Protocols of Use
Contents
1. 30 and criss cross OR Lymphatic arms after about 3 4 Drainage technique more agressive treatments settings person _ Fe ee Ll ANN Neck and Decollete mee pee e ANN around the eyes Large areas back upper arms buttocks Men young tough 8 0 9 0 6 30 6 60 6 80 bel IU areas Try to increase Usually decrease vacuum by one treatment settings when getting to cheek area and every second decrease by another one lower procedure weekly diamond grit for eyelid area or neck and decollete Min of 5 6 treatments Boosting results bi weekly for two weeks to quickly resolve an acne eruption weekly for excellent outcomes Page 3 of 13 IM D T alo HOND SilkPeel Dermallnfusion Settings amp Parameters ADVANCED PARAMETERS amp SETTINGS Eye s amp Lip package with SilkPeel Dermalinfusion Eye Package 6 15 minute treatments weekly 120 or 140 grit with HYALURONIC BASED HYDRATING Solution 3 0 3 5 vacuum and maximum flow Eye cream retail physician is offering as retail Depending on skin type will determine how many passes needed Results diminishing of fine lines wrinkles crow s feet Periorbital amp orbital area extremely hydrating to the delicate eye area Recommended patient For the patients who have crow s feet fine lines and wrinkles Typically the sun damage mature patients who are self conscience about this area meh Sh S 3 P Lip Package 6 15 minute treatment2. Clarifying Solution to open the pores It also has excellent abrasive effect Be careful many are allergic to Aspirin or Salicylic solution HYDRATING BRIGHTENING CLARIFYING SUGGESTION some say its best to start with SALICYLIC BASED CLARIFYING Solution for first pass check NO allergy to aspirin the SALICYLIC BASED CLARIFYING will help opening the pores and abrade the skin even better After this pass they can use KOJIC ACID OR HYDROQUINONE BASED BRIGHTENING and or HYALURONIC BASED HYDRATING solution for clearing brown spots and moisturizing Always a combination of all solutions is BEST Operator can be more creative when they choose the best solutions to achieve best outcomes Page 11 of 13 Infusion _ OTHER SUGGESTION others say If using more than one solution it is going to be more beneficial if you use Hyaluronic FIRST to lay your foundation Several reasons because Hyaluronic is found naturally in the body the body responds very well to it recognizes it and grabs onto it right away Once you place your second solution on top of that Hyaluronic s humectant properties will pull the molecules of the other solution deep into the skin where it will be the most effective Using hyaluronic first will also improve the texture of the skin and its resilience itis not as effective if used second Overall results can be stunning after 5 6 consecutive procedures safety is paramount because the syst
3. again e put your finger on end of handpiece see that the diamond is RECESSED inside and not out e when your finger STAYS ON CONTINUOUSLY check the vacuum level again e Look at the center of the handpiece see that diamond is exactly CENTERED and sits well in handpiece e check that the solution is right and you have it for the right treatment NOW YOU CAN TREAT Page 9 of 13 ATL infusion TREATMENT Now you can go on the face back or hand or any treated body area PARAMETERS TO REMEMBER gt DIAMOND Face amp Hands always use the 6mm diamond 9mm may scratch Diamond head to start 1st time patient usually 6 60 for men and 6 80 for women good thick skin for better treatment you may use the 6 30 it is great but quite abrasive better results try it always first on the hand and the headline on forehead to see if it is not hurting too much for areas under the eyes and eyelids use very smooth diamond like 6 120 or 6 140 minimum vacuum around 3 use the 9mm diamonds 9 30 or 9 60 or 9 80 only on back buttocks and upper arms too big for face or hands VACUUM amp FLOW gt Flow all the way to MAXIMUM all the time auto regulates itself based on vacuum gt Vacuum gt Standard conservative Vacuum 5 7 Regular depends on face or skin area patient age and laxity from 3 to about 8 higher vacuum and more aggressive grits can be better tolerated with number o
4. the vacuum 1PSI or just increase one parameter for one procedure and not the other example too much vacuum breaks capillaries if sensitive but higher grid would be fine you may try to increase settings in one area of the face but not in other areas gt Men same settings to start You can increase more aggressively and faster WATCH for not doing too much Page 12 of 13 Infusion e TREATMENT cont SUGGESTION Repeat OF SAFE PROCEDURES FOR NEW OPERATORS First time SilkP eel procedure every new patient regardless of what they tell you need to be started with CONSERVATIVE SETTINGS 6mm diamond grit of 80 for a woman and 60 max for a man on the face Start with HYALURONIC BASED HYDRATING solution or HYALURONIC BASED HYDRATING solution only do 2 3 passes only and let them tell us how their face have been doing We can increase settings and use other solutions for next treatments SUGGESTION PRIMING REMEMBER to always PRIME the system at the beginning of the day and every time you change switch solutions to fill up the tubing with new solution q REMINDER SETTINGS FOR PRIMING MAX vacuum MAX flow CLOSE the handpiece with finger continuously or use blue cap WITHOUT DIAMOND IN WAIT about 1 minute to see the handpiece filling with solution when you put handpiece upside down or just see that it runs when you use on skin Page 13 of 13 TM Infusi n SUGGESTION If using more than 1 sol
5. weekly Lip plumper or lip balm offered by the practice as retail 100 120 140 grit w HYALURONIC BASED HYDRATING solution depending on skin thickness 3 0 4 0 vacuum and maximum flow gt i Depending on dryness chapped lips will determine how many passes needed Normal cases 6 passes both upper and lower including entire lip and boarder Results Plump amp moisturized lips dimished lines around the vermillion area Lip exfoliation with SilkP eel w HYALURONIC BASED HYDRATING solution prior to lip filler Patient will achieve less swelling for the patient Page 4 of 13 IM Infusi n SilkPeel Dermallnfusion Procedure Protocol I SKIN EVALUATION The 2 GOLDEN RULES gt be conservative in your approach ALWAYS gt do less not enough is better than sorry you did too much gt Start by evaluating the skin the look amp touch look and touch gently pinch for texture look at color Fitzpatrick l V look for irregularities keratoses and skin tags identify actinic damage sun damage or photo damage look around the eyes for lax skin pull lightly on eyelids 4 look atthe base of the nose and the cheeks for small capillaries rosecea telangectesia identify active acne dehydrated skin hyperpigmentation or hypopigmentation was it from a laser procedure PIH etc e any scarring fresh wound write down on chart anything that looks irregular and ask patient to
6. HE PATIENT IS IN e prepare patient for SilkP eel treatment take off makeup lightly clean skin no eye shields needed no turban no crystals e start treatment see below Page 8 of 13 TM D n TM we infusion QUICK CHECK PRE TREATMENT Suggestion Before touching their face with the handpiece perform one or two passes on the back of their arm inside of the forearm to allow them to feel it and get comfortable with the noise and the settings this allows YOU too for adjusting the SilkPeel settings right ask them how it feels This simple step helps you set the treatment settings right and it takes the patient Stress down substantially always do the following before you touch the face with handpiece gt 4 CHECKS for SilkPeel settings again see below gt CHECK on inside of the forearm of patient give it 15 30 seconds to see reaction Speak with the patient and ask how they are doing and if it hurts how does in feel in comparison gt CHECK on hair line of the face again about 2 3 x 3 centimeter passes on the forehead overlapping about 30 and STOP for 30 seconds If too red lower the vacuum or change diamond if no reaction you can increase settings and check again until you get expected skin reaction gt You are judge and remember rule 1 THE 4 CHECKS FOR EVERY TIME YOU CHANGED DIAMOND OR CHANGED THE SOLUTIONS check the following 4 things ALWAYS before touching the patient
7. S lkPeel Dermalinfusion S YS teu In Sseriice Protocol tor Beauticians Licensed Aestheticians European Version IMPORTANT DISCLAIMER THIS BROCHURE AND THE INFORMATION WITHIN IS NOT INTENDED TO REPLACE THE USER GUIDE OR ANY OTHER FORMAL MATERIALS AS PROVIDED WITH EMED INC SYSTEM THE INFORMATION CONTAINED IS NOT CLINICAL OR MEDICAL AND DOES NOT CLAIM TO BE SUCH THIS IN SERVICE PROTOCOL CANNOT REPLACE FULL SYSTEM IN SERVICE AND CAN BE USED ONLY AS A VERY BASIC PROTOCOL GUIDE FOR NEW OPERATORS THE PARAMETERS WITHIN THE PROTOCOL ARE BASED ON OUR OBSERVATION ONLY AND HAVE NOT BEEN TESTED BY US TO SHOW THAT THEY ARE OPTIMAL TO SKIN CONDITIONS OR ELSE PHYSICIAN MUST BE ASKED FOR EVERY INFORMATION WHICH MAY CONCERN SKIN PROCEDURES OR SKIN TREATMENT WITH MACHINES AND BEFORE USING ANY PRODUCT THAT COMES IN CONTACT WITH SKIN THIS PROTOCOL IS NOT ABOUT INSTRUCTING OR DIRECTING YOU TO USE ANY PRODUCT OR PROVIDE CLNICAL OR MEDICAL OPINIONS OF ANY KIND THE WRITERS DO NOT TAKE ANY RESPONSIBILITY FOR PROVIDING ANY TYPE OF OUTCOMES OR RESULT AND MISTAKES IN THE CONTENTS THAT MAY RESULT IN ANY SKIN OR OTHER HEALTH HAZARDS OR ANY OTHER COMPLAINT DO NOT USE THIS IN SERVICE PROTOCOL IF THE INFORMATION AS ABOVE IS NOT CLEAR TO YOU OR YOU DO NOT AGREE WITH IT BASIC SETTINGS Vacuum Diamond Grit Flow No ofPasses GENERAL face 5 0 7 0 6 60 6 80 Maximum 3 4 best to overlap about 20 30 hand back and upper increase to 6
8. confirm they ve seen it and confirm what it is gt suggestion now is time to fill out the patient evaluation form throughout your observation and consult Page 5 of 13 Infusi n asking your patient questions the query amp watch phase BEFORE e how does their skin react to other skin products in general e do they have dry skin or areas of rosecea e are they aware of their capillaries breaking up easily on the cheeks the nose or around the eyes REMEMBER PATIENTS MOST OF THE TIME WILL KNOW THEIR SKIN QUITE WELL AND IF GUIDED THEY LL HELP YOU A LOT MORE THAN YOUR SELF TO DEFINE THEIR SKIN TYPE AND PROBLEMATIC AREAS OF CONCERN ask how their skin reacted when they had microdermabrasion in the past or light chemical peeling or treatment of any sort was it pink red they know their skins BEST for how long has the redness stay normal would be 20 minutes to 2 hours when having a previous peel had they actually felt it s not doing enough and could not see skin color change or any reaction after treatment gt or was it the other way around AFTER Page 6 of 13 Infusi n gt AND CONTINUE TO asking your patient questions e o they have chemical pee of any kind lately when and what kind gt have they had PDT Photo Dynamic Therapy or any light procedure lately when do not treat too close to a procedure that requires re epithalisation of the skin or caused
9. em parameters control the depth of abrasion at all times not time on tissue or how much you press no crystals clean and wet at all times shorten laser treatment recovery time by a couple of days keep up with the results for much longer time Suggestion keep exact logs of the parameters used for next time patient comes in Also keep clear notes about pre existing skin conditions like tag keratoses or mole or else mark it down on your chart and show it to your patient to prevent later complaints about who has caused it in the first place REPEAT amp SUMMARY OF BASIC SETTINGS gt new patient female regular reaction FIRST TX Forehead area chin depends on skin texture 6mm spot size 60 grit vacuum at 5 cheeks nose neck chin depends on skin texture 6mm spot size 80 grit vacuum at 3 5 4 Y E gt New patient female sensitive or strong skin reaction complained about pain FIRST Tx Forehead area chin depends on skin texture 6mm spot size 80 grit vacuum at 4 cheeks nose neck chin depends on skin texture 6mm spot size 100 grit vacuum at 3 gt repeat patient female regular reaction SECOND Tx and on ask them first how they felt after the previous treatment did they notice how long they stayed pink any special reaction treat again by series of 2 increasing the parameters on the third and then on the fifth procedure you may increase both grid 1 notch and
10. f treatments e Specific Skins Vacuum based on skin and area very soft skin older delicate skin 3 5 5 maximum Vacuum based on skin and area man younger with good skin you can even go to 8 and 9 on forehead and chin or on razing area Suggestion patient MUST use sun protection SPF 15 or 30 at all times even Page 10 of 13 TM j x TM HOND TREATMENT cont Solutions e 3BASIC TYPES OF SOLUTIONS e SILKPEEL HYDRATING FORMULA Main active ingredient SODIUM HYALURONATE 2 e SILKPEEL CLARIFYING FORMULA ACNE ABRASION Main active ingredient SALICYLIC ACID 0 5 e SILKPEEL BRIGHTENING FORMULA BROWN SPOTS ACTINIC o DAMAGE E v S Main active ingredient S 4 M KOJ IC ACID 5 Jo ae GLYCOLIC ACID 2 5 Es gee TRIETHANOLAMINE 2 See ARBUTIN 0 5 gt Tips see appendix A for details about solutions and ingredients operator can alternate the use of solutions start with salicylic clarifying solution and then treat photo damage with the brightening solution or otherwise see below for another approach to alternating solutions operator can start with a more aggressive regimen for boosting results twice a week instead of just once a week and or even use the machine handpiece features and movements as a lymphatic drainage treatment all of this comes with time and expertise for quicker results try first pass with Salicylic Acid or
11. long term skin color changes if not sure aSk your physician gt any specific sensitivity to any cream or materials gt allergies DO NOT TREAT PATIENTS WITH ALLERGIES TO ASPIRIN SALICYLIC ACID WITH THE SALICYLIC BASED CLARIFYING SOLUTION e Pregnancy or using strong drugs or you are NOT SURE ask you physician gt Suggestion now Is the time to have the patients read and sign and the Patient Consent form Dp LL 4 3 d a Dh gaa i EN y SIIkPeel Dermalinfusion Page 7 of 13 IM SilkPeel Dermalinfusion Procedure Protocol ll SILKPEEL PROCEDURE Infusi n gt BEFORE THE PATIENT IS IN e Clean working area take out diamonds from disinfection solution check that waste jar is empty e check SilkPeel clean and in working conditions e if repeat patient e check chart identify what solution to use and which diamond head for treatment area and skin condition follow basic steps for setting up SilkPeel see user manual too gt choose your Solution and attach to SilkP eel gt prime SilkP eel with solution gt set up handpiece for treatment Choose your diamond head grit see chart amp mount on handpiece do not screw in too hard check it s well in e quick re evaluate patient skin before actual treatment e if new patient e getthem in for skin evaluation follow basic steps for setting up SilkPeel as above based on your evaluation gt WHEN T
12. ution on a patient you MUST disinfect The reason is that the solutions are not synergistic within the unit They are powerful together in the skin but when they come in contact with each other they develop into a viscous gum like substance that WILL stop up the machine Because the capillary tubing is so thin even one treatment can impact the unit cause a clog and it will need to travel back to Emed Please be sure to ALWAYS disinfect when using more than one solution on a patient Page 14 of 13
Download Pdf Manuals
Related Search