JUser: :_load: Unable to load user with ID: 31566
Friday, 25 May 2007 15:51

CSI: Clinical Skin Investigation

Written by

How well do you really know your clients skin? Are you one of those aestheticians who view all skin equally for remedy options? How would you rate your professional savvy selecting the exact product formula or clinical treatment for your client's skin type?
In today's rapidly shifting skin care market, no room exists for lazy aestheticians arbitrarily advising inaccurate products based on marketing hype or uneducated judgment using treatments that can't deliver results because the skin type and problem(s) have not been properly identified. Before an aesthetician initiates the first treatment, a prudent skin health check-up should be a mandatory preliminary step to ensure home care products and the recommended clinical remedies compatible with the correct "skin type".

What is skin type? Many aestheticians fall into the trap of analytical skin evaluation based on general overview and render their clinical decisions using sketchy information at best. "Skin type" selection has become a science today and can no longer be judged on the antiquated oily, dry, normal, and acne condition of 1930's aesthetics. There are no two skins alike, even in identical twins. Any aesthetician relying on incomplete data concluded from common question and answers is taking a huge leap backwards, ultimately compromising results of the clinical treatment end point. Only progressive aestheticians can successfully acquire clinical end point outcome based on a systematic skin examination concluded from an in-depth information collection process. Putting this process into perspective, the aesthetician literally becomes a "skin detective" conducting CSI, or a "Corrective Skin Investigation".
How do you achieve this practice success? The answer is by performing the first therapeutic phase of CSI to arm yourself with valuable information of your client's skin for clinical solution. This integral detective process can uncover potential skin damaging culprits contributing to photo-aging, acne, pigmentation, and other problems including, but not limited to: sun damage, sensitivities, genetics, menopause, lifestyle imbalances, medications, ethnic blends, etc. Initial follow through of this set of rules is as important as a physical check-up conducted by a doctor prior to a medical procedure or Rx dispensing, and is no less significant.
What is Photo dermatology CSI assessment? Simply put, Photo-dermatology analysis is the backbone of your professional services and precedes all skin treatments and product dispensing; facilitating to pinpoint concealed histological manifestations of health related skin changes, not yet clinically evident, including the obvious signs of aging injury. Photo dermatology CSI assessment provides an itemized insight of the client's skin for the aesthetician to make an accurate verdict, and then select the suitable clinical skin treatments and professional products.
Photo-dermatology skin analysis evaluates this complicated immune organ to assist in establishing the "true age" of skin. "True age" of the skin does not necessarily mean chronological age. A 25-year-old can have skin that looks 50, and vice versa.
Evaluating the "true age" of the skin also includes fact finding conclusions of smoking, estrogen withdrawal, drugs, stress, excessive skin peeling, if client sleeps with their make-up on, poor nutrition, illness, radiation/chemotherapy, etc. in addition to UVR exposure. Add seven years to the age for each of these culprits. As an example, think of the President of the United States when he enters office to serve the country and how he looks after his term is up. The change is significant and gives pause to how stress and these other factors can speed up the aging process.
Although skin in itself is a protection barrier against radiation, this shield brings with it consequences of its own, leading to a "perceived age" that could be greater than one's actual age. Comprehending the basics of the aging process is important to understanding Photo-dermatology analysis. The primary extrinsic factor associated with the aging appearance and health of the skin is exposure to ultraviolet radiation, whether from natural sources (sunlight) or artificial causes (tanning salons, indoor lighting). Photo aging can be described as a continuum of assaults from the environment and lifestyle imbalances.
Reduced capacity of the antioxidant defense system of the cells results in age-associated oxidative stress and contributes to intrinsic aging. Increased matrix metalloproteinase (MMP), and decreased pro-collagen expressions involving mitogen-activated protein kinase signal-transduction pathways are central to the pathophysiology of intrinsic skin aging. Smoking and estrogen deficiency are interdependent risk factors that exacerbate intrinsic aging in skin directly affecting the cosmetic appearance. Like all other tissues, skin unavoidability ages, a process that influences the function and healthy look. Understanding manifesting causes intrinsically will help the aesthetician identify what is distressing the external skin and why Photo-dermatology CSI evaluation will make it easier for you decide the clinical end point of your treatments.
Check your client's forearm against their facial skin for comparison. This simple, quick visual check will provide biological distinction between the two skin's topography and help confirm the level of environmental damage to your client's skin. It can be a reality check.
Skin does not lie. In fact, it retains a memory of its complete injury history. Every "wrong" ever done to this immune organ will eventually show exterior clinical evidence and the aesthetician must learn how to recognize these conditions. Conclusive data compiled from the Photo-dermatology analysis allows the aesthetician to examine all of the signs from the skin's past to make a professional judgment call and eliminate a one-size-fits-all professional treatment and home skin care protocol.
It is easy for clients to forget how bad their skin was the day they walk in your door. But, pictures never lie. Therefore, begin by taking before and after photos and securing a consent form for both pictures and treatment. This is a fantastic way to maintain a visual record and reinforce to your client the reason they are committed to your exclusive program. It is also an amazing method to build a testimonial image archive you can share with new clients to relate how fantastic your professional products and skin treatments really are. These images act as a diplomat to your true skill as an aesthetician.
Finally, it is the important consideration of your client's current skin care program. Directing your questions with respect to all of the products they are currently using will assist the aesthetician in finding areas of their existing skin care that may need to be addressed. I always encouraged my new customers to "bring their face in a bag" so I could review the products along with the ingredients. This snooping also uncovers how they use their products, how much, if they are dipping their fingers in the jar, if the products have been exposed, etc. Finding out how they care for their products means this would be time to instruct them how to use skin care properly. I go so far by having them demonstrate to me how they apply it on their face. You would be amazed how one side gets 95 percent of the product and the other just dabs. Instruct the client to always to apply evenly, paying closer attention to the problem areas. Reviewing a customer's products also provides valuable insight to their dedication of a skin care program. Are they consistent? How much they spend? What kind of formula viscosity do they prefer? Never underestimate the power of what attracts a client to a product.
How does an aesthetician market a Photo-dermatology CSI analysis in their skin care clinic? By presenting it on your treatment menu and listing it as the most important service you offer. I recommend charging no less than $75 an hour. The information you gather during this session will always remain the central database of your client's records. No skin treatment should go forward without Photo-dermatology analysis.
In conclusion, how often should you conduct a CSI? Photo-dermatology analysis should be done once a year to keep your clients proactive with respect to their mature changing skin. The skin your client was in a year ago is not the skin they are in today. All yearly treatments and product updates should always be based on the new findings.

Christine Heathman, Master Aesthetician, CME, LMT is the Founder and CEO of Glymed Plus. With over 20 years of practicing clinical aesthetics, her experience with the medical profession is well established. As a licensed professional, she holds three licenses in aesthetics, one in California, a Master License in Utah, and one in Europe. As the Director of Education for the Gly-Med Institute of Skin Sciences in Spanish Fork, Utah, Heathman directs and provides the skin care professional with exceptional training. For more information, please contact her via e-mail at This email address is being protected from spambots. You need JavaScript enabled to view it..

Want to read more?

Log in or subscribe to continue reading this article.

Related items

  • Dallas Based Entrepreneurs Launch Medical Hologram B+A and Marketing Assistant Serving the Aesthetic Community Dallas Based Entrepreneurs Launch Medical Hologram B+A and Marketing Assistant Serving the Aesthetic Community

    Aestheia Imaging, a hologram content management, and advertising subscription company introduced its disruptive technology at the American Society for Aesthetic Plastic Surgery last week at The Aesthetic Meeting in New Orleans. The company breaks the mold of in-practice marketing with the unveiling of XTHEIA; an interactive hologram display toting a Virtual Consult Assistant for medical office waiting rooms. Aestheia's launch poses a resolution to poor patient awareness; an underserved focal point of product education in the aesthetics industry.
    The company is led by Austin JM Podowski, CEO and accomplished Dallas Healthcare Business Tech executives Mike McDonald, President and Paul Herchman, Advisory Board Member. Well known Plastic Surgeon and photographer Dr. Barry DiBernardo of New Jersey Plastic Surgery leads the companies Medical Advisory Board and will continue to work to enhance upon the application. The company offers a connected holographic media platform to story map the patient journey to brand and product education. Through the research and development of Aestheia's Medical Advisory Group, the company will offer holographic before and afters to patients so they can see pre-operative and post-operative procedure outcomes in true 3D, not previously available in the space.

    "We are dedicated to providing novel and ground breaking product innovation for the entire Aesthetic Community," comments McDonald. The company today offers a fully-automated and comprehensive holographic playlist for physician waiting rooms tethered to a cloud-based solution developed by the management team.
    "We are changing the way medical companies and physicians communicate with their customers and patients. The ALEXA of Aesthetics is now in the room," states Podowski. The team has also designed a customer facing iPad Pro application that allows a physician to remote control the device offering an in-app camera for patient photos. Mr. Podowski later comments, "The response received at ASAPS The Aesthetic Meeting affirms that our vision and product meet a need and resuscitate a lost connection with the consumer."
    The management team is dedicated to further pioneering advancements in hologram, AI, and AR in the evolving medical practice of the 21st century. The company is finalizing a third-round capital raise and will begin placement of their technology throughout Plastic Surgery Offices in North America in July 2019. The technology will also be on display in direct to consumer retail kiosks throughout the United States later this year. To get a sneak peak of Aestheia, follow the team's development, or learn more about the technology, follow @aestheiaimaging or visit www.aestheiaimaging.com.

  • Micropigmentation Procedure October 2010
    Micropigmentation Procedure October 2010

    Micropigmentation Procedure Helps Breast Cancer Survivors Regain Self-Esteem & Confidence!

    Cranberr facial mask

    Cranberr facial mask
    According to the American Cancer Society (ACS), it is estimated that in 2009 there were 192,370 new cases of invasive breast cancer diagnosed among women, and approximately 1,910 new cases in men. For the many men and women who have been, and will be diagnosed this year, the battle to get through treatment and surgery is only the beginning of the journey to survive. Although the feeling of survival is unsurpassed, the physical scars at times may leave some survivors anxious with their new appearance. Ruth Swissa has taken her passion and artistic expertise in the permanent makeup industry to provide areola pigmentation for breast cancer patients post reconstruction to help renew self-confidence and boost self-esteem.

    "Many of my patients have said that waking up every morning, and looking in the mirror is a constant reminder of their battle, which although comes with a sense of pride, it also at times causes insecurities because they don't feel like themselves," says Swissa.

    Micropigmentation is an alternative method of creating a realistic nipple and areola after a mastectomy, to achieve a more symmetrical shape and even coloring using artistic light and shade effects. Swissa works closely with her patients in order to achieve the desired coloring and size to create a natural looking effect. This procedure takes less than an hour and is usually painless.

    Ruth uses a customized medical tattooing technique for applying permanent makeup for areola pigmentation. This unique method proves to be more exact, very gentle, and less invasive than traditional cosmetic tattooing. The results look more natural and subtle in appearance.

  • Five Ways to Find Safe and Natural Relief from Osteoarthritis October 2010
    Five Ways to Find Safe and Natural Relief from Osteoarthritis October 2010

    Five Ways to Find Safe and Natural Relief from Osteoarthritis

    by Deirdre Shevlin Bell

    Cranberr facial mask

    The search for safe and effective relief from osteoarthritis (OA), a condition that occurs when joint cartilage wears down over time, can feel like an uphill battle. Certain natural remedies can bring lasting relief from OA according to the Arthritis Research Council (ARC) study and other experts. That is good news, since the pain, stiffness, and loss of flexibility from arthritis makes it the nation's most common cause of disability.

    One massage, and call me in the morning
    Spa-lovers with osteoarthritis will be pleased to learn that all those massages that leave you feeling loose and limber are doing more than just helping you relax. According to a 2006 study published in the Archives of Internal Medicine, Swedish massage improves flexibility, decreases pain, and increases range of motion in individuals with osteoarthritis of the knee.

    Low-impact exercise
    "When people start to hurt, they tend to cut back on exercise," notes Michele Olson, Ph.D., professor of exercise physiology at Auburn University Montgomery and Fellow of the American College of Sports Medicine. But that is a mistake, as inactivity can make pain and stiffness even worse. Olson recommends Pilates and swimming or doing aqua-aerobics, but she emphasizes the importance of choosing gentle, weight-bearing exercise. Michael Murray, N.D. suggests that a person should find something they love, and find a way to continue doing it: If walking on concrete sidewalks is too hard on the joints, walk on the golf course.

    Spice rub
    Using a gel containing capsaicin, the active ingredient in chili, is very effective at providing temporary relief from osteoarthritis pain. Studies have found that capsaicin can deplete the substance that acts to transmit pain signals from nerve endings to the brain and cause inflammation in the joints.

    Healing herbs
    An ARC study evaluated several herbs and herbal combinations and found that one stood above the rest. Phytodolor, a branded combination of three herbs – aspen (Populus tremula), common ash bark (Franxinus excelsior), and golden rob herb (Solidago vigaurea) effectively manages the pain and inflammation associated with OA. Some studies have shown that aspen contains a substance that when ingested inhibits the production of certain prostaglandins in the nerves, resulting in pain relief. Common ash bark and golden rob herb also have pain-relieving properties, and common ash bark is an antioxidant – meaning it may reduce oxidative damage in the joint. The combination of the three herbs has been shown in animal studies to reduce inflammation. No major adverse effects have been reported, though some people do experience diarrhea, stomach upset, or skin reactions.

    The SAMe Game
    First discovered in 1952 and widely investigated for its usefulness in treating depression, S-adenosylmethionine (SAMe) is now showing promise as a treatment for OA. SAMe is a chemical compound that occurs naturally in the body, where it contributes to the synthesis of hormones and neurotransmitters. Studies suggest that when taken as a supplement, SAMe reduces pain and also stimulates the synthesis of collagen and proteoglycans, which are the major components of joint cartilage. Adverse effects are infrequent and mild, but can include nausea, restlessness, headache, dry mouth, and stomach upset. People with depression should consult with a healthcare provider before taking SAMe, as some incidences of anxiety and mania have been reported.

    Copyright© HealthyLifestyles.com

  • The Impact of Psoriasis on Personal Relationships October 2010
    The Impact of Psoriasis on Personal Relationships October 2010

    The Impact of Psoriasis on Personal Relationships Survey Fact Sheet

    This survey was created in partnership with the National Psoriasis Foundation and Galderma Laboratories, L.P.

    Within this issue, as well as our November and December 2010 issues, we will be printing important findings revealed from the recent survey, "The Impact of Psoriasis on Personal Relationships." This survey, sponsored by Galderma Laboratories, was distributed to the National Psoriasis Foundation membership database via Survey Monkey. The survey was completed by approx 1,520 people; statistics below represent the percentage of people who answered a specific question (not always all 1,520 respondents). Statistics are rounded to nearest percentage point and percentages may not add up to 100 percent depending on the structure of the question. Not every respondent answered every question.i Below is a list of findings relating to psoriasis and its impact of social relationships.

    Nearly 80 percent (78.7%) of question respondents feel that psoriasis has had a negative impact on their personal relationships.ii

    Social Relationships

    • When having a psoriasis flare-up, 63.3 percent of respondents are less likely to go out socially iii and 53.6 percent have declined social invitations or cancelled plans because of a flare-up.iv Nearly 70 percent (69.6%) feel that psoriasis has impacted their social relationships.v
    • When meeting someone new, 74.3 percent of question respondents worry that the person will notice their psoriasis,vi and 72.1 percent of respondents are concerned that people that notice will think of them less favorably.vii
    • When going out for social occasions, 79.5 percent of respondents usually only wear outfits that cover up
      their psoriasis.viii
  • Pomegranate the Ancient Red Goddess October 2010
    Pomegranate the Ancient Red Goddess October 2010

    Pomegranate the Ancient Red Goddess!

    by Natalie Pergar

    Cranberr facial mask

    Known not only as part of the elite group of super fruits, the all mighty pomegranate, English word comes from the Latin words for apple; "pomum" (apple) and "granatus" (seeded), has been dated as far back as 1,000 BC and was introduced to North America by Spanish settlers in 1769. This red beauty represents global symbolism and history ranging from righteousness, prosperity, and fertility.

    With over 760 varieties of pomegranate it is one of the oldest known medicines to man. Ancient Greek healers would use pomegranate juice to manage health problems similar to arthritis, circulation problems, digestive disorders, and infections. And to add to the wonders of the pomegranate, the fruit was also involved in ancient beauty concoctions. Today with our growing beauty culture and desire to turn back the clock, we find ourselves revisiting what our ancient friends already knew with the help of modern science and research.

    Pomegranates are packed with phytonutrients, vitamin B, and an abundance of vitamin C. They contain red arils, tiny edible seeds that are loaded with juice and provide valuable fiber. They are delicious and fantastic to eat - though I would not recommend eating the white membrane that surrounds the arils as it is quite bitter and the consensus is that it is not recommended. And for those of us that count calories, a 1/2 cup of raw pomegranate has 80 calories and 0 grams of fat!

    According to the American Association for Cancer Research (AACR), pomegranate fruit extract contains several polyphenols and anthocyanidins (pigment that gives certain fruits their dark red colors). Its antioxidant activity is higher than that of red wine and green tea and research suggests that pomegranate extract may have significant clinical benefits in decreasing risk for skin cancer.

    By taking pomegranate extract capsules, one could reduce or reverse the signs of aging by promoting cell turnover and creating new, healthy skin. But that is not all! Evidence shows that including it in your skin care regime can provide wonderful results too. Rich in ellagic acid to manage free radicals, pomegranate oil contains punicic acid, an omega 5 conjugated fatty acid effective in aiding cell regeneration and proliferation. Pomegranate also carries beneficial phytoestrogen and a rare plant-based source of conjugated linoleic acids (CLA), an anti-carcinogen.

    So I salute you, oh red goddess of history. Bring me health and wellness with all your super fruit power!

    Pomegranate, Almond Oil, and Honey Mask

    ½ pomegranate
    2 tsp almond oil
    ½ tbsp organic honey

    Warm up the honey until it becomes liquid (not too hot!) by putting it in a small glass or metal bowl which is immersed in hot water. Peel the pomegranate half, cut the fruit in pieces, and put these in a bowl or food processor. Add the honey and almond oil. Blend it all into a smooth and uniform paste. Spread this gently and equally with your fingertips on your clean face and neck: keep the eye area clear. Now lie down, relax, and leave the mask on for 20 minutes. Then, wash it off with lukewarm water and end with a splash of cold water; pat your skin dry with a clean towel. Finally, apply a moisturizer, this way you "seal" your skin to keep the water inside. (For all skin types). *This fruit mask recipe peels your skin and we do not recommend using it on acne skin.

    Copyright ® 2009-2010 Natural – Homeremedies-For-Life

    Pomegranate Oat Bran Scrub

    2 ounces pomegranate juice
    2 ounces orange juice
    2 tbsp honey
    2 tbsp sea salt
    3 to 4 ounces oat bran

    1. In a container large enough to hold two cups, combine pomegranate and orange juices. To this add the honey and mix together well.
    2. Now add sea salt and oat bran. Mix together and allow the oat bran to soak up the liquids, about 10 to 20 minutes.
    3. Make sure to apply to a clean face. Probably the easiest way is to apply in the shower after you clean your face and allow it to set while you do other things. The steam from the shower helps allow the ingredients to penetrate your skin. Then, gently scrub off as you shower.

    Copyright ® eHow.com

Login to post comments

July 2020

Body Care Blogs

Brands of the Month

  • Repechage
  • DMK Skin Revision Center
  • Eminence Organic Skin Care