Customizing Aesthetic Skin Care Regimens. Ilanit Samuels, PA-C Baumann Cosmetic and Research Institute Miami, FL

Transcription

1 Customizing Aesthetic Skin Care Regimens Ilanit Samuels, PA-C Baumann Cosmetic and Research Institute Miami, FL

2 Financial Disclosure Supervising Physician, Dr Leslie Baumann, CEO- Skin Type Solutions Franchise Systems LLC, who has close relationship with 40+ skin care brands and has performed research trials for 55+ companies Served as trainer and speaker for companies such as Allergan, Merz, and Suneva Medical, as well as participated in FDA trials as a Sub-Investigator for these companies and many others.

3 Objective Is To Learn: The 16 Baumann Skin Types How To Customize Skin Care To Skin Type How To Adjust the Skin Care Regimen To Match the Procedure

4 Customizing Skin Care For the Individual is Crucial There is not a product on the market that is right for EVERYONE!

5 The Skin Type Must Be Diagnosed Before Prescribing a Treatment Plan What Skin Type Am I?

6 4 Skin Issues Can Prevent Skin Being Beautiful and Healthy

7 Excessive Water Evaporation From the Skin Leads To Dry Skin Needs barrier repair moisturizers to prevent dehydration

8 Some Skin Types Are More Susceptible to Inflammation Needs anti-inflammatory ingredients to prevent inflammation

9 Uneven Skin Color Is Due A Dysfunction In Pigment Production Needs skin lightening ingredients to even out skin pigmentation

10 Increased Age and Poor Habits Lead To Wrinkles and Skin Cancer Needs anti-aging ingredients to prevent and treat wrinkles

11 Each Factor Needs To Be Taken Into Account When Prescribing a Facial Care Treatment Plan

12 I Use The Baumann Skin Typing System To Simplify The Process

13 For Each Patient - Choose One Of Each Of These Parameters DEHYDRATION INFLAMMATION UNEVEN PIGMENT AGING HABITS OR OR OR OR ADEQUATE LIPIDS NOT INFLAMED EVEN PIGMENT GOOD HABITS

14 This Gives 16 Combinations

15 Each Skin Type Has A Different Needs

16 The Skin Care Regimen For Each Type Should Be Targeted To Treat The Corresponding Barrier To Healthy Skin

17 HOW TO PRESCRIBE A REGIMEN BASED ON SKIN TYPE

18 The Goal Is Design The Regimen For each Skin Type Ahead Of Time I use software to set what products I want to show in the regimens

19 Each Skin Type will have a Different Regimen

20 A Questionnaire Is Used To Diagnose the Skin Type

21 The Questionnaire Results Give Valuable Information I see from the questionnaire that you have broken blood vessels on your face that bother you. The questionnaire: 1. Diagnoses the Baumann Skin Type 2. Identifies cosmetic concerns that the patient wants to discuss with the provider.

22 The proper skin care regimen is automatically generated with the push of a button. I have the option to make changes if I need to.

23 Always Give Written Instructions To Improve Compliance and Make Sure The Proper Products Are Purchased

24 Treatment Plans Should Include Procedures and A Corresponding Skin Care Regimen This regimen will improve the results of the laser procedure you will get next month. Outcomes are improved by combining skin care and procedures.

25 Good Outcomes Strengthen The Provider / Patient Relationship I love my treatment plan! Wow! - you all really know your stuff!

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27 Ingredient considerations before procedures

28 Avoid Prior To Procedures 24 hours prior: 10 days prior: Alcohol Red Wine Topical Heparan Sulfate Topical Salicylic Acid Salmon Aspirin Ibuprofen Naproxen St. Joh s Wort Vitamin E Omega 3 fatty acids Ginseng Green Tea

29 Reasons To Use Retinoids Prior To Procedures

30 Retinoids and Wound Healing Speed wound healing when used before the procedure. Slow wound healing when used after the procedure. (Not all studies agree) Use retinoids before but not after. Wait until completely reepithelialized.

31 Retinoids and Wound Healing Use retinoids before but not after. Wait until completely re-epithelialized.

32 Glycolic Acid Use before procedures but not after (until re-epithelialized)

33 Ingredient considerations after procedures

34 Avoid topical Vitamin E after procedures. Vitamin E

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36 Alonso, D., Lazarus, M. C., & Baumann, L. (2002). Effects of Topical Ar ica Gel o Post Laser Treat e t Bruises. Der atologic surgery,, -688.

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38 Topical Healing Gels

39 Give Written Instructions After the Filler Procedure

40 Skincare after Microneedling Is Very Important Until the channels close, the ingredients can penetrate into the skin.

41 Microneedling Channels May Take 24 Hours to Close Barrier function: Returned in 4-5 hours Pore closure: 0ϻ eedles- 12 hours 0ϻ eedles 18 hours Can be further delayed with occlusion

42 Be Extremely Careful of What You Apply Post Microneedling We have seen granulomas on several occasions but do not know what the provider used during and after the procedure Our recommendations: Avoid putting anything for 24 hours after microneedling. This includes sunscreen and moisturizer Use hat and sun avoidance We have begun the process of testing what to use post procedure. Please let me know if you have any experience with this and input.

43 Summary 1. Determine the Barriers to Healthy Skin 2. Diagnose Skin Type 3. Design a Daily Regimen 4. Adjust it Pre and Post procedures 5. Give patient: Treatment Plan Written instructions Information Sheets

44 To Learn More: Blogs: LeslieBaumannMD.com and STSFranchise.com Videos: Youtube/SkinTypeSolutions Social media: Facebook - TheSkinTypeSolution Instagram- SkinTypeSolutions