Page 52 - VI DERM BOOK COM (002)_FINAL
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VI PEEL BODY
                                                                                            treatment protocol





             STEP 3: APPLY VI PEEL BODY PEEL SOLUTION  3rd-4th Pass: Apply with more pressure for deeper
             Use caution when opening. Remove the top. Point the vial   penetration. Continue re-saturating the gauze and
             away from you and your patient. With your thumb over   continue layering the VI Peel Body until you have used
             the top, remove metal seal and gently remove the stopper.   all the solution. Alternate your starting location and
             Pour the entire solution into the provided applicator cup.   application pattern to assure even distribution of the
             Remove the 2x2 gauze from packaging and have it ready   peel solution. Apply heavier pressure to the areas of
             for application. You may have a fan available for your   concern (breakouts, pigment, thickened skin, etc.).
             patient for comfort.                                   After application is complete, your patient’s skin
                                                                    should have mild to moderate erythema. If there
             1st pass: Apply solution using light pressure.         is any solution on the surface of the skin, you may
             Fold the 2x2 gauze in half. Dip a portion of the gauze   perform a modified massage technique to facilitate
             in the solution and squeeze out excess solution. Gauze   the penetration. Using your middle and ring finger
             should be saturated but not dripping. Start by applying   of each hand against your patient’s skin, apply even
             vertically, working downward systematically until the entire  pressure with small circular motions, pressing the
             area is covered. Slight overlap is acceptable but should not   solution further into the skin.
             exceed 10-15%. Do not re-saturate the gauze in the middle
             of your layer. The skin should appear wet but again the   With body peels, instruct your patient to avoid
             solution should not be dripping or running down the body.  tight-fitting clothing and opt for cotton-based,
                                                                    loose-fitting clothing.
             Once the first pass has been applied, allow 3-5 minutes
             between passes and assess patient’s skin response, pain   STEP 4: EXPLAIN VI PEEL BODY
             level and rate of product penetration before proceeding.   AFTERCARE KIT TO PATIENT
             Reassess skin after each pass.                         VI Peel Body is self-neutralizing. Avoid washing or
                                                                    applying any topical products to the treated area for
             For Fitzpatrick V & VI allow the full 5 minutes between   4 hours. Sunscreen may be applied after the 4-hour
             layers to assess skin response.                        post-treatment step (see below) and should be used
                                                                    if any treated areas are exposed to sunlight for the
             For intimate areas, be sure to prevent solution from   next 14 days.
             coming in contact with the mucosa.
                                                                    Day 1: Four Hours Post-Treatment:
             2nd Pass: Apply solution using medium pressure.        Using fingertips only, cleanse the skin using a gentle
             Re-saturate the gauze and squeeze out excess solution.   cleanser with no fragrance or active ingredients
             Apply solution with slightly firmer pressure. Alternate   (VI Derm Gentle Purifying Cleanser, Dove, Cetaphil,
             starting point of application; applying horizontally until   etc.). Rinse with cool water and pat dry. (AVOID HOT
             the entire area is covered. Heavier pressure can be    WATER ON TREATED AREA FOR 7-10 DAYS). Apply
             concentrated on areas of concern (breakouts, pigment,   a thin layer of Retinoic Serum to all areas where the
             thickened skin, etc.). Avoid using the gauze to rub    peel was applied. Remember to wash hands after
             vigorously. Pressure may change, but do not scrub the   application. Wait 10 minutes, then apply
             skin. If frosting is observed, discontinue application in   Post-Treatment Repair Cream to all areas where the
             those areas.                                           peel was applied.


             Continue to allow 3-5 minutes between passes.          NO OTHER personal hydrating products should be
             The skin on the body has a slower response rate than    applied.
             that of the face.
                                                                    IMPORTANT - Fitzpatrick Skin Types 4, 5 and 6
                                                                    must apply the Post-Treatment Repair Cream
                                                                    approximately 10 minutes after the Retinoic Serum
                                                                    has been fully absorbed to reduce the body’s natural
                                                                    inflammatory response.



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