Page 18 - VI DERM BOOK COM (002)_FINAL
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CONTRAINDICATIONS
                      ORIGINAL                                      •  Allergies: Aspirin or Phenol
                                                                    •  General Conditions: Pregnancy or Breastfeeding
             PATIENT SELECTION                                      •  Disorders or Diseases: Immune Disorders, Liver
                                                                      Conditions, Active cancer treatments including
             •  First Time Peels                                      chemotherapy or radiation in the past 6 months
             •  Sensitive Skin                                      •  Skin Conditions: Inflamed skin, Open wounds,
             •  Rosacea                                               Active cold sores, Accutane use within past 6 months
             •  Early Signs of Aging (Ages 20+)
                                                                    *For additional guidelines, please refer to page 78.
             •  Rough Texture
                                                                     Review any contraindications with patient and have consent
                                                                     form completed and signed with each treatment.  It is highly
                                                                     recommended you also take photos of the patient before each
                                                                     treatment.


             VI PEEL APPLICATION - TO BE APPLIED IN A               1st Pass - Apply solution using medium pressure
             PRACTITIONER’S OFFICE ONLY                             Fold the 2x2 gauze in half. Dip a portion of the gauze in
                                                                    the solution and squeeze out excess solution.
             STEP 1 - CLEANSE                                       Gauze should be saturated but not dripping. Start at the
                                                                    forehead and apply peel with medium pressure, working
             Cleanse the patient’s skin using the VI Derm Gentle    down the face and neck area. Avoid the periorbital area
             Purifying Cleanser and make sure all makeup and surface   until the last pass.
             oils have been thoroughly removed.
                                                                    Once the first pass has been applied allow 60 seconds
             During the cleansing take a moment to educate your     between passes and assess patient’s skin response, pain
             patient on their current skin condition and what they can   level and rate of product penetration before proceeding.
             expect during the post peel phase. For example, if you   Reassess skin after each pass.
             feel congestion under the skin during cleansing, let your
             patient know that the peel will expedite cell turnover and   2ND PASS - Apply solution using medium to firm
             their skin will release the congestion under the skin.  pressure

             STEP 2 - DEGREASE & PREP                               Apply solution with firmer pressure.
                                                                    If frosting is observed, the application can be slowed down
             Each VI Peel Kit contains 1 Acetone Prep Towelette.    and more time allowed between passes. For Fitzpatrick
             After cleansing, degrease all areas on the skin where   I-III you may apply one more layer for Level 1 Frost. For
             the VI Peel solution will be applied. It is important to   Fitzpatrick IV-VI avoid that area and continue with the rest
             remove all oils from the stratum corneum for optimal peel   of the face or target area.
             penetration. Once degreased, the skin should be matte
             with no sheen present. For those patients with oily, thick,   3RD PASS - Apply with more pressure for deeper
             or acne-prone skin, it is recommended to do extra passes   penetration
             using 100% pure acetone.
                                                                    Apply with firm pressure, especially to the areas of
             Apply a barrier ointment over any semi-permanent or    concern, such as the fine lines, wrinkles, rough texture, or
             permanent makeup as well as over piercings or any      hyperpigmentation.
             areas of open or excoriated skin. Use sparingly and avoid
             sweeping barrier ointment onto other areas of skin.    4TH PASS - Most likely the last pass (varies from
                                                                    patient to patient).
             STEP 3 - APPLY VI PEEL SOLUTION                        Continue layering the VI Peel until you have used all

             Use caution when opening. Remove the top. Point the vial   of the solution.
             away from you and your patient. With your thumb over the
             top, remove metal seal and gently remove the stopper.   Eye area application - To be completed on the last pass
                                                                    with light pressure.
             Pour the entire solution into the provided applicator cup.
             Remove the 2x2 gauze from packaging and have it ready   For the under-eye area, inform the patient to look upward
             for application. You may have a fan available for your   and lightly apply peel solution from the inner canthus to
             patient for comfort.                                   outer canthus. Avoid contact with lash line and ocular area.


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