Mandelic Acid Peel - 30%
- An alpha hydroxy acid (AHA)
- Mandelic acid peels can help remove undesirable signs of aging skin, such as: Discoloration, Roughness, Wrinkling, Superficial blemishes
- When Mandelic Acid is applied to the skin, it chemically exfoliates the outer surface of the skin and encourages new cell turnover. This treatment is relatively non-irritating with little down time for the patient.
Works best on normal to oily skin types.
Use with caution on darker pigmented skin types—Fitzpatrick scale 4 and above.
Mandelic Acid, U.S.P. in concentration
SD Alcohol 40B
- Improves tone and texture
- Removes fine lines and wrinkles
- Improves hyperpigmented areas
- Corrects sun damage
- Improves mild scarring
Allergies to almonds or known Mandelic sensitivity.
Very minimal considerations with this acid. Use with caution on darker pigmented skin types—Fitzpatrick scale 4 and above.
SENSITIVE SKIN CONSIDERATIONS:
There is a slight risk for patients with somewhat sensitive skin, but less so than with Glycolic Acid.
- 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.
Normal to oily skin types; those patients desiring a moderate treatment.
- 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.
Spot near ear or on inner arm, spot treatments on specific blemishes provide a good test because flaring will occur immediately.
Must be neutralized with a 10% or greater Sodium Bicarbonate solution or distilled water. Start neutralizing at the first signs of erythema, which can appear in seconds.
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, applying excessive pressure can cause deeper peeling and irritation.
1-10 minutes; when combining with microdermabrasion, 1-7minutes. Over-treatment can occur if precaution is not taken.
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.