Replies to This Discussion

Permalink Reply by Zola Nemorin on January 27, 2012 at 7:31am

are you sure, she did not try to do something at home, on her own?

Permalink Reply by Ruby Powell on January 27, 2012 at 7:54am

No,Ginger, I'm not sure. I did provide post care instructions and have asked her to bring in all products she uses at home tomorrow when she comes in.

Permalink Reply by Andrea Stein on January 27, 2012 at 9:19am

Dont forget her diet...what has she changed there that could affect the external outcome. Foods, medication, hormones all play a role.

Permalink Reply by Sally Connor on January 27, 2012 at 12:37pm

If the client didn't leave the flaking skin to fall off on its own; if they worked to remove the flaking skin - let's say with a washrag...it could leave the skin red and a little on the raw, stingy side and that would take longer to resolve.

Hyperpigmentation can result, scabbing can result...really important to keep the skin moist esp. during the flaking/peeling period. 

Until there is no more flaking (say 5-7 days to resolve) the client would continue with a gentle cleanser and moisturizer and take a break from any other products she/he may use as part of their daily skin care routine. It is imperitive to use sunscreen during the day.

Once the flaking has resolved (or any redness) then returning to products with corrective ingredients can be resumed.

You might check with your client about what products (ingredients) she/he is using in case that is adding to the problem. Ask if perhaps they assisted the skin in flaking off and then if that led to the skin stinging and reddness. If so have them use an occlusive product. Some occlusive ingredients that can be used on sensitive skin - silicones (dimethicone & cyclomenthicone), plant oils, squalane, shea butter, zinc oxide, niacinamide, petrolatum, lanolin. You might use a moisturizer that also includes a little hydrocortisone if there is inflammation with the reddness (use no more than approx. 7 days at a time, though).

If your client did not keep the skin cool for the first 24 hours or so and let's say worked out raising the body temperature and sweat or got in a hot shower or hot tub that can lead to reactions.

Aloe vera is good for decreasing redness and inflammation, too.

Do let us know how this goes and I hope it goes well!

 

Permalink Reply by Ruby Powell on January 27, 2012 at 1:22pm

Thanks, Ladies for the great input.  Will provide update after she's in on Saturday. 

Permalink Reply by Cindy Greenwood on January 28, 2012 at 5:56am

Fabulous and informative reply from Sally!

Just one more thought... I am wondering if she has a history of melasma (just to explain the "tanned" parts).

But overall - I would guess that she did not follow instructions.

How many layers did you apply?

Permalink Reply by Ruby Powell on January 29, 2012 at 10:11pm

Cindy - only one layer was applied.  The client cancelled about 30 minutes before she was scheduled to come in on Saturday to see us. I encouraged her to try to come in, but she had another commitment.  She also stated she used her normal night cream which is Wexler Night Reversal & Repair and the treatment that goes with it as well as the SkinScript Hydrating Moisturizer I had given her. Thanks all for the support and input.

Permalink Reply by Cindy Greenwood on February 5, 2012 at 8:38am

Ruby - did you check the ingredients on her normal night cream?

when I see the words reversal and repair the red flags of AHA's and retinol come to mind.

Your product is the one she should have used - which was appropriate.

Permalink Reply by Ruby Powell on February 12, 2012 at 9:40pm

I did check the ingredients and found that it contains Cyclopentasiloxane. Cyclopentasiloxane may cause mild skin and eye irritation, according to the ingredient's material safety data sheet, and a small percentage of it reaches systemic circulation through dermal absorption. It's the 7th ingredient. It also contains benzoic acid. She cancelled her reservation again.

Permalink Reply by Cindy Greenwood on February 18, 2012 at 12:40pm

...if she really thought it was YOUR fault and she was clompliant with homecare she would have kept her appt.

She probably thinks that you will be able to tell, just by looking at her skin, that SHE did something that she shouldn't have! (and by your amazing powers WHAT it was that she did!)  :D