Indications:
l Atrophic Post Acne Scarring
l Melasma
l General Extrinsic Ageing
l Acne (NOT cystic, inflammatory acne)
l General Skin Refresh
l Skin types I, II & III for level 2 and level 3, Skin types IV, V
& VI for level 1
Contradindications:
l Skin types IV, V & VI for level 2 (moderate) to level 3
(intense) MDA
l Severe cystic or painful acne
l Current and recent (< 6 months) Roaccutane® therapy
l Rosacea and/or severe telangiectasia (don’t do it on the
telangiectasia)
l Patient with unrealistic expectations
l Patient who don’t practice good sun protection
l Active cold sores (don’t resurface to close to the lips)
Levels:
l Level 1 Mild: Ablation of upper epidermal layers (resulting in
erythema). Usually 2 passes at suction 4 or 20kPA, media 4 for face, and
suction 4 or 20kPA, media 3 on eyes and neck.
l Level 2 Moderate: Ablation of upper and mid epidermis (resulting in
mild grazing). Usually 3 passes at suction 6 or 25kPA, media 5 for face, and
suction 4 or 20kPA, media 3 for eyes and neck.
l Level 3 Intense: Intense: Ablation to basal layer (resulting in
grazing and pinpoint bleeding)
Intensity increases with:
l larger coarse crystals
l longer treatment period
l increase in suction
l skin prep with exfoliating cosmeceuticals
l more crystal outflow
l continuous suction
Mechanism of action:
l The inflammatory response elicited by a series of microdermabrasion
treatments resembles a reparative process in the dermis and epidermis. This
appears to be the mechanism by which microdermabrasion produces its clinical
effects.
Cautions:
l If you’re preparing your patients skin with a highly active
cosmeceutical such as retinoic acid, you must allow at least a 2-week period
for the skin to adjust to the new product. If you were to perform MDA before
this, the results become very unpredictable. Any erythema, irritation,
inflammation and/or flaking may indicate your patient is still adjusting to the
active cosmeceutical.
l Chemical peels applied immediately post MDA treatments can cause significantly
more ablation/exfoliation than expected.
Pre care:
l Preparing the skin 1 to 2 weeks prior to MDA treatment will give a
better treatment outcome and help reduce complications such as post inflammatory
hyperpigmentation. Any exfoliating cosmeceutical (eg. AHAs, Vit. A), tyrosinase
inhibiting cosmeceutical (eg. Vit. C or botanicals), always an SPF 30+
After care:
l Down-time approximately one week: Swelling and erythema lasting 24
to 48 hours, mild crusting lasting 5 to 7 days, mild purpura lasting 48 hours.
l Using highly active cosmeceuticals post MDA can result in an
unpredictable response. In general, stick with basic cleansers and moisturisers
free from active ingredients, perfume and colours.
Potential complications:
l Corneal damage
l Hyper/hypopigmentation
l Infection
l Skin reaction with post procedure skin car
Procedure (Machine used: Diamond flower
peel machine):
1.
Explain to client the
importance of keeping their eyes closed so that the crystals do not get into
the eyes.
2.
Wipe down noozle with alcohol
wipe and put it on the hand piece.
3.
Set the MDA machine: media,
suction.
4.
Level 1: 2 passes, Level 2: 3
passes.
5.
Keep shaking out crystals and
wiping away crystals from the face. Never hold it over the eyes as grains can
fall in.
6.
Hold skin with thumb and middle
finger.
7.
Hold hand piece like pen, as
low as you can. Move back and forth, overlaps/passing each other, not crocodile
teeth.
8.
Start with forehead up and
down, progression towards neck. Left temporal area side to side motion, move
towards the right until the mid chin. Then go to client’s left side and go from
cheeks to left chin.
9.
Above the lips by feathering.
10.
Then work upwards to nose.
Across the nose by feathering and twirling (cyclone effect great for drawing up
blackheads).
11.
Turn down the settings and do
under the eyes by feathering, then neck doing upwards motion.
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