Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

LASER 2012 > peels revision > Flashcards

peels revision Flashcards

(77 cards)

Start Studying
1
Q

why does barrier function need to be considered when doing CP

A

we want the CP to evenly penetrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

why would you use a superficial light peel?

A

no down time, increases permeability for actives, removes damaged corneocytes, increases mitotic rate via chemical messengers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

why would you use a superficial peel?

A

basement membrane is still intact, good for shallow scarring, texture, removes keratotic build up, actinic damage and fine rhytides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

why would you use a medium depth peel?

A

acne scaring, fine rhytides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what depth does a medium depth peel reach to?

A

The paplilary dermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Can a fitz 4 have a medium depth peel?

A

yes, but with prepping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what depth peels do you need a sterile environment for?

A

medium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when would you refer a client to have a deep peel?

A

deep scarring, skin laxity, deep rhytides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what fitz can have a deep peel?

A

only 1 & 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what depth does a micro usually reach?

A

superficial light - superficial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what results can a client expect following a micro?

A

smoother skin, increased hydration, reduction in break outs, finer rhytides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is kPa?

A

Measurement of pressure, kilo-pascals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are some control variables that effect depth of wounding in micro?

A

crystal type, velocity of crystals, kPa, rate of movement, number of passes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when would you turn the kPa down?

A

around the eyes and mouth & skin conditions that you don’t want to create heat.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what kPa would you have it on around the eyes?

A

5-15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is an end point?

A

either immediate, delayed, desired or un desired.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are some common topical ingredients applied post micro or peels?

A

hyalauronic acid, soothing botanical s, azelaic acid, pigment inhibitors, retinol and l-ascorbic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

is some one had mild acne (mostly comedones) what would the micro do?

A

it would be superficial light and would reduce sebum and corneocytes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A client with Glogau 4 with concerns of photo aging, what would you advise them?

A

consult with a doctor in regards to deeper peels.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

why can it be hard to see erythema in aged skin?

A

due to the reduction in blood vessels.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

why do older people tend to show a higher pain thresh hold in their skin?

A

due to the decrease in their sensory function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the main differences in keloid scars and hypertrophic scars?

A

hypertrophic scars develop soon after injury, keloid scars can be delayed. H can be self resolved, K can’t. H are limited to the wound margins, K aren’t, H are most common in the tension areas, K can occur anywhere.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what type of scars are best suited for treatment with micro?

A

shallow, non atrophic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what scars will not show much improvement ‘or could worsen with micro?

A

keloid, hypertrophic, ice pick scars.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what stage are striae most responsive to micro in?
2nd stage (light pink/mauve color)
26
how can the concentration of a peel affect the treatment?
it can determine the depth
27
how can the length of time affect the depth?
some peels don't self neutralize and will keep activated.
28
how does the site affect the healing time following peels?
the face has more sebaceous follicles and will reepithelialize faster.
29
client in her 50's with actinic damage, what depth peel would you recommend?
medium, prepped on an inhibitor for 4 weeks. prep on AHA's and Niacinamide also to help even out the barrier.
30
How often can you have a deep peel?
only one per lifetime
31
what depth does a deep peel reach?
the Reticular dermis
32
A client with milia, comedones, but no pustules or papules. What grade acne is this? & what kPa would you use with micro?
Grade 1, 20-34 kPa
33
why are you more likely to turn down the kPa and do more passes on a client with hyper-pigmentation?
so we can exfoliate the epidermis, allowing for deeper penetration of inhibitors
34
list 3 'mechanisms of actions' of chemical peeling agents. with an example.
metabolic - causes increased slothing of cells (AHA's and retinoids) caustic & toxic - causes necrosis and inflammation. (phenol, salicylic & resorcinol)
35
if a client has excessive sebum with no acne, what active cosmeseutical would you prescribe?
Niacinamide
36
client concerned with photo aging & she enjoys the outdoors, what products would you recommend for her?
sunblock & vitamins E & C to help aid in collagen production.
37
adult acne, dull skin, soap base cleanser, no moisturizer. why is her skin dull & why does she think moisturizer makes her break out? how could we improve her skin?
higher fitz can look dull, due to build up of cells, AHA's would improve this, Niacinamide will help improve her acne & act as a moisturizer.
38
rosacea client what would you recommend?
vitamin B to help promote a good barrier and helps improves TEWL.
39
what are the main differences with AHA's and BHA's
AHA's have a smaller molecule compared to BHA's which limit their depth. AHA's are considered to be hydrating (metabolic) where as BHA's are caustic.
40
what peeling agents have hydrating properties?
Lactic acid and Mandelic acid
41
why do you ask clients to cease use of retinoids before a peel?
to avoid uneven penetration of peel.
42
which of the following can be both caustic and metabolic, depending on the percentage used? Salicylic, Glycolic, Lactic or TCA
Glycolic
43
what peeling agents did Unna pioneer?
Salicylic. resorcinol & TCA
44
What is the minimum time frame between superficial light peels?
1 Week
45
what can you apply after UV exposure, that will provide photo protection?
Vitamin E & C
46
What are 5 main variables with the skin (general)
oil flow, hydration level, vascularity, skin thickness, pigmentation.
47
what Glogau has visible actinic keratosis, wrinkles all the time, skin discoloration & telangiectasia?
type 3
48
what Glogau has no lines, and little to no discoloration.
type 1
49
what Glogau has skin cancers & actinic keratosis?
type 4
50
what Glogau has early actinic keratosis, wrinkles with motion?
type 2
51
what is the barrier of the skin comprised of?
acid mantle & stratum corneum
52
what are the 3 phases of wound healing?
inflammatory, proliferation and maturation
53
what is an example of superficial light peels?
BHA's (salicylic acid), TCA 10% Glycolic 30-50% (1-2 mins), Jessner's 1-3 coats
54
what is an example of superficial peels?
Glycolic 50-70% 2-10 mins, Jessner's 4-10 coats, Resorcinol 40-50% (30-60 mins), TCA 20-30% - full epidermis
55
What is an example of medium peels?
Glycolic 70% 3-30 mins, TCA 35-50%
56
What is an example of deep peels?
Phenol 88% Baker Gordon Phenol, >50% TCA
57
what is considered to be low kPa?
15-20
58
what is considered to be medium kPa
20-35
59
what is considered to be high kPa
35-40
60
when would you use high kPa?
spot planning, scar margins, stretch marks
61
when would you use low kPa?
neck, reactive skin, acne prone skin, telangiectasia.
62
What is a mixture?
a combination of compounds or elements that are physically blended but not bound by chemical bonds
63
what peels are considered to be toxic?
phenol, salicylic & resorcinol
64
how often can you do a medium depth peel?
3-6 monthly
65
how often can you do superficial peels?
2-4 weekly
66
what is the retinoid conversion?
retinyl palmitate, retinol, retinaldehyde, all-trans retinoic acid, retinoic acid.
67
does vitamin C reduce pigment?
yes, it inhibits tyrosinase
68
what is the least stable form of vitamin C?
L-Ascorbic acid
69
what is the most stable form of vitamin c?
magnesium ascorbyl Phosphate
70
how does Niacinamide reduce pigment?
prevents the transfer to k.cyte from m.cyte
71
what is considered to be a strong acid? pKa of -2 or pKa of 5
pKa of -2 is considered a strong acid
72
what % of TCA is light superficial, superficial, medium & deep?
10-20, 25-35, 35-50, 50 +
73
what peel would you use on an acne client with moderate sebum flow?
glycolic
74
what peel would you use on a acne client with seborrhea skin?
Jessner's Salicylic or pyruvic
75
what peel would you use on an acne client with dehydrated skin?
lactic or mandelic (larger molecule)
76
what are the best peels for PIHP?
Jessner's, Salicylic, Glycolic & Tretinoin
77
what percentage of TCA do you use for Cross?
50-100%

LASER 2012 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions