Page 12 - VI DERM BOOK COM (002)_FINAL
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SETTING REALISTIC EXPECTATIONS FOR
                                                                                             your patients







             THE DEGREE                               Setting realistic patient expectations for any aesthetic treatment can be
                                                      a challenge. Explaining the VI Peel to your patient, and what they should
                                                      expect, is an important step during the consultation process. Some
             OF PEELING                               patients have unrealistic expectations about aesthetic treatments.


                                                      The biggest misconception that practitioners face is when their patients
             IS AFFECTED                              think they will ALWAYS have heavy peeling or peel in sheets.
                                                      Please keep in mind that there is a spectrum of the amount of peeling
             BY MANY                                  after a VI Peel. Everything from light flaking/peeling to sheet peeling is
                                                      considered normal. VI Peel is unique in that we use a multi-acid solution
             FACTORS                                  that penetrates through the dermis at a medium-depth level. There will
                                                      always be cellular turnover, improvements in the texture, tone and overall
                                                      appearance of the skin whether or not peeling occurs. Those who receive
                                                      treatments on a regular basis may not see visible peeling because the
                                                      layers of dead skin cells are at a healthy number.

             THE DEGREE OF PEELING IS AFFECTED BY MANY FACTORS:

             Skin preparation: Skin must be thoroughly cleansed and fully degreased with 100% pure acetone. This step is very important.
             It strips the skin of all oils and debris, allowing for the optimal penetration of the VI Peel. If patient has oily skin it is suggested
             to degrease the skin twice.

             Skin Type: Dry or dehydrated skin tends to absorb solution very quickly. Oily or congested skin absorbs solution very slowly due to the
             higher sebum production.
             Peel Selection: The VI Peel Portfolio contains 6 unique blends. Each blend targets specific skin conditions. Selecting the correct peel
             for your patient’s condition will assure the optimal outcome. For oily or congested skin, VI Peel Purify and VI Peel Purify with Precision
             Plus’s blend will combat excess sebum and result in greater solution penetration.
             Application Method: The VI Peel Portfolio must be applied with the gauze provided in the peel kit. It is loosely woven material which
             makes it abrasive. The peel solution must be applied with pressure to drive the peel solution to the papillary dermis.

             Products used at home: Does the patient use retinol products or do they exfoliate on a regular basis? When was their last VI Peel or
             laser treatment? If a patient is having a series of VI Peel treatments, the amount of peeling may vary between each VI Peel treatment.

             Reasons that a patient may not peel heavily: Just because a patient did not peel in sheets, does not mean the peel was ineffective.
             Sometimes a patient might be so well exfoliated that their skin does not need to peel heavily. It is still exfoliating at a cellular level,
             which is not visible to the naked eye. If a patient with very oily skin is not degreased properly, the peel may not penetrate to the
             papillary dermis, which is needed for an efficacious outcome.

             Application technique: Did you cleanse the patient’s skin? Did you completely degrease the skin with 100% pure acetone? Did you use
             the gauze provided? Did you apply the peel solution in multiple passes with pressure and not use all the solution on the first pass?
             Did you use the full VI Peel vial? Did you apply anything on top of their skin before they left the office?

             Patient home care: Make sure the patient did not apply anything to their skin for 4 hours after solution is applied. This includes VI Derm
             SPF 50 Daily UV Defense Broad Spectrum Sunscreen or any other products. Did the patient leave the peel solution on for 4 hours? Did
             they follow the VI Derm Post-Peel Towelette protocol on Day 1 and Day 2? Did they exercise or raise their body temperature
             during the first 72-96 hours?
             All of the above factors will affect the way a patient will peel. Remember, peeling will vary from light flaking to sheet peeling.
             Educating your patients and managing their expectations are keys to a successful VI Peel treatment.


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