Lesson 5- Skin Analysis Flashcards

1
Q

Describe analysis of the skin and why it is important

A
  • Knowing skin types, condition and factors affecting the skins Health enables you to give an accurate skin analysis
  • Most important reason for consultation is to find out about any contraindications
  • it also helps you determine why she is having a certain skin problem on her skin and how you can help her treat it with a better result
  • better determine which treatments or products you will use and recommend for her
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the four parts of examination of health diagnosis

A
  1. Look
  2. Listen
  3. Ask
  4. Touch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the skin analysis procedure? What are you looking for? Why is it important?

A
  1. Cleanse the skin (cannot do an analysis with make up on)
  2. Briefly look at the client skin through magnifying lamp

The magnifying lamp magnifies the face to help the aesthetician treat and analyze the skin. The lamp uses a cool fluorescent lightbulb. Turn on the light and gently swing it directly over the face. If necessary, move it away from the face and loose in the adjustment knob to adjust the lights angle. iPads should always be use to protect the eyes from the bright light.

  1. Cover the eyes with eye pads
    Look, listen and ask questions regarding personal health and lifestyle.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Questions to ask during consultations:

A
  1. Do you have any allergies to products?
  2. What brought you here?
  3. What are your skins concerns?
  4. What products do you use in your home care regimen?
  5. Have you had a facial before?
  6. Is this the normal state of your skin?
    7. How does your skin feel during different times of the day?

There is a difference between client consultation forms and skin analysis forms. Skin analysis forms allow the aesthetician therapist to thoroughly examine their clients skin type and conditions they may be experiencing due to internal or external agents in order to recommend the appropriate products and treatments. The success of the treatment depends largely on the therapist ability to recognize the facial condition and skin type.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe skin types

A

People are born with their skin types which are determined by their genetics and ethnicity. Like everything else, skin can change over time. An individual skin type is based on how much oil is produced in the follicles from the sebaceous glands and on the amount of lipids found in between the cells. How large the pores are in the T-Zones and throughout the face can help determine the skin type. Generally an individuals skin becomes drier overtime.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the six main skin types to be aware of?

A
  1. Normal skin (perfect mix or oil and water)
  2. Oily skin
  3. Dry skin
  4. Sensitive [this could be both a condition and or a skin type]
  5. Combination skin
  6. Acne 
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe normal skin type

A
  • Normal skin looks clear and is even in color.
  • It is soft and supple to the touch.
  • It is neither lacking nor overproducing oil and therefore does not feel greasy or tight. -It can fluctuate and sometimes be a little dryer or a little oilier. 
  • follicles are not usually visible towards the cheeks or the outside of the face. The skin type has a normal follicle size ranging from small to medium
  • our goal as aestheticians is to get our clients skin as close as possible to a normal skin type if it isn’t already with maintenance and preventative care are the goals for this type.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are internal symptoms of a normal skin type

A

-The skin is functioning well

  • There is a perfect balance of the sebaceous and sweat glands
  • The secretion is sufficient to protect and lubricate the skin but not over bearing.
  • internal blood circulation is good so the skin gets enough oxygen and nutrients
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the external symptoms of a normal skin type?

A
  • Pores are medium size and visible
  • Skin is medium thickness
  • The colour of the skin is healthy and not pale
  • There are a few blackheads if any at all
  • Elasticity is good
  • The skin can become a bit shiny if not cleaned often enough
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the treatment plan a normal skin type should take

A

A facial once a month to maintain the skin and observe it for changes is recommended. All different types of products can be recommended for normal skin including cleansing milk, toner, moisturizing cream, eye cream, mask twice a week.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the oily skin type [lipidic skin]

A
  • Oily skin gives a shiny complexion.
  • It has a thick epidermis and open pores
  • It has a tendency to develop whiteheads and blackheads
  • It has an abundance of oil secretions
  • Commonly affects young teens due to the change in hormone levels, diet and stress.
  • Adults can have oily skin which is hereditary.
  • Oily skin requires more cleansing and exfoliating than other skin types do
  • it is prone to blemishes, the excess oil and buildup on the surface can make the skin appear thicker and sallow
  • blemishes and comedones are common
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the internal symptoms of the oily skin type

A

Oily skin has overactive sebaceous glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are external symptoms of the oily skin type

A
  1. Enlarged pores
  2. Thick texture
  3. Large amount of blackheads and comedones
  4. Sometimes and often pimples
  5. Good elasticity
  6. Oily film [unless skin is very congested] – skin looks shiny and could be sticky
  7. Colour of make up changes
  8. Sometimes and often whiteheads occur
  9. Sometimes superfluous hair
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe a recommended treatment plan for the oily skin type

A
  • balancing the skins oil production through treatments and products is important but over cleansing can make matters worse by stripping the skins acid mantle and irritating it
  • if the skin is stripped of oil, it becomes unbalanced. This causes the bodies protection mechanism to compensate for the dryness on the surface.
  • remember no matter what the skin type, the goal is to balance the skin barrier function
  • Basic facial to begin and more specific treatments to follow. People with this type of skin need professional treatments more often than those with normal skin
  • recommended products used should be marked for oily skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the dry skin type [alipidic]

A

-dry skin is lacking oil

  • It can appear and all ages, usually in a more mature person
  • Dry skin may appear as if it is prematurely aged
  • It feels tight after washing
  • It is easily irritated and may even feel itchy
  • There is a tendency to develop fine dry lines, especially around the eyes
  • Dry skin rarely suffers acne breakouts
  • Watch out for sensitivity such as couperose, blotchiness, and sensitivities to products
  • Dryness of the skin can also be caused by over exposure to the sun, illness, smoking, medication’s and hormone changes
  • dry skin is more sensitive because the acid mantle and barrier function are not as healthy due to the lack of lipids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are internal symptoms of the dry skin type

A
  • Dry skin has few or under active sebaceous and sweat glands
  • not enough secretions to protect and lubricate the skin therefore exposing it to dehydration and sensitivities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the external symptoms of the dry skin type

A
  1. Pores are small and hardly visible
  2. Skin texture is thin [in very aged people become thicker]
  3. There are no blackheads
  4. Some premature lines may appear
  5. Elasticity is weakening
  6. Tight feeling
  7. Sometimes flaky
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe the treatment plan and recommended products for dry skin type

A

For treatment a basic facial to start and more advanced treatments to follow. All products should be for normal to dry skin as indicated on the bottle. Occlusive products are thick and lay on top of the skin to reduce trans epidermal water loss. These products help to hold the moisture and protect the skin top barrier layer which combats dryness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Describe the sensitive skin type

A
  • Sensitive skin is increasingly common
  • We are constantly bombarded by environmental stimuli, Stress, sun exposure and other unhealthy elements
  • Sensitive skin is a condition but it is also genetically predisposed
  • Is easily irritated by products and by exposure to heat or sun
  • telangiectasia or couprose skin conditions, which appear as red, distended capillaries, is noticeable on sensitive skin
  • Rosacea and vascular conditions are more common with this type of skin
  • Sometimes these conditions may be a protective visible reaction to let us know something is irritating your skin
  • Fragile or thin skin can also be a result of age or medication
  • Anyone’s skin can become reactive and sensitized from exposure to things such as chemicals, harsh products, heat, or even chapping from cold weather
  • sensitive or sensitized skin can be difficult to treat because of its low tolerance to products and stimulation
  • Avoid irritating products and procedures
  • For example excessive rubbing, heat, exfoliation or extractions can cause damage and increased redness
  •  sensitive skin needs to be treated very gently
  • Is rosacea is thought to be more prevalent now due to an ageing population as well as the increased use of medication’s, strong exfoliating products, and treatments in today’s society
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the external symptoms for factors of sensitive skin type [there are no internal symptoms listed in the manual]

A
  1. Fragile
  2. Thin skin
  3. Flushed easily
  4. Red…
  5. Presence of telangiectasia (distended capillaries) or couperose skin conditions….or other conditions causing redness Erythrosis and erythema.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe an appropriate treatment plan for sensitive skin

A

Sensitive skin needs to be treated very gently with non-irritating, calming products. It is important to find out what is causing sensitive conditions by completing a thorough skin analysis. It is a natural part of their skin condition or is it something the client was exposed to. The treatment goal is to soothe calm and protect the skin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe the combination skin type

A

-Combination skin can be both oily and dry at the same time
-The T-zone through the middle of the face on the forehead, nose and chin is usually oilier.
-The outer layers can be dry and even appear flaky
-Combination skin needs to be balanced and requires more care
-Pay most attention to the areas that have problems
-When cleaning use the cleanser that is appropriate for the most problematic area
-Use different lotions for the different skin types. For example, on an oily T-zone, select a purifying formulation
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are external symptoms of the combination skin type

A
  • Pores can appear medium sized to large depending on the skin
  • The outer areas of the face can be either normal or dry and can even appear flaky from winter dehydration or buildup of dead skin cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe a treatment plan for the combination skin type and which recommended products would you use

A

Basic facial to start and more advanced treatments to follow. Products can be mixed in match to accommodate the changes of the skin. Water-based products work best for these clients.

25
Q

Describe transitional skin [not a skin type]

A
  • There are internal and external factors such as medication, health conditions, stress, etc. that result in external changes of the skin.
  • Skin type that was once normal and has now been affected by such agents may experience a transitional phase from normal to dry or normal to oily.
  • Transitional skin may go back to its normal state once the agents it has been exposed to have been eliminated
26
Q

What are the external symptoms of the transitional skin condition

A

Pores can appear medium size to large depending on the transition

27
Q

Describe an appropriate treatment plan for transitional skin and recommended products.

A

Again basic facial to start in more advanced treatments to follow. Products can be mixed and matched to accommodate these changes in the skin.

28
Q

Aside from skin types there are also skin conditions which are more temporary and not hereditary. Briefly discuss skin conditions and why it’s important to know them

A
  • Both external and internal factors can cause different types of skin conditions and are unique to each individual
  • Internal causes include our bodies health and how that affects how we feel as well as how our body and skin looks
  • Stress, lifestyle and our attitude can contribute to our skins health
  • some of the most common skin condition seen by aestheticians today are adult acne, ageing from sun damage and problems from hormonal fluctuations as well as dehydration and rosacea
  • Skin conditions are transient compared to skin types. For example one may experience dehydration as a result of a transatlantic flight or upon completion of a course of antibiotics
  • This is why skin conditions are considered more responsive to treatments
  • We can improve most of these conditions through facials, products, and avoiding the factors that affect these conditions
  • Skin types are far more systemic due to the involvement of the Sudoriferous and sebaceous glands
  • skin conditions can make skin analysis become very tricky because of their unique causes and unique individual bearing the condition
29
Q

List internal factors which affect the skins condition and or cause skin conditions

A
  • our body‘s internal [intrinsic] health affects how we feel as well as how our body and skin looks
  • Stress, our lifestyle, and even our attitude can contribute to our skins Health
  • Free radicals, dehydration, vitamin deficiency, and proper nutrition, alcohol, caffeine, hormones and menopause all affect our skin
  • (external) Cumulative sun damage shows up at the same time as menopause – and unfair double attack on a woman’s body
  • lack of exercise/lack of sleep/medication and drugs will have negative affects both inside and out
30
Q

 List external factors which affect the skins condition and or cause skin condition

A

-Sun damage is the main external cause of ageing
-Environmental exposure, pollutants, air quality and humidity also affects the skins Health
-Poor maintenance and home care can also contribute to skin problems
-miss use of products or poor facial treatments can be detrimental to a healthy complexion. This is another reason why correct skin analysis and product recommendation is important

31
Q

Describe dehydration [skin condition]

A
  • Dehydration can appear in all skin types
  • Dehydration means that the content of water in the skin has been reduced
  • Usually the content of water is 10 to 20% for the corneous layer and 70 to 80% for the deep layers
  • Dehydration can be caused by improper cleansing, over exposure to the sun, poor health, clogged pores, unprotected skin, medication and insufficient intake of fluids, caffeine, harsh whether, alcohol
  • To determine dehydration, pinch the skin slightly and watch for formation of a small criss cross lines
  • In very dehydrated skin the stratum corneum is more resistive to penetration of products. Think of how little water a dry sponge will pick up as opposed to a wet one
  • dehydrated skin can look thin or flaky and can feel tight and dry which is sometimes described as crepey or papery
  • dehydrated skin can be caused by internal and external factors such as medication‘s, coffee, alcohol, sun, over exfoliation and harsh products
32
Q

List the external symptoms of the dehydration condition

A
  • Premature lines
  • Loss of elasticity
  • Thinner texture [cells collapse]
  • greyish look
  • Find criss cross lines
33
Q

Describe an appropriate treatment plan and recommendations for the dehydrated skin condition

A

-Treatment can depend on the skin type

  • Use milder and richer products
  • Stimulate more if skin type allows
  • Use ampoules and ionization
  • soft mask
  • it is recommended that you drink 8 to 10 glasses of water per day and stay away from the sun
34
Q

Describe sensitive skin as a condition [although it is also genetically predisposed/skin type]

A
  • This skin condition can appear on all skin types and should be handled carefully as not to cause extra stimulation.
  • The skin condition is characterized by redness
35
Q

Describe the external symptoms of the sensitive skin condition

A

Erythrosis- The abnormal redness of the skin resulting from dilation of blood vessels, generally occurring on the cheeks, nose and lower part of the forehead. For example clients that blush easily, reddened with exertion, in sunburns, or inflammation.

Erythema- redness caused by inflammation

Couperose- Broken and or dilated capillaries. Internal and external causes

36
Q

Describe an appropriate treatment plan and recommendations for sensitive skin condition

A
  • To soothe irritation a gentle cleanser is the best type of cleanser. Foaming, detergent based cleansers can strip the skins lipids and barrier protection
  • less steam and heat should be used. Make sure warm towels are not as hot or skip them all together
  • An enzyme peel performed for sensitive skin gently exfoliate the skin
  • lipids protect the skin, and a serum or moisturizer with lipids is essential for treating sensitive and dry skin
37
Q

Describe the acne skin condition

A

-Acne skin appears commonly on oily skin
-It appears usually in adolescence but can as well appear on adults
-Spa therapists have a great opportunity to help people with acne, but it can be a challenging problem to work with
-in aesthetics we treat only acne vulgaris

38
Q

What are the internal symptoms of acne skin condition

A

Inflammation of the sebaceous glands and hair follicles which may appear externally in different forms

39
Q

What are the external symptoms of acne skin conditions

A

Acne punctata- superficial red pimples usually around the blackhead

Acne rosacea- often resembles acne but often there are no clogged pores or comedones present. These larger than normal pimples primarily occur on the nose and upper cheeks. There may be a lot of redness in the skin around the papules and pustules. There may be a dehydrated, crinkled appearance to the surface skin in these areas. Burning and stinging may be present

Acne vulgaris- inflammation that shows as papules and pustules [a small boil of pus].
- can be treated by draining the pustules [only a few with each treatment]. We do that by puncturing the centre of the pustule where the skin is the thinnest with a disposable sterile needle. Then with cotton saturated and alcohol and wrapped around the index finger we squeeze out the pus, preferably until the blemish bleeds which will signify that the entire amount of pus was drained. This procedure is used also for extraction of Milia. It is good to suggest acne clients visit a family physician or dermatologist

  • all information regarding skin analysis and recommended treatments and products should be clearly marked on a clients form
40
Q

List some of the common causes of acne

A

-Hormones

  • Heredity
  • Stress
  • birth control pills
  • Pregnancy
  • Menopause
  • Environmental factors such as heat and humidity, sun exposure
  •  Swelling on outer epidermidis causes tremendous pressure on the follicles and further complicates an already existing condition
  • Greasy workplaces
  • Over cleaning/cleansing
  • self trauma excoriations IE when one constantly picks at the skin
  • nutrition and diet
  • Comedogenic cosmetics
41
Q

List the appropriate skin care tips for acne

A
  • Eliminate comedogenic products. Keep in mind that oil free does not necessarily mean the product is non-comedogenic
  • Control oil through proper product usage. Do not irritate the skin with harsh products
  • Exfoliate the follicles. Keep follicles clean and exfoliated to keep sebum and cells from building up
  • Benzoyl peroxide or alpha hydroxyl acids are beneficial [such as salicylic acid]. Do not over use these products
  • avoid environmental aggravator‘s such as dirt, grease, sun, humidity and pollution
  • practice stress reduction and good nutrition
42
Q

Describe the asphyxiated skin condition

A
  • This type of skin condition tends to get confused with dry skin, because it is course to the touch and seems delicate
  • It requires the same treatment as dehydrated skin with the addition of secretion extraction and frequent exfoliation, without causing irritation

-Smokers have asphyxiated skin from the lack of oxygen characterized by the following…
— Complexion is shallow or grey
— Pores are filled with blackheads
— clogged pores and wrinkles
— exterior layer is covered with a film similar to varnish

43
Q

What is actinic keratosis

A

Rough areas of the skin resulting from sun exposure

44
Q

What are comedones

A

Open comedones are blackheads and clogged pores caused by a buildup of debris’s, oil and dead skin cells in the follicles. These are known as blackheads. Closed comedones are also known as whiteheads and pustules. Closed or not exposed to air and are covered by a thin layer of skin.

45
Q

What are closed comedones

A

They are not open to the air or oxygen. They are trapped by dead skin cells and need to be exfoliated and extracted. These are known as whiteheads.

46
Q

What is hyperkeratinization

A

It is an excessive buildup of cells, resulting in a rough texture

47
Q

What is hyper pigmentation

A

Brown or dark pigmentation, discolouration from melanin production due to sun exposure or other factors causing Melanoenesis. Too much of a pigment in one area

48
Q

What is hypo pigmentation

A

White, colourless areas from lack of melanin production. An example of this may be vitiligo. Lack of pigment in one area.

49
Q

What is milia

A

They are hardened, pearl like masses of oil and dead skin cells trapped beneath the surface. They are not exposed to oxygen and have to be lanced to open and remove them. Another type of closed comedones

50
Q

What is seborrhoea

A

This is a common skin problem. It causes a red, itchy rash and white scales. When it affects the scalp, it is called dandruff. It can be on parts of the face as well including the folds around the nose and behind the ears, the forehead, and the eyebrows and eyelids. Seborrhoea occurs more frequently in persons with oily skin.

51
Q

What are wrinkles in ageing

A

Lines and damage from internal or external causes. For example, repetitive movements and or slowed cell turnover can eventually result in a “scar“. This scar is a wrinkle.

52
Q

List internal factors that affect the skin

A
  • Genetics and ethnicity – influenced conditions
  • Stress, lifestyle, negative attitude
  • Free radicals
  • Dehydration
  • Vitamin deficiency
  • alcohol, caffeine, glycation, aging, hormones
  • Menopause
  • Lack of exercise
  • Lack of sleep
  • Smoking
  • Medication’s and drugs
  • in proper nutrition
53
Q

List external factors that affect the skin

A
  • UV exposure and son damage
  • Sunlamps and tanning beds
  • environmental exposure to pollutants and air quality
  • Environment, climate and humidity
  • Poor maintenance and skin care
  • Miss use of products are treatments, over exfoliation, or harsh products
  • allergies and reactions to environmental factors or products - photosensitivity to the sun from medication‘s are products such as retinol
54
Q

Go over the skin analysis checklist

A
  1. After cleansing observe the skin. First determine the skin type, check the pore size and oil distribution
  2. Conditions present: comedones, Capillaries, pigmentation, sun damage and other conditions
  3. Appearance: is the skin dry, clear, oily, red or irritated?
  4. Texture: is the texture, rough, smooth, dehydrated or firm?
  • Record all findings on the clients chart
55
Q

Prioritization of treatment is as follows…

A
  • Sensitivity or dehydration?
  • Inflamed acne?
  • Non-inflamed acne?
  • Any congestions?
  • Pigmentation?
  • Science of aging?
56
Q

What should be considered in men skin care

A
  1. Keep a simple and direct approach
  2. Men typically have larger sebaceous glands and thicker skin than a woman
  3. They also like the foaming of soaps so a foaming cleanser is a good choice.
  4. They can use a toner just like they would and aftershave lotion.
  5. They then should apply a light moisturizer with sunscreen. Most men do not like the greasy feeling of some products.
57
Q

You should keep the following tips in mind when recommending products for male client:

A
  1. His home care regimen should begin with only two products; a cleanser and hydrating lotion
  2. Educate him on sun protection and skin cancer facts, even if he chooses not to purchase a sunscreen
  3. Tubes and pumps that are easy to open and use are more male friendly than jars.
58
Q

You should keep the following tips in mind when it comes to professionally treating a man’s skin…

A
  1. Most men love steam and brush machine, even if he is slightly sensitive, he will prefer the assertiveness of a brush and foaming cleanser
  2. A firm or touch and deeper massage are needed
  3. Sponges and towels are more appropriate for men’s faces
  4. Shaving before the facial makes the skin more sensitive
  5. Shaving is abrasive, so men need more calming and healing products
  6. Movements during a man’s facial should flow with the hair growth
  7. Cotton pads and Gauze will grab the beard hair leaving particles clinging to the face
    8. The beard area tends to be relatively more sensitive than other parts of the face due to shaving lotions that contain perfume, alcohol, or other substances. As well as due to the exfoliative nature of shaving