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GUIDELINES FOR SPECIFIC CONDITIONS
and body parts

For Hand peeling: Apply in crosshatch pattern, avoid cuticles, and avoid pooling of solution in knuckles.

For Underarm peeling: Patient must avoid waxing for 1-2 weeks prior to treatment and 2 weeks post treatment. Patient
must also avoid deodorant during post-peel phase. Use medium pressure. Frosting should be avoided.
For Bikini area peeling: Have patient shave night prior or wax 1-2 weeks prior application. Apply with medium pressure.
Frosting should be avoided. Avoid application to mucosa.
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 hot water when showering or cleansing skin. Only cleanse with lukewarm water during the post-peel phase.
• Avoid any exfoliation on treated area including topical products, scrubs, waxing for 2 weeks after peel application.
• Incorporate Retinoic Serum and Skin Lightening Complex 4% HQ into home regimen for maintenance of results

During aftercare, assure patient complies with loose clothing, sweat avoidance and sparing use of Retinoic Serum.

HYPERPIGMENTATION & DYSCHROMIA

Condition
Hyperpigmentation on the body typically falls into two main areas: UV-Induced Sun Damage and PIH. Melasma can occur
on the body but prevalence is quite low. Areas of dyschromia can occur anywhere on the body from the hands to the
legs to the buttocks. With UV-Induced Sun Damage, areas like legs, arms, and chest are most affected. With PIH it will
occur anywhere and can be induced by shaving, waxing, picking, acne, mosquito bites, or any condition that triggers the
inflammatory response. By reducing the trigger in both areas, practitioners will assure long-lasting results for patients.

VI Peel Selection: For all Fitzpatrick Skin Types, VI Peel Precision Plus is recommended. Condition may require 2-4 peels for
optimal outcome.
Application
After thorough cleansing and degreasing, apply with medium to medium-firm pressure. 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. For stubborn
pigmented lesions, a crosshatch pattern with firm pressure or cotton-tipped applicator can be used. Subsequent peels
should be spaced 4-6 weeks apart. A double degrease is typically required for areas of thicker skin like the 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. Loose,
cotton-based clothing is best post-peel.
• Avoid hot water when showering or cleansing skin. Only cleanse with lukewarm water during the post-peel phase.

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