Duration: 45–60 minutes
Contraindications: Clients who are on medications; are pregnant or nursing; experience overexposure to the sun; or are ill should not receive this treatment.
Supplies and equipment needed:
Step 1: Greet the client, and ask her to fill out an intake form. Review the form with the client, and ask her to lie face up on the treatment bed after disrobing. Leave the room to allow for privacy.
Step 2: After you return to the room, cleanse the décolleté with an enzymatic lactic acid wash enhanced with a granular scrub. Work the scrub into the skin, massaging the grains to create a good polish (gloves may be worn). Rinse well and rub with a dry towel for deep exfoliation. This may be done on the treatment bed using a smaller hand-held cloth to brush away the granules.
Step 3: Apply an AHA product evenly to the skin using a large brush. Leave the product on the skin for 3–5 minutes. Remove with a heated compress. Be sure to watch pH and percentages. Know your product and state regulations—generally, a pH of 2.5–3 is safe for body treatments, as well as percentages not exceeding 25%, depending on the AHA used.
Step 4: Dry the skin thoroughly before continuing to the acid application. For the acid application, use a malic and tartaric-based peeling agent. These are great firming and toning ingredients. Apply the acid with a firm, soft bristle brush or 2 x 2-inch gauze square. Let it remain on the skin, but be sure to watch the skin closely during this step. Be familiar with the acids you are working with, because the time will vary. Does the product used need to be timed and removed, or is it self-neutralizing and can it remain on the skin? This particular protocol is using an acid that can remain on the skin. Be sure to observe the skin during all acid applications for anything unusual, such as rashes, hives or irritation. Erythema (redness) and edema (swelling) is normal. Some acids will create a “frost” on the skin, which is a signal to stop applying acids—the skin has reached its end point. This outcome is not expected with this protocol; however, it is always important to watch for signals that require the removal of acid or the avoidance of applying more acid.
Step 5: Finish with a healing, nourishing topical, one without fragrance, botanicals or chemicals. It should be soothing and healing to the skin, such as an essential fatty acid, shea butter or petrolatum. Also, apply an SPF 30 physical block, such as zinc or titanium dioxide. Clients should avoid sun exposure for two to three weeks, even if they are wearing an SPF. Recommend that they keep the area fully protected until it is completely healed and peeled. For the body, this takes longer than the face, so at least two weeks is recommended, but three is preferable.