Treatment Plan

Treatment Plan
Nazira is a 40 year old female client who has had two previous IPL treatments on her bikini line. She is happy with her results so far. When you apply the skin preparation to the area you observe she has a series of small, red lumps on the left side of her bikini line. This reaction has not been previously observed. When you mention it to her she is concerned.
Nazira is a Fitzpatrick Skin Phototype IV with dark hair.
1. Describe in some detail the important points you would cover in your consultation with her.

* It is very important to explain all factors that affect client regarding IPL and Laser.
* Female clients we must ask about if they are taking any Oral Contraceptives, HTR, Pregnant or planning to become pregnant and the regular menstruations.
* Find out what method of hair removal used to date and its frequency and if there has been any reactions.
* Best to know if the client is currently taking any medication to find out if they are photo sensitive.
* Ask about their lifestyle and occupation to find out about sun exposure
* Explain about possibility of Hyper pigmentation if they client has exposure to sunlight before, during or after the treatment.
* Explain the hair growth cycle and how laser and IPL works
* Explain how light works with Hair, Skin and Melanin.
* Explain about patch test before the first treatment. Your patch test is also vitally important as it allows us to test your skin for any sensitivity from the laser and also will ensure you are a suitable candidate for treatment
* Explain that the client must use eye protection during the treatment
* Explain that due to the nature of the treatment an exact result cannot be predicted. No guarantees have been made as to the results can be achieved. The treatment may not result in permanent hair removal.
* Explain about photographs taken before and after treatment on for the purpose of monitoring response to therapy.
* It’s very important to explain to the client that it’s best to have a series of treatments to achieve best possible results and due to the fact that she is traveling its best for her to wait after she comes back and have the treatments.
Explain the factors that affect their treatment outcome are the following:
* Tanning and having to leave long gaps in-between sessions, these gaps are necessary to allow tan to fade so laser will not pigment the skin.
* Your heat sensitivity, the level of temperature that you can tolerate starting off, if you are sensitive to heat all that means is that you may need a few extra sessions to gradually build up the heat each time.
* Any changes in medical circumstances for example if you became pregnant we would just postpone treatment until you had your baby and resume treatment a couple of months after.
* If you wax in between your sessions this will interfere with growth cycles and may mean you will need more sessions

2. What details would you record on her client card?
* Contra-indications
* Clients lifestyle
* Pre-treatment tests
* Post-treatment care
* Recognition of treatment related problems
* Procedure if anything goes wrong with treatment
* Permitted variation on machine variables
* Client medical history
* Any changes in the skin condition post treatment
* Skin condition pre treatment
* Skin type
* Hair type
* Pervious method of treatment

3. Outline the pre and after care treatment you would recommend to this client

* It’s very important avoid direct exposure to sunlight, solariums or self-tanning products for at least 4 weeks before treatment. Avoid exposure completely during treatment and for about 4 weeks after the last treatment.
* Do not use products or medications that can cause skin sensitivity for example antibiotics. You must not use them for two weeks prior to treatment, but must consult your doctor before stopping.
* Make sure not to aggravate the skin by exfoliating, applying creams or perfume or expose the areas to heat or sun.
* You can cut or shave the hair between treatments. Do not wax or tweeze the hair.
* Hair should be1-3mm in length at the time of the treatment.

* Do not have hot shower for 24 hours after each treatment
* Apply cool, clean and damp compresses to the area to relieve swelling
* Use the healing or soothing products recommended by the therapist.
* Do not rub the treatment area.
* Do not do heavy, sweaty work out for 24 hours after the treatment.
* Do not use saunas, spas, pools or chlorinated water
* Always wear clothing and 30+ SPF to protect the treated area from sun exposure and make sure to reapply the SPF 30+ as recommended.
* Mild erythema (reddening of the skin) can last from a few hours to few days.
* Pigmented areas may become darker and more obvious. They might form a dry crust and may begin to flake or shed. DO NO PICK OR PEEL.
* Do not wax or tweeze during treatments
* For best results multiple treatments maybe necessary. It’s recommended that the first few treatments are no longer than four weeks apart.
* Avoid exposure to heat. This includes time spent in the sun, bathing/showering, cooking, saunas etc.
* Do NOT get laser hair removal done if you’ve started taking an antibiotic-regimen. Wait at least 2 weeks until after your are done with your regimen.
* Do NOT wax, use tweezers, nor thread the area in between treatments. When you notice hair regrowth, shave the area instead.
* If you have sensitive skin, rub ice continuously on the area which will numb it down before or after the procedure.
* Some hair may never completely go away. Stubborn-hair areas may need “touch-ups” once or twice a year.
* You will pay less per session if you buy a “pack” of session (usually about 6).
* If sensitive ask your doctor to suggest a local anaesthetic cream to apply before the procedure so that after and during the procedure there is less pain (Taking 2 Tylenol about 30 minutes before the treatment can be helpful too).
* Depending on the area being done, and the number of past session, the time between sessions may be between 4-6 weeks.
4. What recommendation would you reinforce to this client in view of the fact that you suspect that she has an infection in the area?
Some normal side effects may occur after laser hair removal treatments, including itching, pink skin, redness, and swelling around the treatment area or swelling of the follicles (follicular oedema). These side effects rarely last more than two or three days, but in her case I think it’s a skin infection, therefore its best to get it checked by a medical practitioner.
IPL &Laser hair removal eliminates the hair from the follicle; it doesn’t irritate the skin and helps to close the pores after the laser hair removal treatment avoiding a potential infection.
It’s best to follow some protocols to prevent skin infections.
Exfoliate, disinfect and moisturize
Exfoliate. With the help of a loofah, rub your skin before and two days after any hair removal session. This will help rid of any dead cells. This will help avoid the creation of razor bumps as well as keep a smooth, healthy, silky skin.
Disinfect and moisturize. Clean well the treated area and moisturize. After your laser hair removal session it is advised to use a soft, alcohol-free moisturizer such as aloe vera or chamomile based creams.

5. Would you proceed with the treatment today?

Some normal side effects may occur after laser hair removal treatments, including itching, pink skin, redness, and swelling around the treatment area or swelling of the follicles (follicular oedema). These side effects rarely last more than two or three days, but in her case I think it’s a skin infection, therefore its best to get it checked by a medical practitioner.

If we proceed with the treatment today we will be putting more heat and light in the area, therefore it might aggravate the problem more. It’s best to wait until its resolved then continue with the treatment.

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