Final Flashcards
what is healthy skin (4)
- slightly moist
-soft
-smooth
-somewhat acidic
how skin functions (2)
- strong barrier designed to protect from outside elements
-body systems work together to regulate and protect
what are the 6 primary functions of the skin
- Sensation
- protection
- heat regulation
- excretion
- secretion
- absorption
sensation (2)
Sensations cause us to react, feel and move
-nerve sensors help to detect different sensations and perceive changes in our environment; heat, cold, pain, pressure
Protection (3)
- barrier to outside elements
-many defence mechanisms; sedum, acidic mantle, hyropidic film
- skin has ability to heal itself
Heat regulation (3)
- average internal heat of 37C/98F
- changes to adjust to outside temperatures through evaporation, precipitation
- body systems work to protect us from cold (goose bumps) and from heat (sweat)
excretion (2)
- sudoriferous glands (sweat glands) extreme precipitation
- prevent overheating
Secretion (3)
- sebum protects and lubricates hair and skin
- maintains appropriate water levels in cells
- can also cause breakouts through over production
absorption (3)
absorbs chemicals, hormones, moisture, and oxygen for skin health
- vitamin D produced from sun exposure
- selectively absorbs topical products, serums, and creams to keep skin moist, nourished, and protected
dermis(2)
support layer of connective tissue under epidermis
true skin
Epidermis (2)
outermost layer of the skin composed of 5 layers
thin protective covering
5 layers of skin outer to inner
- stratum corneum
- stratum lucidum
- stratum granulosm
- stratum spinosum
- stratum germinatvum
what layer of epidermis do we work on
stratum corneum
Lesions
structural changes in tissue caused by damage and injury
Primary lesions (3)
- lesions in initial stage of development/change
- flat non-palpable changes in skin colour
-elevations of fluid in a cavity
secondary lesions (3)
-piles of material on skin surfaces
- crust/scabs/depressions/ulcers
- may require medical referrals
why we do skin analysis (4)
- helps recommend best products for each individual
- determining what products to use in service/ at home
- confirms whether appropriate candidate for treatment
- along with consultations it helps determine possible contraindications/conditions
what are the 4 genetic skin types
- dry
- oily
- combination
- normal
what does normal skin look like (4) (Oil, Hydration, Follicles, Appears…)
- oil: balanced
- hydration: balanced
- follicles: very small
- appears: uniform luminosity, no/rare blemishes
how does normal skin feel (3)
- soft
- smooth texture
- good elasticity
how is normal skin treated (2)
- maintenance and prevention treatments
- use 4 steps to skin health
what are the 4 steps to skin health
- cleanse
- exfoliate
- nourish
- protect
what does combination skin look like (4)
oil: moderate-high
hydration: good- dehydrated
follicle size: larger in T-zone
Appearance : build up of dead skin, oil in pores and nose, dry flakey skin, some comedones & bleamishes
what does combination skin feel like (1)
oilier in center & t-zones than sides of face
what dos oily skin look-like (4)
- oil: moderate- high
- hydration : good- dehydrates
follicle size: moderate - large
appearance: shiny, comedones, blemishes,
how does oily skin feel (2)
- thick and firm
- uneven due to congestion
how is oily skin treated ( 3)
- regular cleaning and exfoliation
- hydrating with water based products
- treatments to balance oil production
how do you treat combination skin (3)
- cleansing and exfoliation
- water based products
- avoid harsh products ad rough exfoliation
what does dry skin look like (4)
- oil; minimal production
- Hydration: minimal hydration
- Follicle size: difficult to visualize; fine pores
- appearance: dull, lack of lumicity, flakey and blotching
how does dry skin feel? (3)
- rough
- tight
- thin
how is dry ski treated (3)
- oil based products to provide protection of acid mantle and increase barrier function
- dry skin often has compromised water loss by evaporation
- treatment to provide nourishment and protection
what is the Fitzpatrick scale (2)
- used to measure skin types ability to tolerate UV exposure
- many skin treatment protocols are based on scale
Fitzpatrick type 1 (5) (eyes, hair, skin reaction to UV, unexposed skin, heritage)
eyes: blue/green
hair: blonde/red
unexposed skin: very white, almost translucent, freckles
heritage: caucasian
skin reaction to UV: always burns/peels/ does not tan
Fitzpatrick type 2 (5) (eyes, hair, skin reaction to UV, unexposed skin, heritage)
eyes: blue/hazel/brown
hair: red/blonde/brown
unexposed skin: light
Heritage; caucasian
skin reaction to UV: burns easily/ usually peels/ tans minimally
Fitzpatrick type 3 (5) (eyes, hair, skin reaction to UV, unexposed skin, heritage)
eyes: brown
hair: dark
unexposed skin: fair-olive
heritage: spanish, greek, Italian
skin reaction to UV: tans well/ burns moderately
Fitzpatrick type 4 (5) (eyes, hair, skin reaction to UV, unexposed skin, heritage)
eyes: dark
hair; dark
unexposed skin; light brown
heritage; Mediterranean, hispanic, asian
skin reaction to UV: tans easily, burn minimally, immediate pigment response
Fitzpatrick type 5 (5) (eyes, hair, skin reaction to UV, unexposed skin, heritage)
eyes: darks
hair: dark
unexposed skin: dark brown
heritage: East Indian, indian, hispanic, latin, African
reaction to UV: rarely burns, tans easily and significantly
Fitzpatrick type 6 (5) (eyes, hair, skin reaction to UV, unexposed skin, heritage)
eyes; dark
hair; dark
unexposed skin; dark brown/black
heritage: African/aboriginal
reaction to UV: rarely/never burns/ tans easily
acne
sebaceous breakout from hormonal changes/ other factors
actinic keratosis (3)
- rough area from chronic sun exposure
- sometimes layered with scale/scab
- can be precancerous
aging (5)
- skin laxity due to collagen/bone loss
- thinner skin
- dryness
- photo damage
- fine lines/wrinkles (rhytids)
asphyxiated (5)
- smokers; from lack of oxygen
- clogged pores
- wrinkles
- dull/lifeless
- yellowish/grey
comedones types
open and closed
open comedones (3)
- blackheads
- clogged pores
- buildup of debris, oil, dead skin cells in follicles
closed comedones (3)
- white heads
- not open to air/oxygen
- trapped skin cells that need to be exfoliated & extracted
couperose skin (1)
- redness with no visible vascularity because matting of blood vessels is so small and fine
cysts (2)
- fluid infection or other matter under the skin
- encapsulated into palpable firm mass of varying size .
dehydrated ( 1)
lack of water caused by environment, medications, topical agents, aging, or dehydrating drinks (coffee/alc)
enlarged pores (2)
- larger follicles due to excess oils and debris trapped in follicles
- expansion due to elasticity loss of trauma
erythema (1)
- redness caused by inflammation
growths(4)
- skin cells and underlying tissues that over produce and create an area that could be raised/flat
- can be distinguished with palpitations
- can be pigmented or same colour as tissue
- can present at birth or later
herpes Simplex 1(1)
- communicable virus that appears as a vesicle on lip or smaller blister
hirsutism (2)
- hair presenting in regions not typically found especially in women
- PCOS - acne and patches of thick darker velvety skin
hyperkerantization (1)
- excessive buildup of dead skin cells/ keratinized cells
hypertrichosis (1)
excessive hair growth- heredity
hypERpigmentation what is it, what are the 3 factors (4)
OVER production due to 1 of 3 factors…
A. UV exposure- brown spots of different shades
B. hormonally induced- melasma
C. Post-inflammatory hyperpigmentation: from surface injury to skin, appearing red/purple/brown and fades
hypOpigmentation; what is it, what are the 4 factors (5)
LACK of melanin production due to 4 factors…
A. UV induced- intermingles with over production
B. Post-traumatic: lack of melanocyte production due to injury, burn, trauma . may produce again overtime
C. Vitiligo
D. Albinism
Irritation (1)
usually redness of inflammation with variety of causes
Keratosis Pilaris (1)
- build up of cells with rough texture
Melasma from Hyperpigmentation (4)
- patches of brown on cheeks/jaw/forhead/upperlip
- hormonal imbalances (pregnancy, birth control, hormone therapy)
- gets worse with sun exposure
Milia (1)
- hardened pedal like collections of oil and dead skin trapped beneath surface of skin
papules ( 1)
raised lesion aka blemishes
poikiloderma of civatte (3)
-chronic sun exposure
- along side of face and neck
- turns reddish-brown with clear demarcation of untanned skin under chin
poor elasticity (1)
- skin laxity from damage and sun exposure
pustules (1)
infected papule with fluid inside
scar (2)
- mark on skin where wound, burn or seal has healed , slightly raised or depressed
- sometime hyper/hypo pigmented
sebaceous hyperplasia (3)
-benign lesions seen in oilier areas of the face
- like donut holes
- cannot be extracted
seborrheas (3)
- aka seborrhic dermatitis
- excess oil production that causes redness, irritation and flaking
- occurs most often in hair as dandruff
sensitivities (3)
- physical reactions
- erythema, edema, wheals, itching, stinging, discomfort
- external/internal influence on skin
solar comedones (2)
- large open comedones
- usually around eyes due to sun exposure
striae (5)
- aka stretch marks
-dermal scars due to rapid expansion/ stretching of connective tissue
-deep red/pink/purple linear marks
- pink/silver overtime
- often occur during growth phases
sun damage and effects (2)
-UV damage to epidermis and dermis
- primary effects: wrinkles, collagen, elastin breakdowns, pigmentation, cancer
Rhytids- wrinkles and finelines
lines and damage from internal and external causes
Telangiectasia: what is it, why, and where. (4)
Visible capillaries
Commonly found on face around nose, cheeks and chin
Due to injury, rosacea, hormonal changes, exposure to extreme cold/heat
Cosmetic not medical
extrinsic/external aging (1)
factors that speed up aging process
extrinsic/external factors (7)
- sun exposure
- smoking
- drinking
- stress
- unhealthy diet
- lack of sleep
- lack of exercise
Intrinsic/internal aging (1)
-affects how we feel and how our body/skin look and perform
intrinsic/internal factors (9)
- free radical
- dehydration
- menopause
- vitamin deficiency
- improper nutrition
- genetics
- hormones
- puberty
- pregnancy
top 10 healthy skin habits
- avoid sun exposure
- balanced diet
- do not smoke
- avoid excessive alcohol
- plenty of water
- plenty of rest
- stay active
- beneficial skincare and routine
- pro skincare treatments to maintain
- stress relievers and calm, positive attitude
what are the 12 contraindications
- skin diseases/disorders/irritations
- isotretinon
3.skinthinning/exfoliation topicals
- pregnancy
- metal bones/pins/plates
- pacemakers/heart irregularities
- allergies
- seizures
- oral steroids/predisone
- autoimmune disorders
- diabetes
- blood thinners
how long do you have to stop isotretinon before treatment
6 months