The Rosacea Report: Discerning Rosacea & Creating Treatment Plans

Aestheticians see a multitude of different clients with varying skin types and conditions, but rosacea clients should get the gentlest of treatment. This skin condition can manifest in different forms from one client to the other. According to the National Rosacea Society, over 16 million Americans are affected by the skin disorder, and as many as 415 million worldwide, according to new research in the British Journal of Dermatology. Despite being a relatively common skin condition, only 18% of Americans with rosacea are currently receiving medical treatment for their condition, and some do not realize rosacea can be treated by over-the-counter and prescription products. As a professional, what is the plan of action for a sensitive rosacea client?

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Dasha SaianDasha Saian Marchese is the co-founder and current CEO of Saian and has over 21 years of experience in the spa industry. In addition to her business and marketing degree, she is a licensed aesthetician, certified nutrition and wellness consultant, official ambassador of the Aesthetics International Association (AIA), and certified family herbalist. Marchese is on the Editorial Advisory Board of DERMASCOPE Magazine; she gives lectures and classes internationally and regularly contributes to global trade publications.

 

 

 

 

Dermatitis Detection: Recognizing & Managing Afflicted Skin

At times, dermatitis exacerbations can come out of nowhere with no rhyme or reason to it. When dealing with this skin condition there is no one-size-fits-all remedy. In many instances, a multifactorial approach to treatment is needed.

The word “dermatitis” is often used to describe various skin irritations and rashes. When breaking down the word “derm” is defined as skin and “itis” as inflammation. Therefore, dermatitis simply means there is an inflammation of skin. Dermatitis does not discriminate; it can develop on both young and old skin alike. In fact, it is the most common inflammatory skin condition, affecting 10% to 25% of children and 2% to 10% of adults worldwide. What makes one individual more susceptible to dermatitis over another? Research has shown that there are a collection of triggers and risk factors aligned with this condition. The risk factors that increase one’s chance of suffering from dermatitis include age, environment, personal family history, certain health conditions, allergies, and eczema. The term “atopic triad” refers to a classic set of atopies including atopic dermatitis (eczema), asthma, and allergies.

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Janet DunleavyJanet Dunleavy began her journey in the aesthetic industry after battling a multitude of skin sensitivities including severe eczema. She received her aesthetician license in 2003 and had the privilege of working with a renowned dermatologist. In 2009, she went on to obtain her registered nursing license to provide clients with a larger variety of treatments than her aesthetician license allowed. For more than 10 years Dunleavy has also worked as a cardiovascular critical care nurse. In addition, she has been trained in a variety of aesthetic services including neurotoxins, dermal fillers, microneedling, microneedling with radiofrequency, medical grade chemical peels, platelet-rich plasma, and platelet-rich fibrin matrix. Her goal is to help clients transform their skin by providing cutting edge bespoke skin care treatments tailored to their specific needs.

The Body is Trending: An Inside Scoop on Injectables

Minimally invasive cosmetic procedures such as soft tissue fillers, collagen stimulators, and botulinum toxin type A continue to increase in popularity. While these were traditionally intended for facial procedures, they are becoming more popular to treat various areas of the body. In addition, as new technologies of injectables debut, they target not only the face but the body as well. Popular areas include the neck, decolletage, hands, and buttocks.

Surgery inherently carries more risk, but do needle-based treatments offer the same reward?  As with all cosmetic procedures, individual results will vary. Some of these treatments can be reversed or will gradually wear off, while others are permanent. As with all injectable treatments, multiple treatments may be necessary to see the desired result. This is especially true with body injectables that cover more surface area and therefore need more product. It is true that in some cases, a similar cost is associated with surgeries and injectable-based treatments. This is greatly affected by the area being treated.

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Leigh ReeseLeigh Reese is a board-certified nurse practitioner and certified nurse injector. She earned her Bachelor of Science in nursing from Texas Women’s University in 2013 and her Master of Science in nursing from The University of Texas at Arlington in 2019. Her background in the medical field has been in emergency room medicine and aesthetic medicine. Her goal is to create a natural and youthful appearance for her clients and help devise a plan for their aesthetic journey. She has a passion for continuing education, and her position at SkinRX Spa allows her to attend monthly advanced trainings.

 

A Common Situation: Understanding Keratosis Pilaris

A common inquiry from clients is how to treat the bumpy, rough texture of skin on their arms. Although this is often related to skin on the upper arms, it is not isolated to this area. What clients are asking about is a treatment solution for a condition called keratosis pilaris. 

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Rene SerbonRené Serbon started her education focusing on business studies later moved to aesthetics. Her mission as an industry consultant and educator is to teach other industry professionals to empower clients to obtain healthy skin at any age without the need for intensive and harsh treatments. She began studying in New Zealand and completed training in beauty therapy, or aesthetics, as well as electrolysis through the New Zealand Institute of Electrolysis and Beauty Therapy. Serbon sat for international exams and is a diplomat of both CIBTAC and CIDESCO. She completed post-graduate training in laser, intense pulsed light, and the Pastiche Method of Advanced Skin Analysis, for which Serbon was later an honoree as a Pastiche recognized educator. She also serves on the board of education for the International Association for Applied Corneotherapy.

 

 

Medical Maven: Passing Treatment to a Medical Professional

According to Potter Stewart, “Ethics is knowing the difference between what you have a right to do and what is right to do.”

In school, ethics is taught as a moral code for a professional to abide by while they are in practice. It teaches the importance of doing each client that is treated “right” by act and verbiage. This is not anything that can be seen, for it is a conscience compass; each professional chooses the direction to take while treating a client. It is this conscience guide that communicates with each professional, letting them know when something is out of their scope of practice.

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Amra LearAmra Lear, licensed massage therapist and aesthetician, NCBTMB provider, trainer, and co-creator of world-renowned treatments such as the Nobu Go, recently relocated to Pallavi Luxury Spa in Clearwater, Florida after spending the last 22 years of her career on the Las Vegas strip at two prestigious spas. As a spa spokesperson, she appeared internationally on various media platforms sharing her knowledge on spa treatments and wellness. 

 

Red Recovery: Understanding & Treating Broken Capillaries

At some point, many people will look in the mirror and see that dreaded tiny red line or a cluster of red lines that resemble a spider web somewhere on their face or body. Broken capillaries, or telangiectasia, are typically found in places where skin is exposed to daily environmental stressors. They can appear anywhere on the body but are most likely found on the face, neck, and chest. Broken capillaries are not a cause for concern but can be frustrating for an individual, as they will not go away on their own and are generally hard to camouflage with makeup.

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Holly SheppardHolly Sheppard has been involved with the medical field for over 13 years – five of those years as a licensed aesthetician and laser technician. She also holds certifications in oncology aesthetics and eyelash lift services. She enjoys continuously expanding her knowledge and skills with advanced training. Sheppard takes pride in creating unique customized treatments with the latest technology that are both corrective and relaxing. She sees beauty in every individual and believes that taking the time to invest in skin is a decision that lasts a lifetime. Sheppard performs various aesthetic treatments; some popular treatments include IPL, laser resurfacing, peels and facials, microneedling, Emsculpt Body Toning, Hydrafacial, and more.

 

Injectable Intelligence: Safety & Available Injection Sites

For years, clients have focused on receiving facial fillers for the upper half of their face and have often neglected other areas that reflect the signs of aging, such as the lower half of the face and hands. With hyaluronic acid fillers becoming a game changer in terms of available injection sites, a stronger look in the areas that represent strength and youth has made a major impact in the aesthetic industry. However, with newer available injection sites and widespread availability of injection techniques throughout social media, injectors need to further their education now more than ever.

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Allison BrewerAllison Brewer is a certified nurse practitioner who has spent over 13 years in the aesthetic industry, working in surgery and with hands-on patient care. Her passion is using the industry’s latest injectable techniques to reverse the aging process while keeping clients looking natural and not overdone. She implements her one-of-a-kind smoothing technique to give her patients a natural, polished look. Brewer sets herself apart from other injectors with her gentle touch and her standard of care that she follows with each client’s injection.

 

The Body Is Back: Body Sculpting & The Power of Treatment Customization

With the constant video calls, less-than-ideal lighting, and Zoom filters, clients have been critiquing their facial features and appearance more than ever this past year. The focus on the face and empty social calendars caused body sculpting treatments to take a bit of a backseat. Thankfully, vaccination rates are growing, mandates are lifting, and in-person life is resuming, and with it, clients are thinking about more than their usual facial filler and toxin touch-ups – the body is officially back in focus.

Often, regardless of a healthy diet and active lifestyle, clients are left with stubborn pockets of fat that do not respond to their efforts. The great news is that there are more noninvasive body sculpting and fat reduction modalities than ever.  

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Deanne Mraz Robinson, MD, FAAD, is a fellowship-trained, board-certified dermatologist based in CT. A leader in the field, she is the chief medical officer of Ideal Image, the nation’s largest aesthetic provider. She is also president and co-founder of Modern Dermatology of Connecticut. As an authoritative voice in aesthetics, she is intimately involved with clinical research, speaking, and teaching. 

Medspa Myths: The Truth of Injectable Neurotoxins

Many clients are afraid of getting botulinum toxin treatments because of common myths. They may believe that antiwrinkle injections will freeze their facial expressions (leaving them unable to lift their eyebrows naturally), neurotoxin injections are extremely painful, or if they stop receiving injections, their face may look more wrinkled than before they started. These myths have been debunked time and again.

What is rarely acknowledged is that even clients who choose to get botulinum toxin treatments often harbor misunderstandings about it. Therefore, it is an injector’s responsibility and even moral duty to ensure that their clients fully understand the treatments they give them, so they can make fully informed choices about their own faces, skin, and bodies. This is also in a medical spa’s interests, as they can prevent their clients from feeling disappointment, unhappiness, and even anger down the road.

There are two popular misunderstandings about injectable neurotoxins from clients who are new to injectable treatments and more seasoned aesthetic clients as well. They both have the common theme of expecting too much from these treatments.

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Winnie MosesDr. Moses established Parfaire in 2015 to deliver world-class quality cosmetic treatments synonymous with Beverly Hills, California to the San Gabriel Valley and Southern California at affordable prices. Prior to entering the beauty world, she earned a master’s degree in biochemistry from the Colorado School of Mines where she graduated second in her class with honors. Dr. Moses received her medical degree and completed her residency training at the Albert Einstein College of Medicine. She graduated with honors and was awarded the prestigious Janet M. Glasgow Award for being the top student in her class and was recognized as an outstanding woman at the threshold of her medical career. Dr. Moses served as an American Board of Emergency Medicine (ABEM) physician in one of the nation’s top hospitals for more than a decade.

 

 

Skin-Spection: Looking into Layers & Corneotherapy

 During the busy morning and bustling workday hours, skin is subjected to a barrage of intrinsic and extrinsic factors that are determined to destroy the delicate balance of naturally beautiful complexions. These factors include sun exposure, unfavorable climate conditions, pollution, bacteria, as well as lifestyle choices like poor diet and water intake. While skin is an incredible organ that is prepared to protect against many of these stressors on a biological level, if this crucial function is disrupted, it leaves skin vulnerable.

For decades, one of the great challenges of working with clients in the skin care realm has always been homecare compliance. Clients and professionals alike find difficulty in the maintenance of simple, clean skin care regimens designed to protect and support skin, especially when the newest marketing advertisements vow to provide countless new magic and miracles in a bottle. The promise and allure of instantaneous results is enticing for anyone. However, the effect of these poorly formulated products is often overly sensitized, chronically dry, damaged, and under-nourished skin.

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Kristen JohnsonKristen N.M. Johnson is an award-winning registered nurse, licensed aesthetician, and co-owner of The Eclipse Spa in Westminster, Maryland. With over 10 years of experience in the luxury spa industry, Johnson is passionate about creating an incredibly unique and indulgent experience for each client. She specializes in the development, education, and implementation of innovative treatment protocols. She holds advanced training and certifications in holistic and integrative health, microneedling, clinical skin care and treatments, nutrition, facial cupping, gua sha, hot stone therapy, advanced chemical peels, cosmetic injectables, facial reflexology, and is an usui reiki master and teacher. 

June 2022

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