Chemical Peel Series: Determining Client Suitability for Treatment
Chemical peels are not a cure-all, and clients who are considering a chemical peel should have realistic expectations. It is best that they be in good general health, be non-smokers, and be sound psychologically. It should also be determined that the conditions they have are those that can be improved through a chemical peel rather than those which require surgical procedures.
Chemical Peels Have A Very Long History
Chemical peels have been with us since the days of ancient Egypt when skin rejuvenation was accomplished using sour milk. In the Middle Ages old wine was used. These same ingredients are actually the basis of light peels, or alpahydroxy acid.
Possible Complications and Effects Should Be Considered
A client considering a deep peel, or phenol peel should realize that it can cause permanent skin lightening, but that it reduces the skin’s ability to produce pigment, requiring protection from the sun. It can also take several months to heal. Also phenol peels can pose a risk to those who have heart problems. Lighter alphahydroxy acid peels and medium TCA peels have much less risk and shorter healing times, but the results are not as permanent. AHA peels can cause stinging, skin redness, mild skin irritation, dryness and can require multiple treatments to get the results desired. TCA peels may require Retin-A or AHA cream treatment, require the use of sun block for several moths, take several days to heal, and can require repeat treatments to achieve desired results.
Regenerated Skin Is Usually Smoother and Wrinkle Free
However, provided the client understands potential risks and the issues involved with the various types of chemical peels the regenerated skin is usually smother and less wrinkled than the old skin, giving the client what they desire in a fresh and more youthful appearance. It is however important to determine that the client is having the treatments for the right reasons, and has an overall healthy sense of self-esteem and realistic expectations regarding the outcome of treatment.
A History of Medical and Dermatological Treatments Should Be Taken
It is also important that a history be taken of the client to determine the amount of sun damage the skin has, the amount of hypertrophic scarring or keloid formation, and a general medical history. In general, most clinicians use the Fitzpatrick Skin Typing in combination with either the Glogau or Rubin Classification. Also, as an aesthetician, you must enquire about previous peels, prior surgeries, laser therapy and dermabrasion so you have a clear understanding of the causes of the current skin condition. The types of medications taken should also be known in order to maintain the safety of the client.
For more information, you should read Peels and Peeling Agents
