Education: Clinical A+ Peel

This clinically proven treatment helps improve skin texture and firmness, reduce the signs of aging and reverse the signs of sun damage.

Treatment Level: 3: Clinical Therapy
Objective: Sun Damage Repair & Reversal
Recommended For: All Non‐Sensitive Skin
Recommended Menu Description: "This clinically proven treatment helps improve skin texture and firmness, reduce the signs of aging (lines, wrinkles) and reverse the signs of sun damage. Welcome to your absolutely gorgeous and glowing new face!"

Download Step by Step Instructions

Treatment Overview

This peel is ideal for men and women who are concerned with the signs of aging, hyperpigmentation, acne scars, and texture problems. The results last longer than lighter (AHA) resurfacing peels.

This rejuvenating powerhouse of a facial treatment picks up where others have left off. Specifically developed for the motivated client who wants the renowned skin smoothing and brightening results of laser resurfacing but who cannot afford the down time, this clinically proven treatment helps improve skin texture and firmness, reduce the signs of aging (lines, wrinkles) and reverse the signs of sun damage (age spots, uneven pigment, roughness). TCA, a proven anti-aging peeling agent, paired up with skin rejuvenating Vitamin A work synergistically to deliver age defying results.

Product Overview

Gentle Facial Wash (18oz) 
Exfo Tonic (18oz) 
Skin Refining TCA Peel (4oz) 
Crystal C Serum (1.7oz) 
Firming Tri-Peptide Serum (1.7oz) 
Multi-Complex Fade Gel (1oz) 
Vitamin A Micro Peel Pro (4oz)                                                                                   Intensive Skin Brightening Cream SPF 30 (2.5oz) 

Equipment and Supplies Overview

Cotton rounds
Wood lamps
3 Warm Towels
Essential Oils
2 x 2 Gauze or Cotton Squares
Q-tips
2 Hand Towels
Vaseline
Fan

Costs & Pricing

30 Minute Spa Therapy

Total Kit Price: $372.50
Cost Per Treatment: $9.31
Approximate Number of Treatments: 40
Recommended Facial Price: $95.00‐$150.00
TOTAL RETURN: $3,427 to $5,627

Step by Step Instructions

Key Treatment Highlights

The skin may feel “sunburned” tight and dry over the first several days.

Clients will usually begin to get light flaking between days 3-6 and may peel for up to 7 days.

Advise clients not to pick at their peeling skin. If they get a “raw” spot, just apply Vaseline or Aquafor over very dry areas.

The client may feel mild stinging when they cleanse their face on the sensitive areas the first day or so. It should subside.

Some clients will get “darker” before the skin peels.

Client should go home with post peel products.

Client must wear sunscreen daily and avoid prolonged sun exposure during the first two weeks post treatment.

Pretreatment

Provide these suggestions to your client prior to the service to ensure the best results and experience.

No sun tanning at least 1 week prior to the peel.

Recommend skin lightening products 2-4 weeks prior to peel if there is concern about hyperpigmentation.

Wash hair the day of procedure (no water on face for 24-48 hours). No need to wear makeup to the appointment.

Plan on going home after the treatment.

Peeling can be stressful and resorcinol can cause some clients to feel mild lightheadedness (in sensitive individuals, it only lasts a few minutes at the end when they get up).

Eat a meal before having the facial peel.

Have the client pay and schedule the post-treatment before the procedure is performed because at the end of the procedure their face will be all white and they will feel like leaving. It is also recommend that the home-care products and protocol are reviewed before the procedure is performed.

Cleanse Phase: 5-7 minutes

Apply Gentle Facial Wash and cleanse the face, neck and décolleté. Rinse and Remove.

Soak cotton rounds in warm water and spray a small amount of Soothing Chamomile Eye Makeup Remover. Apply to eyes and wrap face in a warm towel with an aromatic calming blend. Compress towel and let client breathe in the essential oil for approximately 30 seconds. Unwrap towel; remove eye pads and excess make-up.

Saturate tissue or cotton round with the Exfo Tonic and smooth over face to remove lipids off the skin.

Skin Analysis Phase: 5 minutes

Perform Skin Analysis with Woods Lamp. Take Before Photo.

Apply Vaseline to lips and any sensitive areas you want to avoid such as the corners of the nose, or eyes. Apply damp cotton rounds on eyes if desired. Give the client an electric fan to hold and turn it on. Have client keep eyes closed when applying solution

TCA Peel Application: 15 minutes

Pour Skin Refining TCA Peel, (approximately a dropper (2cc) in a dish) – enough to saturate 2″x2″ gauze pad. The gauze should not be dripping, just saturated. Wring out any excess.

Using firm strokes, apply your first coat of solution to the face, neck and décolleté if desired. Begin at the forehead and go around the face, lastly carefully under the eyes (never do eye lids, and be careful to stay at least 1/8” away from eyes)*. The application should be smooth and even. The client will feel a hot stinging initially, but it will subside after about 2-3 minutes. Wait 5 minutes and watch the skin to notice any redness or light frosting.

*You may use a cotton tip applicator (Q-Tip) for under the eye area if desired, just be careful to stay at least 1/8 “ away from the eye.

The TCA solution is not removed or “neutralized” with water; it self neutralizes.

Clients may lightly frost in some areas, and most will just get pink. Everyone is different. Clients do not need to frost to get a result. In fact, many clients will feel the burning, get red, and get absolutely no frosting. This is fine; they are still getting a result.

Often with TCA peels the term “end point” is used. End point refers to the point at which you should stop applying more solution because redness, erythema, or desired frosting levels are achieved. With the Skin Refining TCA Peel, the end point is when the client exhibits mild erythema or some barley frosted areas.

(Optional) After waiting 5 minutes, repeat application a second time avoiding any area that has frosted. This will achieve a deeper peel. Wait another 5-7 minutes until dry. Do not reapply where frosting is evident. Light frosting is normal and you do not need to apply any more to an area that frosts lightly.

NEVER APPLY MORE THAN TWO COATS of TCA!! DO NOT APPLY ON THE BODY. THIS PROTOCOL IS FOR THE FACE NECK AND/OR DECOLLETE ONLY.

After waiting 5-7 more minutes, make sure the skin is dry and then apply a cool damp towel to face and leave on 2-3 minutes, gently pressing to cool the skin.

Hydrate & Moisturize Phase: Duration varies

With fingers, apply a small amount of serum(s) according to skin condition and skincare goals. You can use all three in the same treatment if desired.

Crystal C Serum – skin strengthening, antioxidant
Firming Tri-Peptide Serum – anti aging, firming
Multi-Complex Fade Gel – hyperpigmentation

If you do not want to use the Vitamin A Micro Peel Pro, you can finish the treatment here with an application of Oil Free Sunscreen SPF 30 or Intensive Skin Lightening Day Cream SPF 30. Otherwise continue to the Vitamin A Micro Peel Application.

Vitamin A Micro Peel Application: Optional

The Vitamin A Micro Peel Pro is an outstanding anti-aging peel lotion formulation that aids in reducing fine lines, wrinkles, breakouts, dark spots and textural problems. It may be applied at the end of most facials, when light peeling is desired.

Apply a thin coat of Vitamin A Micro Peel Pro with gloved fingers, and gently massage into the skin. This feels good to the client. The client’s skin will be slightly tacky, and yellowish. This is normal. The client will go home with the Vitamin A Micro Peel Pro on their face.

Instruct the client to do nothing the rest of the night and do not wash off Vitamin A Micro Peel Pro for at least four hours. They can sleep with the product on or rinse with water.

Once the Vitamin A Micro Peel Pro has been applied, end the treatment by reviewing the home care product usage and schedule a post-treatment facial.

Review the post peel instructions.

Schedule a follow-up facial which is recommended, but not mandatory.

Post Treatment

NOTE: The way to achieve optimal results for client’s skin requiring sun damage repair is to encourage a series of peels. 10 to 14 days after the Clinical A+ Peel, invite the client back in and conduct this treatment.

Cleanse with Gentle Facial Wash
Apply Sensitive Skin Tonic
Mix Zyme Peel (Powder/Activator) and steam on skin 5-7 minutes
Remove Enzyme peel and perform extractions if needed
Optional: Use LED Lights at this time if desired or High Frequency
Apply Hydra Calm Massage Oil or Skin Nourishing Balm and perform facial massage for 5 – 10 minutes
Apply Sensitive Skin Enzyme Mask. Leave on 5-7 minutes then remove
Apply Firming Tri-Peptide Serum with fingers and massage in
Apply Anti-Wrinkle Face & Neck Cream generously
Finish treatment with application of Oil Free Sunscreen SPF 30

Advise clients after the facial post treatment: Clients must continue to use their sunscreen to protect the freshly exfoliated skin, and resume skin lighteners if they suffer from hyperpigmentation.

Cleanse Phase

Begin facial cleanse while steaming and warming up the skin. Apply Gentle Facial Wash and cleanse the face, neck and décolleté. Soak cotton rounds in warm water and spray a small amount of Soothing Chamomile Eye Makeup Remover. Apply to eyes and wrap face in a warm towel with an aromatic calming blend. Compress towel and let client breathe in the essential oil for approximately 30 seconds. Unwrap towel; remove eye pads and excess makeup. Use towel to remove cleanser.

Spray onto a tissue or cotton pad and then apply the Exfo Tonic (oily skin) or Balancing Tonic (dry skin) to the entire face with fan on.

Give the client a hand-held fan to hold or use a clip-on fan. Some clients will feel the burning/heating feeling more intensely than others. The burning sensation will be experienced for 2-4 minutes with the first several coats. As subsequent coats are applied the client will feel more of “warmth” and stinging dissipates.

Pre-Peel Considerations

The Ideal Client

This peel is ideal for men and women who are concerned with the signs of aging, hyperpigmentation, acne scars and texture problems.

This is not a peel for a first time client. It is for a client that you have already had some experience with and has been exposed to lighter peeling agents such as Glycolic, Salicylic and/or Lactic Acid peels.

Contraindications

  • Clients should have been off Accutane at least 6 months
  • Any recent history of cancer treatment or diagnosis
  • Sunburn, skin irritation including dermatitis and/or eczema on the face
  • Pregnant or breast feeing
  • Any waxing or laser treatments within the two weeks
  • Diabetes
  • Clients with autoimmune disease such as Lupus
  • History of sun allergies
  • Open skin
  • Sensitive skin

Expectations & Results

A step up from the basic peels, the Clinical A+ Peel is for clients wanting the results of a slightly deeper peel that will usually provide light, yet notable peeling during the first week. Peeling varies from client to client, depending upon many factors. Some clients will get very red for a few days; some clients will peel more than others.

Our standard facial protocol that gives the client the most exfoliation. Should you want to reduce the visible peeling, perform the TCA without the Vitamin A Micro Peel Pro. When applied with the Skin Refining TCA Peel, The Vitamin A Micro Peel Pro will increase cell turnover and cause more noticeable peeling. This is excellent for non-sensitive clients that want a light peel, but want to see the skin cells actually “peel”.

The results last longer than lighter (AHA), resurfacing peels. When the client leaves the spa their skin will look slightly pink. The skin will peel lightly a few days later on some clients and heavier on others, and will usually take 5-10 days, depending upon the client, their skin condition, how well prepped the skin is, how you perform the procedure, and whether you incorporate the Vitamin A Micro Peel Pro with it.

Client Expectations vs. Results

For the best outcome: All clients receiving this treatment should have been using pre-treatment products for at least two weeks. Pre-treatment ingredients would include retinols, retinoic acid prescriptives AHAs, BHAs and skin lightening agents if hyperpigmentation is a concern. It is recommended that all clients receiving the Advanced TCA Peel with Vitamin A, schedule a post-facial 7-10 days later to restore, balance and hydrate the skin.

Optional Pre-Treatment Products

Melanin Inhibitors
Multi Complex Fade Gel
Crystal C Serum
Intensive Skin Lightening Day Cream SPF 30
Exfoliators
Smoothing Repair Gel
Gly Lotion 10%

Health of the Client

It is very important to always review the medical history of the client prior to each peel.
Medications can affect the risk of residual hyperpigmentation and/or skin sensitivity.
This peel should not be performed on pregnant women or while breast feeding.
Diabetics should also consult their physician before receiving any peel

Frequency of Treatment

It is recommended that the Clinical A + Peel can be performed in a series of three, about 4 weeks apart to realize the best results. It can also be used four times per year, as a booster to create a more intense peel than the lighter, superficial peels.

Regarding TCA Peeling

TCA Peeling is very popular due to its flexibility and safety profile when performing a light epidermal peeling.

The Skin Refining TCA facial peel is different than traditional AHA peels in that it searches out epidermal and dermal protein in the skin to neutralize itself, therefore water does not neutralize the TCA. In some clients the skin will slightly frost and in other clients they will just get pink and you will notice some slight erythema.

As with all clients, there are always risks when performing peels, so it is always best to begin less aggressively on the first treatment and see how they do.

Keep in mind that TCA is a powerful chemical and as with all peeling agents, there are potential risks, including but not limited to post-inflammatory hyperpigmentation, breakouts, scarring, temporary redness and photo-sensitivity.

Tips & Tricks

The Vitamin A Micro Peel Pro is an outstanding anti-aging peel lotion formulation that aids in reducing fine lines, wrinkles, breakouts, dark spots and textural problems. It may be applied at the end of most facials, when light peeling is desired. An active combination of Vitamin A, this peel will be enjoyed by many of your clients looking for noticeable improvement with their skin. Since the 1940’s early research proved that orally administered vitamin A could help stimulate new cell growth in the epithelium and produce a smoother and softer skin.

Because topically applied vitamin A induces self-proliferation of new cell growth, it turns over the skin cells (sheds) faster (from a normal 28 days, to 10-15 days) and the stratum corneum is more compact, reducing the cell layers, helping to stimulate dermal collagen, lessen sun damage, and exfoliate impacted acne lesions.