Salicylic Acid Peel

PRODUCT DETAILS

• A beta hydroxy acid
• Non-buffered
• Salicylic Acid peels can help remove undesirable signs of aging skin and blemishes, such as: Blemishes and/or Acne, Roughness, Wrinkling, Discoloration
• Salicylic Acid is a powerful exfoliant that improves the appearance of aging skin. The superior exfoliation action is attributed to the lipid solubility of the acid. In addition to exfoliating the cells of the outer layers of skin it has also been shown to exfoliate the cells of the interior of skin pores.

SKIN TYPES:

• Salicylic Acid is best suited to oily and acne prone skin.
• Use with caution on darker pigmented skins--Fitzpatrick scale 3 or 4
• Use only under direction of a physician on dark skin—Fitzpatrick 5 or above.

pH LEVELS:

10% Solution 2.35

20% Solution 2.15

30% Solution 2.0

PRODUCT SIZE:

 4 ounces

ACTIVE INGREDIENTS:

Salicylic Acid, U.S.P. in concentration

INACTIVE INGREDIENTS:

SD Alcohol 40B

INDICATIONS:

• Improve tone and texture
• Remove fine lines and wrinkles
• Improve hyperpigmented areas
• Correct sun damage
• Improve mild scarring
• Control oiliness and slough comedones

CONTRAINDICATIONS:

Aspirin allergies or known sensitivity to Salicylic Acid.

CAUTIONS:

Excessive absorption may increase risk of Salicylism, not to be used over 20% body’s surface area at one time. Use with caution on darker pigmented skins – Fitzpatrick scale 3 or 4. Use only under direction of a physician on dark skin – Fitzpatrick 5 or above.

SENSITIVE SKIN CONSIDERATIONS:

There is more risk for patients determined to have sensitive skin.

DRUG INTERACTIONS:

• Tretinoin or retinoic creams and/or acids will heighten the skin’s sensitivity to any type of peeling agent and should be left out of patient’s regimen 48-72 hours prior and post treatment.
• Most physicians recommend 6 months post-Accutane before even moderate treatments are performed.

PATIENT SELECTION:

Normal to oily skin types; those patients desiring a moderate treatment.

PRE-TREATMENT CONSIDERATIONS:

Oily to acne prone skin types; normal skin types can have spot treatments for oilier problem areas; those patients desiring moderate to slightly aggressive treatment.

TEST PATCHING:

Spot near ear or on inner arm, spot treatments on specific blemishes provide a good test because flaring will occur immediately.

NEUTRALIZATION:

A self-neutralizing agent. A 10% Sodium Bicarbonate solution may slow action but will not neutralize acid.

APPLICATION OF ACIDS:

Apply only to areas you wish to treat. Acid is self–neutralizing therefore frosting is almost always apparent and can be monitored more closely with a Wood’s lamp. Effect of the acid peel cannot be stopped if unintended areas are treated or patient is uncomfortable, but 10% Sodium Bicarbonate can somewhat slow the action.

APPLICATION OF PRESSURE:

Crucial with this acid. Pressure controls the depth of peel, acid can be applied with light pressure one pass and if deeper peeling is desired more pressure can be applied to area without using more acid. Applying excessive pressure can cause deeper peeling and irritation.

LAYERING:

No more than three layers should be applied in one treatment. Each layer must be allowed to dry or frost before the next layer is applied.

TIMING:

Not necessary because it is self-neutralized. Rinsing is not necessary prior to microdermabrasion but skin can be rinsed with 10% Sodium Bicarbonate for the patient’s comfort and residual acid may make the skin feel tacky.

POST TREATMENT CONSIDERATIONS:

• Follow treatment with Skin Perfect Skin Recovery Hydrator. Then apply a thin layer of a broad-spectrum sunscreen.
• Patients can expect skin sensitivity for 24-48 hours, tightening of skin for up to 72 hours, moderate flaking for 2-5 days especially in areas treated with more pressure and layers.
• Discuss the importance of maintaining the treatment results with the appropriate Skin Perfect skin care protocol as maintenance for skin.

PRE-PEEL PREPERATION:

1. Record complete patient skin history.

Note: Retin-A treatments must be stopped 4-7 days prior to any acid treatment. DO NOT treat patients who have been treated with Accutane within 12 months prior.

2. Discuss procedure thoroughly with patient. Patient must sign consent form prior to procedure.
3. Perform patch test on patient’s upper arm.

Note: Patients with sensitivity to aspirin will likely have sensitivity to Jessner’s and Lite Jessner’s, due to the salicylic acid in the solution.

4. Secure patient’s hair with headband.
5. Cleanse areas to be treated with Skin Perfect Perfect Cleanser. Pat dry.
6. Instruct patient to lie in a relaxed supine position, with eyes closed for the entire procedure.
7. Apply 1-3 passes of ONE Peel Prep. Peel Preps remove any debris remaining on skin after cleansing, open pores and lower pH of skin to enhance effectiveness of the peel solution.

PEEL TECHNIQUE:

• Thoroughly shake solution.
• Apply acid to thickest areas of skin first.
• Apply in single strokes, in the following order:

Across forehead at hairline – moving to brow area

Down sides of face (continuing onto neck, if applicable)

Down cheeks

Across chin

Across upper lip

Down nose

• Do not allow solution to drip. Try to achieve one even pass but some overlapping is not detrimental with this acid. Patient may experience a stinging sensation. Stinging may be somewhat relieved with the use of a 6” fan.

Note: Under no circumstances should patient open eyes. If acid makes contact with eyes, flush with water for 15 minutes, occasionally lifting upper/lower lids, until no evidence of chemical remains. Continue flushing with normal saline until pH has returned to normal (30-60 minutes). Get medical attention immediately.

• Allow solution to dry. Expect to see some white frosting as the solution dries.
• Apply successive layers and allow to dry to control the depth of the peel. Each layer should dry in 2-4 minutes.
• Total treatment time should be 7-10 minutes. Solution is self-neutralizing so it will cease working around 10 minutes after application. No addition layers should be applied after 10 minutes from the start of the treatment.
• Stinging sensation should subside with the use of a fan as the peel solution neutralizes itself.
• Apply Skin Perfect Skin Recovery Hydrator and SPF 30 Sunscreen before client leaves treatment. These products are recommended for post treatment home care: Skin Recovery Cleanser and Skin Recovery Hydrator for three days post treatment.