Peels and Chemical Exfoliation Flashcards
Glagau classification is the preferred method of skin classification (T/F)
False
The 3 steps to a thorough skin typing and analysis are: Cleanse, Skin typing and Analysis, and Document (T/F)
True
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)
True
Superficial peeling is most effective on acne grades 1 and 2 (T/F)
True
A chemical peel is an uncontrolled burn of the skin (T/F)
False
Glycolic acid is a vegetable acid derived from acidic vegetables (T/F)
False
TCA penetrates to the papillary dermis or the upper reticular dermis when a full frost is achieved (T/F)
True
The most commonly used DEEP peeling agent is an enzyme peel (T/F)
False
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)
True
If you use more than one strength of glycolic peels, the bottles should be marked clearly or highlighted when received (T/F)
True
A consent form for a peel only needs to be obtained when you are concerned a client may have a reaction (T/F)
False
20% to 30% glycolic peel solution are very mild (T/F)
True
70% glycolic acid is very easy and safe to use on a client of any skin type (T/F)
False
The dryer the skin the more intense the peel (T/F)
True
There is little that can be done once a client’s skin shows injury by hypopigmentation (T/F)
True
It is not very beneficial to alternate a glycolic peel with other spa treatments (T/F)
False
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)
True
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)
False
Letting the client go home with hot, burning skin after a peel is the most effective way to achieve the best results (T/F)
False
Jessner’s peels are rinsed thoroughly until the client feels relief (T/F)
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 (T/F)
False
Salicylic peels do not frost (T/F)
True
Microdermabrasion and facials should be done before salicylic acid peels (T/F)
True
Skin condition is described by the terms ______, ________, ________, and _________.
Dry, normal, oily, and sensitive
The newest category added to skin conditions is __________.
Aged or sun-damaged
Fitzpatrick skin typing considers how an individuals skin reacts to ______ sunlight exposure.
Unprotected
Galgau classification is based on these criteria: chronological age, pigment changes, keratoses, _______, ________, and _______.
Wrinkles, makeup, and acne scarring
The categories used by the Rubin scale for classification of skin are ______, _______, and _______.
Pigment, texture, and 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, reepithelialization, granulation tissue formation, and collagen remodeling
Secondary intention
A Jessner’s peel is made up of 3 different acids with a strength of ___% each.
14
The salicylic acid or beta peel usually comes in two peeling strengths ___% and ___%.
20 and 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____ _____.
Cane sugar
____ skin absorbs the peel solution more quickly than ____ skin.
Dry
Oily
Microdermabrasion should be performed _____ a peel.
Before and after
Jessner’s solution combines 3 solutions suspended in an _____ base.
Ethanol
Do not forget to add _____ and _____ to the pretreatment care for your clients.
sunscreen and moisturizer
Always obtain ________ as it is part of your protection in a dispute.
a consent form
Microdermabrasion is done ____ a Jessner’s 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 the 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 peels for grade 2 acne should be done every __ weeks, and for grade 1 acne, every __ weeks
2 (grade 2)
3 (grade 1)
Rubin classification of aging analysis is the preferred classification method because it places emphasis exclusively on aging associated with what factor?
Photodamage
List 5 contraindications for a chemical peel
Sunburn, active rashes, active cold sores, open lesions, immediate post-facial surgery, and accutane
List the 3 classifications of peels by depth
Superficial, medium, and deep
List 4 agents that are generally considered epidermal wounding agents
20%-50% glycolic acid, Jessner’s peels, salicylic peels, and some light TCA applications
List the 3 different acids in a Jessner’s peel
Salicylic, resorcinol, and lactic
List 4 symptoms of salicylate toxicity
Headache, dizziness, vomiting, and tinnitus
List the 3 classes of rhytids
Fine, medium, and coarse
List 3 products that work very well for the treatment of acne
Light glycolic peels, Jessner’s peels, LED light therapy and salicylic
A good at home pretreatment plan for a glycolic peel (there are 6)
AHA’s, vitamin C, Retin-A, hydroquinone, sunscreen, and moisturizers
List 3 possible complications from a glycolic peel
Scarring, irritation, herpes simplex outbreak, infection
What is PIH?
Post inflammatory hyperpigmentation
List 4 reasons you should consult a physician when considering a glycolic peel for your client
Suspicious lesions, clarification of medical conditions, concerns of BDD, and efficacy of care plan
List 3 solutions you can use when defatting the skin in preparation for a peel
70% isopropyl alcohol, 90% isopropyl alcohol, and acetone
These 3 things may be added to a Jessner’s solution as an antioxidant component
Green tea, paraguay tea, and kola nut
What technique do most estheticians prefer for peel application?
Folded gauze
Frosting may occur with these 3 types of peels
Glycolic, Jessner’s, and TCA
Which peel is not normally used for aging skin?
Jessner’s
Which peel can you use in combination and before a Jessner’s peel?
Glycolic
How often are clients seen for a Jessner’s peel?
Bi-weekly for acne prone and once a month for hyperpigmentation
Which peel is considered the gold standard of all peels?
TCA
Percentages of TCA recommended for a spa are ____%, ____%, and ____%.
10, 15, and 20
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
