1. Pre-peel preparation
3 weeks before the first peeling we recommend to use an activator (PHA or Ferulic) at night and the all-day shield in the morning and at midday. The patient should use the cleanse and peel products depending on their skin type.
Skin care products are picked up depending on individual skin features in order to prepare skin for the peels. On the day of the first procedure no skin care products are used.
Avoid sun exposure at least 2 weeks before the procedure and always use the all-day shield when you go out. In case you have frequent herpes outbreaks, you should take a course of preventive medications before starting skin peel treatment.
One should take only the recommended dose of aromatic retinoids and stop using them one week prior to the treatment. They can increase the depth of acid peel penetration and therefore may cause skin burns. Damaging treatments (depilation, laser skin resurfacing) must not be performed 4 weeks prior to the peeling procedure.
We also recommend the therapist to try the peeling on a small area inside the forearm of the customer as a test to check the tolerance of the peeling solution before to start the program.
2. Make-up removal and skin cleansing
Make-up removal using cleanse and peel products removes contamination from the surface of the skin preparing it for the procedure.
3. Skin preparation
Enzyme powder or degreasing solution are used to remove fat and dead cells. For PHA based peels apply the mist prior to the peel, with a pH higher to the natural skin pH it produces the swelling of the superficial cells and hydrates the skin improving the penetration of the acids. It is important to increase the skin moisture before applying aqueous peels.
Reversely for alcohol and oil based peels we will use only the Enzyme powder and degreasing solution to prepare the skin.
It is possible to realise a pre-peel with the soft touch peel containing lactic acid, gluconolactone and lactobionic acid.
– to provide a more uniform and deeper penetration of further applied stronger peels,
– to test the skin sensitivity before the procedure.
Pre-peel preparation is preferable, but not mandatory. Otherwise the first procedure must be conservative with a short time exposure and no more than 2 coats.
The therapist applies 1 to 5 coats of peeling using a brush or a cotton swab and leaves for a while from 2 to 4 minutes’ maximum depending on individual skin. When applying various coats do not leave the peel dries totally between coats. We recommend to make a face massage with the last coat wearing gloves.
Peel is applied in a certain sequence: forehead, temples, cheeks, neck, chin, periorbital area (1 cm from ciliary margin of upper lid, 0,5 cm from ciliary margin of lower lid).
The therapist must control skin reaction and neutralise the preparation by appearance of excessive erythema (skin redness and white papules). Therefore, next procedure should be performed with shortest exposure time or less number of coats. If the skin shows no negative reaction, the exposure time can be increased step by step or the number of coats.
The ability of the active ingredients to penetrate deeper skin layers and perform its therapeutic action depends on the formulation, concentration and pH level of the peel.
The exposure time and number of coats are set by the therapist depending on individual skin features of the patient including skin type, skin tone and sensitivity according to individual skin problems that are to solve.
The longer the peel lasts, the deeper active ingredients penetrate the skin. That means the exposure time should be increased to assure deeper penetration of the peeling into epidermis. Downtime procedure may be useful for acne skin, actinic dermatitis, hyperkeratosis and other skin diseases, if the patient shows tolerance to the peeling.
Protect the eyes and spray the carboxy neutralizer over the skin. Or the carboxy neutraliser can be applied over a KS mask and then the mask can be applied directly on the face. After 2 minutes the face is washed off with large amount of cold water. Do not wash off the neutralizer with warm or hot water to avoid skin irritation caused by chemical reaction of the substances at high temperature. The face should be then gently dried with a towel. The carboxy neutralizer release carbon dioxide into the skin and the organism respond by an intense skin oxygenation (bohr effect). An increasement of CO2 concentration in the skin will result in haemoglobin proteins to release their load of oxygen into the skin.
7. Skin calming and moisturizing
It is recommended to complete the procedure with the Ice cream repair.
8. Post-peel home skin care between the peelings
Day 1 to 5 after the peeling it is important to use at night the Ice cream repair to avoid hyperpigmentation and promote a healthy skin regeneration. During the day apply every 3 to 4 hours the all-day shield.
Day 6 till next peeling prepare again the skin using at night the activator.
It is strictly forbidden to mechanically accelerate the regenerative process, by scratching off the crusted skin.
9. Post-peel home skin care after the last peeling
it is important to use at night the Ice cream repair for the next 15 days after the last procedure.
And the all-day shield for the next 60 days after the last procedure.
Post peel general recommendations:
- Do not touch or scratch the treated skin areas;
- Do not use make-up within next 24 hours;
- Avoid skin cleanser with aggressive cleaning agents within next 24 hours;
- Avoid epilation on the treated skin areas;
- Avoid direct sunlight and excessive sun exposure.
To achieve best results, follow the complete course of 4-10 procedures every 10 to 15 days. The frequency can vary depending on individual skin features. Regular home post-peel skin care containing helps to maintain the result for at least a year after finishing the complex treatment.
Potential skin reaction and possible side effects:
- Slightly visible skin peeling within next 2-4 days after the procedure.
- Slight redness that disappears in the first two days.
- Warming and burning effect during the peel treatment can be eliminated with the neutralizer.
- Hypersensitivity may occur by patients with thin sensitive skin, but can be significantly reduced by using KS skin care.
- Chemical burn caused by procedure technology violation or therapist’s lack of awareness about peel’s performance. Skin sensitivity test before the procedure is required.
Skin redness and swelling may occur both during the procedure and in the next few days after. Hyperemia may develop on hypersensitive allergic skin even by proper post-peel care. The symptoms can be reduced with extra calming treatment and eliminated in 3-4 days.
2. Dryness, skin sensitization and flaking
With regular use in compliance with recommendations of therapist post-peel skin treatment designed for skin moisturizing and rejuvenation can help to relieve symptoms within 3-4 days.
3. Skin eruptions and infections
Disregard of contraindications to acid peel can lead to serious implications. Strict adherence to the expert recommendations and proper post-peel skin care help to avoid complications.
Skin eruptions may be caused by an allergy reaction, diseases of internal organs or hormone imbalance, not by the peel. It is important to determine the causes before symptoms treatment. Anyway, if symptoms persist the patient should seek medical advice. Antihistamines and hormone creams are usually ordered to relieve symptoms. In some cases, if the inflammation was caused by skin infection, doctor can prescribe antibiotics to eliminate development of serious skin diseases. Self-medication is extremely dangerous causing irreparable harm and general health deterioration.
Poor sanitation before peeling may aggravate the herpes virus. In that case the treatment course should be cancelled until complete healing by using HSV ointments and creams.
4. Post-inflammatory hyperpigmentation
The mild formulation of PHA peel minimizes the risk of chemical burn and inflammation that may cause hyperpigmentation. All day shield is required. It should be applied every time before going outside, especially on areas around the mouth where the pigmentation spots usually occur.
Sunscreen should be used not only for pigmentation prevention, but also for proper care of pigmented areas to avoid complications. Post-inflammatory hyperpigmentation treatment is determined by the therapist. The classical treatment includes bleaching creams and anti-inflammatory medicines. The pigmentation may disappear within few weeks by proper skin care.