FEB 2019

DAYSPA is the business resource for spa & wellness professionals! Each issue covers the latest in skin care, spa treatments, wellness services and management strategies.

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30 @dayspamagazine • Februar y 2019 Which clients should be advised against a particular peel? Betzen: Individuals with compromised barriers, certain types of rosacea, open wounds or topical allergies to acids should avoid chemical exfoliation. Clients who experience daily sun exposure or refuse to wear SPF are also not great candidates. Those with medium and darker skin tones should be careful of TCA peels 15 percent and higher, as they can potentially cause hypopigmentation. Finally, I've noticed a dangerous trend of medical-strength acids being sold online to non-licensed people, so warn clients that these can cause permanent damage. Gomez: Pregnant or lactating women, and individuals on medication that causes photosensitivity should avoid peels. Also, those who participate in a lot of outdoor sports and activities need to be very careful about sun exposure—especially during summer— if they're getting professional peels. Willett: Clients would not be eligible for a clinical grade peel if they're diabetic, using strong AHAs/BHAs, or taking Accutane or retinoids. Additional contraindications would be if they've recently used a tanning bed, been waxed or had excessive exposure to the sun. In these cases, I advise them about caring for their skin at home, and come up with an alternative plan to tackle their needs in the treatment room. Adjmi: Lifestyle, tolerance and compliance are all important considerations when deciding which peel is best for which client. We ask questions about all of these things at each visit, even if we've discussed them before . u © GETTY IMAGES SPOTLIGHT

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