PURAMED PROFESSIONAL. Choosing the Right Peel Some Factors to Consider. Introducing Treatments

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1 PURAMED PROFESSIONAL Distributed by Soleil Professional Professional Wholesale Guide specialising in: Skin Peels ph unbuffered Private Label Skin Care for Retail Plus Choosing the Right Peel Peel Comparisons Peel Instructions Sample Kits Product Protocols Choosing the Right Peel Some Factors to Consider Introducing Treatments Client age: Younger than 20 years of age Selective peel use Light daily exfoliator Only for the necessary cases such as persistent oily blemished acneic skin and use of the Salicylic light peel with minimum application time Generally not required every day unless persistent problems as above Client age: Up to 30 years of age Lighter peel strength Up to 30% Glycolic, 40% Lactic & 20% 1

2 Lighter daily exfoliator strength Basic microdermabrasion Salicylic Up to 5% Glycolic, 10%Lactic & 2% Salicylic Alpha Beta Cleanser and Microdermabrasion Cream Client age: 30 to about 45 years of age Light-Medium strength peel up to 50% Glycolic, 50% Lactic & 30% Salicylic Lighter-Regular daily exfoliator up to 10% Glycolic, 10% Lactic & 2% Salicylic Microdermabrasion All types Client age: 45 years and over Medium-Deep strength peel to 70% Glycolic, 70% Lactic & 35% Salicylic Regular daily exfoliator strength up to 10% Glycolic, 15% Lactic & 5% Salicylic Microdermabrasion All Types including Glycolic 10% Microdermabrasion Cream. Of course...if your patient fits into an above category you must also consider other factors including: Skin Type: For example, sensitive skin should always be directed toward the lightest strength products to determine their tolerance to acids. Application time for sensitive skin should be kept to minimum until tolerance increases and no redness or irritation occurs. Previous Product Usage: For example, a 28 year old female with current usage of Glycolic and tolerance to light strength, may be treated with slightly stronger product and/or peel application maybe increased. KIRA LABS INC

3 PRODUCT PERCENTAGE- AN UNEVEN LANGUAGE %? WHAT TO LEARN FROM THE ABOVE CHARTS When considering acid products often comparing percentages can be misunderstood. Comparing Salicylic to Glycolic Acid (figure 1) for peel strength or depth shows that Salicylic is much stronger than Glycolic of a similar percentage. Glycolic 30% tolerance does not translate to Salicylic 35% tolerance. Lactic compared to Glycolic (figure 2) shows that Lactic is generally weaker in strength than comparable percentage Glycolic. However, the gap difference between Glycolic and Lactic is smaller than comparing to Salicylic Acid. 3

4 SALICYLIC PEEL BETA HYDROXY ACID PEEL Salicylic Acid Products: LIGHT PEEL - 10% & 20% MEDIUM PEEL - 20% & 30% DEEP PEEL - 30% & 35% DAILY EXFOLIATOR* - 2% & 5% (*pre-peel prep & take home daily exfoliator strengths) FORMULATION: Salicylic Acid, a Beta-Hydroxy Acid, is a highly effective superficial peeling agent, oil reducer and pore cleanser. Oil-soluble and lipophilic, Salicylic penetrates sebum filled follicles and cleans out clogged pores, resulting in marked improvement in especially acne prone skin. Ingredients: Distilled Water, Salicylic Acid, Alcohol Denatured*. APPLICATION: With Salicylic Acid, you can deeply cleanse and clear the pores, balance oil production, and train even the most blemished skin to behave like healthy, normal, blemishfree skin. Daily treatments result in marked, if not total, improvement in skin s appearance, and help to achieve a continuous blemish-free appearance. General Directions: Always refer to Peel Instruction Manual. As Glycolic instructions, although initially, rinse with neutralizing solution or water after 30 seconds. Pell can be left on for longer periods as tolerance increases. RESULTS: Dr. Albert Kliginan, professor emeritus of dermatology at the University of Pennsylvania, School of Medicine: "Salicylic acid is effective in reducing the appearance of fine lines 4

5 and wrinkles, and improving overall facial texture because it exfoliates both the skin surface and within pores, without all the irritation commonly associated with the alpha hydroxy, glycolic acid." PATIENT EXPLANATION Salicylic Acid, a Beta-Hydroxy Acid, is an excellent deep cleanser. It dissolves oil and is able to penetrate and clean out clogged pores. This diminishes blackheads and pimples and prevents new ones from forming. Salicylic Acid also works by exfoliating (removing) aging cells, dirt and debris attached to the skin surface. By removing the superficial aging cells, new cell growth is stimulated resulting in younger, healthier cells appearing on the surface. This amazing 3-4 minute procedure results in a remarkable rejuvenating effect. The skin will immediately feel smoother, softer and more evenly pigmented. Fine wrinkles, large pores and even acne scars will be less noticeable. You will notice increased improvement with each additional peel. The Salicylic Acid Peel is superior in many aspects to traditional superficial chemical peels as it does not damage the skin. Although it can be used on its own, Salicylic Acid is ideal for use before a Glycolic Acid Peel because it prepares the skin to receive the maximum benefit from Glycolic Acid. INSTRUCTIONS FOR USE 1. Review with patient their skin type, age, previous product usage and if necessary consider performing a patch test to skin for sensitivity. 2. Gently wash face with Green Tea, Glycolic or Lactic C Cleanser, rinse with water and pat dry. For improved peel acid absorption try using Alpha Beta Microdermabrasion Cleanser to buff the skin, deeply remove dirt and oil and open pores. 3. Shake Salicylic Acid well. Wipe away and discard any crystallised Salicylic Acid that may be clinging to the bottle opening. 4. Apply 1-2 ml Salicylic Acid to a gauze pad and apply to the face using a mild rubbing action. Avoid eye areas, lips, and insides of nostrils. Continue buffing until frosting of the skin appears. (Note: if no frosting appears than a higher concentration of Salicylic Acid may be appropriate). 5

6 5. Leave on initially for seconds, building up to 2-3 minutes as patient tolerance increases. (You may fan the skin at this stage to alleviate discomfort). 6. After reaching the desired time wash off with cold water. (Note: Should redness or excessive stinging occur, wash off immediately. Pat dry with a clean cotton or paper towel. Do not rub skin with the towel.) 7. Apply REPLENISH HYAULRONIC MOISTURIZER to soothe and nourish skin. At this stage you may wish to apply Glycolic Acid Peel as part of an Alpha Beta Peel Treatment. GLYCOLIC PEEL ALPHA HYDROXY ACID PEEL KIRA LABS INC. M KIRA Glycolic Acid Products: LIGHT PEEL - 20% & 30% MEDIUM PEEL - 40% & 50% DEEP PEEL - 60% & 70% DAILY EXFOLIATOR* - 2% 5% & 10% (*pre-peel & take home daily exfoliator strengths). FORMULATION: Purified Glycolic Acid in a Natural Clear Gel Base; ph 2.2 (nonbuffered product available upon request); Over 2 year shelf life and odor free. Ingredients: Distilled Water, Glycolic Acid, Sodium Hydroxide, Xanthan Gum, Methylparaben, Propylparaben. APPLICATION: Glycolic is perfect for almost all skin types, skin rejuvenation, anti-aging, re-texturisation, evening skin tone and when used properly for oily & acneic skin. General Directions: Always refer to Peel Instruction Manual. Simply apply to gauze pad and buff skin. Rinse with neutralizing solution or water after 2-3 minutes. Can be left on for longer periods as tolerance increases and a deeper peel are desired. Can be used in conjunction with other skin care treatments such as Retin-A and Salicylic Peels. (Note: We highly recommend the use of sunscreen after Glycolic treatments.) RESULTS: A series of peel treatments when properly applied will achieve noticeable skin rejuvenation improvement for most patients. Combining the inoffice peel treatment with take-home daily exfoliator & moisturizer maintenance products is vital to ensure best peel results and recurring in office visits. GETTING STARTED IN YOUR OFFICE 6

7 The best way to get started is to CALL US. All professionals use the Glycolic treatments and send their patients home with low-strength Daily Exfoliators to maintain and improve results - and of course remind the patient to return for their next peel treatment. PATIENT EXPLANATION Phase two involves Buffered Glycolic Acid, otherwise known as Alpha-Hydroxy Acid or Fruit Acid. It is naturally found in grapes, apples and sugar cane. Glycolic Acid is one of the most effective exfoliation agents known Glycolic Acid improves dry skin, diminishes age spots, reduces oil and acne and decreases fine lines and wrinkles. Glycolic Acid works by removing the outer layers of thickened or damaged skin, leaving a smoother and healthier appearance. Glycolic Acid is capable of penetrating into the deeper layers of the skin and increasing the rate of dead cell shedding, new skin cell production and collagen formation. INSTRUCTIONS FOR USE 1. Review with patient their skin type, age, previous product usage and if necessary consider performing a patch test to skin for sensitivity. 2. Gently wash face with Green Tea, Glycolic or Lactic C Cleanser, rinse with water and pat dry. For improved peel acid absorption try using Alpha Beta Microdermabrasion Cleanser to buff the skin, deeply remove dirt and oil and open pores. 3. Apply 1-2 ml Glycolic Acid to a gauze pad and apply to the face using a mild rubbing action. Avoid eye areas, lips, and insides of nostrils. (Note: if no frosting appears than a higher concentration of Salicylic Acid may be appropriate). 4. Leave on initially for seconds, building up to 2-3 minutes or more as patient tolerance increases. (You may fan the skin at this stage to alleviate discomfort). 5. After reaching the desired time wash off with cold water. NOTE: Should redness or excessive stinging occur, wash off immediately. Pat dry with a clean cotton or paper towel. Do not rub skin with the towel. 7

8 6. Apply REPLENISH HYAULRONIC MOISTURIZER to soothe and nourish skin. Use GREEN TEA SPF30+ for anti-aging and UVA & UVB protection as skin is more sensitive to sunlight after performing peel and exfoliation treatments. Glycolic Acid will penetrate more effectively through a clean and exfoliated surface and therefore it is ideal to apply Glycolic Acid after a Salicylic Acid Peel. LACTIC PEEL ALPHA HYDROXY ACID PEEL Lactic Acid Products: LIGHT PEEL - 20% & 30% MEDIUM PEEL - 40% & 50% DEEP PEEL - 60% & 70% DAILY EXFOLIATOR* - 2% 5% & 10% (*pre-peel prep & take home daily exfoliator strengths) FORMULATION: High efficacy Lactic Acid and Sodium Lactate in a Natural Clear Gel Base; ph 2.2 (non-buffered product available upon request); and Over 2 year shelf life and odor free. Ingredients: Distilled Water, Lactic Acid, Sodium Lactate, Cellulose Gum, Methylparaben, Propylparaben. APPLICATION: Lactic Acid, an Alpha Hydroxy, carries many of the same properties as Glycolic Acids yet is less harsh and more moisturizing than Glycolic Acid skin peels. Recommended for those that are new to peel and exfoliating agents. General Directions: Always refer to Peel Instruction Manual. Simply apply to gauze pad and buff skin. Rinse with neutralizing solution or water after 2-3 minutes. Can be left on for longer periods as tolerance increases and a deeper peel are desired. Can be used in conjunction with other skin care treatments such as Retin-A and Salicylic Peels. FDA highly recommends the use of sunscreen after Glycolic treatments. RESULTS: Similar to Glycolic a series of peel treatments when properly applied will achieve noticeable skin rejuvenation improvement for most patients and Daily Exfoliation will maintain and improve results. Combining the in-office peel treatment with take-home daily exfoliator and moisturizer maintenance products is vital to ensure best peel results and recurring in-office visits. 8

9 PATIENT EXPLANATION Lactic Acid is a non-irritating rapid exfoliator. Lactic Acid is recommended for those that are new to peel and exfoliating agents in skin care products, as well as those that have used other exfoliators for a long period and want to improve results. Lactic is one of the Alpha Hydroxy acids (fruit acids). Fruit acids are nontoxic naturally occurring substances, and are found in a variety of fruits, such as grapes, apples and sugar cane. Other fruit acids are Citric, Malic, Glycolic and Pyruvic Acids. Lactic Acid is a thorough exfoliator, removing the outer layers of thickened or damaged skin leaving a smoother and healthier appearance. Lactic Acid can penetrate the deeper layers of the skin, increasing the rate of dead cell shedding, new skin cell production and collagen formation. With prolonged use, Lactic Acid has been found to be beneficial in improving reducing hyperpigmentation, dry skin, treating age spots, improving oily and acne prone skin and decreasing fine lines and wrinkles KIRA INSTRUCTIONS FOR USE 1. Review with patient their skin type, age, previous product usage and if necessary consider performing a patch test to skin for sensitivity. 2. Gently wash face with Green Tea, Glycolic or Lactic C Cleanser, rinse with water and pat dry. For improved peel acid absorption try using Alpha Beta Microdermabrasion Cleanser to buff the skin, deeply remove dirt and oil and open pores. 3. Apply 1-2 ml Lactic Acid to a gauze pad and apply to the face using a mild rubbing action. Avoid eye areas, lips, and insides of nostrils. 4. Leave on initially for seconds, building up to 2-3 minutes or more as patient tolerance increases. (You may fan the skin at this stage to alleviate discomfort). 9

10 5. After reaching the desired time wash off with cold water. NOTE: Should redness or excessive stinging occur, wash off immediately. Pat dry with a clean cotton or paper towel. Do not rub skin with the towel. For a more thorough Peel Neutralization try Green Tea Neutralizer. 6. Apply REPLENISH HYAULRONIC MOISTURIZER to soothe and nourish skin. Use GREEN TEA SPF30+ for anti-aging and UVA & UVB protection as skin is more sensitive to sunlight after performing peel and exfoliation treatments. ALPHA BETA PEEL ALPHA BETA ACID PEEL Alpha Beta Products: LIGHT PEEL 10% 20% MEDIUM PEEL 20% 30% & 40% DEEP PEEL 35% 50%, 60% & 70% DAILY EXFOLIATOR* 2%, 5% &10% (*pre-peel prep & take home daily exfoliator strengths) FORMULATION: Achieve the benefits of a FULL SPECTRUM PEEL. The Alpha Beta Peel combines Alpha Hydroxy Acid (Glycolic or Lactic Acid) with Beta Hydroxy Acid (Salicylic Acid) to give you a professional peel with professional results. The combination of Alpha & Beta Hydroxy acids delivers tight, smooth and radiant skin every time. APPLICATION: Research shows that applying Salicylic Acid prior to applying Glycolic or Lactic Acid will cause the AHA peel acids to better penetrate the skin, resulting in a totally unique and highly superior facial peel with increased Glycolic & Salicylic benefits. General Directions: Always refer to Peel Instruction Manual. Apply Salicylic Peel and immediately follow with Glycolic/Lactic Peel (or daily exfoliators for best results). 10

11 RESULTS: The combination of the both Hydroxy Acids in succession makes for an extremely thorough peel. Both Glycolic and Salicylic perform at a more effective level when used in the Alpha Beta format. Clients will immediately see the difference. KIRA LABS IN C KIRA POST PEEL CARE SALICYLIC, LACTIC & GLYCOLIC Immediately after the peel the skin may be red and blotchy, slightly raised, tight and shiny, and/or feel sensitive. These are all normal reactions to the peel, and symptoms should subside in a few hours or within 1-2 days in some cases. CAUTION: During this time, when skin is red and/or sensitive following a peel care should be taken not to pick or irritate the skin. A small number of patients may experience an initial reaction to glycolic acid, in the form of small blemishes, irritation or redness. This is a normal reaction, and should subside in a few days upon which treatment may be resumed. Post Peel Moisturization should involve application of Hyaluronic Replenish Serum which is specifically formulated not to cause irritation to exfoliated and peeled skin. Other moisturizers that can help soothe the skin and will not cause reactions include Hyaluronic Marine Peptide (especially for oily skin) and Squalane Oil (most suitable for drier skin types). In the week following the peel, the patient may experience mild flaking and/or redness, similar to a slight sunburn in some areas. The patient should apply Puramed Moisturizers as set out above and not use any irritants or exfoliators. Following a peel, patients should also take care to wash and dry their skin gently. The patient should avoid the sun and apply a non-irritating sunscreen, such as PURAMED Green Tea Aging SPF30 and UVA UVB sun block, when outdoors. Patients generally may resume their home skin care routine 2 to 3 days after the office treatment, provided there is no residual redness. For Best Results patients should return for peel treatments every 2-3 weeks. 11

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