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CONTRAINDICATIONS
                      PRECISION PLUS
                                                                    •  Allergies: Aspirin, Phenol or Hydroquinone
                                                                    •  General Conditions: Pregnancy or Breastfeeding
             PATIENT SELECTION                                      •  Disorders or Diseases: Immune Disorders, Liver
                                                                      Conditions, Active cancer treatments including
             Irregular pigmentation in the skin including:            chemotherapy or radiation in the past 6 months
                                                                    •  Skin Conditions: Inflamed skin, Open wounds,
             •  UV-induced hyperpigmentation
                                                                      Active cold sores, Accutane use within past 6 months
             •  Melasma
                                                                    *For additional guidelines, please refer to page 78.
             •  Post-Inflammatory Hyperpigmentation (PIH)
                                                                     Review any contraindications with patient and have consent
             •  Ideal for Fitzpatrick IV-VI
                                                                     form completed and signed with each treatment.  It is highly
                                                                     recommended you also take photos of the patient before each
                                                                     treatment.


             VI PEEL PRECISION PLUS APPLICATION - TO BE             Squeeze the sides of the booster to release the entire
             APPLIED IN A PRACTITIONER’S OFFICE ONLY                contents of the booster. Mix the solution together with the
                                                                    top of one of the booster tubes and stir. Remove the 2x2
                                                                    gauze from packaging and have it ready for application.
             STEP 1 - CLEANSE                                       You may have a fan available for your patient for comfort.
             Cleanse the patient’s skin using the VI Derm Beauty Gentle   1st Pass - Apply solution using medium pressure
             Purifying Cleanser and make sure all makeup and surface
             oils have been thoroughly removed.                     Fold the 2x2 gauze in half. Dip a portion of the gauze
                                                                    in the solution and squeeze out excess solution. Gauze
             During the cleansing take a moment to educate your     should be saturated but not dripping. Start at the forehead
             patient on their current skin condition and what they can   and apply peel with medium pressure, working down the
             expect during the post peel phase. For example, if you   face and neck area. Avoid the periorbital area until the last
             feel congestion under the skin during cleansing, let your   pass.
             patient know that the peel will expedite cell turnover and
             their skin will release the congestion under the skin.  Once the first pass has been applied, allow 60 seconds
                                                                    between passes and assess patient’s skin response, pain
             STEP 2 - DEGREASE & PREP                               level and rate of product penetration before proceeding.
             Each VI Peel Precision Plus Kit contains 1 Acetone Prep   Reassess skin after each pass.
             Towelette. After cleansing, degrease all areas on the skin
             where the VI Peel Precision Plus solution will be applied. It   2nd Pass - Apply solution using medium to firm
             is important to remove all oils from the stratum corneum   pressure
             for optimal peel penetration. Once degreased, the skin   Apply solution with firmer pressure. If frosting is observed,
             should be matte with no sheen present. For those patients   the application can be slowed down and more time
             with oily, thick, or acne-prone skin, it is recommended to   allowed between passes. For Fitzpatrick I-III you may apply
             do extra passes using 100% pure acetone.               one more layer for Level 1 Frost. For Fitzpatrick IV-VI avoid
                                                                    that area and continue with the rest of the face or
             Apply a barrier ointment over any semi-permanent or    target area.
             permanent makeup as well as over piercings or any
             areas of open or excoriated skin. Use sparingly and avoid   3rd Pass - Apply with more pressure for deeper
             sweeping barrier ointment onto other areas of skin.    penetration

             STEP 3 - APPLY VI PEEL PRECISION PLUS                  Apply firmly, especially to the areas of concern, such as the
             SOLUTION                                               fine lines, wrinkles, rough texture, or hyperpigmentation.
             Use caution when opening. Remove the top. Point the vial   4th-6th Pass - Most likely the last pass (number of
             away from you and your patient. With your thumb over   passes varies from patient to patient).
             the top, remove metal seal and gently remove the stopper.   Continue layering the VI Peel Precision Plus until you have
             Pour the entire solution into the provided applicator cup.   used all of the solution.
             Add the Lighten and Brighten boosters to the solution.



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