exfoliation Supplies & Equipment

A

-Gloves

-Towels

-Headband

-Blanket/Sheets

22
Q

All techniques in facial treatment except

A

Massage

23
Q

Four Service Essentials

A

-Connect

-Consult

-Create

-Complete

24
Q

Use AHAs for these skin types

A

-Aging

-Texture

-Pigmentation

-Sensitivity

25
Q

Use BHAs for these skin types

A

-Acne

-Pigmentation

-Texture

26
Q

Use blended/designer acids for these skin types

A

-Sensitivity

-Acne

-Aging

27
Q

Contra-actions can happen when

A

-You perform an incorrect skin assessment

-Clients do not follow post-care instructions

-Service performed incorrectly, such as not neutralizing an AHA

28
Q

Contra-actions you may see are

A

-Chemical burns

-Itching & Irritation

-Dry uncomfortable skin

-Post-inflammatory pigmentation

29
Q

Treatment Room Temperature

A

70-75 degrees