TCA Chemical Peel

TCA CHEMICAL PEEL BEFORE AND AFTER CARE

CHEMICAL PEEL: BEFORE YOUR APPOINTMENT

• Inform the esthetician if you have taken Accutane (oral acne medication) in the past year.

• Cease application of all topical retinoids, or Vitamin A derivative products 7-10 days before treatment.

• Cease use of all Glycolic or chemical exfoliants 14 days before treatment.

• Cease use of all mechanical exfoliants, such as scrubs 14 days before treatment.

• Avoid facial waxing 14 days before treatment.

• Avoid sun exposure without a sunscreen of SPF 30 or greater. Avoid tanning beds.

THE DAY OF YOUR APPOINTMENT

• Allow 45 minutes for your appointment.

• Pre-Treatment photos will be taken.

WHAT TO EXPECT

CHEMICAL PEEL: WHAT TO DO AFTER YOUR TREATMENT

Keep your skin well hydrated with a protective face cleanser and Moisturizer, YOU WILL BE REQUIRED TO LEAVE WITH (SANITAS SKIN CARE) SENSITIVE FACE CLEANSER AND SENSITIVE MOISTURIZER (OR TOPICAL C MOISTURIZER). You need to have this to help with the healing process of your skin after your TCA Chemical Peel, and to maintain the integrity of your skin. The TCA peel that we use is produced by Sanitas Skincare, and the aftercare products are designed by Sanitas, to support your skin during recovery.

• YOU WILL WASH YOUR FACE EVERY MORNING AND NIGHT YOU NEED TO MAKE SURE YOU ARE USING YOUR MOISTURIZER REALLY HEAVILY AT NIGHT TIME. AS WELL MAKE SURE YOU ARE MIXING YOUR SPF IN WITH YOUR MOISTURIZER IN THE MORNING.  
• Expect your skin to appear pink for a few hours after treatment.
• Your skin may be temperature sensitive for a few days after treatment.
• You will be given a cool compress to apply after treatment if required.
• Make-up may be applied to cover redness as needed 2 days after your peel.
• Avoid direct sunlight on the treated area and use a broad-spectrum UVA/UVB sunscreen of SPF 30 or greater for 1-2 weeks after your treatment.
• Avoid using abrasive products such as scrubs or exfoliating sponges for 7 -10 days.
• Avoid products such as retinols and glycolic acid for a minimum of 10 days.
• Vitamin C Serums may be resumed after 48 hours.

MAXIMIZING BENEFITS OF YOUR TREATMENT

Our Skin Care Specialists will review and compose a simple, customized skin care program for your skin once your skin has healed to maintain the desired results. A quality, daily home skin care regime will ensure that you maximize and maintain the benefits of your treatment.

I have read and understand the pre and post peel instructions

Client Signature: _________________________________________  Date:_____________

Esthetician Signature: _____________________________________ Date: ______________

                                                             

See the Consent For Treatment form below that you will be required to complete prior to any treatment.

CACTUS WAX STUDIO

Medium-Depth Chemical Peel Information & Consent for Treatment (TCA)

Name of Patient: _____________________________________________ Date:______________

Type of Chemical Peel: _________________             Date of Service______________________

Esthetician Administering Treatment: ……………………………………………………………..

Risks and Complications

Complications could potentially occur with chemical peels. Careful attention to the Esthetician’s instructions is imperative. Contact the office immediately if any of the following occur.

______ Skin infections (pus, oozing, fever)

______ Appearance of a cold sore on the lips or any portion of the peeled area (Note: the cold sore can spread if not cared for immediately.)

______ Allergic reaction or irritation to any of the creams or medications

______ Wind or sun sensitivity

______ Extreme reactions such as scarring or keloids

______ Increase or decrease in skin pigmentation which does not blend with normal skin after healing from the treatment

Consent for treatment

I voluntarily request a chemical peel treatment by a State of Colorado  licensed and certified Esthetician, at  Cactus Wax Studio LLC.

• The procedure, and aftercare process, have been explained to me,
• Any questions regarding such treatment, its alternative, its complications, and potential  risks, have been answered by a licensed esthetician. (My questions have been fully and completely answered for me)
• The information that I have been given has been in terms clear to me
• I understand the risks and complications of the treatments.
• I have read this document and understand its contents.
• I am over 18
• I understand the aftercare treatment recommended to me
• For my own safety and benefit, I agree to carry out my aftercare regimen as explained to me

As part of your treatment process, the correct aftercare is imperative. PLEASE REMEMBER TO PICK UP YOUR PRODUCTS BEFORE YOU LEAVE THE STUDIO.

PLEASE NOTE THAT THE PURCHASE OF YOUR AFTERCARE PRODUCT IS A MANDATORY PART OF THIS PROCESS. (THESE PRODUCTS WILL BE  INCLUDED IN THE PRICE OF YOUR FIRST TCA PEEL AT CACTUS WAX STUDIO). WE CANNOT ADMINISTER YOUR PEEL TREATMENT WITHOUT YOUR AGREEMENT AND COMPLIANCE IN UTILIZING THE PROVIDED AFTERCARE PRODUCTS.

YOU WILL BE GIVEN SENSITIVE FACE CLEANSER,  SENSITIVE MOISTURIZER AND/OR TOPICAL C MOISTURIZER, FROM SANITAS SKIN CARE.

We want you to feel 100% comfortable with your professional treatment at Cactus Wax Studio. You are strongly advised of the following:

• DO NOT SIGN THIS FORM UNLESS YOU HAVE READ IT AND FEEL THAT YOU UNDERSTAND IT.
• PLEASE ASK ANY QUESTIONS YOU MIGHT HAVE BEFORE SIGNING THIS FORM.
• DO NOT SIGN THIS FORM IF YOU HAVE TAKEN MEDICATIONS WHICH MAY IMPAIR YOUR DECISION MAKING ABILITIES,  OR IF YOU FEEL RUSHED,  OR UNDER PRESSURE.

I hereby give my unrestricted informed consent for this procedure.

Client’s Name (Printed) …………………………………………………………….…………

Client’s Signature: _____________________________________ Date: ___________________

Esthetician Signature: _____________________________________ Date: _________________