EXTRACTIONS- bt micro? ultrasonic spatula? extractor? fingers?
I would like to know what others recommend/use for performing extractions..
Do you use your extraction device on the majority of your clients? Would it take the place of a facial cleansing scrub when using a device?
I was told my dermasweep would perform extractions but not sure it's enough..
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Replies to This Discussion
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Permalink Reply by MELANIE TREHAN on
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Someone recommended the DermaSound for extractions..
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Permalink Reply by Tami Nicewander on
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I use the Dermasound and love it for open AND closed comedones! There are times when I still need to do some manual extractions after using the dermasound but the sebum has been softened so it is much easier. If you are at all like me and love extractions, it's super cool to see the blackheads just pop out onto the wand.
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Permalink Reply by coldsalineplexus on
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Tami, what is your protocol for prepping the skin before your Dermasound?
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In order to use an ultrasonic spatula (ANY ultrasonic spatula) for extractions, the plugs need to be reeeeeealy soft. It will basically only work for open comedones, so think nose, bridge of nose, middle of the forehead, and chin. So it's not the model that you are using, but the fact that this technology has limitations.
For extractions elsewhere on the face, it's back to your manual extraction technique. I am in a state that allows (actually, requires) us to have lancets present in our treatment room, so I'm square on Dr. Fulton's pore dilation technique. If you're not, you can still extract some closed comedones and most pustules, but papules will be a real challenge. In this case, spot-treating them first with a peel and coming back for the extractions is an option. Good luck!
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The Dermasound uses water with low frequency to produce results. So with the cavitation, I need to do very little to prep the skin. I generally use a cleanser that contains Salicylic and/or Benzoyl. Depending on the clients skin, I may use steam during the pre-cleanse and cleanse. Sometimes more passes are required to get the desired results; however, there is a marked improvement after the treatment. The Dermasound works well to soften milia to make extraction easier as well.
If a client has closed comedones gently passing over the area from different directions will more often than not, complete the extraction with little to no discomfort and no obvious trauma to the skin.
Dermasound will not extract everything after one treatment necessarily, but I find it a helpful tool in the treatment room.
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I use the SkinMaster Ultrasonic blade on the clearing. Lots of moisture is needed. If it is a closed comedone, I will flick away the outer most cells , then use the blade...for difficult places, I will use a combination of the blade and a Q-tip, or 2 Q-tips
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Hi Stephanie,
Please let me know if you are still using SkinMaster. I do own SkinMaster machine and I have a few questions. You can email me at youngskin4u@gmail.com
Please respond
Thank you,
Megen
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Permalink Reply by Nina on
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Extraction Recommendations: When I know that I will be performing extractions after I cleanse, I always exfoliate, do a peel, or microderm the clients skin depending on their sensitivity. For more sensitive skin types; a basic exfoliate may be a better idea. When you remove the dead skin, its easier to get deeper into the pore; and the exfoliation brings the dirt closer to the surface, Use lots of steam. Sometimes I even use some light Glycolic acid serum or a soft facial mask with pumpkin, or enzymes in it right before performing extractions; instead of the facia massage if the skin has a lot of congestiom; I let it sit on the skin for a few minutes while the steam is running, because this gives the skin a final push to really bring all of the congestion to the surface. Some people use what's called "Lotion X"; a liquid solution that's purpose is to lay on the face right before extractions to loosen up the pores preparing them to be easily extracted. However, since I have found that one of the main ingredients in this solution is "Sodium Lauryl Sulfate"; I stopped using it; because this ingredient is very comedogenic, and can be very irritating (its a detergent). However; its your personal preference as far as what ingredients you feel comfortable using.
Apply a bacteria-killing toner right before you start extracting. I highly recommend toning with some type of Witchhazel Tonic (preferably alocohol & fragrance free). As far as how to extract, I prefer using the tool, I have noticed that with the right amount of pressure (its important to use a lot of pressure-just make sure your not digging into the skin with the actual tool), it pushes the congestion out more, and faster, especially in the T-zone area. Its really based on your intuition; sometimes I will use the extractor to push once, but then use my gloved fingers to squeeze out some excess sebum that may not have come out right away (if its that deep). But with proper prep, that's usually not necessary. I never try more than 2/3 times per clogged pore. If the congestion isn't ready to come out the first time, it may need another squeeze, but second time or third time depending on how sensitive their skin is...not ready yet, so I leave it alone. Keep applying the bacteria-killing toner on each area you have extracted. For the clogged pores that are known as "milia", whitehead trapped under the skin with a layer of skin growing over it..you're going to need to lance. Use a lancet to break open the dead skin once, and then for this procedure, squeezing out with your fingers may be easier. I try the extractor first; and if it doesn't all come out, use my fingers next since it's so deep. This is a big reason why exfoliating beforehand is so important, because it will slough off some of this dead skin covering the pores, making it easier to access them...And it even does some of the work for you by pulling out some of the congestion that's already on the surface.
...after you have performed extractions, and toned; I highly recommend using "high frequency" to kill the bacteria and close the pores. I usually high frequency just the areas I extracted in this case. High frequency electrodes with blue ultraviolet rays AND infra-red rays is a plus; because the infrared also brings down inflammation.
After high frequency; I recommend following this procedure with a good deep pore cleasing + calming facial mask. Ever heard of Universalcompanies.com ? Great place to order product extras. I highly recommend using the "Akhassa Thai White Clay".
http://www.universalcompanies.com/By-Category/Skin-Nail-Hair-And-Sp...
It is a great product for having that mild astringent effect; while deep cleansing and closing the pores; and most importantly after extractions...cooling the skin. And a plus-its not going to make the skin feel TOO tight; it feels great; and the price is right. ..to be continued...
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...(Continued)...
I have very sensitive skin myself, and since I thoroughly study skincare ingredients as a main interest; I am very picky over which products I am not only using on others, but on myself...and I find this mask works best even for me after a procedure like this. It comes in these twists that you will see on the site, you only need 2-3 per facial mask, so it goes a long way. Or if you want to stick with the product line you are already using, you can see if the company makes a 100% pure, pore tightening+cooling mask in one like this.
After the mask, and after you tone, preferably with a gentle toner; I recommend using a calming serum. You may be able to use one from the product line you already use, (just make sure its alcohol & fragrance free, and has no comedogenic or irritating ingredients)...I use a serum from my product line at BotanicalScience.net; which is called "Keep it Calm"; specifically designed for applying after extractions; great for sensitive skin in general....or Universal has two good calming serums by "Rosa Graf", one of them being "Allergy" which is what I also use sometimes.
After the serum, obviously you would want to moisturize; however; if the client has very oily skin; I'd recommend staying clear from a moisturizer no matter how light it may seem, I feel that it's just too much. If their skin is combo, and may still need a little extra hydration after the serum, then I recommend, hydrating them, not moisturizing them. What I mean by this is, any kind of moisturizer oil-free or not, will typically contain "occlusives" that moisturize by leaving a layer of oil on the surface of the skin...a hydrator will contain "humectants" that are water-binding, that hydrate the skin from the inside out, without a drop of oil. A good and more common example of a "humectant" is "Hylauronic Acid". A hydrator will usually come in a light gel-like form, rather than a cream. Good examples of this are: "Pure Hydration by Glo Theraputics"; and "Strawberry Rhubarb Serum by Eminence". I truly believe that the skincare you use before and after extractions, is just as important as the extractions themselves, and I hope that this all helps!
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Permalink Reply by Rachelle Johnston on
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@Nina, thanks for the informational post--very helpful to me as well!
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Permalink Reply by Lisa Stawicki on
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What is the BT micro and how does it work?
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Permalink Reply by Julie Lynn on
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Bio therapeutics. Love my bT machines!!!
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