Lactic Acid Peels

PRODUCT DETAILS

• An alpha-hydroxy acid (AHA) or milk acid
• Non-buffered
• 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.

SKIN TYPES:

• 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.

pH LEVELS:

30% Solution 2.13       

45% Solution 1.43     

PRODUCT SIZE:

 4 ounces

ACTIVE INGREDIENTS:

Lactic Acid, U.S.P. in concentration

INACTIVE INGREDIENTS:

SD Alcohol 40B

INDICATIONS:

• 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

CONTRAINDICATIONS:

• Severe milk allergies & known Lactic Acid sensitivity.

CAUTIONS:

Very minimal considerations with this acid.

SENSITIVE SKIN CONSIDERATIONS:

Works well on even the most sensitive skin types.

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:

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.

PRE-TREATMENT CONSIDERATIONS:

• 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 PATCHING:

Test spot near ear or on inner arm, not usually applicable to this acid.

NEUTRALIZATION:

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.

TIMING:

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.

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.