Lactic Acid Peels
- An alpha-hydroxy acid (AHA) or milk acid
- Lactic Acid peels can help remove undesirable signs of aging skin, such as: Discoloration, Roughness, Wrinkling, Superficial blemishes
When Lactic Acid is applied to the skin, it chemically exfoliates the outer surface of the skin and encourages new cell turnover. Lactic Acid is a natural humectant, pulling moisture from the collagen levels to the surface of skin. It has a “plumping” effect, particularly on dry and dehydrated skin. This treatment is relatively non-irritating with very little, if any, down time for the patient.
- All Types
- Works extremely well on dry and sun damaged skin.
- Can be used up to 45% on all skin pigments Fitzpatrick scale 1-6.
30% Solution 2.13 55% Solution 1.32
45% Solution 1.43 70% Solution 1.15
Lactic Acid, U.S.P. in concentration
SD Alcohol 40B
- Loosens cells of stratum granulosum allowing them to slough
- Repeated use increases dermal thickness
- Reduction in actinic keratosis
- Reduces wrinkles and scars by depositing collagen in dermis
- Plumps skin due to the humectant properties
- Improves tone and texture
- Removes fine lines and wrinkles
- Improves hyperpigmented areas
- Corrects sun damage
- Improves mild scarring
- Severe milk allergies & known Lactic Acid sensitivity.
Very minimal considerations with this acid.
SENSITIVE SKIN CONSIDERATIONS:
Works well on even the most sensitive skin types.
- 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.
Those patients who wish for a mild to moderate treatment; dry to sensitive skin; aging and thinning skin; acne-prone skin types that are dehydrated or dry after acne treatments.
- Determine what type of treatment patient desires and that moderate peeling will not be an inconvenience at this time;
- Patient has not had a treatment in less than 7–10 days;
- Avoid broken or severely irritated skin except for those comedones still intact; refer to drug interactions.
Test spot near ear or on inner arm, not usually applicable to this acid.
Must be neutralized with a 10% Sodium Bicarbonate solution. Start neutralizing at the first signs of erythema.
APPLICATION OF ACIDS:
May be applied pre and/or post microdermabrasion, applying only to areas you wish to treat. Try to achieve one even pass with little or no overlapping.
APPLICATION OF PRESSURE:
Usually moderate, not extremely critical with this acid.
1-10 minutes watching the skin for first sign of erythema which can appear in seconds; 1-7 minutes when combining with microdermabrasion. Over-treatment is extremely rare.
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.
- 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.
- Discuss procedure thoroughly with patient. Patient must sign consent form prior to procedure.
- 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.
- Secure patient’s hair with headband.
- Cleanse areas to be treated with Skin Perfect Perfect Cleanser. Pat dry.
- Instruct patient to lie in a relaxed supine position, with eyes closed for the entire procedure.
- 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.
- 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)
Across upper lip
- 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.