Page 55 - VI DERM BOOK COM (002)_FINAL

GUIDELINES FOR SPECIFIC CONDITIONS
and body parts

TINEA VERSICOLOR
Condition
Tinea Versicolor is a common fungal infection of the skin. The fungus interferes with the normal pigmentation of the
skin, resulting in small, discolored patches. These patches may be lighter or darker in color than the surrounding skin and
most commonly affect the trunk and shoulders. Sun exposure may make Tinea Versicolor more apparent. Anti-fungal
creams, lotions, or shampoos can help treat Tinea Versicolor. But even after successful treatment, skin color may remain
uneven for several weeks or months. Tinea Versicolor often recurs, especially in warm, humid weather. Once the infection
has been cleared, VI Peels can be administered to reduce the pigmentary changes.

VI Peel Selection: For all Fitzpatrick Skin Types, VI Peel Precision Plus is recommended. Condition may require 1-3
peels for optimal outcome. Maintenance peels may be indicated if infection recurs.

Application
After thorough cleansing and degreasing, apply with medium. Passes should be applied to cover entire affected area. A
minimum of 4 layers should be applied. If area is large two peel kits may be required to adequately treat. Allow, 90-120
seconds in between layers. If frosting occurs, discontinue application. Subsequent peels should be spaced 4-6 weeks
apart. A double degrease is typically required for areas of thicker skin like back, feet, and arms.

Aftercare
Patients should be advised of the following aftercare guidelines.
• Avoid friction from tight clothes. Protect affected skin from the friction caused by wearing tight clothes. Cotton-based
clothing is best post-peel.
• Avoid direct sun exposure during treatment regimen. UV-Light exposure will heighten visible discoloration.
• Incorporate Retinoic Serum and Skin Lightening Complex 4% HQ into home regimen for maintenance of results.

ACNE & ACNE SCARRING

Condition
Acne, one of the most prevalent skin conditions in the US, not only affects the face, but also affects the back, neck,
décolletage, buttocks, shoulders, and arms. Causes of acne on the body are the same as the face including proliferation
of keratinocytes, p. Acnes bacteria, clogged pores, overproduction of sebum. On the body, extrinsic factors can worsen
the condition like clothing, sports equipment, backpacks, and other items that cause friction or sweat. The skin on the
body is just as prone to PIH as the skin on the face and many patients suffering from active acne on the body are also
encountering subsequent PIH.
VI Peel Selection: Patients who are Fitzpatrick I-III with no PIH present should receive VI Peel Purify. For all Fitzpatrick
Skin Types IV-VI, VI Peel Purify with Precision Plus is recommended. Condition may require 2-4 peels for optimal
outcome. Maintenance peels will be indicated if Acne reccurs.
Application
After thorough cleansing and degreasing, apply with medium. Passes should be applied to cover entire affected area. A
minimum of 4 layers should be applied. If area is large two peel kits may be required to adequately treat. Allow, 90-120
seconds in between layers. If frosting occurs, discontinue application. Subsequent peels should be spaced 4-6 weeks
apart. A double degrease is typically required for areas of thicker skin like back, feet, and arms.

Aftercare
Patients should be advised of the following aftercare guidelines.
• Avoid friction from tight clothes. Protect affected skin from friction caused by wearing tight clothes. Cotton-based clothing is
best post-peel.
• Avoid extrinsic irritants listed above during the post-peel phase.
• Incorporate at home products including Vitamin A, Salicylic Acid, or Benzoyl Peroxide to maintain results.

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