chemical peel study guide Flashcards
Glogau scale is the preferred method of classification
False
The 3 steps to a through skin typing and analysis are: Cleanse, skin typing and analysis, and document
True
If a client has sensitive skin they are immediately eliminated from being a good peel canidate until you become familiar with their skin
True
Superficial peeling is most effective on acne grades 1 and 2
True
A chemical peel is an uncontrolled burn of the skin
False
Glycolic acid is a vegetable acid derived from acidic vegetables
False
TCA penetrates to the papillary dermis or the upper reticular dermis when a full frost is achieved
True
The most commonly used DEEP peel is an enzyme peel
False
When consulting with a client with acneic skin it is important to document the grade of acne at the consultation and the treatment progresses
True
If you use more than one strength of glycolic peels, the bottles should be marked clearly or highlighted when received
True
A consent form for a peel only needs to be obtained when you are concerned a client may have a reaction
False
20% to 30% glycolic peel solutions are very mild
True
70% glycolic acid is very easy and safe to use on a client of any skin type
False
The dryer the skin is, the more intense the peel
True
There is little that can be done once a client’s skin shows injury by hypopigmentation
True
It is not beneficial to alternate a glycolic peel with other spa treatments
False
Jessners solution is a preferred peeling agent for oily, acne prone, and hyperpigmented skin because it is safe and doesn’t need to be neutralized
True
Gauze should be very saturated and dripping with peel solution when applying it to the skin
False
Letting the client go home with hot, burning skin after a peel is the most effective way to achieve the best results
False
Jessners peels are rinsed thoroughly until the client feels relief
True
The best home care exfoliation for a TCA peel is one with a physical abrasive agent and lots of scrubbing to remove dead skin
False
Salicylic acid peels do not frost
True
Microdermabrasion and facials should be done before Salicylic acid peels
True
Skin condition is described by the terms
Dry, normal, oily, and sensitive
The newest category added to skin conditions is
aged/sun damaged
Fitzpatrick skin typing considers how an individuals skin reacts to ___________ sunlight exposure
unprotected
Glagau classification is based on these criteria: chronological age, pigment changes, keratosis, __________, __________, and ___________
wrinkles, makeup, acne scarring
The categories used by the Rubin scale for the classification of skin are ________, ________, and ________
pigment, texture, wrinkling
Flash injuries can cause ______ degree burns
second
________________ is a peeling injury that is limited to the layers of the epidermis, is superficial and heals within days
Epidermal wounding
______________ is the process of healing that includes coagulation and inflammation, reepithelization, granulation tissue formation, and collagen remodeling
Secondary intention
A jessners peel is made up of 3 different acids with a strength of _____ each
14%
The salicylic acid or beta peel usually comes in 2 peeling strengths ____ and ____
20 %, 30%
50% salicylic peels or greater should only be used in medical offices due to the potential risk of ______________
Salicylate toxicity
Ringing in the ears is also called __________
Tinnitus
Glycolic acid is naturally derived from ___________
Sugar cane
______ skin absorbs the peel solution quicker than _____ skin
dry, oily
Microdermabrasion should be performed ________ a peel
before/after
Jessners solution combines 3 solutions suspended in an ___________ base
ethenal
Do not forget to add ___________ and ___________ to the pretreatment care for clients
sunscreen, moisturizer
Always obtain a _____________ as it is apart of your protection in a dispute
consent form
Microdermabrasion is done _______ a jessners peel
before
Microdermabrasion is done _______ a glycolic peel
after
Erythema that is persistent and does not go away can thicken and become a ________ if not properly addressed
scar
The number of _________ of a TCA peel determines the depth of the peel
passes
People who are a risk factor for PIH when using a TCA peel should pretreat with 6% to 8% _____________
hydroquinone
The depth of a TCA peel is consistent with the________ you see on the skin
frost
for TCA peels, _____________ is NOT an accepted outcome
hypopigmentation
Salicylic acid is a _____ hydroxy acid
beta
Salicylic acid is _________________ and _________________, this is why it works well in the treatment of acne
antibacterial, anti-inflammatory
Salicylic acid peels for grade 2 acne should be done every ___ weeks, and for grade 1 acne every ____ weeks
2, 3
Rubin Classification of aging analysis is the preferred classification method because it places emphasis exclusively on aging associated with what factor?
Photodamage
List 5 contradictions for a chemical peel
- Sunburns
- Accutane
- Infection
- Rashes
- Cold sore/open lesions
List the 3 classifications of peels by depth
superficial, medium, and deep
List 4 agents that are generally considered epidermal wounding agents
glycolic acid, jessners peels, salicylic peels, and TCA applications
List the 3 different acids in a jessners peel
Salicylic, resorcinol, lactic
List 4 symptoms of salicylate toxicity
headache, dizziness, vomiting, and tinnitus
List the 3 classes of Rhytids
fine, medium, coarse
List 3 products that work very well for the treatment of acne
light peels, jessners peels, LED therapy, salicylic
A good home pretreatment for a glycolic peel is… (list 6)
AHA, vitamin c, Retin A, hydroquinone, sunscreen, moisturizer
3 complications for glycolic peels
scarring, allergies, bacterial/viral infections
what is PIH
Post Inflammatory Hyperpigmentation
4 reasons to consult with a physician when considering glycolic peels
need of prescription, need of acne treatment, suspicious lesions, and efficacy of care plan
3 solutions you can use when defatting the skin in preparation of a peel
70% isopropyl alcohol, 90% isopropyl alcohol, and acetone
3 things may be added to a jessners peel for peel application
green tea, Paraguay tea, and kola nut
What technique do most estheticians prefer for peel application?
Folded guaze
Frosting may occur with these 3 types of peels…
Jessners, glycolic, TCA
Which peel is not normally used for aging skin?
Jessners
Which peel can be used in combination and before a jessners peel?
glycolic
How often are clients seen for a Jessners peel?
biweekly, then 3 weeks, then monthly
Percentages of TCA recommended for a spa are ____, ____, and ____
10%, 15%, and 20%
Which peel is considered the gold standard of all peels?
TCA
How long should a client wait before having microdermabrasion after a TCA peel?
8-10 weeks
How often do you perform a TCA peel on a client?
Quarterly
