Peel Series for Severe Acne for a Fitzpatrick 6

Hi :)

I was wondering if anyone could tell me a good Skin Script Peel Series for a Fitzpatrick 6. I saw in my notes that the Cranberry Turnover Peel isn't good for Fitz 4, 5, or 6 because it can cause hyperpigmentation. What would be best for someone with oily skin? Thanks!

Replies to This Discussion

Permalink Reply by Lisa VanBockern on May 15, 2014 at 12:14pm

Hi Kristy:

I will use the Cranberry Turnover Peel if the skin is prepped with lighteners (glycolic pads) prior to treatment so we can avoid PIH (post inflammatory hyperpigmentation). It's especially effective spot treating severe acne, as I don't feel I have to use it all over the face if its not needed.

Otherwise, I really like the TCA (which was created specifically for Fitz 4-6). It's a mild TCA, so don't get too frightened about it. It contains azaleic acid which is an androgen inhibitor for cases of hormonal acne. If you are looking to treat using this TCA, I might suggest an enzyme first, remove it, then apply 1 layer of the TCA. Have her wear the TCA for at least 8 hours. I have attached our protocol for this peel, which can be used for oily skin as well.

This might seem a little complicated here so if you prefer, please feel free to call me at 480-543-1121 and we can talk about it over the phone. Thanks!

Attachments:

25-TCA Peel Protocol for Hyperpigmentation.pdf, 120 KB

Permalink Reply by Kristy Floyd on May 15, 2014 at 10:32pm

I wish I could do the TCA peel but am not allowed in the state of Georgia. At least that is what I was told by other estheticians.

As long as I prep with the Glycolic Retinol pads I can use the Cranberry Turnover Peel?

Permalink Reply by Cindy Greenwood on May 16, 2014 at 5:46am

I think that you need to go directly to your states licensing website and read the actual wording.

Very few states specifically state things like that. Some states restrict % and pH - but those are few too. And I am not aware of any state that specifically restricts specific ingredients - it's usually some vague wording that is open to interpretation.

This is only a 10% TCA and I don't see any problems for an educated esthetician using this.

I would never just assume because someone "told" me.

Permalink Reply by Kristy Floyd on May 21, 2014 at 6:02pm

Thank you so much! I have tried to find my state's licensing information but can't find anything that talks about what we can do/use. Any ideas of where to look?