Protocols for Acne

What is acne?
Acne is a disease of the sebaceous glands

Most commonly seen on the face, some on the back

and chest

Blackheads or open comedones these are the open

pore acne with black material on top with whitish sebum when extracted

Whiteheads or closed comedones these are the

closed pimples without an opening, need to prick this in order to create an opening, however, full extraction is needed to prevent inflammation.

 Pustules these are pimples with inflammed red base

and a pointing of pus, extraction and injection of steroids is needed to immediately improve symptoms

Nodules these are red, tender, inflammed acne

nodules without pus and without opening. Best treatment is acne injection

Causes of Acne
Propionibacterium acne

Hormonal imbalance
Rapid turnover of epithelial cells Stress

Treatment of acne
Facial cleaning or Acne peel/Korean acne facial This
will remove the blackheads and whiteheads and control acne eruptions

IPL Photoacne clearance P. acne bacterial is

sensitive to light, it will also improve redness of the face and the dark pimple marks

Chemical peel w TCA this will dry up pimples and

peel off the dark pimple marks.

Protocol for Acne

Facial cleaning or Acne peel

IPL Photoacne clearance

Chemical peel
Note: you can combine all these treatments in one session, Good combination is facial cleaning with Chemical peel, this will dry up pimples fast and the peeling effect will remove dark acne marks Combine Acne peel with Photoacne clearance IPL, do the chemical peel at a separate date. If pressed for time, you can do all treatments together, First facial, next Photoacne clearance then last is chemical peel.

Maintenance medicine for Acne

Take home medicine

Tea Tree soap 2x a day

Antibiotic solution 2x a day Theraderm Spot treatment gel at bedtime

Sunblock or BB cream apply in am

Advise cleaning and Photoacne clearance every 2 weeks until
acne is controlled

Note: BB cream has 5 functions so it can also improve acne at the same time cover blemishes and protect from the sun

What is melasma?
Melasma are dark patches in sun exposed areas of the face
usually on the cheeks, nose but can also be seen in the forehead, chin
There are 3 kinds of melasma

1. Epidermal type these are the daark brown patches on the

cheeks

2. Dermal type these are the grey sometimes bluish grey

colored melasma

3. Mixed most common type of melasma mixed epidermal

and dermal

What are the causes of melasma?

Hormonal appears during pregnancy, taking oral
contraceptive pills, and during menopausal stage

Sun exposure hormonal imbalance makes the

melanocytes more sensitive to the sun

Misuse of whitening agents like over the counter

astringents and whitening products

Onchronosis side effect of prolonged use of

hydroquinone making the skin greyish to charcoal mask

Treatment of melasma
3 basic treatment of melasma

Removal of dark skin - PEEL

Sun protection SUNBLOCK Use of whitening agents WHITENING

PROTOCOL FOR TREATMENT OF MELASMA

MELASMA PEEL

IPL PIGMENTATION TREATMENT

STEMCELLS FOR STUBBORN RECALCITRANT MELASMA

TAKE HOME MEDICINE FOR MELASMA

FOAMING FACIAL WASH OR VITAL C CLEANSER
2X A DAY

VITAL C TONER 2XA DAY INTENSIVE PIGMENT CONTROL AT BEDTIME BB WHITE IN THE MORNING

ANTI AGING PROTOCOL

Evidence of Skin aging

Fine lines and wrinkles

Skin pigmentation Large pores Sallow skin Sagging Lentigo

Treatment protocol
Vital C Peel with O2 aka melasma peel

IPL Skin Rejuvenation

STEMCELLS ultimate anti-aging treatment

Take home Anti aging skin care

Vital C cleanser or foaming facial wash

Vital C Toner
BCC white serum BCC white cream BB white spf 50