Eimen Khan UV40413 Laser and light treatments for hair removal & UV40414 Laser & light treatments for skin rejuvenation Outcome 1: Be able to prepare for laser and light treatments & Skin Rejuvenation Treatments. g. Explain salon requirements for preparing yourself, the client and work area. Hair removal Skin Rejuvenation It is required by therapists to adhere to industry and organizational standards for personal appearance, including wearing a clean, professional uniform, tying back the hair from the face, wearing sensible footwear, and practising good personal hygiene, oral hygiene, and makeup application. It is essential to maintain proper hygiene and safety procedures during treatment, including wearing personal protective equipment such as disposable gloves and recommended eyewear to prevent cross-infection and accidental exposure to light. To work by the salon/clinic policies and procedures, to carry out proper client care pre-/post-treatment, to ensure all paperwork completed/signed by client and therapist at each treatment, to follow health, hygiene and safety procedures at all times, to respect and uphold the client privacy and confidentiality according to the data protection legislation, to be honest in all dealings with clients, and work colleagues, and be respectful of the working environment. Ensure the positioning of the client and equipment permits effective access and minimises the risk to the practitioner and discomfort to the client; ensure your position and posture whilst working minimises fatigue and risk of injury to yourself and the client; ensure the handpiece/applicator is used at the correct angle and pressure according to treatment protocols and client comfort (stretching and manipulating the skin where necessary – according to treatment). To prepare the client for a consultation, it is crucial to take at least 20 minutes to ensure that everything is done correctly. This process should include an informed consent form, which both the client and therapist will sign. Additionally, a medical history should be taken, which covers both physical and emotional conditions. If necessary, a referral letter from a doctor should also be obtained. Obtaining all the relevant treatment details, including skin classification, sun tanning history, pigmentation, skin condition on the area being treated, and a treatment record card is important. The treatment record card should include the date, area treated, treatment method, patch test methods, equipment settings, time and duration, and the treatment outcome. It is important to conduct the consultation procedure in a sensitive and supportive manner. This includes ensuring privacy, modesty, trust and confidentiality. It is also important to check the client’s well-being and provide ongoing reassurance where necessary. When working with the client, it is important to ensure their position and posture to minimize fatigue and reduce the risk of injury. 1 Eimen Khan The client should be actively encouraged to ask questions and clarify any points they are unsure about. If a client has unrealistic expectations or hair colour and types that are unsuitable for treatment, it is important to tactfully advise them of achievable outcomes for the treatment. Assessment techniques should be used to identify the client’s skin classification and condition. The physical sensation created by the equipment being used should be explained to the client. If a client has any contra-indications that are suspected of requiring medical treatment, they should be referred to their general practitioner before any treatment, without reference to a specific condition. Recognized contra-indications that prevent treatment should be clearly and tactfully explained to the client. If light/laser treatments are contra-indicated for the client’s condition, alternative treatments that are suitable for their needs should be recommended. The projected cost, likely duration and frequency of treatment, and recovery time should be clearly explained and agreed upon with the client. It is important to wear personal protective equipment to avoid cross-infection and prevent accidental exposure to light or lasers for you, the client, and others in the controlled area. The recommended PPE includes eyewear and disposable gloves. Always make sure you wear the correct PPE, such as optical density glasses, and dress appropriately with headbands and towels. Make sure that they have kept the client's privacy, modesty, trust and confidentiality during the consultation and treatment. Ensure the treatment area is suitable for hair reduction treatment, shaved, cleansed, fat-free and dried. The work area is adapted to the standards of safety and hygiene (cleaning, sterilization and disinfection of area/machines), organizational procedures of the medical protocol and the manufacturer's instructions. The environmental conditions should be appropriate for the treatment, client and practitioner (such as lighting, heating, ventilation and general comfort). Light/laser-controlled areas must have non-reflective surfaces, enclosed area, suitable entry and exit points, adequate fire precautions, waste management, hazardous warning signs, only one IPL/laser system in operation, covered windows, no flammable materials, local rules displayed, equipment procedures, safety procedures, controlled area procedures and access. Everyone in the controlled area must wear protective eyewear (PPE) that meets the required standards of the manufacturers of the selected equipment. In addition, products, tools, and equipment should be readily available to suit client treatment needs, skin types, and conditions. This includes antibacterial wipes, hand sanitizers, cotton wool, tissues, spatulas, facial cleanser, soothing aftercare, SPF 30 (minimum), aprons, gloves, ultrasound cooling gel, couch rolls, towels, and gowns. Protective eyewear and an appropriate applicator/handpiece are also required for skin treatment. A red marker should be available to mark out treatment areas, and white stickers to cover skin conditions (e.g. moles) should also be provided. A camera is necessary for taking before and after pictures, and consultation and aftercare forms should be available. 2 Eimen Khan h. Explain the environmental conditions suitable for laser and light treatment for hair removal. Hair removal Skin Rejuvenation Environmental conditions suitable for laser and light treatment ensure a safe and healthy work environment. Lighting should be sufficient to enable treatments to be carried out, and windows should have blinds/shutters and, non-reflective surfaces are required. in the controlled area. The temperature in the workplace should provide reasonable comfort, at least 16°C. Heating or cooling may be used to maintain a comfortable temperature, and in extremely hot weather, fans or increased ventilation would be an option. Ventilation must be adequate and provide sufficient quantities of purified air, particularly in an enclosed workspace. When using IPL equipment, ensure that the manufacturer's recommended gap is observed at the rear of the machine. Allow air to circulate freely and protect the mains lead from excessive bending. The size of the work area must provide sufficient room to allow the employee to work in a safe and healthy manner. Workstations should allow ease of movement so that all tasks may be carried out safely and comfortably. Make sure any local regulations about electrical safety testing of portable appliances are observed. The treatment room should have an environmental cleaning schedule to ensure adequate waste disposal. i)Explain the different consultation techniques used to identify treatment objectives. Hair removal Skin Rejuvenation During consultation, it is important to provide a private and comfortable space for consultation, maintain positive body language, make eye contact, act professionally, keep confidentiality, ask open-ended questions and actively listen to the client to help identify treatment objectives. Carry out skin analysis by touching and using a mag lamp. Understand and explain different skin types, colours, tones and textures. Perform a visual check for contra-indications, skin conditions, and any identifying skin lesions (e.g. moles). Make accurate recommendations for treatment, skin typing, Fitzpatrick’s photo scale, and relevant questions regarding the history of skin tanning and any influencing factors. Understand and explain the procedure and reasons for patch testing, including the procedure for the test, the sensation, record settings, and skin response. Test shots – determine the treatment parameters, client comfort level, and adverse/normal skin reaction. Carry out patch tests for tactile and thermal safety tests (client skin sensation to hot/ cold, sharp/soft). If you intend to carry out treatment on more than one area, it may be necessary to patch test on each of the proposed treatments. Hair growth patterns differ in all areas of the body and so will determine treatment interval times for the success of hair reduction. Hair on the face is the most difficult to treat. for example 2-4 weeks intervals for the face and 6-8 weeks cycle on the body and should be treated accordingly. It is important to develop a client profile that covers their lifestyle, commitment to treatment, skin rejuvenation methods used, history of hair removal methods, and their requirements and expectations of the treatment. The therapist should give a 3 Eimen Khan brief explanation of the treatment, which includes how the treatment works, the number of sessions required; the treatment plan, the appointment frequency, regrowth, skin reaction, sensation, contra-indications, aftercare advice, consent, special precautions before treatment, costs, percentage reduction goals to client satisfaction and when to refer the client to a dermatologist or medical practitioner. This explanation should also include consultation records, patch tests, before and after pictures, and visual examples. j. Explain the importance of carrying out a detailed skin and hair analysis and relevant tests. Hair removal Skin Rejuvenation The importance of carrying out a detailed skin and hair analysis and relevant tests is due to many reasons, including Enable the therapist to identify the condition and skin classification of the client. To assess the outcome of the patch test as necessary and determine its suitability for treatment. Evaluate the skin and client response to determine suitable reactions and avoid adverse reactions. Adjust variables as necessary while monitoring the client's skin response and discontinuing treatment where adverse reactions occur. To explain the physical sensation created by the IPL/Laser equipment being used, design a treatment plan for the client. When advising clients on hair colour and treatment types, it is important to be honest about what is achievable and to manage any unrealistic expectations they may have. Any recognised contra-indications that prevent treatment should be clearly explained to the client. Clients with contra-indications should be referred to their GP before any treatment is carried out. Suppose IPL/Laser treatments are unsuitable for a client due to contra-indications. In that case, alternative treatments should be recommended and agreed upon with the client on a projected treatment plan that includes the number of treatments required, treatment intervals, treatment cost, and percentage reduction goals to ensure client satisfaction by providing ongoing support and reassurance whenever necessary—explained to the client the importance of their commitment to the treatment and the significance of listening to aftercare and home care advice to ensure maximum treatment efficiency. k. Explain how to select laser and light treatment equipment to suit client skin and hair types and conditions. Hair removal Skin Rejuvenation When selecting laser equipment for hair removal, it is important to identify the correct skin/hair type based on Fitzpatrick’s ‘photo’ scale. The equipment should be set accordingly for the specific skin/hair type, and the treatment should be adjusted 4 Eimen Khan based on individual growth patterns. For instance, the face may require different treatment intervals than other body areas. During the treatment, it is necessary to monitor and adjust the treatment timings as hair growth decreases. If the desired results are not being achieved, the treatment timings should be changed. If the desired results are not achieved even after adjusting the treatment timings, then it is recommended to stop the treatment. After completing a full course of treatment, it is advised to have one follow-up treatment per year, as dormant follicles may appear at any time. l. Identify the range of equipment used for laser and light treatment for hair removal. Hair removal Intense Pulsed Light (IPL) systems, fractional non-ablative lasers. Skin Rejuvenation Intense Pulsed Light (IPL) systems, fractional non-ablative lasers. There are five different types of professional laser hair removal machines available: the Alexandrite system, diode laser, ND Yag laser, Intense Pulsed Light (IPL) therapy machine, and Ruby Laser machine. IPL is non-coherent and divergent, with many wavelengths ranging from 400-700 NM. It is used for skin rejuvenation (such as pigmentation, fine lines, wrinkles, and small veins) and for hair removal. IPL/CPL with filters is best suited for dark hair and lighter skin due to the scattering of light energy. It works best for Fitzpatrick scale 1-2. ND Yag is a focused laser, best suited for Fitzpatrick scale 3-5. It is used for smaller areas and is good for treating terminal hair (such as underarms and bikini area). (1064 NM) Diode lasers are good for treating larger areas of thick, dark, and fine hair. It has long pulse-motion and covers the area 3 times. (810 NM) Alexandrite is used for dermatological procedures such as tattoo removal, leg vein removal, and hair removal. (755 NM) m. Explain the contra-indications that prevent or restrict laser and light treatment for hair removal. Hair removal Skin Rejuvenation Contraindication that prevents treatment: Pacemakers are not suitable for laser treatment, as lasers (using a single wavelength) and IPLs (using a mix of different wavelengths) are light energy applied selectively to the skin. However, they may interfere with pacemakers. Laser and IPL treatments cannot be performed during pregnancy or breastfeeding. Hormonal changes during pregnancy and breastfeeding tend to increase hair growth. But, waiting until after the birth of the baby to begin or continue treatments will not affect the results. Contraindication that restricts treatment: Open wounds or lesions restrict the treatment. However, the treatment can still be carried out by avoiding the affected area. 5 Eimen Khan Long-term diabetes can restrict the treatment, depending on how well it has been managed. Diabetic patients can experience a loss of sensation and hot flushes. But, if the symptoms are manageable, the treatment can still be carried out. Further contra-indications that prevent or restrict laser and light treatment for hair removal include: epilepsy (flashing of light) • hepatitis • haemophilia (bleeding disorder) • clients taking anti-coagulant medication (aspirin, waferan, phenediene, hapazin) clients sensitive to light within the range of 500 nm–900 n • client with keloid scarring • skin cancers • pigmentation problems (vitiligo, melasma moles, pigmented naevi moles) • clients taking photosensitising medication (including drugs or medication that cause skin thinning effects) • cardiovascular conditions (thrombosis, phlebitis, hyper-tension, hypotension, heart conditions) • connective tissue disorders (scleroderma) • tattoos, permanent and semi-permanent make-up (micropigmentation) • herbal supplements that cause photo sensitisation i.e. St. John’s Wort, beta carotene • sun burned; sun tanned skin at time of treatment, artificial tan/self-tanning products: until the product has worn off (approx. 7–10 days before treatment) • metal pins/plates • fever • contagious or infectious diseases • loss of skin sensitivity (test with tactile and thermal methods) • cuts, bruises, burns, abrasions • undiagnosed lumps and bumps • allergies to products or materials used • under the influence of drugs or alcohol. n. Explain the required legislation for laser and light treatment and the importance of compliance with regulations. Practices that offer laser hair removal procedures, such as private practices and beauty salons, are required by law to register with and be monitored by the Care Quality Commission. A license is necessary to carry out laser hair removal treatments in both the work premises and treatment rooms in their homes. Employers must take precautions to protect workers from hazards, provide training, 6 Eimen Khan and appoint competent supervisors for laser use. Eye safety, cooling devices, practitioner knowledge, and laser protection advisers are some of the safety aspects of laser hair removal. Aesthetic practitioners must hold level 3 and 4 qualifications in conjunction with the manufacturers' certification. These qualifications are necessary for the industry to ensure that practitioners obtain adequate insurance and adhere to security measures and professional protocols. It is essential to comply with regulations that reduce the risk of injury to the practitioner and clients when using IPL/laser equipment. Local authority regulations may also apply. Further required legislation includes a health and safety policy, fire protection policy, complaints policy, and policy for creating and storing confidential information, according to data protection legislation. 7 Eimen Khan Outcome 2: Be able to provide laser and light treatments. i) Explain how to communicate and behave in a professional manner. j. Explain health and safety working practices. k. Explain the importance of positioning yourself and the client correctly throughout treatment. Hair removal Skin Rejuvenation l. Explain the importance of using products, tools, equipment, and techniques to suit client treatment needs, skin types and conditions. Hair removal Skin Rejuvenation m. Explain the principles of electrical currents and basic electricity. Hair removal m. Explain how to work on different treatment areas. Skin Rejuvenation n. Explain the consequences of inaccurate identification of client skin type/colouring according to the Fitzpatrick scale. o. Describe how treatments can be adapted to suit client treatment needs and skin and hair conditions. Hair removal Skin Rejuvenation p. Explain the contra-actions that may occur during and following treatments. q. Explain the methods of evaluating the effectiveness of the treatment. Hair removal Skin Rejuvenation 8 Eimen Khan r. Summarise the aftercare advice that should be provided to prevent posttreatment damage. Hair removal Skin Rejuvenation s. Explain the suitable methods of dealing with the reappearance of a skin condition between treatments. t. Explain different skin and hair types, conditions, diseases, and disorders. Outcome 2: (continued) A&P Level 4 – UV40413 & UV40414 UV40413 u.& UV40414 v. Explain the structure and functions of the skin. UV40413 v. & UV40414 w. Explain the principles of skin healing. UV40413 w. & UV40414 y. Explain the structure and function of the endocrine system and its effect on hair growth & skin conditions. UV40414 x. Explain how natural ageing, lifestyle and environmental factors affect the condition of the skin and underlying structures. UV40413 x. Explain growth patterns and causes of hair growth. UV40413 y. & UV40414 z. Explain the structure and function of circulatory and lymphatic systems. 9