clinical skincare Product and Treatment Knowledge

clinical skincare Product and Treatment Knowledge

clinical skincare - 1 -

Published by: Institut DERMed Author: Lyn Ross 5589 Peachtree Rd Atlanta, Ga. 30341 Email: lross@idermed.com All rights reserved. No part of this book may be reproduced or transmitted in any form by any means, electronic or mechanical, including photocopying, recording or by any information storage or retrieval system without written permission from the author, except for the inclusion of brief quotations in a review. Disclaimer This manual is designed to provide information in regard to the subject matter covered. It is sold with the understanding that the publisher and authors and advisers are not rendering legal, accounting or other professional services. It is not the purpose of this manual to reprint all the information that is otherwise available to authors and publisher but to complement, amplify and supplement other texts. Every effort has been made to make this manual as complete and as accurate as possible. However, there may be mistakes both typographical and in content. Therefore, this text should be used only as a general guide and not as the ultimate source of publishing information. Furthermore, this manual contains information only up to the printing date. The author, advisers and publisher shall have neither liability nor responsibility to any person or entity with respect to any loss or damage caused or alleged to be caused directly or indirectly by the information contained in this manual. Copyright 2010 by Lyn Ross, Institut DERMed First Edition Printed in the United States of America - 2 -

Institut DERMed College of Advanced Aesthetics Our mission is to help you create a unique MediClinical Spa experience that supports wellness, enhances beauty, and increases inner vitality. Clinical skin care is emerging as the standard in aesthetics, thanks to baby boomers driven to achieve a more youthful and healthy appearance. Today s licensed skin care professional must be equipped to recognize common skin conditions, develop treatment plans, and meet the growing need for skin rejuvenation. These skills are often not taught in primary aesthetic curriculums. Therefore, the marketplace relies on advanced aesthetic education to deliver the knowledge and skills necessary to perform results-oriented services. In 1994, Lyn Ross, Master Esthetician with over 27 years of skin care experience, recognized the need for clinical skin care education supported by cosmeceutical product formulations. Lyn founded the Institut DERMed College of Advanced Aesthetics (IDCAA), offering post-graduate programs for licensed estheticians, cosmetologists, nurses and physicians. We are proud to have been one of the leading pioneers in MediClinical Spa training and to have grown the Institut DERMed family of companies to include the IDCAA an internationally respected advanced aesthetic education programthat includes an extensive line of quality cosmeceutical skin care products. Our goal to empower skin care specialists with knowledge and proven treatment systems is the foundation for our continued success. We are passionately committed to advancing your aesthetic skills, increasing your confidence and helping you to expand beyond your current financial potential. IDCAA graduates see the growth in their business and are true testimonials to the fact that knowledge is power. We are excited that you have chosen the IDCAA for your advanced certification. We look forward to serving you! Sincerely, Lyn Ross Founder Institut DERMed Testimonials I appreciate the sharing of your vast knowledge in medical aesthetics. I have come away from your class much more confident and knowledgeable with a renewed sense of excitement and enthusiasm. Beth Poore, L.E., P.M.E. Dermatology Associates of Knoxville, TN Your training was excellent, instructors are all great. I have never felt intimidated to ask questions. Julie Saltsman, Esthetician Spring Creek, PA - 3 - clinical skincare

The Institut Dermed Concept Our Company The Institut DERMed misssion is to help our clients achieve a smooth and flawless complexion because we know how much the skin s condition can affect individual self esteem. Our Philosophy Institut DERMed is not just another skin care brand, but a company of passionate professionals dedicated to inspiration and guidance for a healthy skin lifestyle. This one truth is why we are so serious about skin care and promise to only create the finest quality products backed by science and then educate you on how to use them to acheive optimal results.. Our Products Institut DERMed Clinical Skin Care products are cosmeceuticals formulated with the highest concentration of active ingredients available without prescriptions. Years of research and study with scientists in the field of chemistry and molecular biology went into the creation of these high performance products designed to treat individual skin conditions in five categories: aging, acne, hyperpigmentation, sensitive skin and body rejuvenation. Through a unique collaborative relationship with our chemists, we are able to control all aspects of our processes mixing only in small batches and filling with our own equipment to insure freshness without chemical preservatives. Institut DERMed Clinical Skin Care products are distributed worldwide through licensed skin therapists. Most individuals have a combination of skin types plus one or more skin conditions. The correct identification of skin color, skin type and condition is key to successful cosmeceutical product selection and treatment. Institut DERMed products are formulated and packaged to address specific skin conditions. Each category is color coded and product names are benefit focused to more easily create personalized product and treatment prescriptions based on individual needs. Our Treatment Categories Include: Enhance Brighten Renew Sooth Clarify 2009 Institut DERMed - 4 - clinical skincare

product knowledge - 5 -

Renew Aging Intrinsic or chronological aging is a function of the body s metabolic processes naturally slowing down which decreases the rate of new cell production. Individuals will age at different rates due to heredity, lifestyle choices and extrinsic conditions. Extrinsic or environmental exposures affect skin aging and can be controlled. Biological elements affecting skin are: nutrient deficiencies, sun exposure, air pollution, extreme weight loss, medications, physical activity and emotional health. - 6 -

Cleanser Renew Start your treatment with the Institut DERMed Cleanser. This rich foaming gel cleanser prepares your skin for treatment by gently removing impurities and dead cells for clearer, more radiant skin. Key Ingredient Benefits Glycolic Acid Polymer an Alpha Hydroxy Acid (AHA) derived from fermented Rhubarb used to reduce corneocyte cohesion a thickening of the skin where excess dead skin cells build up. Also know to Helps to stimulate and strengthen collagen and elastin production for smoother, younger looking skin. Shea Butter Derived from the seed or nut of the Karrite Tree, this butter contains numerous fatty acids and triglycerides rich in natural tocopherol {Vitamin E} and anti-oxidants to soften and moisturize skin. Water, Sodium Hydroxypropylsulfonate Laurylglucoside, Crosspolymer, Lauramidopropyl Betaine, Sodium Cocoyl Glutamate, Glycerin, Hyaluronic Acid, Glycolic Acid, Lactic Acid, Camellia Sinensis (Green Tea) Leaf Extract, Gluconolactone, Xanthan Gum, Decyl Glucoside, Citrus Aurantium Amara (Neroli) Oil, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Sodium Methyl Cocoyl Taurate, Disodium Laureth Sulfosuccinate, Phenoxyethanol, Ethylhexylglycerin 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Corrective cleansing treatment Prepares the skin for topical treatment serums Stimulates cell renewal to diminish the appearance of fine lines and wrinkles Helps to release abnormal pigment cells Low ph increases glycolic penetration Polymerized delivery system for even penetration For corrective cleansing treatment apply like a mask, leave on the skin for 60 seconds before rinsing to optimize treatment Alternate with another non-glycolic cleanser to adjust intensity of treatment Apply a small amount to wet palms and massage onto face and neck in upward circular motions. Rinse thoroughly. For best results follow with recommended Institut DERMed treatment toner for your skin condition. - 7 -

Renew Balance your skin with the Institut DERMed. This antioxidant rich toner nourishes and hydrates your skin for a vibrant, fresh complexion. Key Ingredient Benefits L-Ascorbic Acid a potent anti-oxidant derived from fruits and vegatables used to provide photo-protection, prevent hyperpigmentation and stimulate collagen production for skin rejuvenation and age prevention. It also reduces erythema, promotes wound healing and suppresses cutaneous pigmentation. L-Lactic Acid derived from sour milk, yogurt or beer used for it s potent acidic properties to gently exfoliate and clarify the skin without dehydration. An excellent alternative to glycolic acid for refining and re-texturizing the skins surface. Water, Glycerin, Hamamelis Virginiana (Witch Hazel) Extract, Polysorbate 20, Lactic Acid, Aloe Barbadensis Leaf Extract, Camellia Sinensis (Green Tea) Leaf Extract, Vitis Vinifera (Grape) Seed Extract, Salix Alba (Willow) Bark Extract, Symphytum Officinale (Comfrey) Rhizome/Root Extract, Ascorbic Acid, Glutathione, Panthenol, SD Alcohol 40-B, Citrus Aurantium Dulcis (Orange) Peel Oil, Citrus Grandis (Grapefruit) Peel Oil, Citric Acid 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Use as a final cleansing step Refreshing and hydrating Balances skin s ph Potent anti-oxidant protection against free radical reactions caused by UV light Use on damp cotton in the evening to cleanse and lift impurities Spray directly on to the skin in the morning to refresh and hydrate prior to moisturizing To adjust treatment alternate with a secondary toner Spritz directly onto your skin and/or apply with a cotton pad. For best results follow with recommended Institut DERMed corrective treatment product for your skin condition. - 8 -

Renew Vital A Serum Transform your skin s future with the Institut DERMed Vital A Serum. This powerful anti-aging treatment formula assists in new cell growth for an incredibly youthful looking complexion. Key Ingredient Benefits Glycolic Acid Polymer 2% Alpha Hydroxy Acid (AHA) derived from sugarcane increases desquamation to refine the skins surface L-Retinol 3% a pro-drug that can be converted to retinoic acid by the skin to promote the normalization of epithelial desquamation reducing cellular cohesion Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Retinol, Benzyl Alcohol, Xanthan Gum, Retinyl Palmitate, Citrus Medica Limonum (Lemon) Peel Oil, Citrus Grandis (Grapefruit) Peel Oil, Fructooligosaccharides (D-beta), Zea Mays (Corn) Oil, Citrus Tangerina (Tangerine) Peel Oil, Glycolic Acid, Glucosamine HCI (D) 15 ml/.5 oz pump bottle Glycolic delivery system increases penetration of L-retinol Stimulates new cell growth Strengthens collagen and elastin support network Smoothes fine lines and wrinkles Firms and lifts to revitalize aging skin For PM use only Use 3x weekly and gradually increase frequency of use as tolerance indicates Alternate with another corrective treatment to adjust intensity Apply 3 times a week in the evening and gradually increase frequency of use. Works best layered under your recommended Institut DERMed moisturizer. Mild tingling or redness is normal and temporary until your skin adjusts. - 9 -

Renew Anti-Oxidant Serum Revive the health of your skin with the Institut DERMed Anti-Oxidant Serum. This lightweight, hydrating treatment visibly reduces fine lines and wrinkles by supporting collagen and elastin production for fresh radiant, skin. Key Ingredient Benefits Sodium Hyaluronate (HA) superior to other humectants, Sodium Hyaluronate is known for its ability to hold on thousand times its weight in water and able to hold it for a longer period of time L-Sodium PCA an amino acid humectant that pulls moisture from the air to increase skin hydration Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Alcohol Denat., Aqua (Water), Deuterium Oxide (Heavy Water), Xanthan Gum, Sodium PCA, Lonicera Caprifolium (Honeysuckle) Flower Extract, Santalum Album (Sandalwood) Oil, Lavandula Angustifolia (Lavender) Oil, Lonicera Japonica (Honeysuckle) Flower Extract, Citrus Aurantium Dulcis (Orange) Peel Oil, Citric Acid, Potassium Sorbate, Sodium Hyaluronate (L), Phenyl-N-Butyl Nitrone (Spin Trap), Flavor (Pomegranate), Limonene***, Linalool*** 15 ml/.5 oz pump bottle Prevents destructive sugars from damaging collagen and elastin support fibers Deeply hydrates the skin Smoothes and repairs fine lines and wrinkles Use prior to moisturizing for excessively dry skin Use as a light moisturizer for normal to oily skin May be used following corrective treatments for additional moisture to balance hydration Apply to the face and neck every morning and/or night. Works best layered under your recommended Institut DERMed moisturizer. - 10 -

Renew Peptide Serum Transform the health of your skin with the Institut DERMed Peptide Serum. Supports skin remodeling and improves the structure of the skin visibly reducing the appearance of fine lines and wrinkles. Key Ingredient Benefits Matrixyl 3000 Palmitoyl Oligopeptide, Palmitoyl Tetrapeptide-7 derived from fatty acids synthesis collagen and fibronectan reducing wrinkle density and volume L-Retinol 1% a pro-drug that can be converted to retinoic acid by the skin to promote the normalization of epithelial desquamation reducing cellular cohesion Aqua (Water), Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Pullulan, Butylene Glycol, Alcohol Denat., Octyldodecanol, Algae Extract, Benzyl Alcohol, Xanthan Gum, Palmitoyl Tripeptide-5, Helianthus Annus (Sunflower) Extract, Hydrogenated Coco-Glycerides, Acmella Oleracea Extract, Nymphaea Coerulea (Blue Lotus) Flower Extract, Human Oligopeptide-1 (EGF), Citrus Grandis (White Grapefruit) Peel Oil, Lecithin, Porphyra Umbilicalis (Red Algae) Extract, Sodium Lactate, Phenoxyethanol, Alteromonas Ferment Extract, Carbomer, Polysorbate 20, Palmitoyl Oligopeptide, Palmitoyl Tetrapeptide-7, Retinol 15 ml/.5 oz pump bottle Prevents destructive sugars from damaging collagen and elastin support fibers Deeply hydrates the skin Smoothes and repairs fine lines and wrinkles Use prior to moisturizing for excessively dry skin Use as a light moisturizer for normal to oily skin May be used following corrective treatments for additional moisture to balance hydration Apply to the face and neck every morning and/or night. Works best layered under your recommended Institut DERMed moisturizer. - 11 -

Renew EGF Serum Transform your skin s future with the Institut DERMed EGF Serum. This powerful treatment targets fine lines, wrinkles, dullness, loss of firmness and uneven tone for an age defying difference. This technologically advanced formula assists in new cell growth for an incredibly youthful looking complexion. Key Ingredient Benefits Epidermal Growth Factor (EGF) 53 amino acids that accelerates epidermal cell proliferation and facilitate the resolution of inflammation following wounding Asiatica Extract a botanical wound healing agent from the Gotu Kola Herb known to stimulate the production of type 1 collagen and decrease inflammation for wound healing and repair of damaged tissue Aqua (Water), Glycerin, Human Oligopeptide-1 (Lab- derived EGF), Glycosaminoglycans, Lonicera Caprifolium (Honeysuckle) Flower Extract, Carbomer, Gluconolactone, Xanthan Gum, Centella Asiatica (Gotu Kola) Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Sodium Benzoate, Aloe Barbadensis Leaf Juice Powder, Phytic Acid, Citrus Aurantifola (Lime) Fruit Extract, Potassium Sorbate 15 ml/.5 oz pump bottle 60 ml/2 oz bottle Increases epidermal hydration Accelerates new cell growth Reduces skin stress and potential complications from rejuvenation procedures Apply prior to moisturizing in the evening for additional hydration Apply morning and evening for 3 days after an intensive treatment to prevent dehydration Apply to the face and neck every morning and/or night. Works best layered under your recommended Institut DERMed moisturizer. - 12 -

Renew Defend your skin from environmental aggressors with the Institut DERMed. This potent hydrator delivers a unique blend of antioxidants to fight free radical damage and prevent visible signs of aging. Aqua (Water), Helianthus Annuus (Sunflower) Seed Oil, Caprylic/Capric Triglyceride, Squalane, Glycerin, Ribes Nigrum (Black Currant) Seed Oil, Pseudoalteromonas Ferment Extract, Cetearyl Olivate, Sorbitan Olivate, Cetearyl Alcohol, Polysorbate 60, Hamamelis Virginiana (Witch Hazel) Water, Rosa Canina (Rose Hip) Fruit Oil, Simmondsia Chinensis (Jojoba) Seed Oil, Saccharomyces/Xylinum/Black Tea Ferment, Hydroxethylcellulose, Gluconolactone, Camellia Sinensis (Oolong) Leaf Extract, Maltodextrin, Camelia Sinesis (Green Tea) Leaf Extract, Sodium Benzoate, Tocopheryl Acetate (D-alpha), Alcohol Denat., Xanthan Gum, Calcium Gluconate, Glycine Soja (Soybean) Oil, Phenoxyethanol, Dehydroacetic Acid, Salicylic Acid, Benzoic Acid, Benzethonium Chloride, Benzyl Alcohol, Camellia Sinensis (White Tea) Leaf Extract, Aspalathus Linearis (Rooibos) Extract, Acetyl Tributyl Citrate, Camellia Sinensis (Sencha Tea) Leaf Extract, Thioctic (R-Lipoic) Acid, Potassium Sorbate, Superoxide Dismutase, Phenyl-N-Butyl Nitrone (Spin Trap) 30 ml/1 oz jar 60 ml/2 oz jar Key Ingredient Benefits Black Tea, Green Tea, White Tea a combination of immuno-stimulating teas with a high content of polyphenols for inhibiting collagenase and protecting cells against UVA and UVB induced free radical reactions L-Superoxide Dismutase an antioxidant enzyme that converts the destructive super oxide radical into a less dangerous hydrogen peroxide which will in turn be converted into water and normal oxygen Stimulates the skin s immune response to prevent abnormal cell growth Deeply hydrates and heals aging and sun damaged skin Repairs fine lines and wrinkles Reverses the signs of aging Apply under sun protection in the morning for additional hydration and protection Smooth onto the face and neck every morning and/or night after the recommended Institut DERMed treatment product for your skin condition. For added protection during the day, follow with Institut DERMed. - 13 -

Renew Eye Complex Redefine your eye area with the Institut DERMed Eye Complex. This superior Tetrapeptide-7 (Matrixyl 3000 ) is a unique wrinkle-relaxing and anti-aging peptide to help visibly reduce the appearance of expression lines and wrinkles while boosting natural collagen production around the delicate eye area. Key Ingredient Benefits Matrixyl 3000 Palmitoyl Tetrapeptide-7 derived from fatty acid synthesis, collagen and fibronectan reducing wrinkle density and volume Hesperidin a flavonoid antioxidant that helps form healthy connective tissue preventing the breakdown of collagen Aqua (Water), Caprylic/Capric Triglyceride, Glycerin, Cetearyl Olivate, Sorbitan Olivate, Butylene Glycol, Pseudoalteromonas Ferment Extract, Hydrolyzed Rice (Peptide) Protein, Simmondsia Chinensis (Jojoba) Seed Oil, Triticum Vulgare (Wheat) Germ Oil, Squalane, Xanthan Gum, Buddleja Davidii Extract, Thymus Vulgaris (Thyme) Flower/ Leaf Extract, Astaxanthin, Hesperidin Methyl Chalcone, Steareth-20, Palmitoyl Tetrapeptide-7, Dipeptide-2, Chrysin, N-Hydroxysuccinimide, Palmitoyl Oligopeptide, Glycine Soja (Soybean) Oil, Tocopheryl Acetate (D-alpha), Lavandula Angustifolia (Lavender) Oil, Santalum Album (Sandalwood) Oil, Carbomer, Sodium Hydroxymethylglycinate 15 ml/.5 oz pump bottle Neutralizes damaging free radical reactions Repairs fine line wrinkles Prevents premature aging of the eye contour Tightens the eye contour for a youthful look Alternate with another eye cream to customize and adjust intensity of treatment Blend with another eye cream to adjust treatment Every night, as the last step, dab a small amount around the entire eye area. Pat and press gently until absorbed. - 14 -

Renew Peel Extend professional results at home with the Institut DERMed Peel. This peeling mask dramatically rejuvenates your skin by exfoliating damaged cells while helping to stimulate collagen production for a smoother, firmer complexion. Key Ingredient Benefits L-Lactic Acid 10% an alternative to glycolic acid derived from sour milk increases cellular desquamation to refine and re-texturize the skin L-Retinol 1% a pro-drug that can be converted to retinoic acid by the skin to promote the normalization of epithelial desquamation reducing cellular cohesion Aqua (Water), Glycerin, Lactic Acid (L), Trichloroacetic Acid, Glycol Distearate, Cetyl Alcohol, Stearic Acid, Cetearyl Alcohol, Gluconolactone, Xanthan Gum, Retinol, Polysorbate 20, Butylene Glycol, Polysorbate 60, Sodium Benzoate, Palmitoyl Hexapeptide-14, Sodium Hyaluronate, Aloe Barbadensis Leaf Juice, Hydrolized Wheat Protein, Ethoxydiglycol, Dimethylacrylamide/Acrylic Acid/ Polystyrene Ethyl Methacrylate Copolymer, Phenoxyethanol, Pogostemon Cablin (Patchouli) Oil, Citrus Sinensis var. Sanguina (Blood Orange) Oil, Lycium Chinense (Goji Berry) Fruit Extract, Citrus Grandis (Pink Grapefruit) Peel Oil 30 ml/1 oz jar 60 ml/2 oz jar Removes dead cell build-up Reveals hydrated skin cells Rejuvenates aging skin May be used in addition with skin polish for increased exfoliation May be used with steam during a clinical treatment to increase exfoliation Apply as a zone treatment with another exfoliator or mask Once a week after cleansing and exfoliating with the Institut DERMed Enhancing Micro Mineral Polish, apply a thin layer over clean, dry facial skin. Avoid sensitive eye and lip areas. Leave on for 3-5 minutes. Rinse thoroughly. Follow with the recommended Institut DERMed treatment for your skin condition. - 15 -

Renew Mask Infuse your skin with deep hydration using the Institut DERMed Mask. This concentrated mask revitalizes dull skin while restoring hydration to reveal a glowing, youthful complexion. Key Ingredient Benefits Spin Trap Molecules anti-oxidant/protein protection to help neutralize damaging free radicals Squalene derived from olive oil and used as an anti-oxidant to prevent dehydration softening the appearance of fine lines and wrinkles Aqua (Water), Glycerin, Caprylic/Capric Triglyceride, Cetyl Alcohol, Stearic Acid, Butyrospermum Parkii (Shea Butter), Cyclopentasiloxane, Squalane, Glyceryl Stearate, Limnanthes Alba (Meadowfoam) Seed Oil, Titanium Dioxide, Bentonite, Hamamelis Virginiana (Witch Hazel) Water, Calamine, Gluconolactone, Kaolin, Alcohol Denat., Sodium Benzoate, Sodium Hydroxide, Allantoin, Vitis Vinifera (Grape) Seed Extract, Xanthan Gum, Tocopheryl Acetate (D-alpha), Benzyl Alcohol, Carbomer, Citric Acid, Glycine Soja (Soybean) Oil, Phytic Acid, Lonicera Caprifolium (Honeysuckle) Flower Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Calendula Officinalis Flower Extract, Carmine, Chamomilla Recutita (Matricaria) Flower Extract, Cocamidopropyl Hydroxysultaine, Passiflora Laurifolia (Passionflower) Flower Extract, Potassium Sorbate, Phenyl-N-Butyl Nitrone (Spin Trap) 30 ml/1 oz jar 60 ml/2 oz jar Nourishes dry, dehydrated skin Calms and heals dry, irritated skin Creates a clear radiant appearance to devitalized aging skin Apply as a zone treatment with another mask Alternate with another mask to treat multiple conditions Use at night, once or twice weekly. After cleansing and exfoliating, apply a thin layer to the entire face and neck. Leave on 5-10 minutes. Rinse thoroughly. For best results, follow with recommended Institut DERMed treatment product for your skin. - 16 -

Infusion Treatment Renew A potent nourishing and hydrating treatment combining Hydroxy-pregnenolone and anti-oxidants that focus on hormonal mechanisms to off-set menopausal changes in the skin. With the on-set of pre-menopaus estrogen production declines resulting in decreased new cell regeneration and fibroblast activity. This causes a thinning of the collagen and elastin tissues and fine lines and wrinkles slowly begin to appear. Compounded by extrinsic aging factors like sun exposure and lifestyle choices cell degeneration is accelerated and pre-mature aging becomes a concern. The Infusion Professional Treatment supports cell renewal and deeply hydrates skin for a glowing luminosity. RENEWING INFUSION OIL: Vitis Vinifera (Grape) Seed Oil, Benzyl Alcohol, Glycerin, Aqua (Water), Centella Asiatica (Gotu Kola) Extract, Lavandula Angustifolia (Lavender) Oil, Vitis Vinifera (Grape) Seed Extract, Ubiquinone (CoQ10), Pregnenolone Acetate, Phenyl-N-Butyl Nitrone (Spin Trap) RENEWING INFUSION MASK: Aqua (Water), PEG-50 Shea Butter, Caprylic/Capric Triglyceride, Stearic Acid, Glyceryl Stearate, Liver Extract, Glycerin, Cetearyl Alcohol, Benzyl Alcohol, Olea Europaea (Olive) Fruit Oil*, Polysorbate 60, Prunus Amygdalus Dulcis (Sweet Almond) Oil*, Cetyl Alcohol, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Bisabolol (L-alpha), Gluconolactone, Xanthan Gum, Tocopheryl Acetate (D-alpha), Phenoxyethanol, Caprylyl Glycol, Centella Asiatica (Gotu Kola) Extract, Sodium Benzoate, Glycine Soja (Soybean) Oil, Aloe Barbadensis Leaf Juice Powder*, Calcium Gluconate, Allantoin, Retinyl Palmitate, Zea Mays (Corn) Oil, Alcohol Denat., Anthemis Nobilis (Chamomile) Flower Extract, Trisodium Ethylenediamine Disuccinate, Daucus Carota Sativa (Carrot) Seed Extract, Althaea Officinalis (Marshmallow) Root Extract, Zingiber Officinale (Ginger) Root Oil, Potassium Sorbate 2 oz bottle 2 oz jar Key Active Ingredients Step 1 - Infusion Oil Hydroxy-pregnenolone derived from plant cholesterol and CoQ10 used to aide in moisture retention and increase immune system function for deep cell hydration Step 2 - Infusion Mask Centella Asiatica Extract derived from Gotu Kola an oriental herb used for centuries in Chinese medicine as a powerful anti-bacterial that aids in wound repair Helps moisture retention in the cells Strengthens cellular membranes Neutralizes free radical reactions Increases new cell production Tightens flaccid skin Use the mask as a zone treatment with another mask Interchange the serum to customize the treatment - 17 -

Renew A+ Peel ph 1.95 (± 0.2) This potent L-Retinol peel is perfect for strengthening the integrity of your skin. It works to accelerate new cell growth, regulate collagen synthesis and improve the skin s moisture barrier for rejuvenating dry devitalized skin. Aqua (Water), Lactic Acid (L), Retinol, Glycerin, Caprylic/Capric Triglyceride, Stearic Acid, Glyceryl Stearate, Cetearyl Alcohol, Polysorbate 20, Cetyl Alcohol, Olea Europaea (Olive) Fruit Oil, Xanthan Gum, Hamamelis Virginiana (Witch Hazel) Water, Prunus Amygdalus Dulcis (Sweet Almond) Oil, Lonicera Caprifolium (Honeysuckle) Flower Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Aminoguanidine HCL, Aloe Barbadensis Leaf Juice Powder, Retinyl Palmitate, Zea Mays (Corn) Oil, Potassium Sorbate, Citric Acid, Elaeis Guineensis (Palm) Oil, Tocopherol (D-alpha), Tocotrienols, Allantoin, Alcohol Denat., Phytic Acid 2 oz jar Key Active Ingredients L-Retinol 10% a precursor to vitamin A to synthesis collagen production and regulate differentiation of epithelial cells to reduce abnormal cell growth. Retinol is a pro-drug that can be converted to Retinoic Acid by the skin to promote desquamation and reduce cellular cohesion preventing the development of micro comedones the pre-cursor of acne lesions L-Lactic Acid 20% an alpha hydroxy acid known to decrease the stickiness between corneocyte cells above the granular layer, increasing desquamation and evenly thinning the stratum corneum especially helpful for dry photo-aged skin to slow down the aging process Stimulates cell division and new cell growth Tones and tightens flaccid skin Refines and resurfaces skin texture Lightens hyperpigmentation Apply as a zone treatment with another peel Use as a pre treatment for an acid peel or Microdermabrasion for greater penetration Apply 1 tsp of A + Peel, first to the T-zone area, then clock-wise (Time for 3-5 minutes - DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. - 18 -

Renew Diamond Peel ph 2.60 (± 0.2) This potent TCA/AHA peel blend reverses the signs of aging in your skin. It works to soften deeper wrinkles and fade hyperpigmentation for a fresh youthful look. Key Active Ingredients Trichloroacetic Acid (TCA) 5% coagulates stratum corneum proteins causing a mild sloughing of photo-damaged epidermal cell layers to improve fine surface wrinkles superficial blemishes and pigment problems L-Lactic Acid 10% an alpha hydroxy acid known to decrease the stickiness between corneocyte cells above the granular layer, increasing desquamation and evenly thinning the stratum corneum especially helpful for dry photo-aged skin to slow down the aging process Aqua (Water), Glycerin, Lactic Acid (L), Alcohol Denat., Trichloroacetic Acid, Lycium Barbarum (Goji Berry) Fruit Extract, Phenoxyethanol, Sodium Benzoate, Palmitoyl Hexapeptide-14, Dimethylacrylamide/Acrylic Acid/Polystyrene Ethyl Methacrylate Copolymer, Ethoxydiglycol, Butylene Glycol, Glycol Distearate, Cetyl Alcohol, Acrylates/ C10-30 Alkyl Acrylate Crosspolymer, Sodium Hydroxide, Gluconolactone, Cetearyl Alcohol, Polysorbate 60, Palmitic Acid, Stearic Acid, Retinol, Polysorbate 20, Xanthan Gum, Calcium Gluconate, Myristic Acid 2 oz jar Removes photo-damaged cell layers Increases tissue turgor for improved skin tone Lightens hyperpigmentation Prevents abnormal malignant cell growth Apply as a zone treatment with another peel Can be integrated with an infusion facial protocol Use as a pre treatment for Microdermabrasion for greater penetration Apply 1 tsp of Diamond Peel, first to the T-zone area then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. - 19 -

Renew Trichloroacetic Acid TCA 15% - ph 0.64 (± 0.2) 25% - ph 0.51 (± 0.2) Acetic acid, commonly found in fermented apple cider, wine, grain, malt, rice, or potato mashes is known as an ethanoic acid, an organic chemical compound. Considered to be the Gold Standard of peeling agents. TCA is used to treat a wide range of patients for age related skin conditions like pigment disorders, photo aged skin, fine lines, light to deep wrinkles, actinic keratosis, acne scarring and thick uneven textured skin. TCA peels range from superficial epidermal exfoliation to deep dermal peeling depending on the concentration used and number of layers applied. 15% TCA: Alcohol Denat., Glycerin, Trichloroacetic Acid, Lactic Acid (L), Glycolic Acid, Hamamelis Virginiana (Witch Hazel) Water, Hydrolyzed Soy Flour, Kojic Acid, Hydroxypropyl Methylcellulose, Aqua (Water), Carrageenan, Sorbitol, Mannitol, Hydrolyzed Actin, Glucosamine HCI, Sodium Glucuronate, Calcium Gluconate 25% TCA: Alcohol Denat., Trichloroacetic Acid, Glycerin, Lactic Acid (L), Glycolic Acid, Hydrolyzed Soy Flour, Kojic Acid, Hamamelis Virginiana (Witch Hazel) Water, Hydroxypropyl Methylcellulose, Aqua (Water), Carrageenan, Sorbitol, Mannitol, Hydrolyzed Actin, Glucosamine HCI, Sodium Glucuronate, Calcium Gluconate 2 oz bottle Key Active Ingredients Trichloroacetic Acid (TCA) 15% & 25% coagulates stratum corneum proteins causing a mild to severe separation of epithelial cell layers to stimulate fibroblast activity for collagen remodeling and resolution of pigment problems L-Lactic Acid 10% a naturally occurring Alpha Hydroxy Acid obtained from sour milk to exfoliate the skin without disrupting the Natural Moisturizing Factor (NMF) Suitable for all skin types Reduces acne scarring Lightens hyperpigmentation Improves fine lines and wrinkles Evens the skin tone and texture Apply as a zone or spot treatment with another peel Use as a flash peel, one layer or multi-layer leave on peel - 20 -

Sooth Sensitive Manifests as Erythema (redness) and Edema (swelling) from a range of reactions based on the skin s own chemical components or from a chemical that comes in contact with the skin. A common sensitive skin condition of concern is Rosacea known to affect people of Celtic origin usually after the age of thirty, however it can appear in younger people. The disease is chronic with episodes of active inflammation that may produce acne pustules and papules. The cause of Rosacea is unknown but is thought to be a lowered immune response allowing for the proliferation of a mite called Demodex Folliculorum. Factors contributing to the Rosacea flush may be alcohol, hot beverages, spicy foods and sun exposure. - 21 -

Cleanser Sooth Start your treatment with the Institut DERMed Cleanser. This rich, non-irritating foaming gel cleanser prepares your skin for treatment by gently removing impurities and calming hypersensitive skin. Key Ingredient Benefits Licorice Root Extract derived from the {liquiritia} root, a member of the legume family, used as an antiseptic, anti-inflammatory and anti-oxidant. Licorice is also shown to be a potent tyrosinase-inhibitor preventing brown and red discoloration in the skin. Laurel Berries derived from steam distillation of the berries used as a potent antiseptic and anti-inflammatory for sensitive skin Water, Sodium Hydroxypropylsulfonate Laurylglucoside Crosspolymer, Lauramidopropyl Betaine, Sodium Cocoyl Glutamate, Glycerin, Disodium Laureth Sulfosuccinate, Hydrolyzed Soy Protein, Vitis Vinifera (Grape) Seed Extract, Glycyrrhiza Glabra (Licorice) Root Extract, Symphytum Officinale (Comfrey) Rhizome/Root Extract, Camellia Sinensis (Green Tea) Leaf Extract, Aloe Barbadensis Leaf Extract, Butyrospermum Parkii (Shea) Butter, Tocopheryl Acetate, Gluconolactone, Sodium Methyl Cocoyl Taurate, Decyl Glucoside, Rosmarinus Officinalis (Rosemary) Leaf Oil, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Cananga Odorata (Ylang Ylang) Flower Oil, Phenoxyethanol, Ethylhexylglycerin, Citric Acid 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Cleanses hyper-sensitive allergic skin Non-irritating and anti-bacterial Reduces redness Soothes and calms inflammation For a corrective cleansing treatment, apply like a mask and leave on the skin for 60 seconds Alternate with another cleanser to adjust intensity of treatment May be used as a makeup remover for excessively oily skin Apply a small amount to wet palms and massage onto face and neck in upward circular motions. Rinse thoroughly. For best results follow with recommended Institut DERMed treatment toner for your skin condition. - 22 -

Sooth Balance your skin with the Institut DERMed. This calming toner alleviates redness and inflammation for a fresh, hydrated complexion. Key Ingredient Benefits Cassia Angustifolia Seed Polysaccharide an Indian plant derived Hyaluronic Acid used to as an antibacterial, anti-inflammatory and to help the skin retain moisture. Willow Herb a potent medicinal derived from a wildflower native to the Yukon Territory used as for it s anti-inflammatory, anti-bacterial and anti-redness benefits. Known to sooth and heal wounds associated with burns and Propionibacterium (P.acnes). A natural alternative to hydrocortisone. Hamamelis Virginiana (Witch Hazel) Extract, Water, Polysorbate 80, SD Alcohol 40-B, Glycerin, Epilobium Angustifolium Flower/Leaf/Stem Extract, Glycyrrhiza Glabra (Licorice) Root Extract, Camellia Sinensis (Green Tea) Leaf Extract, Rosmarinus Officinalis (Rosemary) Leaf Extract, Salix Alba (Willow) Bark Extract, Vitis Vinifera (Grape) Seed Extract, Passiflora Incarnata (Passion) Fruit Extract, Honey, Retinyl Palmitate, Tocopheryl Acetate, Glutathione, Phospholipids, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Rosmarinus Officinalis (Rosemary) Leaf Oil, Cananga Odorata (Ylang Ylang) Flower Oil, Phenoxyethanol, Ethylhexylglycerin, Sodium Hydroxide 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Final cleansing step Balances skin s ph Neutralizes free radical reactions Reduces redness and inflammation Spray in the morning to refresh and hydrate prior to moisturizing Use on damp cotton in the evening to lift impurities Alternate with another toner to adjust treatment Spritz directly onto your skin and/or apply with a cotton pad. For best results follow with recommended Institut DERMed corrective treatment product for your skin condition. - 23 -

Sooth Licorice Serum Help fortify your skin with the Institut DERMed Licorice Serum. A bio-curative treatment that diffuses redness, reduces inflammation and strengthens cellular immunity to restore long-lasting comfort and luminosity. Key Ingredient Benefits Licorice Root Extract derived from {liquiritia} root, a member of the legume family, inhibits histamine release, anti-inflammatory and tyrosinase-inhibitor Totarol a potent anti-bacterial and anti-inflammatory derived from the Totara Tree in New Zealand, used as a gentle alternative to Benzoyl Peroxide Glycerin, Aqua (Water), Alcohol Denat., Glycyrrhiza Glabra (Licorice) Root Extract, Xanthan Gum, Benzyl Alcohol, Totarol, Phenyl-N-Butyl Nitrone (Spin Trap) 15 ml/.5 oz pump bottle An herbal alternative to prescription drug therapy for Rosacea Stimulates Langerhan Cell immune response and suppresses bacteria Accelerates healing and stabilizes capillaries to diffuse redness Use in the morning prior to sun protection Use in the evening prior to moisturizing May be used prior to application of prescriptive medicines Apply to the face every morning and/or night. Works best layered under your recommended Institut DERMed moisturizer. - 24 -

Sooth Hydro-Cort Complex Transform your skin s future with the Institut DERMed Hydro- Cort Complex. This powerful anti-inflammatory treatment provides essential hydration and rapid calming effectively heals highly reactive, sensitive skins for a more relaxed complexion. Key Ingredient Benefits Hydrocortisone 1% anti-inflammatory cortico-steroid effective in managing flare ups of itching, redness and skin irritation L-Alpha Bisabolol essential oil of chamomile used as an anti-inflammatory, antibacterial, anti-oxidant and anti-septic to treat eczema, skin inflammation and contact dermatitis. Increases cellular hydration surface lipids and skin elasticity Aqua (Water), Glycerin, Caprylic/Capric Triglyceride, Cetearyl Olivate, Hydrocortisone, Rosa Canina (Rose Hip) Seed Oil, Squalane, Sorbitan Olivate, Bisabolol (L-alpha), Carbomer, Gluconolactone, Lonicera Caprifolium (Honeysuckle) Flower Extract, Hedychium Coronarium (White Ginger) Root Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Sodium Benzoate, Phenylethyl Alcohol, Potassium Sorbate, Caprylyl Glycol, Tocopherol (D-alpha), Glycine Soja (Soybean) Oil, Aloe Barbadensis Leaf Juice Powder, Phytic Acid, Sodium Hydroxide, Xanthan Gum, Calcium Gluconate, Trisodium Ethylenediamine Disuccinate 15 ml/.5 oz pump bottle 60 ml/2 oz bottle Reduces inflammation Accelerates healing for irritated skin Hydrating and soothing Anti-inflammatory and anti-redness Apply to calm unexpected responses to chemical reactions Use post facial waxing to reduce inflammation Use for rashes, cuts, burns and insect bites Apply to inflamed and/or irritated areas. Works best layered under your recommended Institut DERMed moisturizer. - 25 -

Sooth Protect your skin from dehydration and discomfort with the Institut DERMed. This gentle hydrator supports capillaries by reducing inflammation and providing healing hydration for all day comfort. Key Ingredient Benefits Shea Butter derived from the seed or nut of the Karrite Tree contains numerous fatty acids and triglycerides rich in natural tocopherol {vitamin E}, anti-oxidants to soften and moisturize skin Pumpkin Seed Oil an anti-oxidant rich in zinc, magnesium, iron phosphorate ferulic and alpha-linolenic acid and vitamin A to aid in the skins natural healing processes Aqua (Water), Glycerin, Butyrospermum Parkii (Shea Butter), Cyclopentasiloxane, Caprylic/Capric Triglyceride, Beeswax, Cucurbita Pepo (Pumpkin) Seed Oil, Dicaprylyl Ether, Stearic Acid, Squalane, Cetyl Alcohol, Xanthan Gum, Magnesium Aluminum Silicate, Gluconolactone, Origanum Majorana (Marjoram) Leaf Oil, Cinnamomum Cassia (Cinnamon) Leaf Oil, Zingiber Officinale (Ginger) Root Oil, Eugenia Caryophyllus (Clove) Leaf Oil, Polysorbate 20, Fructooligosaccharides (D-beta), Sodium Benzoate 30 ml/1 oz jar 60 ml/2 oz jar Increases cellular oxygenation to strengthen capillary walls Deeply hydrating and lubricating Redness diffusing Apply over sun protection in the morning for additional hydration and protection Smooth onto the face and neck every morning and/or night after the recommended Institut DERMed treatment product for your skin condition. For added protection during the day, follow with Institut DERMed. - 26 -

Sooth Peel Achieve professional results at home with the Institut DERMed Peel. Designed for sensitive skin, this non-irritating peeling mask remarkably restores and calms irritated skin with a unique blend of gentle smoothers to free dull, lifeless skin cells for a healthy complexion. Key Ingredient Benefits Papain enzyme derived from papayas, digests keratin proteins to help accelerate exfoliation L-Lactic Acid 3% an alternative to glycolic acid derived from sour milk increases cellular desquamation to refine and re-texturize the skin Aqua (Water), Glycerin, Carica Papaya (Papaya Fruit), Lactic Acid (L), Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Phenoxyethanol, Xanthan Gum, Phenethyl Alcohol and Caprylyl Glycol, Allantoin, Fungal Protease, Aloe Barbadensis Leaf Juice Powder, Trisodium Ethylenediamine Disuccinate, Potassium Sorbate 30 ml/1 oz jar 60 ml/2 oz jar Removes dead cell build-up Reveals hydrated skin cells Rejuvenates sensitive skin May be used in addition to the skin polish for increased exfoliation May be used with steam during a clinical treatment to increase exfoliation Apply as a zone treatment with another exfoliator or mask Once a week after cleansing and exfoliating with the Institut DERMed Enhancing Gentle Polish, apply a thin layer over clean, dry facial skin. Avoid sensitive eye and lip areas. Leave on for 3-5 minutes. Rinse thoroughly. Follow with the recommended Institut DERMed treatment for your skin condition. - 27 -

Sooth Mask Diffuse skin redness with the Institut DERMed Mask. Designed for sensitive skin, this non-irritating peeling mask remarkably restores and calms irritated skin with a unique blend of gentle smoothers to free dull, lifeless skin cells for a healthy complexion. Key Ingredient Benefits Licorice Root Extract 10% derived from (liquiritia) root, a member of the legume family, inhibits histamine release, anti-inflammatory and tyrosinase-inhibitor Willow Herb a natural alternative to hydrocortisone to reduce inflammation, irritation and propionibacterium Aqua (Water), Glycerin, Glycyrrhiza Glabra (Licorice) Root Extract, Hamamelis Virginiana (Witch Hazel) Water, Epilobium Angustifolium Flower/ Leaf/Stem Extract, Caprylic/Capric Triglyceride, Stearic Acid, Cetyl Alcohol, Glycol Distearate, Titanium Dioxide, Xanthan Gum, Dimethicone, Tocopheryl Acetate (D-Alpha), Allantoin, Carbomer, Glycine Soja (Soybean) Oil, Illicium Verum (Anise) Oil, Coriandrum Sativum (Coriander) Fruit Oil, Alcohol Denat. Passiflora Laurifolia (Passionflower) Flower Extract 30 ml/1 oz jar 60 ml/2 oz jar Stimulates Langerhan Cell immune response to suppress bacteria Reduces redness from inflammatory reactions Apply as a zone treatment with another mask Alternate with another mask to adjust treatment Use at night, once or twice weekly. After cleansing and exfoliating, apply a thin layer to the entire face and neck. Leave on 5-10 minutes. Rinse thoroughly. For best results, follow with recommended Institut DERMed treatment product for your skin. - 28 -

Sooth Infusion Treatment A soothing and hydrating treatment combining Willow Herb Extract, Licorice Extract and Sea Minerals to support the skin s immune system, reduce inflammation and diffuse redness. Immune cell activity is heightened in a well hydrated and nourished cell environment reducing the incidence of inflammatory responses. The Infusion Treatment calms and sooths irritated skin to restore skin health and comfort. Ingrédients: SOOTHING INFUSION SERUM: Aqua (Water), Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Alcohol, Denat., Sea Salt, Oenothera Biennis (Evening Primrose) Oil, Xanthan Gum, Epilobium Angustifolium Flower/Leaf/Stem Extract, Glycyrrhiza Glabra (Licorice) Root Extract, Mentha Viridis (Spearmint) Leaf Oil, Gluconolactone, Sodium Benzoate Infusion Mask: Aqua (Water), Glycerin, Caprylic/Capric Triglyceride, Coco-Caprylate/Caprate, Squalane, Cyclopentasiloxane, Gastric Mucin Powder, Dimethiconol, Hamamelis Virginiana (Witch Hazel) Water, Pseudoalteromonas Ferment Extract, Dimethicone, Magnesium Aluminum Silicate, Butyrospermum Parkii (Shea) Butter, Xanthan Gum, Stearic Acid, Cetearyl Alcohol, Cetearyl Glucoside, Gluconolactone, Cetyl Alcohol, Glyceryl Stearate, Jojoba Wax PEG-80 Esters, Jojoba Oil PEG-150 Esters, Sorbitol, Glycol Distearate, Dicaprylyl Ether, Phenethyl Alcohol, Caprylyl Glycol, Titanium Dioxide, Beta-Glucan (D), Carbomer, Sodium Benzoate, Allantoin, Alcohol Denat., Phenoxyethanol, Sodium Silicate, Bisabolol (L-alpha), Undaria Pinnatifida (Wakame) Extract, Tocopheryl Acetate (D-alpha), Mentha Viridis (Spearmint) Leaf Oil, Sea Salt, Pearl Powder, Algae (Laminaria) Extract, Aloe Barbadensis Leaf Juice Powder, 1,2-Hexanediol, Sodium Metabisulfite, Potassium Sorbate,Fructooligosaccharides (D-beta), Fucus (Bladderwrack) Vesiculosus, Algin, Chondru, Crispus (Carrageenan), Glycine Soja (Soybean) Oil, Passiflora Laurifolia (Passionflower) Flower Extract, Alteromonas Ferment Extract, Tropolone, Chlorophyll (L), Curcuma Longa (Tumeric) Root Extract 2 oz bottle 2 oz jar Key Active Ingredients Step 1 - Infusion Serum Canadian Willow Herb a member of the evening primrose family used as an alternative to hydrocortisone. The main active molecule in Willow Herb is oenothein-b and has shown to be a potent anti-viral and anti-bacterial suppressing the P. acnes bacterium associated with acne Step 2 - Infusion Mask Dunaliella Salina Algae Extract grown in salt lakes that have salinity nine times higher than salinity of sea water. Danaliella Algae contains massive amount of beta-carotene, alpha-carotene and lutin known for it s anti-inflammatory capabilities. In addition, Algae nourishes the skin with potent vitamins and minerals and is highly moisturizing for the skin Helps moisture retention in the cells Strengthens cellular membranes Neutralizes Free radical reactions Suppresses inflammation Diffuses redness Use the serum as a layer under any mask Use the mask as a zone treatment with another mask Use this serum under any mask to customize the serums - 29 -

Sooth Herbal Peel with Post A potent Proteolytic Enzyme exfoliator combined with Pancreatin Enzymes, Collodial Oat Extract and Alfalfa to soften, dissolve and remove cellular debris build up for dehydrated sensitive skin. Gently creates a clear clean more vibrant healthy skin without causing inflammation or stripping the skin s natural moisture. HERBAL PEEL: Avena Sativa (Oat) Kernal Protein, Pancreatin, Medicago Sativo (Alfalfa) Powder, Mentha Piperita (Peppermint) Leaf Powder, Sodium Carboxymethylcellulose, Sodium Bicarbonate, Menthol HERBAL POST TONER: Purified Water, SD 40A Alcohol, Propylene Glycol, PEG-75 Lanolin, Citric Acid, Boric Acid, Polysorbate 20, Sodium Hydroxide, Aluminum Chlorhydroxy Allantionate, Lemon Lime 16-415, Yellow #5 2 oz jar 2 oz bottle Key Active Ingredients Pancreatin Enzymes categorized as proteases; proteolytic enzymes, break down keratinized protein molecules. As bio-catalysts, which literally means either beginning a cellular action or causing a reaction, enzymes are capable of effecting changes in the appearance of the skin such as releasing dead skin cells to decongest clogged pores and soften wrinkles. They also act as protectants, capturing free radicals preventing damage to the skin caused by environmental pollution, smoking, bacteria, sunlight and other harmful factors. Alfalfa a nutrient dense anti-oxidant with high concentrations of proteins, vitamins,minerals, carotenoids and chlorophyll to detoxify, soothe and calm inflamed irritated skin. A calming and decongesting plant extract. Selling Points Softens and dissolves dead skin cells Hydrates and exfoliates sensitive skin Creates non-inflammatory exfoliating Detoxifies clogged pores Apply as a zone treatment with another peel Use to remove flaking and partially peeled dead skin cells post chemical peel Mix 1 tsp Herbal Peel with 3-6 tsps warm water to form a loose paste. Apply mixture, first to the T-zone area then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. Apply Herbal Post to neutralize activity. - 30 -

Sooth Lactic Acid Peel 20% - ph 1.42 (± 0.2) A potent keratolytic exfoliator derived from sour milk. Lactic and other hydroxyl acids decrease the stickiness between corneocytes above the granular layer, increasing desquamation, thinning the stratum corneum. Lactic has a large molecular structure and is not as irritating or dehydrating as other AHA acids. Key Active Ingredients L-Lactic Acid 20% a naturally occurring Alpha Hydroxy Acid obtained from sour milk to exfoliate the skin without disrupting the Natural Moisturizing Factor (NMF) Glucosamine HCI improves moisture content and hydration, a building block for strengthening connective tissues to improve skins elasticity Aqua (Water), Lactic Acid (L), Glycerin, Hamamelis Virginiana (Which Hazel) Water, Fructooligosaccharides (D-beta), Glucosamine HCI (D), Alcohol Denat. 2 oz bottle Softens and dissolves dead skin cells Hydrates and exfoliates dry skin Increases the cells ability to hold water Prevents and corrects fine lines and wrinkles Apply as a zone treatment with another peel Use as a prep for an Enzyme Peel Use as a prep for Microdermabrasion Apply 1 tsp of Lactic Acid Peel, first to the T-zone area then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. - 31 -

Brighten Lightening Pigmented lesions are technically known as Dyschromias and are caused by abnormal melanocyte cell production located in the basal layer of the epidermis. Melanin absorbs ultraviolet radiation and provides protection to newly dividing cells in the lower layers of the skin to prevent damage to the cell s genetic coding (DNA). Over exposure to sunlight, hormonal imbalance from birth control pills or menopause and injury from abrasions are the most common causes of pigmented lesions. There is no cure for hyperpigmentation but it is possible to improve the condition with topical tyrosinase enzyme inhibitors, sunscreens and regular exfoliation treatments to remove cells containing abnormal amounts of pigment. - 32 -

Brighten Cleanser Start your treatment with the Institut DERMed Cleanser. This rich foaming gel cleanser prepares your skin for treatment by gently removing impurities and revitalizing dull skin for a fresh, luminous complexion. Key Ingredient Benefits Kojic Acid derived from Aspergillus Oryzae Mushrooms found in Japan used to whiten, lighten and reduce hyperpigmented dark spots in the skin. L-Lactic Acid derived from sour milk, yogurt or beer used for it s potent acidic properties to gently exfoliate and clarify the skin without dehydration. An excellent alternative to glycolic acid for refining and re-texturizing the skins surface. Water, Sodium Hydroxypropylsulfonate Laurylglucoside, Crosspolymer, Lauramidopropyl Betaine, Sodium Cocoyl Glutamate, Decyl Glucoside, Glycerin, Lactic Acid, Kojic Acid, Gamma Amino Butyric Acid, Salix Alba (Willow) Bark Extract, Glycyrrhiza Glabra (Licorice) Root Extract, Lonicera Caprifolium (Honeysuckle) Extract, Saccharum Officinarum (Sugarcane) Extract, Citrus Medica Limonum (Lemon) Fruit Extract, Citrus Aurantium Dulcis (Orange) Fruit Extract, Pyrus Malus (Apple) Fruit Extract, Camellia Sinensis (Green Tea) Leaf Extract, Vaccinium Macrocarpon (Cranberry) Extract Blend, Gluconolactone, Disodium Laureth Sulfosuccinate, Sodium Methyl Cocoyl Taurate, Citrus Aurantium Dulcis (Orange) Peel Oil, Citrus Grandis (Grapefruit) Peel Oil, Phenoxyethanol, Ethylhexylglycerin 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle A non-irritating melanin suppressing cleanser to initiate the lightening process Helps to fade skin discolorations and create a more even skin tone For corrective treatment apply like a mask and leave on the skin for 60 seconds Alternate with another cleanser to adjust intensity of treatment Apply a small amount to wet palms and massage onto face and neck in upward circular motions. Rinse thoroughly. For best results follow with recommended Institut DERMed treatment toner for your skin condition. - 33 -

Brighten Balance your skin with the Institut DERMed. This ph balancing toner lightens your skin for a vibrant, more even complexion. Key Ingredient Benefits L-Ascorbic Acid a potent anti-oxidant derived from fruits and vegatables used to provide photo-protection, prevent hyperpigmentation and stimulate collagen production for skin rejuvenation and age prevention. It also reduces erythema, promotes wound healing and suppresses cutaneous pigmentation. Glycolic Acid Polymer an Alpha Hydroxy Acid (AHA) derived from fermented Rhubarb used to reduce corneocyte cohesion a thickening of the skin where excess dead skin cells build up. Also know to helps stimulate and strengthen collagen and elastin production for smoother, younger looking skin Water, SD Alcohol 40-B, Propylene Glycol, Aloe Barbadensis Leaf Extract, Hamamelis Virginiana (Witch Hazel) Extract, Polysorbate 20, Lactic Acid, Glycolic Acid, Kojic Acid, Vitis Vinifera (Grape) Seed Extract, Vaccinium Macrocarpon (Cranberry) Extract Blend, Ascorbic Acid, PEG-7 Glyceryl Cocoate, Menthol, Glutathione, Citrus Aurantium Dulcis (Orange) Peel Oil, Citrus Grandis (Grapefruit) Peel Oil, Phenoxyethanol, Ethylhexylglycerin 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle A non-irritating melanin suppressing toner, which helps to prep the skin for lightening treatments Balances the skin s ph Fades skin discolorations and creates a more even skin tone Use on cotton in the morning and evening to lift impurities Apply with a cotton pad in the morning to refresh and hydrate prior to moisturizing Apply with a cotton pad. For best results follow with recommended Institut DERMed corrective treatment product for your skin condition. - 34 -

Brighten Vital C Serum Transform your skin s future with the Institut DERMed Vital C Serum. A powerful lightening treatment that stimulates the skins immune cells to prevent abnormal melanin production. Key Ingredient Benefits L-Ascorbic Acid 20% a potent anti-oxidant agent that provides protection against skin damage induced by UV radiation, reduces erythema, promotes wound healing and suppresses cutaneous pigmentation Fructooligosaccharides derived from cane or beet sugar to promote new cell growth and strengthen cellular immunity preventing acne breakout Stimulates Langerhan Cell immune response Stimulates collagen production Protects against photo-aging Prevents premature aging and hyperpigmentation Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Ascorbic Acid (L), Aqua (Water), Xanthan Gum, Sodium Chloride, Fructooligosaccharides (D-beta), Glucosamine HCL (D), Wine Extract 15 ml/.5 oz pump bottle Use 3x weekly and gradually increase frequency of use Can be alternated with Vital A Serum to increase and/or adjust treatment intensity every other night Apply morning & evening for intensive treatment Apply 3 times a week and gradually increase frequency of use. Works best layered under your recommended Institut DERMed moisturizer. Mild tingling or redness is normal and temporary until your skin adjusts. - 35 -

Brighten Vital C Complex Transform your skin s future with the Institut DERMed Vital C Complex. A powerful lightening treatment that targets visible discolorations, loss of elasticity in photo-aged skin. Key Ingredient Benefits L-Ascorbic Acid 10% a potent anti-oxidant agent that provides protection against skin damage induced by UV radiation, reduces erythema, promotes wound healing and suppresses cutaneous pigmentation Gluconic Acid 4% increases moisture and elasticity for better collagen support Aqua (Water), Ascorbic Acid (L), Caprylic/Capric Triglyceride, Lactic Acid (L), Coco-Caprylate/Caprate, Gluconic Acid, Glycerin, Cetearyl Alcohol, Cetearyl Glucoside, Sodium Lactate, Glyceryl Stearate, Squalane, Xanthan Gum, Lavandula Angustifolia (Lavender) Oil, Phenoxyethanol, Caprylyl Glycol, Menthyl Lactate, Lonicera Caprifolium (Honeysuckle) Flower Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Fructooligosaccharides (D-beta), Citric Acid, Hamamelis Virginiana (Witch Hazel) Water, Alcohol Denat., Potassium Sorbate, Citrus Grandis (Grapefruit) Peel Oil, Phytic Acid, Lithium Magnesium Sodium Silicate, Dimethyl MEA 15 ml/.5 oz pump bottle Stimulates Langerhan Cell immune response Supports the collagen and elastin network Protects against photo-aging Prevents premature aging and hyperpigmentation Use 3x weekly and gradually increase frequency of use Can be alternated with Vital A Serum to adjust treatment every other night Apply morning & evening for intensive treatment Apply 3 times a week and gradually increase frequency of use. Works best layered under your recommended Institut DERMed moisturizer. Mild tingling or redness is normal and temporary until your skin adjusts. - 36 -

Glycolic Serum Brighten Help your skin look beautifully radiant with the Institut DERMed Glycolic Serum. This lightweight, hydrating treatment visibly evens skin tone and prevents premature aging by supporting collagen production for a firmer, more lustrous complexion. Key Ingredient Benefits Glycolic Acid 3% Alpha Hydroxy Acid (AHA) derived from sugarcane increases desquamation to lighten the skins surface Kojic Acid 5% a natural tyrosinase inhibitor derived from mushrooms to lighten hyperpigmentation and prevent free radical reactions from UV light exposure Gallic Acid 4% a potent anti-oxidant and anti-inflammatory from the bark of the Chinese Nut Gall Oak Tree inhibits tyrosinase decreasing melanin synthesis Glycerin, Alcohol Denat., Hamamelis Virginiana (Witch Hazel) Water, Kojic Acid, Gallic Acid, Glycolic Acid, Aqua (Water), Hydroxypropyl Methylcellulose, Sodium Chloride, Fructooligosaccharides (D-beta), Glucosamine HCL (D) 15 ml/.5 oz pump bottle Suppresses tyrosinase enzymes to prevent abnormal melanin production Releases dead skin cells containing abnormal amounts of melanin to accelerate fading Use 3x weekly and gradually increase frequency of use Alternate with another corrective to adjust intensity of treatment Apply morning & evening for intensive treatment Apply 3 times a week in the evening and gradually increase frequency of use. Works best layered under your recommended Institut DERMed moisturizer. Mild tingling or redness is normal and temporary until your skin adjusts. - 37 -

Brighten Intensive Serum Target stubborn hyperpigmentation with the Institut DERMed Intensive Serum. This fast-acting treatment helps accelerate the exfoliation of dark spots while suppressing melanin production for a more even skin tone. Key Ingredient Benefits Hydroquinone 2% a skin bleaching agent derived from potatoes is a potent tyrosinase inhibitor that works by turning off melanocyte cell activity Kojic Acid 3% a natural tyrosinase inhibitor derived from mushrooms to lighten hyperpigmentation Azelaic Acid 15% naturally occurring dicarboxylic acid derived from potato and unsaturated fatty acids found in milk fats, works as a pigment emulsifier and is as effective as hydroquinone Glycerin, Alcohol Denat., Azelaic Acid, Hamamelis Virginiana (Witch Hazel) Water, Aqua (Water), Lactic Acid (L), Kojic Acid, Hydroquinone, Salicylic Acid, Ascorbic Acid (L), Hydroxypropyl Methylcellulose, Sodium Hydroxide 15 ml/.5 oz pump bottle A cornucopia of natural lightening agents Releases dead skin cells containing abnormal amounts of melanin to accelerate fading of difficult pigmented spots Use 3x weekly and gradually increase frequency of use as tolerance indicates Alternate with another corrective to adjust treatment intensity and prevent dehydration Recommended as a spot treatment to target stubborn spots Apply 3 times a week in the evening and gradually increase frequency of use. Works best layered under your recommended Institut DERMed moisturizer. Mild tingling or redness is normal and temporary until your skin adjusts. - 38 -

Brighten SPF15 Normal/Dry Skin Types Defend your skin from the sun s harmful UV rays with the Institut DERMed SPF15. This hydrator provides broad spectrum UVA and UVB protection to prevent discoloration and premature aging for a healthy, vibrant complexion. Key Ingredient Benefits Octinoxate used in sunscreens to protect skin primarily from the sun s UVB rays: the longer wavelength burning rays Oxybenzone used in sunscreen and other cosmetics because it absorbs UVB and short-wave UVA ultraviolet rays Sodium PCA a high performance humectant for moisture retention Purified Water, Glycerin, Octinoxate, Oxybensone, Beeswax, Panthenol, Aloe Barbadensis Leaf Juice, Sodium PCA, Cocoa Butter, Sunflower Oil, Dimethicone, Carbomer, Allantoin, Octyl Palmitate, Ctyl Alcohol, Glycerin Stearate, Potassium Stearate, Methylparaben, Propylparaben 30 ml/1 oz jar 60 ml/2 oz jar All in one moisturizer and daily sun protection Prevents skin discoloration and premature aging from exposure to UV light Maybe used alone or followed with moisturizer for additional hydration Apply to backs of hands to prevent brown spots Every morning, as the last step to your skin care program, smooth onto face, neck and other exposed areas after the recommended Institut DERMed treatment product for your skin condition. - 39 -

Brighten SPF28 Normal/Oily Skin Types Defend your skin from the sun s harmful UV rays with the Institut DERMed SPF28. This hydrator provides broad spectrum UVA and UVB protection to prevent discoloration and premature aging for a healthy, vibrant complexion. Aqua (Water), Caprylic/Capric Triglyceride, Zinc Oxide, Coco-Caprylate / Caprate, Cetearyl Glucoside, Glycerin, Cetearyl Alcohol, Squalane, Gluconolactone, Dicaprylyl Ether, Isononyl Isononanoate, Titanium Dioxide, Magnesium Aluminum Silicate, Sodium Benzoate, Polysorbate 60, Xanthan Gum, Alumina, Tocopheryl Acetate (D-alpha), Glycine Soja (Soybean) Oil, Aloe Barbadensis Leaf Juice Powder, Polyglyceryl-6 Ricinoleate, Simethicone, Fructooligosaccharides (D-beta), Allantoin, 1,2-Hexanediol, Caprylyl Glycol, Tropolone, Potassium Sorbate 30 ml/1 oz jar 60 ml/2 oz jar Key Ingredient Benefits Titanium Dioxide derived from ilmenite or leuxocene ores which are minerals used in a micronized form for sun protection preventing skin damage and excessive melanin synthesis Zinc Oxide an inorganic white crystalline oxide UVA and UVB blocking mineral that protects, soothes and heals skin. An excellent barrier to the sun and other irritants Full spectrum oil free daily sun protection Prevents skin discoloration and premature aging from exposure to UV light Provides relief for Rosacea sufferers Use alone or followed with moisturizer for additional hydration Apply to backs of hands to prevent brown spots Every morning, as the last step to your skin care program, smooth onto face, neck and other exposed areas after the recommended Institut DERMed treatment product for your skin condition. - 40 -

Brighten Eye Cream Redefine your eye area with the Institut DERMed Eye Cream. This luxurious treatment is formulated with a unique blend of botanical extracts and Lactic Acid to lighten dark circles and smooth the eye contour. Key Ingredient Benefits Vitamin K a phylliquinone found in vitamin K decreases the number of cellular elements visible in connective skin tissue. Its topical application provides protection from UV rays and heals discoloration associated with bruising L-Arbutin a natural form of hydroquinone derived from Bearberry Extract also known as uva-ursi resembles the amino acid tyrosinase enzyme to inhibit the production of melanin Aqua (Water), Glycol Distearate, Glycerin, Cetyl Alcohol, Hamamelis Virginiana (Witch Hazel) Water, Titanium Dioxide, Alpha-Arbutin, Palmitic Acid, Stearic Acid, Ascorbic Acid (L), Lactic Acid (L), Malic Acid (L), Tartaric Acid (L), Phytonadione (K1), Cetearyl Alcohol, Polysorbate 60, Diazolidinyl Urea, Methylparaben, Propylparaben, Alumina, Silica, Zirconium Dioxide, Myristic Acid, Bisabolol (L-alpha), Aniba Rosaeodora (Rosewood) Wood Oil, Tagetes Minuta (Calendula) Flower Oil, Glucuronolactone (D), Fullerenes 15 ml/.5 oz pump bottle Gently accelerates cell renewal to smooth fine lines and wrinkles Thickens thin skin of the eye contour to disguise dark circles Layer an alternate eye cream for additional hydration Alternate with another eye cream to adjust Intensity of treatment Every morning and/or night as the last step, dab a small amount around the entire eye area. Pat and press gently until absorbed. - 41 -

Brighten Peel Extend professional results at home with the Institut DERMed Peel. This intensive peeling mask dramatically lightens your skin. Clinically proven active ingredients remove dark pigmented dead skin cells to reveal radiant luminous skin. Key Ingredient Benefits L-Lactic Acid 10% an alternative to glycolic acid derived from sour milk increases cellular desquamation to lighten and re-texturize the skin Pearl Powder a rich in micro nutrient anti-oxidants to prevent environmental damage and improve the metabolic rate of cell renewal to slow down the aging process Aqua (Water), Glycerin, Lactic Acid (L), Caprylic/ Capric Triglyceride, Stearic Acid, Cetyl Alcohol, Xanthan Gum, Glycol Distearate, Titanium Dioxide, Salicylic Acid, Gluconolactone, Dimethicone, Lecithin, Alcohol Denat., Tocopheryl Acetate (D-alpha), Allantoin, Citrus Grandis (Grapefruit) Peel Extract, Sodium Benzoate, Citrus Medica Limonum (Lemon) Peel Extract, Sea Salt, Pearl Powder, Passiflora Laurifolia (Passionflower) Flower Extract, Glycine Soja (Soybean) Oil, Carbomer, Phenoxyethanol, Caprylyl Glycol 30 ml/1 oz jar 60 ml/2 oz jar Reduces hyperpigmentation Reveals hydrated skin cells Rejuvenates photo-damaged skin May be used in addition to the skin polish for increased exfoliation Apply as a zone treatment with another exfoliator or mask Once a week after cleansing and exfoliating with the Institut DERMed Enhancing Micro Mineral Polish, apply a thin layer over clean, dry facial skin. Avoid sensitive eye and lip areas. Leave on for 3-5 minutes. Rinse thoroughly. Follow with the recommended Institut DERMed treatment for your skin condition. - 42 -

Brighten Infusion Treatment An intensive treatment combining L-ascorbic Acid, Kojic Acid and Arbuten to correct and prevent photo-aging. These powerful anti-oxidants stimulate Langerhan immune cell activity protecting damage to cellular DNA from UV light to prevent exposure and modulate melanocyte cell activity preventing the over production of melanin that causes hyperpigmentation. The Infusion Treatment evens the skin tone for a lighter, brighter complextion. BRIGHTENING INFUSION SERUM: Hamamelis Virginiana (Witch Hazel) Water, Ascorbic Acid (L), Alcohol Denat., Glycerin, Alpha- Arbutin, Kojic Acid, Xanthan Gum, Rutin BRIGHTENING INFUSION MASK: Aqua (Water), Hamamelis Virginiana (Witch Hazel) Water, Kojic Acid, Glycerin, Caprylic/ Capric Triglyceride, Lactic Acid (L), Stearic Acid, Xanthan Gum, Cetyl Alcohol, Glycol Distearate, Glycyrrhiza Glabra (Licorice) Root, Titanium Dioxide, Isononyl Isononanoate, Alumina, Polyglyceryl-6-Polyricinoleate, Simethicone, Polydimethylsiloxane, Diazolidinyl Urea, Methylparaben, Propylparaben, Tocopherol (D-alpha), Glycine Soja (Soybean) Oil, Allantoin, Magnesium Ascorbyl Phosphate, Citrus Grandis (Grapefruit) Peel Oil, Cymbopogon Schoenanthus (Lemongrass) Oil, Citrus Aurantium Dulcis (Orange) Peel Oil, Passiflora Incarnata (Passionflower) Flower Extract 2 oz bottle 2 oz jar Key Active Ingredients Step 1 - Infusion Serum L-ascorbic acid, neutralizes free radical reactions inhibiting immuno-suppression from UV light exposure, preventing damage to the skin s DNA cells. In addition research shows Ascorbic acid stimulates fibroblast activity increasing collagen synthesis in the basal levels for cellular regeneration. Kojic acid and Arbuten modulate Melanocyte cell activity preventing the over production of melanin to correct and prevent red and brown hyper pigmentation. Step 2 - Infusion Mask Lactic Acid, gently separates and exfoliates abnormal cells without dehydrating superficial layers of the skin. Kojic Acid modulates Melanocyte cell activity preventing the over production of melanin to correct and prevent red and brown hyperpigmentation. Removes pigmented skin cells Neutralizes free radical reactions Prevents abnormal melanin production Stimulates collagen synthesis Use this serum under any mask to customize the treatment for lightening - 43 -

C + Peel with Activator Brighten A potent proteolytic and keratolytic exfoliator combining both Acids and Enzymes for accelerating the exfoliation of abnormal discolored cells to lighten and brighten photodamaged skin. Key Active Ingredients L-Ascorbic Acid 35% simulates collagen synthesis, reduces erythema, promotes wound healing and suppresses cutaneous pigmentation to protect against sun induced aging Salicylic Acid 1% intensively exfoliates superficial skin cell layers to accelerate the removal of hyperpigmented brown and red skin discoloration Papain/Bromelain/ Cranberry Enzymes Botanical enzymes derived from papaya, pineapple and berries to hydrate and gently soften surface hardened dead skin cells C + PEEL: Ascorbic Acid (L), Bromelain, Pancreatin, Salicylic Acid C + ACTIVATOR: Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Cananga, Odorata (Ylang Ylang) Flower Oil, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Citrus Reticulata (Tangerine) Leaf Oil, Citrus Aurantifolia (Organic Lime) Oil, Passiflora Incarnata (Passionflower) Flower Extract, Citrus Grandis (Grapefruit) Peel Oil, Cymbopogon Schoenanthus (Lemongrass) Oil 2 oz jar 2 oz bottle Softens and dissolves dead skin cells Hydrates and exfoliates the skin Diffuses skin redness Effective anti-oxidant to neutralize free radical reactions Evens the skin color Apply as a zone treatment with another peel Use as a pre-treatment for acid peels or Microdermabrasion for greater penetration and results Apply 1 tsp of C + Peel with C + Activator, to form a loose paste. Apply mixture first to the T-zone area, then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. - 44 -

Brighten Ruby Peel ph 2.45 (± 0.2) This potent peel blend decongests and clears your skin. It works by removing the top layer of damaged skin cells for fresher, lighter and brighter skin. Key Active Ingredients Resorcinol 7% a synthesized compound combining caustic soda and benzenedisulfonic acid to help breakdown hard, rough skin, one of the leading causes of blackheads, whiteheads, pimples, eczema and dermatitis L-Lactic Acid 7% an alpha hydroxy acid known to decrease the stickiness between corneocyte cells above the granular layer, increasing desquamation and evenly thinning the stratum corneum especially helpful for dry, photo-aged skin to slow down the aging process Salicylic Acid 7% naturally occurs in Wintergreen Leaves, Licorice, Marigold, Sweet Birch, Raspberries, Willow Bark and other plant sources and is used to dissolve and control oil production Alcohol Denat., Lactic Acid (L), Salicylic Acid, Resorcinol, Aqua (Water), Lycopene, Punica Granatum (Pomegranate) Extract, Rubus Idaeus (Raspberry) Fruit Extract, Glycerin, Fragrance/Parfum 2 oz bottle Lightens hyperpigmentation Softens fine lines and wrinkles Evens the skin tone and texture Apply as a zone treatment with another peel Use as a flash peel, one layer or multi-layer leave on peel Can be integrated with an infusion facial protocol - 45 -

Brighten G3 Peel ph 1.86 (± 0.2) This gentle Glycolic, Gluconic and Gallic Acid peel formulation is an excellent skin lightening peel. It works by exfoliating enviormentally damaged skin cells to lighten, brighten and even the skin tone for a youthful complexion. Key Active Ingredients Glycolic Acid 10% Alpha Hydroxy Acid (AHA) derived from sugarcane thins the stratum corneum to refine the skins surface Gluconic Acid 5% a polyhydroxy acid that occurs naturally in fruit, honey, kombucha tea, and wine. Known as gluconolactone used as a tyrosinase inhibitor and UV protector to prevent against photo-aging Gallic Acid 2% a plant phenolic compound abundant in pomegranate, strawberry, rhubarb, soybeans, tea leaves, grapes and oak bark. These phenols are known as powerful antioxidants, antiinflammatories and tyrosinase inhibitors. Alcohol Denat., Aqua (Water), Glycolic Acid, Glycerin, Gluconic Acid, Isopropyl Alcohol, Gallic Acid, Hydroxypropyl Methylcellulose, Sodium Chloride 2 oz bottle Lightens hyperpigmentation Softens fine lines and wrinkles Evens the skin tone and texture Helps to prevent malignant cell development Apply 1 tsp of G3 Peel, first to the T-zone area then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water and soft facial cloth. In case of reaction, discontinue procedure and apply Hydro-Cort Complex. - 46 -

Brighten Modified Jessner ph 1.55 (± 0.2) Formulated by Dr. Max Jessner this peel solution has been clinically used for over 50 years. The Jessner s Peel is a light chemical cosmetic peeling treatment used to superficially exfoliate the skin reducing the amount of comedones, pustules, and abnormal pigmented cells. Key Active Ingredients Resorcinol 14% a synthesized compound combining caustic soda and benzenedisulfonic acid helps breakdown hard, rough skin, one of the leading causes of blackheads, whiteheads, pimples, eczema and dermatitis L-Lactic Acid 14% an alpha hydroxy acid known to decrease the stickiness between corneocyte cells above the granular layer, increasing desquamation and evenly thinning the stratum corneum especially helpful for dry photo-aged skin to slow down the aging process Salicylic Acid 14% naturally occurs in Wintergreen Leaves, Licorice, Marigold, Sweet Birch, Raspberries, Willow Bark and other plant sources and is used to dissolve and control oil production Alcohol Denat., Lactic Acid (L), Resorcinol, Salicylic Acid 2 oz bottle Indicated for Fitzpatrick I & II non-sensitive skin types Creates a superficial peel Safe consistent results Lightens hyperpigmentation Evens the skin tone and texture Apply as a zone treatment with another peel Apply one layer for a micro-light peel Build the layers for greater peeling and results Apply after Microdermabrasion for greater peeling - 47 -

Brighten Non-Resorcinol Jessner ph 1.77 (± 0.2) Formulated by Dr. Max Jessner this peel solution has been clinically used for over 50 years. The Jessner s Peel is a light chemical cosmetic peeling treatment used to superficially exfoliate the skin reducing the amount of comedones, pustules, and abnormal pigmented cells. Key Active Ingredients L-Lactic Acid 15% an alpha hydroxy acid known to decrease the stickiness between corneocyte cells above the granular layer, increasing desquamation and evenly thinning the stratum corneum especially helpful for dry photo-aged skin to slow down the aging process Salicylic Acid 15% naturally occurs in Wintergreen Leaves, Licorice, Marigold, Sweet Birch, Raspberries, Willow Bark and other plant sources and is used to dissolve and control oil production Glycolic Acid Polymer 5% an Alpha Hydroxy Acid (AHA) derived from sugarcane increases skin flexibility and thins the stratum corneum to refine the skins surface Alcohol Denat., Lactic Acid (L), Salicylic Acid, Glycolic Acid 2 oz bottle Indicated for Fitzpatrick I & II non-sensitive skin types Creates a superficial peel Safe consistent results Lightens hyperpigmentation Evens the skin tone and texture Apply as a zone treatment with another peel Apply one layer for a micro-light peel Build the layers for greater peeling and results Apply after Microdermabrasion for greater peeling - 48 -

Clarify Acne l, ll, lll & IV A disorder of the sebaceous glands that presents a variety of lesions; blackheads, pimples, pustules, papules, cysts and nodules on the face, chest and back. These lesions are classified as Acne Grades l, ll, lll & lv to identify their type as mild, moderate or severe for appropriate treatment. Acne occurs as a result of excessive sebum (oil) production mixing with keratinized (dead) cells in the philosebaceous unit (hair follicle). This creates a microplug or intra-cellular adhesion called a comedone. Comedones: the plural of comedo, are the primary sign of acne, consisting of a dilated (widened) hair follicle filled with keratin squamae (skin debris), bacteria, and sebum (oil). Comedones may be closed or open. A closed comedo has an obstructed opening to the skin and may rupture to cause a low-grade inflammatory reaction in the skin. The common name for a closed comedo is a whitehead. An open comedo has a wide opening to the skin and is capped with a blackened mass of skin debris. It is commonly known as a blackhead. Acne occurs when sebaceous glands of the skin begin to secrete oil during puberty. These glands are stimulated by male hormones that are produced in the adrenal glands of both boys and girls. - 49 -

Clarify Cleanser Start your treatment with the Institut DERMed Cleanser. This potent foaming gel cleanser dissolves excess oils, exfoliates dead skin cells and prevents clogged pores for clear, smooth skin. Key Ingredient Benefits Totarol is a phenolic compound derived from the heartwood of Podocarpus Totara Tree found in New Zealand and used as a broad spectrum anti-bacterial for the treatment of Propionibacterium (P.acnes). A gentle alternative to Benzoyl Peroxide. Salicylic Acid a beta hydroxy acid derived from Willow Tree Bark used to help clear and prevent acne breakout. Topical salicylic acid is also a keratolytic agent used to treat skin conditions that involve scaling or overgrowth of skin cells such as psoriasis, ichthyoses, dandruff, corns, calluses, and warts on the hands or feet. Also a gentle alternative to Benzoyl Peroxide for reducing redness and decongesting the skin. Water, Cocamidopropyl Betaine, Disodium Laureth Sulfosuccinate, Sodium Cocoyl Isethionate, Glycolic Acid, Glycerin, PEG-18 Glyceryl Oleate/Cocoate, Decyl Glucoside, Hydrolyzed Soy Protein, Salicylic Acid, Azelaic Acid, Hamamelis Virginiana (Witch Hazel) Extract, Rosmarinus Officinalis (Rosemary) Leaf Extract, Camellia Sinensis (Green Tea) Leaf Extract, Saccharum Officinarum (Sugarcane) Extract, Citrus Medica Limonum (Lemon) Fruit Extract, Citrus Aurantium Dulcis (Orange) Fruit Extract, Pyrus Malus (Apple) Fruit Extract, Camellia Sinensis (Green Tea) Leaf Extract, Tocopheryl Acetate, Panthenol, PEG-150 Pentaerythrityl Tetrastearate, Citrus Aurantium Dulcis (Orange) Peel Oil, Citrus Grandis (Grapefruit) Peel Oil, Eucalyptus Globulus Leaf Oil, Melaleuca Alternifolia (Tea Tree) Leaf Oil, Phenoxyethanol, Ethylhexylglycerin, Citric Acid 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Antiseptic, decongesting Controls inflammatory acne without dehydrating the skin Helps to prevent scarring For corrective treatment apply like a mask and leave on the skin for 60 seconds Alternate with another cleanser to adjust intensity of treatment Apply a small amount to wet palms and massage onto face and neck in upward circular motions. Rinse thoroughly. For best results follow with recommended Institut DERMed treatment toner for your skin condition. - 50 -

Clarify Balance your skin with the Institut DERMed. This deep penetrating toner effectively cleans pores eliminating excess oil and preventing dead cell build up, for deeply purified skin. Key Ingredient Benefits Glycolic Acid Polymer Glycolic Acid Polymer: an Alpha Hydroxy Acid (AHA) derived from fermented Rhubarb used to reduce corneocyte cohesion a thickening of the skin where excess dead skin cells build up. Also know to help to stimulate and strengthen collagen and elastin production for smoother, younger looking skin. Salicylic Acid a beta hydroxy acid derived from Willow Tree Bark used to help clear and prevent acne breakout. Topical salicylic acid is also a keratolytic agent used to treat skin conditions that involve scaling or overgrowth of skin cells such as psoriasis, ichthyoses, dandruff, corns, calluses, and warts on the hands or feet. Also a gentle alternative to Benzoyl Peroxide for reducing redness and decongesting the skin. SD Alcohol 40-B, Hamamelis Virginiana (Witch Hazel) Extract, Glycolic Acid, Salicylic Acid, Lactic Acid, Saccharum Officinarum (Sugarcane) Extract, Citrus Medica Limonum (Lemon) Fruit Extract, Pyrus Malus (Apple) Fruit Extract, Camellia Sinensis (Green Tea) Leaf Extract 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Deep cleanses clogged pores Stimulates deep exfoliation Prevents follicular adhesions that cause acne Alternate with another toner to adjust intensity of treatment Use on cotton in the morning and evening to lift impurities Apply with a cotton pad. For best results follow with recommended Institut DERMed corrective treatment product for your skin condition. - 51 -

Clarify Glycolic Serum Help your skin look flawless with the Institut DERMed Glycolic Serum. This mattifying treatment helps fight acne-causing bacteria deep down in pores and reduces inflammation to minimize new breakouts and restore skin health. Key Ingredient Benefits Glycolic Acid Polymer 15% Alpha Hydroxy Acid (AHA), derived from sugarcane, increases desquamation to refine the skins surface Sodium PCA non-comedogenic natural humectant and effective moisture binding agent to preserve the natural moisturizing factor (NMF) of the skin Aloe Barbadensis (Aloe) Leaf Juice, Glycolic Acid and Sodium Glycolate, Lavandula Angustifolia (Lavender) Extract, Arnica Montana Flower Extract, Calendula Officinalis Flower Extract, Carbomer, Cyamopsis Tetragonoloba (Guar) Gum, Sodium Hyaluronate, Sodium PCA, Sodium Hydroxide, Phenoxyethanol, Sodium Benzoate 15 ml/.5 oz pump bottle Dissolves and controls oil Decongests pores Refines skin texture Prevents acne breakout Use 3x weekly and gradually increase as tolerance indicates May be used as a moisturizer for oily skin Alternate with another treatment to adjust intensity Apply to the face and neck every morning and/or night. Works best layered under your recommended Institut DERMed moisturizer. - 52 -

Clarify Totarol Serum Target resistant acne breakouts with the Institut DERMed Totarol Serum. This fast-acting treatment helps eliminate, heal and prevent new blemishes on contact while fading post-acne discolorations for a more even and refined skin texture. Key Ingredient Benefits Azelaic Acid 5% an anti-keratinizing and anti-inflammatory agent derived from potato and unsaturated fatty acids found in milk fats effective in the treatment of acne and rosacea Salicylic Acid 2% Beta Hydroxy Acid (BHA) derived from wintergreen leaves provides anti-oxidant, anti-inflammatory benefits Totarol a potent anti-bacterial and anti-inflammatory derived from the Totara Tree in New Zealand, used as a gentle alternative to Benzoyl Peroxide Hamamelis Virginiana (Witch Hazel) Water, Alcohol Denat. (Ethanol), Aqua (Water), Glycerin, Azelaic Acid, Niacinamide, Salicylic Acid, Glycolic Acid, Hydroxypropyl Methylcellulose, Xanthan Gum, Melaleuca Alternifolia (Tea Tree) Leaf Oil, Citrus Grandis (Grapefruit) Peel Oil, Eucalyptus Globulus Leaf Oil, Hyaluronic Acid, Bisabolol (l-alpha), Tetrahydrodiferuloylmethane, Allantoin, Cholic Acid, Zeolite, Diazolidinyl Urea, Methylparaben and Propylparaben, Totarol, Hydrogen Peroxide 15 ml/.5 oz pump bottle Suppresses the bacteria that causes acne Prevents, heals and reduces acne breakouts and potential scarring Excellent for acneic, sensitive skins Use PM as a spot treatment Alternate with another corrective serum to adjust treatment Apply twice a week in the evening and gradually increase frequency of use. Works best layered under your recommended Institut DERMed moisturizer. Mild tingling or redness is normal and temporary until your skin adjusts. - 53 -

Clarify Protect your skin from dehydration with the Institut DERMed. This light hydrator restores skin s ideal moisture balance and strengthens cellular immunity to repair and clear blemish prone skin. Key Ingredient Benefits Caprylic/Capric Triglyceride a saturated fatty acid derived from coconut milk used as an anti-bacterial moisturizer to protect the epidermal barrier Squalene derived from olive oil and used as an anti-oxidant to prevent dehydration softening the appearance of fine lines and wrinkles Aqua (Water), Cyclopentasiloxane, Glycerin, Caprylic/ Capric Triglyceride, Dimethicone Crosspolymer, Niacinamide, Coco-Caprylate/Caprate, Cetearyl Glucoside, Cetearyl Alcohol, Corn Starch Modified, Glyceryl Stearate, Squalane, Montmorillonite, Syringa Vulgaris (Lilac) Leaf Cell Culture Extract, Citrus Grandis (Grapefruit) Peel Oil, Fructooligosaccharides (D-beta), Citrus Aurantium Dulcis (Orange) Peel Oil*, Lithium Magnesium Sodium Silicate, Phytic Acid, Gluconolactone, Xanthan Gum, Sodium Benzoate 30 ml/1 oz jar 60 ml/2 oz jar Moisture retentive for deep hydration Stimulates the skin s immune response Prevents dehydration in premature aging skin Apply under sun protection in the morning for additional hydration Smooth onto the face and neck every morning and/or night after the recommended Institut DERMed treatment product for your skin condition. For added protection during the day, follow with the Institut DERMed. - 54 -

Clarify Matte Fluid Protect your skin from dehydration with the Institut DERMed Matte Fluid moisturizer. This oil free H 2 O 2 hydrator restores moisture balance while suppressing bacteria to clear blemish prone skin. Key Ingredient Benefits Grape Fruit Peel Oil high in flavonoids and vitamin C, antiseptic, astringent, anti-inflammatory, soothes and tones oily acne skin Hydrogen Peroxide 1% (H 2 O 2 ) a potent anti-septic and germicidal that kills Propionibacterium acnes (P acne bacteria) Aqua (Water), Alcohol Denat., Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Deoxycholic Acid, Hydrogen Peroxide, Carbomer, Lonicera Caprifolium (Honeysuckle) Flower Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Xanthan Gum, Citric Acid, Aloe Barbadensis Leaf Juice Powder, Citrus Grandis (Grapefruit) Peel Oil, Phytic Acid, Vitis Vinifera (Grape) Seed Extract, Sodium Hyaluronate (L), Potassium Sorbate, Limonene*** 30 ml/1 oz jar 60 ml/2 oz jar Antiseptic yet hydrating for excessively oily acne skin types Suppresses the bacteria that causes acne Mattifies and helps to control shine throughout the day Apply under sun protection in the morning for hydration and oil control Smooth onto the face every morning and/or night after the recommended Institut DERMed treatment product for your skin condition. For added protection during the day, follow with the Institut DERMed. - 55 -

Clarify Peel Achieve professional results at home with the Institut DERMed Peel. This potent peeling mask dramatically renews your skin. Clinically proven active ingredients effectively exfoliate dead skin cells while helping to heal current blemishes and prevent future breakouts for an improved clarity. Key Ingredient Benefits Pumpkin Enzymes 5% an anti-oxidant rich non abrasive retinoic and alpha hydroxy acid exfoliator used to accelerate cell renewal decongesting clogged pores healing oily acne breakout and refining the skins surface L-Lactic Acid 5% an alternative to glycolic acid derived from sour milk increases cellular desquamation to refine and re-texturize the skin Cucurbita Pepo (Pumpkin), Lanolin, Albumen, Lactic Acid (L), Aqua (Water), Lactobacillus/ Pumpkin Ferment Extract, Wine Extract, Glycerin, Gluconic Acid (D), Gluconolactone, Hydroxypropyl Methylcellulose, Cinnamomum Cassia (Cinnamon) Leaf Oil, Zingiber Officinale (Ginger) Root Oil, Eugenia Caryophyllus (Clove) Leaf Oil, Sodium Benzoate 30 ml/1 oz jar 60 ml/2 oz jar Accelerates the release of dead cell build-up Decongests clogged pores Smoothes fine lines and wrinkles May be used after prescribed skin polish prior to the mask for an intensive exfoliation Use in between professional treatments Once a week after cleansing and exfoliating with the Institut DERMed Enhancing Micro Mineral Polish, apply a thin layer over clean, dry facial skin. Avoid sensitive eye and lip areas. Leave on for 3-5 minutes. Rinse thoroughly. Follow with the recommended Institut DERMed treatment for your skin condition. - 56 -

Clarify Mask Clarify your skin with the Institut DERMed Mask. This hydrating, decongesting treatment refines clogged pores, controls excess oil production and fights acnecausing bacteria to heal breakouts. Key Ingredient Benefits Sulfur a gentle drying and healing agent for acne breakouts Tea Tree Oil anti-inflammatory, anti-bacterial shown to be effective in controlling the edema often associated with acne, supports cellular regeneration and wound healing Camphor derived from the camphor tree and used for its antiseptic, soothing and purifying properties Aqua (Water), Glycerin, Sulfur, Caprylic/Capric Triglyceride, Stearic Acid, Cetyl Alcohol, Kaolin, Glyceryl Stearate, Titanium Dioxide (CI 77891), Bentonite, Squalane, Xanthan Gum, Cinnamomum Camphora (Camphor) Bark Oil, Menthyl Lactate (L), Eucalyptus Globulus Leaf Extract, Gluconolactone, Melaleuca Alternifolia (Tea Tree) Leaf Oil, Lonicera Caprifolium (Honeysuckle) Flower Extract, Lonicera Japonica (Honeysuckle) Flower Extract, Sodium Benzoate, Carbomer, Elaeis Guineensis (Palm) Oil, Tocopherol (D-alpha), Tocotrienols, Citrus Grandis (Grapefruit) Peel Oil, Phytic Acid, Passiflora Laurifolia (Passionflower) Flower Extract, Potassium Sorbate, Limonene*** 30 ml/1 oz jar 60 ml/2 oz jar Hydrates oily skin to stimulate immune response Accelerates healing and prevents acne breakouts Inhibits bacteria Apply as a zone treatment with another mask Alternate with another mask to adjust intensity of treatment Apply mask to acne lesions and leave on overnight Use at night, once or twice weekly. After cleansing and exfoliating, apply a thin layer to the entire face and neck. Leave on 5-10 minutes. Rinse thoroughly. For best results, follow with recommended Institut DERMed treatment product for your skin. - 57 -

Infusion Treatment An intensive oxygenating corrective treatment combining Enzymes, Fumaric, Glycolic and Salicylic Acids, Tea Tree Oil and Hydrogen Peroxide for aggressive cellular detoxification. This potent treatment may be applied for adult acne, hyperpigmentation and loss of elasticity. The Calrifying Infusion Treatment lightens, tightens, and brightens the skin for an ageless even toned complexion. CLARIFYING INFUSION TONER: Hamamelis Virginiana (Witch Hazel) Water, Aqua (Water), Fumaric Acid, Niacin, Camellia Sinensis Leaf Extract CLARIFYING INFUSION OIL: Cucurbita Pepo (Pumpkin) Seed Oil, Hemoglobin, Benzyl Alcohol CLARIFYING INFUSION SERUM: Hamamelis Virginiana (Witch Hazel) Water, Alcohol Denat., Propolis, Glycerin, Camphor, Xanthan Gum, Melaleuca Alternifolia (Tea Tree) Leaf Oil CLARIFYING INFUSION MASK: Aqua (Water), Glyceryl Stearate, PEG-100 Stearate, Stearic Acid, Isopropyl Palmitate, Cetyl Alcohol, Xanthan Gum, Hydrogen Peroxide, Glycerin, Salicylic Acid, Glycolic Acid, Glycine Soja (Soybean) Oil, Retinyl Palmitate, Zea Mays (Corn) Oil, Eucalyptus Globulus Leaf Oil 2 oz bottle 2 oz bottle 2 oz bottle 2 oz jar Key Ingredient Benefits Step 1- Infusion Fumaric Acid, an anti-oxidant that supplies energy to the cells to produce more oxygen in the epidermis, also has tissue-preserving qualities Step 2 - Infusion Oil Pumpkin Seed, a potent anti-oxidant and skin softener used to help carry active ingredients into the epidermis to eliminate cellular adhesions Step 3 - Infusion Mask a combination of Glycolic Polymer and Salicylic Acid used to stimulate cell turnover and suppress bacteria deep in the pilosetones unit accelerating skin rejuvenation and tissue respiration Step 4 - Infusion Serum Tea Tree Oil derived from Melaleuca Leaves formulated with a broad spectrum anti-microbial. Terpineol found in the leaves helps to reduce inflammation and edema associated with hypersensitivity Softens and dissolves dead skin cells Purges clogged pores Oxygenates and detoxifies pores Lightens hyperpigmentation Refines the skin texture Use the mask in place of a peel under steam as a peel prior to extractions Saran wrap the mask to increase penetration Use with steam to increase penetration Massage mask into the skin to increase treatment intensity - 58 -

Pumpkin Peel with Post Clarify A potent proteolytic and keratolytic exfoliator combining enzymes and fruit acids to accelerate exfoliation without the oxidative and free radical stress associated with most peels due to it s anti-oxidant benefits. The high concentration of vitamin A in the Pumpkin Peel provides a mild retinoic acid benefit which helps mediate receptor sites responsible for cell turn over. Key Active Ingredients Pumpkin Peel Enzyme - ph 2.46 (± 0.2) a potent botanical enzyme derived from whole pumpkin processed through a freeze drying technology that yields a natural fruit acid and enzyme concentrate used for exfoliating dead dry skin cell layers stimulating the generation of new skin cells Pumpkin Post Enzyme concentrated anti-oxidant pumpkin wine to help balance the skin s ph and neutralize the peel activity Active PUMPKIN PEEL: Cucurbita Pepo (Pumpkin), Lactic Acid (L), Albumen, Lanolin, Aqua (Water), Lactobacillus/Pumpkin Ferment Extract, Wine Extract, Glycerin, Gluconic Acid, Gluconolactone, Hydroxypropyl Methylcellulose, Cinnamomum Cassia (Cinnamon) Leaf Oil, Zingiber Officinale (Ginger) Root Oil, Eugenia Caryophyllus (Clove) Leaf Oil, Sodium Benzoate PUMPKIN POST TONER: Aqua (Water), Glycerin, Sucrose, Cucurbita Pepo (Pumpkin), Alcohol Denat., Lactobacillus/Pumpkin Ferment Extract, Wine Extract, Cinnamomum Cassia (Cinnamon) Leaf Oil, Zingiber Officinale (Ginger) Root Oil, Eugenia Caryophyllus (Clove) Leaf Oil, Gluconic Acid, Yeast, Zinc Salicylate 2 oz jar 2 oz bottle Softens and removes dead skin cells Dissolves oil residue in the pores Anti-oxidant to neutralize free radical reactions Detoxifies congested skin Refines skin texture Lightens hyperpigmentation Apply as a zone treatment with another peel Use as a pre treatment for an acid peel or Microdermabrasion for greater penetration Apply 1 tsp of Pumpkin Peel, first to the T-zone area then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. Apply Pumpkin Post to neutralize activity. Télé - 59 -

Clarify Salicylic Acid Peel 20% - ph 2.00 (± 0.2) A powerful keratolytic exfoliator derived from Wintergreen. Salicylic Acid also known as Beta-Hydroxy Acid (BHA) has a large molecular structure and works on the surface of the skin with less irritation than Glycolic Acid. The pore cleansing and antiseptic action of Salicylic Acid functions similar to Benzoyl Peroxide for sensitive skin types. It is a potent anti-bacterial and a very effective comedone fighting agent excellent for the treatment of acne to boost other topical correctives like Retinoids, Glycolic Acid and BPO. Key Active Ingredients Salicylic Acid 20% naturally occurs in Wintergreen Leaves, Licorice, Marigold, Sweet Birch, Raspberries, Willow Bark and other plant sources and is used to dissolve and control oil production Alcohol Denat., Salicylic Acid 2 oz bottle Aggressively dissolves oil Exfoliates dead skin cells Antiseptic and anti-bacterial Neutralizes oxidative stress Reduces acne inflammation Apply as a zone treatment with another peel Use as a spot treatment Apply as a Flash or one layer leave on peel protocol Apply 1 tsp of Salicylic Acid Peel, first to the T-zone area then clockwise (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. - 60 -

Enhance All Natural extensions of the Institut DERMed Clinical Skin Care line include makeup removers, superficial exfoliators, eye, lip and neck treatments and body products. These products are designed to support the healthy skin lifestyle program for your clients. - 61 -

Enhance Enhancing Eye Makeup Remover Cleanse your eye area with the Institut DERMed Enhancing Eye Makeup Remover. This soothing oil-free formula gently, yet effectively removes eye makeup for a fresh clean feeling. Key Ingredient Benefits Chamomile soothing and anti-inflammatory Saponaria Extracts also known as soapworts,are cultivated for their attractive flowers; they grow freely in any soil and under most conditions. The crushed leaves have been used as a soap since the Renaissance. mild emulsifier derived from the Sarsaparilla Distilled Water, Chamomilla Recutita (matricaria) Extract And Saponaria Officinalis Extract, Glycerin, Lauroamphocarboxyglycinate and Sodium Trideceth Sulfate, Bisabolol, Sodium Chloride, Phenoxyethanol, Sodium Benzoate 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Properly removes eye makeup to prevent fine lines and wrinkles Helps to maintain a youthful appearance to the delicate skin of the eye contour Removes eye makeup without irritating the eyes or leaving any oily residue on the skin Apply a small amount to a cotton pad and hold onto the eye area. Gently cleanse inward toward the nose. Repeat, if necessary. Follow with Enhancing Creamy Cleanser. Also ideal for correcting makeup mistakes with a Q-tip. - 62 -

Enhance Enhancing Creamy Cleanser Prepare your skin for treatment with the Institut DERMed Enhancing Creamy Cleanser. This perfect dual-action creamy cleanser thoroughly dissolves makeup and hydrates skin at the same time for a wonderfully soft, clean feeling. Key Ingredient Benefits Caprylic/Capric Triglyceride derived from coconut oil, emulsifies and gently dissolves makeup pigments Lemon and Lime Oil high in vitamin C provides anti-oxidant and anti-bacterial benefits Water, Glycerin, Hamamelis Virginiana (Witch Hazel) Extract, Panthenol, Carbomer, Caprylic/Capric Triglyceride, Stearic Acid, Cetyl Alcohol, Cetearyl Alcohol (and) Ceteareth 20, Tocopheryl Acetate, Squalane, C12-15 Alkyl Benzoate, Phenoxythanol (and) Ethylhexyglycerin, Rosmarinus Officinalis (Rosemary) Leaf Extract, Triethanolamine, Citrus Medica Limonum (Lemon) Peel Oil, Citrus Aurantifolia (Lime) Oil, Citrus Aurantium Dulcis (Orange) Peel Oil 60 ml/2 oz bottle 120 ml/4 oz bottle 240 ml/8 oz bottle Cleansing and hydrating to protect the skin against dehydration Prepares skin for corrective cleansing Ensures maximum penetration of the corrective cleanser and treatment Use as a treatment cleanser for excessively dry, dehydrated skin Apply a small amount to wet palms and massage onto face and neck in upward circular motions. Rinse thoroughly. For best results follow with recommended Institut DERMed treatment cleanser for your skin condition. - 63 -

Enhance Enhancing Neck and Décolleté Cream Treat delicate skin on your neck and décolleté with the Institut DERMed Enhancing Neck & Décolleté Cream. This luxurious reparative hydrator helps to firm, smooth, nourish and support the unique needs of skin in this fragile area. Aqua (Water), Helianthus Annuus (Sunflower) Seed Oil, Caprylic/Capric Triglyceride, Lactic Acid (L), Squalane, Cetearyl Olivate, Ribes Nigrum (Black Currant) Seed Oil, Cetearyl Alcohol, Glycerin, Polysorbate 60, Butylene Glycol, Ormenis Multicaulis (Chamomile) Flower Wax, Rosa Canina (Rose Hip) Fruit Oil, Sorbitan Olivate, Simmondsia Chinensis (Jojoba) Seed Oil, Gluconolactone, Chrysanthemum Parthenium (Feverfew) Extract, Hydrolyzed Casein, Avena Sativa (Oat) Kernel Extract, Sodium Benzoate, Xanthan Gum, Tocopheryl Acetate (D-alpha), Centella Asiatica (Gotu Kola) Extract, Lavandula Angustifolia (Lavender) Oil, Hydrolyzed Yeast Protein, Lysine HCI (L), Alcohol Denat., Glycine Soja (Soybean) Oil, Calcium Gluconate, Acetyl Dipeptide-1 Cetyl Ester, Hydroxyethylcellulose, Laureth-3, Potassium Sorbate, Anthemis Nobilis (Chamomile) Flower Extract, Arginine (L), Phenoxyethanol, Dehydroacetic Acid, Salicylic Acid, Benzethonium Chloride, Benzoic Acid, Benzyl Alcohol 30 ml/1 oz jar 60 ml/2 oz jar Key Ingredient Benefits L-Lactic Acid 5% an alternative to glycolic acid derived from sour milk increases cellular desquamation for sensitive and aging skin Black Currant Seed Oil essential fatty acid anti-oxidants with skin hydrating benefits Rose Hip Oil anti-inflammatory rich in vitamin C and trans-retinoic acids to repair and restore photo-aged skin Reduces fine lines and wrinkles Increases cellular hydration Lightens hyperpigmentation Deeply hydrates neck and décolleté skin Repairs fine lines and wrinkles Reverses the signs of aging Apply to neck and décolleté every morning and/or night. - 64 -

Enhance Enhancing Protective Cream Protect your skin from dehydration and discomfort with the Institut DERMed Enhancing Protective Cream. A lubricating moisturizer that creates a lipid barrier protector against environmental elements. Key Ingredient Benefits Shea Butter derived from the seed or nut of the Karrite Tree contains numerous fatty acids and triglycerides rich in natural tocopherol {vitamin E}, anti-oxidants to soften and moisturize skin Soybean Oil natural source of lecithin and vitamin E, to promote the skins natural healing process Aqua (Water), Dimethicone, Caprylic/Capric Triglyceride, Coco-Caprylate/Caprate, Glycerin, Cetearyl Glucoside, Cetearyl Alcohol, Glyceryl Stearate, PEG-50 Shea Butter, Tocopheryl Acetate (D-alpha), Benzyl Alcohol, Xanthan Gum, Lithium Magnesium Sodium Silicate, Glycine Soja (Soybean) Oil, Fructooligosaccharides (D-beta), Caprylyl Glycol, Phenethyl Alcohol, Vitis Vinifera (Grape) Seed Extract, Potassium Sorbate, Sodium Hyaluronate (L) 30 ml/1 oz jar 60 ml/2 oz jar Helps promote healing Creates an environmental barrier Improves skin softness Recommended for post treatment of Chemical Peels and CO 2 Laser Apply thin layer over wounded or recently peeled skin morning and/or evening. - 65 -

Enhance Enhancing Protective Ointment Protect your skin from dehydration and discomfort with the Institut DERMed Enhancing Protective Ointment an occlusive moisturizer to seal irritated, dehydrated skin for accelerated healing and comfort. Key Ingredient Benefits Shea Butter holds in moisture to soften skin and alleviate dryness Soybean Oil natural source of lecithin and vitamin E, to promote the skins natural healing process Butyrospermum Parkii (Shea Butter), Calophyllum Inophyllum Seed Oil, Petrolatum, Tocopheryl Acetate (D-alpha), Glycine Soja (Soybean) Oil 30 ml/1 oz jar 60 ml/2 oz jar Creates an occlusive barrier for the skin Accelerates wound healing Recommended for post CO 2 laser and Chemical Peels May be used as a moisturizer for excessively dry skin on the face, hands and feet Apply a thin layer over compromised skin. - 66 -

Enhance Enhancing Eye Serum Redefine your eye area with the Institut DERMed Enhancing Eye Serum. This illuminating treatment is formulated to boost your skin s cellular activity to repair deep wrinkles and prevent future signs of aging for visibly smoother, more brilliant eyes. Key Ingredient Benefits Rice Bran Oil contains high levels of tocotrienol anti-oxidants to defend against free radicals generated in the skin by UV rays. Prevents skin aging and damage by oxidative UV rays Corn Silk a rich source of vitamin K to diminish dark circles under the eyes and reduce the appearance of fine lines and wrinkles Cholesteryl Stearate, Cholesteryl Nonanoate, Cholesteryl Oleyl Carbonate, N-Tert-Butyl-a-Phenyl Nitrone (Spin Trap), Oryza Sativa (Rice) Bran Oil, Zea Mays (Corn) Silk Extract, Bisabolol (L-alpha) 5 ml/.12 oz pump bottle Repairs fine line wrinkles Prevents premature aging of the eye contour Smoothes and tightens the eye contour for a youthful look Alternate with another eye cream to adjust intensity of treatment Blend with another eye cream to adjust treatment Use around lip line to diminish fine line wrinkles Every night, as the last step, dab a small amount around the entire eye area. Pat and press gently until absorbed. - 67 -

Enhance Enhancing Eye Gel Visibly reduce the appearance of fine lines and wrinkles with the Institut DERMed Enhancing Eye Gel. This gel firms, tones and tightens the eye contour for a youthful look. Key Ingredient Benefits Chamomile an anti-inflammatory, anti-oxidant to Increase cellular hydration and strengthen skin elasticity Caffeine anti-oxidant and anti-inflammatory properties known to reduce fatty deposits and lower eye lid puffiness Aqua (Water), Glycerin, Jojoba Oil PEG-150 Esters, Jojoba Wax PEG-80 Esters, PEG-50 Shea Butter, Glycosaminoglycans, Carbomer, Caffeine, Bisabolol (L-alpha), Allantoin, Aloe Barbadensis Leaf Juice Powder*, Hamamelis Virginiana (Witch Hazel) Water, Chamomilla Recutita (Matricaria) Oil, Glucuronolactone (D), Deuterium Oxide (Heavy Water), Pregnenolone Acetate, Fullerenes, Azulene, Curcuma Longa (Tumeric) Root Extract 15 ml/.5 oz pump bottle Reduces fat and water retention of the lower eye-lid Smoothes and tightens the eye contour for a youthful look Blend with another eye cream to adjust treatment Apply in the evening under make-up for an instant lift Every morning and/or night as the last step, dab a small amount around the entire eye area. Pat and press gently until absorbed. - 68 -

Enhance Enhancing Hydra Lip Restore youthful volume to your lip area with the Institut DERMed Enhancing Hydra Lip. This moisturizing formula softens, smoothes and plumps up your lips day and night. Key Ingredient Benefits Shea Butter holds in moisture to soften skin and alleviate dryness Oligopeptide a natural protein that acts as a humectant for moisture retention Butyrospermum Parkii (Shea Butter), Mineral Oil, Hamamelis Virginiana (Witch Hazel) Water, Sodium Ascorbyl Phosphate, Ethyhexyl Palmitate Tribenhenin, Sorbitan Isosterate and Palmitoyl Oligopeptide 5 ml/.12 oz pump bottle Softens and hydrates dry lips Enhances lip volume to diminish wrinkles Creates a pouty youthful lip line Apply to lips after surface cleansing during the facial treatment Apply over lip liner instead of lip color Use a small amount prior to lipstick application Wear alone or under lipstick as a moisturizing base coat and/or wear it at night for an intensive healing treatment. - 69 -

Enhance Enhancing Micro Mineral Polish Achieve professional results at home with the Institut DERMed Enhancing Micro Mineral Polish. This highly effective exfoliator with micro mineral refiners polishes away damaged cells to improve overall texture, diminish uneven skin tone, clear clogged pores and refine pore size for touchably soft, radiant skin. Key Ingredient Benefits Zeolite Minerals an inorganic porous oxide silicate derived from ocean minerals used to gently exfoliate toxins, make up and dirt from the skin. Bamboo Powder obtained from the bamboo tabashi stems collected in the form of exudate crystals to form a powder rich in mineral salt and used as a mild exfoliant Aqua (Water), Glycerin, Bambusa Arundinacea (Bamboo) Stem Powder, Diatomaceous Earth, Caprylic/Capric Triglyceride, Behenyl Alcohol, Jojoba Esters, Butylene Glycol, Zeolite, Xanthan Gum, Sucrose Stearate, Phenoxyethanol, Gluconolactone, Sodium Cocoyl Glutamate, Menthol (L), Sodium Benzoate, Calcium Gluconate, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Trisodium Ethylenediamine Disuccinate, Potassium Sorbate 30 ml/1 oz jar 60 ml/2 oz jar Removes dead cell build-up Eliminates clogged pores Refines skin texture May be used in place of treatment cleanser to exfoliate dry dehydrated skin Men may use prior to shaving to prevent folliculitis Use up to twice a week after cleansing, gently massage a thin layer over damp facial skin. Avoid sensitive eye and lip areas. Rinse thoroughly. Follow with the recommended Institut DERMed treatment products for your skin condition. - 70 -

Enhance Enhancing Gentle Polish Extend professional results at home with the Institut DERMed Enhancing Gentle Polish. This highly effective exfoliator gently sloughs away damaged cells to improve overall texture and diminish uneven skin tone for younger more radiant skin. Key Ingredient Benefits Date Seed a natural physical exfoliator to recondition the skins surface, without disrupting the skins natural moisture barrier Zeolite an inorganic porous oxide silicate derived from ocean minerals used to gently exfoliate toxins, make up and dirt from the skin. Aqua (Water), Phoenix Dactylifera (Date) Seed Extract, Glycerin, Caprylic/Capric Triglyceride, Behenyl Alcohol, Jojoba Esters (Beads), Benzyl Alcohol, Zeolite, Sucrose Stearate, Sodium Cocoyl Glutamate, Hamamelis Virginiana (Witch Hazel) Water, Citrus Grandis (Grapefruit) Peel Oil, Aesculus Hippocastanum (Horse Chestnut) Bark Extract, Ammonium Glycyrrhizate, Calendula Officinalis Flower Extract, Centella Asiatica (Gotu Kola) Extract, Hydrolyzed Yeast Protein, Panthenol (D), Ruscus Aculeatus (Butcher s Broom) Root Extract, Pectin (Fruit Enzymes) 30 ml/1 oz jar 60 ml/2 oz jar Removes dead cell build-up Eliminates clogged pores Refines skin texture May be used in place of treatment cleanser to exfoliate dry dehydrated skin Use up to twice a week after cleansing, gently massage a thin layer over damp facial skin. Avoid sensitive eye and lip areas. Rinse thoroughly. Follow with the recommended Institut DERMed treatment products for your skin condition. - 71 -

Enhance Enhancing Enzyme Peeling Cream Extend professional results at home with the Institut DERMed Enhancing Enzyme Peel. This highly effective exfoliator gently erases away dead skin cells to diminish fine lines and wrinkles improving overall texture for instantly smooth younger looking skin. Key Ingredient Benefits Papain Enzyme derived from papayas, digests keratin proteins to help accelerate exfoliation Bromelain Enzyme derived from the pineapple stem reduces swelling bruising and gently exfoliates keratinized protein Aloe Barbadensis (Aloe) Leaf Juice, Microcrystalline Wax, Ceresin, Glycerin, Glyceryl Stearate, Carbomer, Cetyl Alcohol, Paraffinum Liquidum, Carica Papaya (Papaya) Extract, Ananus Communis Fruit Extract (Pineapple Extract), Bromelia (Bromelain) Enzymes and Passiflora Incarnata. (Papain) Enzymes and Lecithin, Extracts of Cucumis sativus (cucumber) extract. and Sambucus nigra (Elder) Flower and Chamomilla Recutita Flower Extract and Citrus sinensis (Orange) Peel, Persea americana (Avocado) Oil, Triticum Vulgare (Wheat) Germ Oil, Sesamum Indicum (Sesame) Seed Oil 30 ml/1 oz jar 60 ml/2 oz jar Removes dead cell build-up Eliminates clogged pores Refines skin texture Can be used as an eye and lip rejuvenating treatment Use up to twice a week after cleansing, gently massage a thin layer over damp facial skin. Can be used around the eye and lip areas. Allow to dry then gently slough off with upward circular motions being careful not to pull or stretch the skin. Rehydrate with water and thoroughly rinse until residue is removed. Follow with the recommended Institut DERMed treatment products for your skin condition. - 72 -

Enhance Glycolic Acid Peel 15% - ph 1.67 (± 0.2) 25% - ph 1.33 (± 0.2) 35% - ph 1.04 (± 0.2) 50% - ph 0.74 (± 0.2) A powerful keratolytic exfoliating agent used to correct abnormal epidermal keratinization in the pilosebaceous unit. Glycolic Acid Polymer is a compound of molecules that are linked together for more effective penetration through the skin layers. Glycolic Acid has the smallest molecular size, which allows it to penetrate and be absorbed by the epidermis more quickly than all of the other AHA Acids. Key Active Ingredients Pharmaceutical-grade Glycolic Acid Polymer a powerful non-neutralized acid used to dissolve excessive oil and stimulate cell turn over and skin regeneration Fructooligosaccharides derived from cane or beet sugar to promote new cell growth and strengthen cellular immunity preventing acne breakout Glycolic Acid Peel 15%: Glycerin, Hamamelis Virginiana (Witch Hazel) Water, Glycolic Acid, Hydroxypropyl Methylcellulose, Fructooligosaccharides, Glucosamine HCI Glycolic Acid Peel 25%: Glycerin, Glycolic Acid, Hamamelis Virginiana (Witch Hazel) Water, Hydroxypropyl Methylcellulose, Fructooligosaccharides, Glucosamine HCI Glycolic Acid Peel 35%: Glycerin, Glycolic Acid, Hamamelis Virginiana (Witch Hazel) Water, Hydroxypropyl Methylcellulose, Fructooligosaccharides, Glucosamine HCI Glycolic Acid Peel 50%: Glycolic Acid, Hamamelis Virginiana (Witch Hazel) Water, Glycerin, Hydroxypropyl Methylcellulose 60 ml/2 oz bottle Dissolves oil releasing dead skin cells Long term use increases hydration Lightens hyperpigmentation Detoxifies congested pores Corrects and prevents acne Smooths fine lines and wrinkles Stimulates fibroblasts and collagen production Refines skin texture Creates a youthful, healthy look Apply as a zone treatment with another peel Layer over another peel Use as a prep for Microdermabrasion Apply 1 tsp of Glycolic Acid Peel (Glycolic Acid Peel 50% is used only for the body), first to the T-zone area then clockwise. Warning: Peels are time sensitive. (Time for 3-5 minutes DO NOT LEAVE CLIENT WHILE PEEL IS IN PROCESS). Neutralize peel with lots of cool water. - 73 -