Peels and Chemical Exfoliation

Question 1

Glagau classification is the preferred method of skin classification (T/F)

Answer 1

False

Question 2

The 3 steps to a thorough skin typing and analysis are: Cleanse, Skin typing and Analysis, and Document (T/F)

Answer 2

True

Question 3

If a client has sensitive skin they are immediately eliminated from being a good peel candidate until you become familiar with their skin (T/F)

Answer 3

True

Question 4

Superficial peeling is most effective on acne grades 1 and 2 (T/F)

Answer 4

True

Question 5

A chemical peel is an uncontrolled burn of the skin (T/F)

Answer 5

False

Question 6

Glycolic acid is a vegetable acid derived from acidic vegetables (T/F)

Answer 6

False

Question 7

TCA penetrates to the papillary dermis or the upper reticular dermis when a full frost is achieved (T/F)

Answer 7

True

Question 8

The most commonly used DEEP peeling agent is an enzyme peel (T/F)

Answer 8

False

Question 9

When consulting with a client with acneic skin it is important to document the grade of acne at the consultation and as treatment progresses (T/F)

Answer 9

True

Question 10

If you use more than one strength of glycolic peels, the bottles should be marked clearly or highlighted when received (T/F)

Answer 10

True

Question 11

A consent form for a peel only needs to be obtained when you are concerned a client may have a reaction (T/F)

Answer 11

False

Question 12

20% to 30% glycolic peel solution are very mild (T/F)

Answer 12

True

Question 13

70% glycolic acid is very easy and safe to use on a client of any skin type (T/F)

Answer 13

False

Question 14

The dryer the skin the more intense the peel (T/F)

Answer 14

True

Question 15

There is little that can be done once a client’s skin shows injury by hypopigmentation (T/F)

Answer 15

True

Question 16

It is not very beneficial to alternate a glycolic peel with other spa treatments (T/F)

Answer 16

False

Question 17

Jessner’s peel solution is a preferred peeling agent for oily, acne prone, and hyperpigmented skin because it is safe and does not need to be neutralized (T/F)

Answer 17

True

Question 18

Gauze should be very saturated and dripping with peel solution when applying it to the clients skin to ensure full coverage of the peel solution (T/F)

Answer 18

False

Question 19

Letting the client go home with hot, burning skin after a peel is the most effective way to achieve the best results (T/F)

Answer 19

False

Question 20

Jessner’s peels are rinsed thoroughly until the client feels relief (T/F)

Answer 20

True

Question 21

The best home care exfoliation for a TCA peel is one with a physical abrasive agent and lots of scrubbing to remove dead skin (T/F)

Answer 21

False

Question 22

Salicylic peels do not frost (T/F)

Answer 22

True

Question 23

Microdermabrasion and facials should be done before salicylic acid peels (T/F)

Answer 23

True

Question 24

Skin condition is described by the terms ______, ________, ________, and _________.

Answer 24

Dry, normal, oily, and sensitive

Question 25

The newest category added to skin conditions is __________.

Answer 25

Aged or sun-damaged

Question 26

Fitzpatrick skin typing considers how an individuals skin reacts to ______ sunlight exposure.

Answer 26

Unprotected

Question 27

Galgau classification is based on these criteria: chronological age, pigment changes, keratoses, _______, ________, and _______.

Answer 27

Wrinkles, makeup, and acne scarring

Question 28

The categories used by the Rubin scale for classification of skin are ______, _______, and _______.

Answer 28

Pigment, texture, and wrinkling

Question 29

Flash injuries can cause _____-degree burns

Answer 29

Second

Question 30

_______ ________ is a peeling injury that is limited to the layers of the epidermis, is superficial, and heals within days.

Answer 30

Epidermal wounding

Question 31

_______ _________is the process of healing that includes coagulation and inflammation, reepithelialization, granulation tissue formation, and collagen remodeling

Answer 31

Secondary intention

Question 32

A Jessner's peel is made up of 3 different acids with a strength of ___% each.

Answer 32

14

Question 33

The salicylic acid or beta peel usually comes in two peeling strengths ___% and ___%.

Answer 33

20 and 30

Question 34

50% salicylic peels or greater should only be used in medical offices due to the potential risk of _______ ________.

Answer 34

Salicylate toxicity

Question 35

Ringing in the ears is also called ______.

Answer 35

Tinnitus

Question 36

Glycolic acid is naturally derived from____ _____.

Answer 36

Cane sugar

Question 37

____ skin absorbs the peel solution more quickly than ____ skin.

Answer 37

Dry Oily

Question 38

Microdermabrasion should be performed _____ a peel.

Answer 38

Before and after

Question 39

Jessner's solution combines 3 solutions suspended in an _____ base.

Answer 39

Ethanol

Question 40

Do not forget to add _____ and _____ to the pretreatment care for your clients.

Answer 40

sunscreen and moisturizer

Question 41

Always obtain ________ as it is part of your protection in a dispute.

Answer 41

a consent form

Question 42

Microdermabrasion is done ____ a Jessner's peel.

Answer 42

before

Question 43

Microdermabrasion is done ____ a glycolic peel.

Answer 43

after

Question 44

Erythema that is persistent and does not go away can thicken and become a ____ if not properly addressed.

Answer 44

scar

Question 45

The number of ______ of a TCA peel determines the depth of the peel.

Answer 45

passes

Question 46

People who are a risk factor for PIH when using a TCA peel should pretreat with 6% to 8% ________.

Answer 46

hydroquinone

Question 47

The depth of the TCA peel is consistent with the ____ you see on the skin.

Answer 47

frost

Question 48

For TCA peels, _________ is NOT an accepted outcome.

Answer 48

hypopigmentation

Question 49

Salicylic acid is a ____ hydroxy acid.

Answer 49

beta

Question 50

Salicylic acid is ____ and ______, this is why it works well in the treatment of acne.

Answer 50

antibacterial anti-inflammatory

Question 51

Salicylic peels for grade 2 acne should be done every __ weeks, and for grade 1 acne, every __ weeks

Answer 51

2 (grade 2) 3 (grade 1)

Question 52

Rubin classification of aging analysis is the preferred classification method because it places emphasis exclusively on aging associated with what factor?

Answer 52

Photodamage

Question 53

List 5 contraindications for a chemical peel

Answer 53

Sunburn, active rashes, active cold sores, open lesions, immediate post-facial surgery, and accutane

Question 54

List the 3 classifications of peels by depth

Answer 54

Superficial, medium, and deep

Question 55

List 4 agents that are generally considered epidermal wounding agents

Answer 55

20%-50% glycolic acid, Jessner's peels, salicylic peels, and some light TCA applications

Question 56

List the 3 different acids in a Jessner's peel

Answer 56

Salicylic, resorcinol, and lactic

Question 57

List 4 symptoms of salicylate toxicity

Answer 57

Headache, dizziness, vomiting, and tinnitus

Question 58

List the 3 classes of rhytids

Answer 58

Fine, medium, and coarse

Question 59

List 3 products that work very well for the treatment of acne

Answer 59

Light glycolic peels, Jessner's peels, LED light therapy and salicylic

Question 60

A good at home pretreatment plan for a glycolic peel (there are 6)

Answer 60

AHA's, vitamin C, Retin-A, hydroquinone, sunscreen, and moisturizers

Question 61

List 3 possible complications from a glycolic peel

Answer 61

Scarring, irritation, herpes simplex outbreak, infection

Question 62

What is PIH?

Answer 62

Post inflammatory hyperpigmentation

Question 63

List 4 reasons you should consult a physician when considering a glycolic peel for your client

Answer 63

Suspicious lesions, clarification of medical conditions, concerns of BDD, and efficacy of care plan

Question 64

List 3 solutions you can use when defatting the skin in preparation for a peel

Answer 64

70% isopropyl alcohol, 90% isopropyl alcohol, and acetone

Question 65

These 3 things may be added to a Jessner's solution as an antioxidant component

Answer 65

Green tea, paraguay tea, and kola nut

Question 66

What technique do most estheticians prefer for peel application?

Answer 66

Folded gauze

Question 67

Frosting may occur with these 3 types of peels

Answer 67

Glycolic, Jessner's, and TCA

Question 68

Which peel is not normally used for aging skin?

Answer 68

Jessner's

Question 69

Which peel can you use in combination and before a Jessner's peel?

Answer 69

Glycolic

Question 70

How often are clients seen for a Jessner's peel?

Answer 70

Bi-weekly for acne prone and once a month for hyperpigmentation

Question 71

Which peel is considered the gold standard of all peels?

Answer 71

TCA

Question 72

Percentages of TCA recommended for a spa are ____%, ____%, and ____%.

Answer 72

10, 15, and 20

Question 73

How long should a client wait before having microdermabrasion after a TCA peel?

Answer 73

8-10 weeks

Question 74

How often do you perform a TCA peel on a client?

Answer 74

Quarterly