Peels and Chemical Exfoliation Flashcards

1
Q

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

A

False

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2
Q

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

A

True

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3
Q

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)

A

True

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4
Q

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

A

True

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5
Q

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

A

False

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6
Q

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

A

False

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7
Q

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

A

True

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8
Q

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

A

False

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9
Q

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)

A

True

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10
Q

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

A

True

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11
Q

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

A

False

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12
Q

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

A

True

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13
Q

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

A

False

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14
Q

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

A

True

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15
Q

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

A

True

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16
Q

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

A

False

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17
Q

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)

A

True

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18
Q

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)

A

False

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19
Q

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

A

False

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20
Q

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

A

True

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21
Q

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)

A

False

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22
Q

Salicylic peels do not frost (T/F)

A

True

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23
Q

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

A

True

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24
Q

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

A

Dry, normal, oily, and sensitive

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25
Q

The newest category added to skin conditions is __________.

A

Aged or sun-damaged

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26
Q

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

A

Unprotected

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27
Q

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

A

Wrinkles, makeup, and acne scarring

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28
Q

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

A

Pigment, texture, and wrinkling

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29
Q

Flash injuries can cause _____-degree burns

A

Second

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30
Q

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

A

Epidermal wounding

31
Q

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

A

Secondary intention

32
Q

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

A

14

33
Q

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

A

20 and 30

34
Q

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

A

Salicylate toxicity

35
Q

Ringing in the ears is also called ______.

A

Tinnitus

36
Q

Glycolic acid is naturally derived from____ _____.

A

Cane sugar

37
Q

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

A

Dry
Oily

38
Q

Microdermabrasion should be performed _____ a peel.

A

Before and after

39
Q

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

A

Ethanol

40
Q

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

A

sunscreen and moisturizer

41
Q

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

A

a consent form

42
Q

Microdermabrasion is done ____ a Jessner’s peel.

A

before

43
Q

Microdermabrasion is done ____ a glycolic peel.

A

after

44
Q

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

A

scar

45
Q

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

A

passes

46
Q

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

A

hydroquinone

47
Q

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

A

frost

48
Q

For TCA peels, _________ is NOT an accepted outcome.

A

hypopigmentation

49
Q

Salicylic acid is a ____ hydroxy acid.

A

beta

50
Q

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

A

antibacterial
anti-inflammatory

51
Q

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

A

2 (grade 2)
3 (grade 1)

52
Q

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

A

Photodamage

53
Q

List 5 contraindications for a chemical peel

A

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

54
Q

List the 3 classifications of peels by depth

A

Superficial, medium, and deep

55
Q

List 4 agents that are generally considered epidermal wounding agents

A

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

56
Q

List the 3 different acids in a Jessner’s peel

A

Salicylic, resorcinol, and lactic

57
Q

List 4 symptoms of salicylate toxicity

A

Headache, dizziness, vomiting, and tinnitus

58
Q

List the 3 classes of rhytids

A

Fine, medium, and coarse

59
Q

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

A

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

60
Q

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

A

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

61
Q

List 3 possible complications from a glycolic peel

A

Scarring, irritation, herpes simplex outbreak, infection

62
Q

What is PIH?

A

Post inflammatory hyperpigmentation

63
Q

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

A

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

64
Q

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

A

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

65
Q

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

A

Green tea, paraguay tea, and kola nut

66
Q

What technique do most estheticians prefer for peel application?

A

Folded gauze

67
Q

Frosting may occur with these 3 types of peels

A

Glycolic, Jessner’s, and TCA

68
Q

Which peel is not normally used for aging skin?

A

Jessner’s

69
Q

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

A

Glycolic

70
Q

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

A

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

71
Q

Which peel is considered the gold standard of all peels?

A

TCA

72
Q

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

A

10, 15, and 20

73
Q

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

A

8-10 weeks

74
Q

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

A

Quarterly