chemical peel study guide

Question 1

Glogau scale is the preferred method of classification

Answer 1

False

Question 2

The 3 steps to a through skin typing and analysis are: Cleanse, skin typing and analysis, and document

Answer 2

True

Question 3

If a client has sensitive skin they are immediately eliminated from being a good peel canidate until you become familiar with their skin

Answer 3

True

Question 4

Superficial peeling is most effective on acne grades 1 and 2

Answer 4

True

Question 5

A chemical peel is an uncontrolled burn of the skin

Answer 5

False

Question 6

Glycolic acid is a vegetable acid derived from acidic vegetables

Answer 6

False

Question 7

TCA penetrates to the papillary dermis or the upper reticular dermis when a full frost is achieved

Answer 7

True

Question 8

The most commonly used DEEP peel is an enzyme peel

Answer 8

False

Question 9

When consulting with a client with acneic skin it is important to document the grade of acne at the consultation and the treatment progresses

Answer 9

True

Question 10

If you use more than one strength of glycolic peels, the bottles should be marked clearly or highlighted when received

Answer 10

True

Question 11

A consent form for a peel only needs to be obtained when you are concerned a client may have a reaction

Answer 11

False

Question 12

20% to 30% glycolic peel solutions are very mild

Answer 12

True

Question 13

70% glycolic acid is very easy and safe to use on a client of any skin type

Answer 13

False

Question 14

The dryer the skin is, the more intense the peel

Answer 14

True

Question 15

There is little that can be done once a client’s skin shows injury by hypopigmentation

Answer 15

True

Question 16

It is not beneficial to alternate a glycolic peel with other spa treatments

Answer 16

False

Question 17

Jessners solution is a preferred peeling agent for oily, acne prone, and hyperpigmented skin because it is safe and doesn’t need to be neutralized

Answer 17

True

Question 18

Gauze should be very saturated and dripping with peel solution when applying it to the skin

Answer 18

False

Question 19

Letting the client go home with hot, burning skin after a peel is the most effective way to achieve the best results

Answer 19

False

Question 20

Jessners peels are rinsed thoroughly until the client feels relief

Answer 20

True

Question 21

The best home care exfoliation for a TCA peel is one with a physical abrasive agent and lots of scrubbing to remove dead skin

Answer 21

False

Question 22

Salicylic acid peels do not frost

Answer 22

True

Question 23

Microdermabrasion and facials should be done before Salicylic acid peels

Answer 23

True

Question 24

Skin condition is described by the terms

Answer 24

Dry, normal, oily, and sensitive

Question 25

The newest category added to skin conditions is

Answer 25

aged/sun damaged

Question 26

Fitzpatrick skin typing considers how an individuals skin reacts to ___________ sunlight exposure

Answer 26

unprotected

Question 27

Glagau classification is based on these criteria: chronological age, pigment changes, keratosis, __________, __________, and ___________

Answer 27

wrinkles, makeup, acne scarring

Question 28

The categories used by the Rubin scale for the classification of skin are ________, ________, and ________

Answer 28

pigment, texture, wrinkling

Question 29

Flash injuries can cause ______ degree burns

Answer 29

second

Question 30

________________ is a peeling injury that is limited to the layers of the epidermis, is superficial and heals within days

Answer 30

Epidermal wounding

Question 31

______________ is the process of healing that includes coagulation and inflammation, reepithelization, granulation tissue formation, and collagen remodeling

Answer 31

Secondary intention

Question 32

A jessners peel is made up of 3 different acids with a strength of _____ each

Answer 32

14%

Question 33

The salicylic acid or beta peel usually comes in 2 peeling strengths ____ and ____

Answer 33

20 %, 30%

Question 34

50% salicylic peels or greater should only be used in medical offices due to the potential risk of ______________

Answer 34

Salicylate toxicity

Question 35

Ringing in the ears is also called __________

Answer 35

Tinnitus

Question 36

Glycolic acid is naturally derived from ___________

Answer 36

Sugar cane

Question 37

______ skin absorbs the peel solution quicker than _____ skin

Answer 37

dry, oily

Question 38

Microdermabrasion should be performed ________ a peel

Answer 38

before/after

Question 39

Jessners solution combines 3 solutions suspended in an ___________ base

Answer 39

ethenal

Question 40

Do not forget to add ___________ and ___________ to the pretreatment care for clients

Answer 40

sunscreen, moisturizer

Question 41

Always obtain a _____________ as it is apart of your protection in a dispute

Answer 41

consent form

Question 42

Microdermabrasion is done _______ a jessners peel

Answer 42

before

Question 43

Microdermabrasion is done _______ a glycolic peel

Answer 43

after

Question 44

Erythema that is persistent and does not go away can thicken and become a ________ if not properly addressed

Answer 44

scar

Question 45

The number of _________ of a TCA peel determines the depth of the peel

Answer 45

passes

Question 46

People who are a risk factor for PIH when using a TCA peel should pretreat with 6% to 8% _____________

Answer 46

hydroquinone

Question 47

The depth of a TCA peel is consistent with the________ you see on the skin

Answer 47

frost

Question 48

for TCA peels, _____________ is NOT an accepted outcome

Answer 48

hypopigmentation

Question 49

Salicylic acid is a _____ hydroxy acid

Answer 49

beta

Question 50

Salicylic acid is _________________ and _________________, this is why it works well in the treatment of acne

Answer 50

antibacterial, anti-inflammatory

Question 51

Salicylic acid peels for grade 2 acne should be done every ___ weeks, and for grade 1 acne every ____ weeks

Answer 51

2, 3

Question 52

Rubin Classification of aging analysis is the preferred classification method because it places emphasis exclusively on aging associated with what factor?

Answer 52

Photodamage

Question 53

List 5 contradictions for a chemical peel

Answer 53

1. Sunburns 2. Accutane 3. Infection 4. Rashes 5. Cold sore/open lesions

Question 54

List the 3 classifications of peels by depth

Answer 54

superficial, medium, and deep

Question 55

List 4 agents that are generally considered epidermal wounding agents

Answer 55

glycolic acid, jessners peels, salicylic peels, and TCA applications

Question 56

List the 3 different acids in a jessners peel

Answer 56

Salicylic, resorcinol, lactic

Question 57

List 4 symptoms of salicylate toxicity

Answer 57

headache, dizziness, vomiting, and tinnitus

Question 58

List the 3 classes of Rhytids

Answer 58

fine, medium, coarse

Question 59

List 3 products that work very well for the treatment of acne

Answer 59

light peels, jessners peels, LED therapy, salicylic

Question 60

A good home pretreatment for a glycolic peel is... (list 6)

Answer 60

AHA, vitamin c, Retin A, hydroquinone, sunscreen, moisturizer

Question 61

3 complications for glycolic peels

Answer 61

scarring, allergies, bacterial/viral infections

Question 62

what is PIH

Answer 62

Post Inflammatory Hyperpigmentation

Question 63

4 reasons to consult with a physician when considering glycolic peels

Answer 63

need of prescription, need of acne treatment, suspicious lesions, and efficacy of care plan

Question 64

3 solutions you can use when defatting the skin in preparation of a peel

Answer 64

70% isopropyl alcohol, 90% isopropyl alcohol, and acetone

Question 65

3 things may be added to a jessners peel for peel application

Answer 65

green tea, Paraguay tea, and kola nut

Question 66

What technique do most estheticians prefer for peel application?

Answer 66

Folded guaze

Question 67

Frosting may occur with these 3 types of peels...

Answer 67

Jessners, glycolic, TCA

Question 68

Which peel is not normally used for aging skin?

Answer 68

Jessners

Question 69

Which peel can be used in combination and before a jessners peel?

Answer 69

glycolic

Question 70

How often are clients seen for a Jessners peel?

Answer 70

biweekly, then 3 weeks, then monthly

Question 71

Percentages of TCA recommended for a spa are ____, ____, and ____

Answer 71

10%, 15%, and 20%

Question 72

Which peel is considered the gold standard of all peels?

Answer 72

TCA

Question 73

How long should a client wait before having microdermabrasion after a TCA peel?

Answer 73

8-10 weeks

Question 74

How often do you perform a TCA peel on a client?

Answer 74

Quarterly