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Protocols for Acne

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

Most commonly seen on the face, some on the backand chest

Blackheads or open comedones

these are the openpore acne with black material on top with whitishsebum when extracted

Whiteheads or closed comedones these are the

closed pimples without an opening, need to prick this inorder to create an opening, however, full extraction isneeded to prevent inflammation.

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Pustules these are pimples with inflammed red baseand a pointing of pus, extraction and injection ofsteroids is needed to immediately improve symptoms

Nodules

these are red, tender, inflammed acnenodules without pus and without opening. Besttreatment is acne injection

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Causes of Acne Propionibacterium acne

Hormonal imbalance

Rapid turnover of epithelial cells Stress

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Treatment of acne Facial cleaning or Acne peel/Korean acne facial This

will remove the blackheads and whiteheads and controlacne eruptions

IPL Photoacne clearance

P. acne bacterial issensitive to light, it will also improve redness of the faceand the dark pimple marks

Chemical peel w TCA this will dry up pimples and

peel off the dark pimple marks.

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Protocol for AcneFacial cleaning or Acne peel

IPL Photoacne clearance

Chemical peel

Note: you can combine all these treatments in one session, Good combination isfacial cleaning with Chemical peel, this will dry up pimples fast and the peelingeffect will remove dark acne marksCombine Acne peel with Photoacne clearance IPL, do the chemical peel at aseparate date. If pressed for time, you can do all treatments together, First facial,

next Photoacne clearance then last is chemical peel.

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Maintenance medicine forAcne

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 untilacne is controlled

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

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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 theforehead, chin

There are 3 kinds of melasma

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

2. Dermal type these are the grey sometimes bluish greycolored melasma

3. Mixed most common type of melasma mixed epidermaland dermal

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What are the causes ofmelasma?

Hormonal appears during pregnancy, taking oralcontraceptive pills, and during menopausal stage

Sun exposure hormonal imbalance makes the

melanocytes more sensitive to the sun

Misuse of whitening agents like over the counterastringents and whitening products

Onchronosis

side effect of prolonged use ofhydroquinone making the skin greyish to charcoalmask

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Treatment of melasma3 basic treatment of melasma

Removal of dark skin - PEEL

Sun protection

SUNBLOCK Use of whitening agents WHITENING

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PROTOCOL FOR TREATMENTOF MELASMA

MELASMA PEEL

IPL PIGMENTATION TREATMENT

STEMCELLS FOR STUBBORNRECALCITRANT MELASMA

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TAKE HOME MEDICINE FORMELASMA

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

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ANTI AGING PROTOCOLEvidence of Skin aging

Fine lines and wrinkles

Skin pigmentation Large pores

Sallow skin

Sagging

Lentigo

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Treatment protocolVital C Peel with O2 aka melasma peel

IPL Skin Rejuvenation

STEMCELLS ultimate anti-aging treatment

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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

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