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Environ Medical Needling Medical needling is one of the fastest growing noninvasive treatments on the market. Designed, tested and proven safe by countless experts in the area for many years, Environ recommends the treatment protocol for medical needling. Includes a thorough preparation and treatment immediately post for outstanding results products eye make up remover neutralizing cleanser ACM #1 Sebuwash Apres-CIT Alginate Mask ACE Oil Environ SPF 25 A&C Serum (optional) method MAKEUP REMOVAL: Remove make up (if applicable) CLEANSE: Cleanse the skin twice with Neutralizing Cleanser, remove with sponges / compress TONE: Wipe the skin with Medical Alcohol (using cotton wool) ALKALINE: Apply Neutralizing Cleanser in a thick layer for 2 minutes and wash off ANESTHETIZE: Apply topical anesthetic with a brush; make sure that you cover the full area and extend the application further than the area being treated. (favored Benzocaine 20%, Lidocaine 6%, Tetracaine 6% in a Lipoderm base, or Emla) A dental block for the upper lip may be necessary in some patients. Cover with cling wrap and leave for 35 50 min: if doing the neck, start needling after 30-35 min as this area takes very well to the anesthetic. However, wait longer if the skin is still sensitive. PROCEDURE: Remove the anesthetic from the skin surface one section at a time with sterile gauze. Needle the selected area and work on each area for as long as the patient finds comfortable. Then move to an adjacent area. It should take about 30-40 minutes to needle the whole face properly. Allow blood to dry and oozing to stop (There is no definite proven way to treat the skin while needling. It could be argued that while needling, don t wipe away the blood immediately because the blood will contain platelet-derived growth factors and this may be re-absorbed into the skin and help promote higher levels of growth factors. There is no absolute evidence that this is of value. It does not seem to have a negative effect. These growth factors play a significant role in repair and regeneration of connective tissue.) Spritz the skin with sterile water once blood has dried and wipe off all the blood with sterile gauze soaked in sterile water WASH: Wash the skin with Sebuwash, remove with sterile gauze (If wash-up area is available, it is advisable for the patient to rinse his / her own skin to make the rinsing process easier) PEEL: Apply ACM1 in a thin layer for four minutes only. Remove with clean water. Wash off with Environ Sebuwash, make sure the skin is properly rinsed TREAT: Apply Apre s-cit in a thin layer to the whole needled area and allow to dry. MASK: Once the Apre s-cit has soaked into the skin, apply the Environ Alginate Mask and leave on the skin for 20 minutes. PROTECTION: Apply Vitamin A, C & E Oil and Environ Sunscreen SPF 25

Environ Medical Needling (cont d) DF MACHINE OPTION SONO/IONTO PROBE: apply the Apre s-cit in adequate thickness to give a slip to the sono-probe. Use pulsed Iontophoresis on a positive (+) charge combined with Sonophoresis through the Sonophoresis probe on the needled areas. MASK: Follow with Environ A&C Serum 1, 2 or 3 (according to client s skin) and do Pulsed Iontophoresis with negative current using the Alginate Masque for 20 minutes PROTECT: Apply Environ A, C & E Oil and sunscreen SKIN PREPARATION - HOME MINIMUM 3 WEEK PREP: Quick Prep: A, C, E oil. Long-Term Prep: (sensitive) Vita-Antioxidant AVST Moisturisers 1-5. Long-Term Prep: (normal) Vita-Peptide Intensive Serums 1-4 and Antioxidant Defence Cre me. Cosmetic rolling with home care regimen and oral supplements; Omega 3, multivitamins, glucosamine POST PROCEDURE- HOME WASH: Wash with skin specific cleanser, twice daily TREAT: Follow with apres-cit, and a, c, e body oil (Simple Regimen) OR follow with apres-cit, and Vita- Antioxidant AVST Gel, Tri-Peptide Complex Avance Moisturiser or Tri-Peptide Complex+ Avance Elixir and Vita-Complex Super Moisturiser (Advanced Regimen) POST PROCEDURE- WHAT TO EXPECT AVOID: No exercise or swimming 24 hours post. WHAT TO EXPECT: Skin will appear flushed or sunburnt and may feel dry and tight for 3-5 days FREQUENCY AND NUMBER OF TREATMENTS EXPECTATION: 1 / week for 6 treatments (however, there is no limit to the number of treatments) OTHER CONSIDERATIONS Do not perform needling within 48 hours of Botox treatments, or 2 weeks after dermal fillers. Preferable performing these procedures 1 week after needled skin has settled. The use of LED lights, especially 633 nm (red) a is recommended to minimize un-necessary swelling and inflammation as well as possibly promote a better result. Proceed with caution with patients on immunosuppressant treatments Care and precaution for diabetic patients

Environ Medical Needling (cont d) POST TREATMENT PLAN GUIDE INFLAMMATORY & LAG PHASE / 1 5 DAYS Nutrition Supplements Topical Products Clinical Treatments Sebuwash, apres-cit and a, c & e body oil (Simple Regimen) OR follow with apres-cit, Vita-Antioxidant AVST Gel, Tri-Peptide Complex Avance Moisturiser OR Tri-Peptide Complex+ Avance Elixir and Vita-Complex Super Moisturiser (Advanced Regimen) FIBROPLASTIC PHASE / 5 14 DAYS Lymph drainage Photo modulation DF Machine treatments Nutrition Supplements Topical Products Clinical Treatments Sebuwash, apres-cit and a, c & e body oil (Simple Regimen) OR follow with apres-cit, Vita-Antioxidant AVST Gel, Tri-Peptide Complex Avance Moisturiser OR Tri-Peptide Complex+ Avance Elixir and Vita-Complex Super Moisturiser (Advanced Regimen) Lymph drainage Photo modulation Cosmetic needling DF Machine treatments Iron, zinc, copper, amino acids Environ Sunscreen SPF 25 MATURATIVE PHASE / 14 28 DAYS 2 YEARS Nutrition Supplements Topical Products Clinical Treatments Vita-Antioxidant AVST Moisturisers 3-5 Vita-Peptide C-Quence Serums 1-4 Vita-Enriched Colostrum Gel Lymph drainage Photo modulation Cosmetic needling Iron, zinc, copper, amino acids Environ Sunscreen SPF 25 DF Machine treatments

Laser Resurfacing At the for front of pharmaceutical-grade skin care, Environ offers products to complement your in-office treatments ensuring the best results and most efficacious outcomes from your treatments. products SKIN PREPARATION Minimum 3 weeks prior to procedure, product selection according to skin type and concern Recommended cosmetic rolling with home care regimen IMMEDIATELY POST LASER Immediately post Laser, apply Apres-Cit followed by the Alginate Mask POST TREATMENT RECOMMENDATION - CLINICAL The pro-fibrotic growth factors (scar tissue) associated with laser treatments can be minimized, and result augmented by doing a Medical Needling treatment within 10 to 14 days post Laser. Any scar tissue formation is fragmented and remodeled, and the anti-fibrotic growth factors produced by needling allows for healthy collagen formation Aprés-CIT Alginate Mask

Laser Resurfacing (cont d) POST TREATMENT PLAN GUIDE INFLAMMATORY & LAG PHASE / 1 5 DAYS Nutrition Supplements Topical Products (Simple) Topical Products (Advanced) a, c & e body oil FIBROPLASTIC PHASE / 5 14 DAYS Apres-CIT Tri-Peptide Complex Avance Moisturiser Vita-Antioxidant AVST Gel Vita-Complex Super Moisturiser Nutrition Supplements Topical Products (Simple) Topical Products (Advanced) a, c & e body oil Vita-Antioxidant AVST Moisturiser 3 Vita-Enriched Colostrum Gel Iron, zinc, copper, amino acids Environ Sunscreen SPF 25 MATURATIVE PHASE / 14 28 DAYS 2 YEARS Nutrition Supplements Topical Products Clinical Treatments Vita-Antioxidant AVST Moisturisers 3-5 Vita-Peptide C-Quence Serums 1-4 Vita-Enriched Colostrum Gel Lymph drainage Photo modulation Cosmetic needling Iron, zinc, copper, amino acids Environ Sunscreen SPF 25 DF Machine treatments

Plastic Surgery At the for front of pharmaceutical-grade skin care, Environ offers products to complement your in-office treatments ensuring the best results and most efficacious outcomes from your treatments. SKIN PREPARATION HOME CARE AND CLINIC Preparation at home on vitamin A is essential for a minimum of 3 weeks, 3 months is preferable There are three options for preparing the skin, the Accelerated Track where a short time period is needed, the Fast Track for clients with time to build tolerance to the graduating doses of vitamin A in the Youth EssentiA range, and the Sensitive Track for those who require lower doses of vitamin A to start A minimum of 1 DF machine treatment is recommended, 24 hours prior to procedure DF machine treatments are recommended within 24 hours post operatively, then for 6-12 treatments done in 6 weeks SKIN TREATMENT POST - HOME CARE AND CLINIC Use of Environ recommended products as soon as clients are comfortable, or tapes are removed For breast augmentations, a, c & e body oil may be applied to micropore tape surface immediately post

Plastic Surgery (cont d) PLASTIC SURGERY - PREPARATION HOME CARE ACCELERATED FAST SENSITIVE Cleanser and Toner for skin type Cleanser and Toner for skin type Cleanser and Toner for skin type Facelift Breast & Abdominoplasties Liposuction Vita-Peptide C-Quence Serum 2 Antioxidant Defence Crème derma-lac lotion body profile derma-lac lotion Vita-Antioxidant AVST Moisturiser 3 C-Boost CLINIC Facelift Breast & Abdominoplasties Liposuction BASIC ROUGH SKIN QUICK PREP Minimum 1 DF treatment on the day before sonophoresis with Sono DFP, then a & c serum under alginate masque (-) Minimum 1 DF treatment on the day before Minimum 1 DF treatment on the day before TCA / Lactic Acid Cool Peels In Clinic: ACM #2 20 minutes At Home: ACM #1 10-15 minutes every day for 7 days

Plastic Surgery (cont d) PLASTIC SURGERY POST CARE HOME CARE ACCELERATED FAST SENSITIVE Cleanser and Toner for skin type Cleanser and Toner for skin type Cleanser and Toner for skin type Facelift switching ultimately to Youth EssentiA Range Vita-Peptide C-Quence Serum 2 Antioxidant Defence Crème Progressing through the STEP-UP SYSTEM Vita-Antioxidant AVST Gel, Then continuing on the Skin EssentiA STEP-UP SYSTEM Breast & Abdominoplasties derma-lac lotion Liposuction body profile derma-lac lotion CLINIC Facelift Breast & Abdominoplasties Liposuction BASIC ACM 1 or 2 to incisions or scars for 5 minutes immediately post, then every 2/3 days for 2 week sonophoresis and iontophoresis (-) of a & c serum 1, up to 1/2 inch from incision, followed by field iontophoresis (-) with the alginate mask sonophoresis and iontophoresis (-) of a & c serum 1, up to 1/2 inch from incision, followed by field iontophoresis (-) with the alginate mask or haize gauze sonophoresis and iontophoresis (+) of body profile gel followed by the alginate mask or cling wrap SENSITIVE apply treatment gel or a & c serum 1 under alginate mask with field iontophoresis (-)