Preconditioning- I think I'm being too cautious (Image)
I am having a hard time getting a good answer from my rep, and am waiting for more info from her, but I'd love some feedback from you all!
(In this instance, I am referring to peels by Image, btw)
What kind of pre conditioning is required for peels at the different levels? I have clients come in and say they'd like to do a glycolic peel, and when I speak to them about pre-conditioning their skin, they look at me like I'm nuts and say that they've had glycolic peels (and other types, etc) as a walk in to many spas, without changing their at home routines at all.
While I understand the implementation and mechanism of peels, I haven't done a whole lot of them... my pre conditioning fears and hesitation is probably why!
Here's the peels I have on hand:
A couple of the Image Enzyme 'peels"... which, really, not a peel in my book. No preconditioning. I've done these on my 10 year old, lol
Lactic/Kojic 50% blend
Glycolic/Retinol 40% blend
20% Salicylic and Glycolic Blend (which... I wonder what the actual percent is of each, lol)
20% Salicylic
The Perfection Peel, which has 60% blend of Sal, Lactic, Resorcinol, Retinol (with peptides and apple stem cell) (this one will definately get you peeling :) I've done this on myself... but I pre conditioned
I also have a 30% pumpkin peel (gly and lac) with an add on to that of a retinol and lactic 10/10 from H2T
H2T talks about pre conditioning all the time, I hear very little from Image about pre conditioning.
Which peels that I have would you consider OK to do on a fairly new client, if any? I'm talking the client that comes in, and uses some kind of skin care regimen at home (though maybe is just MLM or Target).
Image does not have pre conditioning kits, either. I was thinking about making my own, so the client can buy a 2 week sample set and then do the peels. This would be for the client who has no desire to change their whole at home routine. I'm thinking, a kit with Lightening Serum (kojic), maybe a sample of the Resurfacing Masque to use 2 or 3 times.. I don't know if a retinol sample would be helpful if they are gonna use for only 2-3 weeks before and then have to quite it 7 days prior. What else would be good for pre conditioning. Image does not have a mandelic, but H2T does.
I don't know... ideas? I really need my rep to get on the ball and offer some classes, specific to Image's peels.
Tags: image
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Replies to This Discussion
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Permalink Reply by Carrie Patrick on
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This isn't specific to Image peels, but we had an article in the July/August Skin Deep about peels on darker skin, which included a section about preconditioning. Here's a link to the article online: Peels and Hyperpigmentation
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Permalink Reply by Lauren Snow, ASCP on
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Hi! I am very familiar with Image and H2T products! So cool you are too! We can chat about all things Image/H2T now! Here's my take on doing peels. I’m not going to put something on their skin without having a pretty good idea how their skin will react to something. If they aren’t dedicated to taking care of their skin, doing a medium depth peel on them does them no good. In order to get the best results from a peel, you want the skin to be in tip top shape. Thus, that is why we precondition with vitamin a (accelerate cell turnover), antioxidants, tyrosinase inhibitors (hydroquinone) etc. There are many ways to precondition...and every line will use a little bit different ingredients as well to get the same result...we want to improve the skin’s health to achieve the best result.
Preconditioning doesn’t have to just be at home. Preconditioning could be a serious of peels to get to the "big" peel aka H2T's TCA or Mod. Jessner blend. In my experience, I would do a pumpkin at first treatment, and track how the client felt. Document this. What is her tolerance? How long can she keep it on? What does the skin look like before/during/after? Each treatment try to build up to the 10 minute tolerance mark. This could happen the first time, or it could happen after 3 treatments, get to know your client, her skin and her tolerance. (Aren’t you glad you didn’t just paint a 50% glycolic on your client that winces at the pumpkin tingling on her face?!) Then the next time after getting to the 10 minute mark, do a pumpkin (10 mins) + 10/10 so the client visually sheds. After that, when she comes back, ask her how it went/what the peeling was like/did she stay out of the sun etc. These are all important questions b/c the LAST thing you want to do is a peel and have the client not follow post t/x care and then suing you for hyper/hypopigmentation! Gradually you work up to the 15/15, TCA, or Image Perfection Peel, (lower pH and higher % peels). This is you covering your own behind, too!
What I would say to clients is, "It would be a disservice to you, to give you this ______ peel without proper homecare and preconditioning. I want your skin to be the healthiest it can be to receive this peel. I know it is expensive and I want to give you the results you want, but the best way to do this is to precondition the skin. As a professional, I need to evaluate how your skin reacts and to be able to provide you with the proper care for your skin. Chemical peels are not a one size fits all, and I pride myself on giving the best care to my clients by my conservative approach.”
You can always go further with a peel, but you can’t turn back after the fact. So that is why I say to go low and slow.
As for Image’s serums to use to precondition- I’d get them using the Ageless line- kick their skin into overdrive. Use the Ageless serum/cream (depending on skin type) with the ACE serum underneath, followed by a good SPF. I always have them stop using the serums right after a peel to give their skin a chance to heal…usually just until they are done shedding.
I will not do peels on someone unless they bring in their sunscreen and show me what they plan to use or buy one from me. Do you use H2T’s Aloe-sone? I love it! But I also love the Vital-C cream for after peels too.
Where do you live? Here is an email I received about Image webinars, perfect for you. http://campaign.r20.constantcontact.com/render?llr=oibem4gab&v=...
If you live in CA, Tony from H2T is fabulous. I went to a lot of their classes in Vista, CA and thoroughly enjoyed each one. They have some really intelligent people teaching their classes and attending them. I think he also travels, so you may want to look him up.
Sorry this is long! I hope we can stay in touch and talk about these peels!!! :) Have a great Labor Day!
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Permalink Reply by NBSkinCare on
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Hi thanks for the info! I'll respond more in depth below, but Tony and H2T are within miles from me, so I am able to trot down there anytime. I've attended 3 of their classes as well. :)
Here's where I've been frustrated with Image: the dry aging client, who hates the feel of the Vital C cleanser! I actually, have a hard time selling the Vital C cleanser at all. So, my go to has been the Max cleanser, which nearly everyone seems to love. BUT, the dry aging client is not interested in Retinol A Creme, or the Ageless Night creme, because they, generally, feel its not hydrating enough/too active.
I've been able to find a balance with using the Max line and the Ageless line, with maybe a Vital C serum thrown in to balance it all out, but geez! LOL
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Wow! That's interesting! The Vital C line is a lifeline for me and I am sooo dry! Do they like the Ageless cleanser? I use that one daily, and use the Vital C for after peels because it isn't drying. I like the way it smells too.
You could have them layer...do a serum + Vital C Creme. That is what I do every day. It gives the hydration I need plus I get a little boost with the serum underneath. I like the ACE serum, have you tried it? Maybe even the hyaluronic acid for your dry + aging gals with the Max creme on top???
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Also, do you have the Image training manual? They have tons of info there on pre/post peel!
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Permalink Reply by Cindy Greenwood on
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First time client I try to stick to enzyme "peel" only.
I have a light Vit C peel and have a 20% lactic that I HAVE done on first time clients - but that has been pretty limited.
Clients best results will be with "pre-conditioning" - or more accurately being on the right home care products and coming in for regular treatments with the goal of improving the health of their skin in a safe and effective way.
For safety/liability reasons I would not do the higher % peels on someone who I had not worked on before...but that's just me. I worked for somone a few years back who routinely did 50% glycolic peels on EVERYONE, even first timers....LOL that was the ONLY peel she used!
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Yeah, that all makes a lot of sense.Thanks so much for replying.
I never do peels on first time clients. My tx are either facials (custom, enzyme TXs) or level 1 light glycolic and enzyme 'peels'.
Its the clients that like their home care situation as is but want to do higher level Txs/peels. They are good clients, with healthy skin/barrier function, compliant and regular with TXs. These clients, I think, are the ones who confuse me.
I mostly see clients in the 1-4 Fitz range, just fyi.
A 50% Glycolic on everyone? Yikes, my face would have melted (sensitive!)
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Who is your rep for Image? Is it Gina? And I see you're in San Marcos, go to Tony's classes! You will love them if you haven't gone already!
I just moved from San Diego actually! :)
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Yes Gina is my rep, but she's held ONE class (that I've been told of) in the last year.. and I was working and couldn't go! I'd love to have some local Image classes (I've watched all the webinars, I think)
Yes, Tony and the class teacher (forget her name right now...) are both great! So informative (sometimes overwhelmingly so) :)
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Yeah I hear ya! I went to one at the Hyatt or Hilton (can't remember) downtown and both owners were there. I liked it, was very informative. What about trade shows? They have a lot of demos at them. I am not sure if they will be at Long Beach...are you going?
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I will be at Long Beach, and I think there is an Image/aethetics plus class. So many classes I want to take, and they all seem to be at the same time. There is a Rhonda Allison class I really want to take and I think it conflicts with the Image one (I've been thinking on bringing in RA).
Hopefully I can get more info there.
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