Provide advanced micropigmentation and skin rejuvenation techniques

This standard is about using advanced micropigmentation and skin rejuvenation techniques to create and enhance features, and improve the texture and mobility of the skin on the face and body. The nature of this work may require you to work in conjunction with the medical profession. It also covers the skills involved in providing a thorough consultation with the client to formulate a specific course of treatment tailored to suit individual client's needs. You will prepare for and achieve a range of treatment effects, as well as provide aftercare advice.

To carry out this standard you will need to maintain effective health, safety and hygiene throughout your work. You will also need to maintain your personal appearance and demonstrate effective communication and consultation skills.

The main outcomes of the standard are:

1. maintain safe and effective methods of working when using advanced micropigmentation and skin rejuvenation techniques

2. consult, plan and prepare for treatments

3. carry out treatments

4. carry out advanced micropigmentation

5. carry out skin rejuvenation

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Maintain safe and effective methods of working when using advanced micropigmentation and skin rejuvenation techniques

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1.  maintain your responsibilities for health and safety throughout the treatment

2.  prepare your client and yourself to meet legal and organisational requirements

3.  maintain your client's modesty and privacy at all times

4.  position your client to meet the needs of the treatment without causing them discomfort

5.  ensure your own posture and working methods minimises fatigue and the risk of injury to yourself and others

6.  ensure environmental conditions are suitable for the client and the treatment

7.  use working methods that minimise the risk of cross-infection

8.  ensure the use of clean equipment and materials

9.  promote environmental and sustainable working practices **

10. check the client's wellbeing and monitor the level of skin reaction throughout the treatment

11. discontinue treatment where adverse contra-actions occur

12. follow workplace and suppliers' or manufacturers' instructions for the safe use of equipment, materials and products

13. dispose of waste materials to meet legal requirements

14. complete the treatment within a commercially viable time

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Consult, plan and prepare for treatments

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15. use consultation techniques to determine the client's treatment plan

16. carry out tests to establish client response and suitability for treatment

17. refuse treatment to minors under 18 years of age unless medical reasons apply

18. ensure that you are working under the direction of a medical professional and have a parent or guardian present, prior to treating minors for medical reasons

19. recognise any contra-indications and take the necessary action

20. identify and agree the areas to be treated, client expectations, treatment objectives and cost

21. obtain written informed consent from the client prior to carrying out the treatment

22. select and prepare equipment to meet legal and safety requirements and the treatment objectives

23. cleanse the areas to be treated and identify the client's skin characteristics

24. take photographic evidence of the areas to be treated, at different stages of treatment

25. apply product or device to minimise client discomfort

26. explain the physical sensation created by the treatment to the client

27. ensure the client's records are completed and signed by you and the client

28. give your client advice and recommendations on the treatment provided

29. choose a needle configuration to achieve the desired effect

30. load the needle in a way that avoids needle damage and contamination

Carry out treatments

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31. use implantation techniques and manipulate the skin in a way that will create the desired effects

32. use the hand-piece at the correct angle, speed and pressure to achieve the required treatment objectives

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Carry out advanced micropigmentation

31. mark out the areas to be treated and agree the design with the client

32. use colour pigments in accordance with the treatment objectives

33. ensure the finished effects meet the treatment objectives and the client's satisfaction

Carry out skin rejuvenation

34. use skin rejuvenation product(s) in accordance with the treatment objectives

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Maintain safe and effective methods of working when using advanced micropigmentation and skin rejuvenation techniques

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1.  your responsibilities for health and safety as defined by any specific legislation covering your job role

2.  the responsibilities under legislation and bylaws for micropigmentation and skin rejuvenation treatments

3.  the importance of checking current insurance guidelines for the delivery of micropigmentation and skin rejuvenation treatments

4.  the legal and organisational requirements for client protection and preparation

5.  the legal and organisational requirements for your own personal hygiene, protection and appearance

6.  the reasons for maintaining the client's modesty and privacy

7.  how safe positioning techniques and working practices can prevent work-related injury

8.  why it is important to check the client's wellbeing and monitor their skin reaction throughout the treatment

9.  the contra-actions to micropigmentation and skin rejuvenation, how to deal with them and what advice to give to clients

10. the necessary environmental conditions for treatments such as heating, lighting and ventilation and why these are important

11. methods of cleaning, disinfection and sterilisation

12. why it is important to avoid direct and indirect cross-infection by working safely and hygienically 

13. how the use of personal protective equipment and single use barrier consumables can protect  against pathogens such as blood borne viruses

14. why it is recommended that you are immunised against hepatitis B when carrying out micropigmentation and skin rejuvenation treatments

15. the causes and hazards of accidental exposure to clinical waste

16. the different types of working methods that promote environmental and sustainable working practices

17. the suppliers' and manufacturers' instructions for the safe use of equipment, materials and products which you must follow, subject to Local Authority requirements

18. the legal requirements for waste disposal

19. the reasons for completing treatments in a commercially viable time

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Consult, plan and prepare for treatments

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20. the importance of communicating with clients in a professional manner

21. how to complete consultation records, taking into account client's diverse needs

22. the importance of pre-treatment tests and how to carry them out to determine client suitability for treatment

23. why it is important, prior to treating minors for medical reasons, to ensure that you are working under the direction of a medical professional, have a parent or guardian present and their written consent

24. the reasons for considering the client's physical and psychological condition, medical history and previous micropigmentation treatment

25. how to recognise contra-indications that would prevent or restrict the treatment

26. the contra-indications requiring medical referral and why

27. the necessary action to take in relation to specific contra-indications when referring clients

28. the importance of and reasons for not naming specific contra-indications when referring clients to medical practitioners

29. the reasons for agreeing the areas to be treated, client expectations, treatment objectives and costs with the client

30. the legal significance of gaining signed, informed client consent prior to treatment

31. the legislative requirements for storing and protecting client data

32. the preparation of the treatment area in accordance with the treatment plan and legal and health and safety requirements

33. the reasons for thoroughly cleansing and preparing the area to be treated

34. the types, uses and limitations of topical anaesthetics and devices

35. how to describe the physical sensation of the treatment to the client

36. how pain threshold and sensitivity varies from client to client and appointment to appointment

37. the legal significance of producing high quality photographic evidence at different stages in the treatment

38. the different types of needle configurations and their effects

39. the causes of needle damage and why damaged needles must not be used

40. the advice and recommendations on products and services

Carry out advanced micropigmentation

41. why it is important to design the shape and placement of areas to be treated

42. how to select, mix and test colour pigments to suit different treatments objectives and skin characteristics

43. the types and properties of pigments and carrier agents available for the treatment

44. the uses and limitations of pigments when mixed and diluted

45. the importance of purchasing EU and UK regulated equipment, product mediums, needles and pigments

46. the principles of colour theory in relation to micropigmentation treatments

47. how colour pigments change throughout the treatment and healing process

48. the application of colour theory to change undesirable colour results after the healing process

49. the selection, use and application of different micropigmentation treatments

50. the different implantation techniques to create the desired effects

51. why you manipulate the skin to ensure effective pigment implantation

52. the correct angle, speed and pressure when using the hand piece to achieve the required depth of colour and pigment distribution

53. the different types and causes of hypo-pigmented skin conditions that can benefit from micro-pigmentation    

54. different pigment removal techniques and their limitations

55. the effects of laser treatment on titanium dioxide

56. the anatomy and physiology relating to the treatment techniques

57. the importance of ensuring the finished effects meet the treatment plan and the client's satisfaction

Carry out skin rejuvenation

58. the different types of products that are used in skin rejuvenation treatments

59. the active ingredients found in skin rejuvenation products and how they work on the skin

60. the effects and benefits of skin rejuvenation treatments

61. the different implantation techniques used for skin rejuvenation

62. why you manipulate the skin to ensure effective skin rejuvenation results

63. the correct angle, speed and pressure when using the hand piece to achieve the skin rejuvenation treatment objectives

64. how skin rejuvenation treatments can be used in conjunction with micro-pigmentation to maximise treatment results

65. the different types of scar tissue and skin disorders that can benefit from skin rejuvenation treatments

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Consultation techniques

1. questioning

2. listening

3. visual

4. manual

5. written

Tests

1. pigment

2. topical anaesthetic

Treatment objectives

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1. defining natural features

2. creating features

3. correcting features

4. improving and balancing features

5. introducing skin colour

6. improving skin quality

7. relaxing skin contractures

8. improving skin mobility

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Skin characteristics

1. type

2. tone

3. condition

4. disorders

5. grafted

6. scar tissue

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Advice and recommendations

1. suitable aftercare products and their use

2. avoidance of activities which may cause contra-actions

3. time intervals between treatments

4. present and future products and treatments

Needle

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1. flat

2. magnum

3. round

4. single point

5. sloped

6. micro

7. shaders and liners

Implantation techniques

1. pointillism

2. pendulum

3. shading

4. obovoid

5. cross-hatching

6. sweep

7. stroke

Effects

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1. hair-stroke eyebrows

2. shaded eyebrows

3. eye liner

4. eye lash enhancement

5. lip liner

6. lip blush

7. lip shading

8. hair simulation

9. scalp camouflage

10. skin camouflage

11. areola

12. scar relaxation

Pigments

1. organic

2. inorganic

3. pigment dilutant

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Health and safety

1. Health and Safety at Work Act

2. The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR)

3. The Health and Safety (First Aid) Regulations

4. The Regulatory Reform (Fire Safety) Order

5. The Manual Handling Operations Regulations

6. The Control of Substances Hazardous to Health Regulations  (COSHH)

7. The Electricity at Work Regulations

8. The Environmental Protection Act

9. The Management of Health and Safety at Work Regulations

10. The Health and Safety (Information for Employees) Regulations

Legislation and bylaws

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1. skin numbing agents

2. cleaning and disinfection

3. waste disposal (the Medicines Act and the Medicines and Miscellaneous Provisions)

4. regulations

5. Tattooing of Minors Act

6. pigments

7. needles

8. equipment

Work-related injuries

1. repetitive strain injury (RSI)

2. back injury

3. carpal tunnel syndrome

4. neck strain

5. eye strain

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Contra-actions

1. excess erythema

2. corneal abrasions

3. migration of pigment

4. blistering

5. excessive discomfort

6. oedema

7. reactions leading to bruising

8. hives

9. dizziness

10. stinging

11. nausea

12. anaphylaxis

13. pain

Environmental and sustainable working practices

1. reducing waste and managing waste (recycle, reuse, safe disposal)

2. reducing energy usage ( energy efficient equipment, low energy lighting, utilising solar panels)

3. reducing water usage and other resources

4. preventing pollution

5. using disposable items

6. using recycled, eco-friendly furniture

7. using low chemical paint

8. using environmentally friendly product packaging  

9. choosing responsible domestic products (Fairtrade tea and coffee)

10. encouraging carbon reducing journeys to work

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Consultation records

1. medical history

2. emotional condition

3. natural skin tone

4. skin sensitivity

5. signatures

6. client expectations

7. treatment records - area treated, treatment method, colour pigments used, time and duration, needle type and usage, treatment outcome

**Diverse needs

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1. cultural

2. religious

3. age

4. disability

5. gender

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Medical reasons

1. surgical scar trauma  

2. accidental scar trauma - burns

3. birth defect – hair lip

4. hypopigmentation

Contra-indications which restrict

1. epilepsy

2. injectables

3. inflamed and infected skin conditions and disorders

4. contagious disease

5. moles in the treatment area

6. medication causing a thinning or inflammation of the skin

7. diagnosed scleroderma

8. pigmented naevi

9. medium/deep chemical peels

10. under the influence of alcohol or recreational drugs

11. herpes simplex

12. pregnancy

Contra-indications which prevent

1. hyperpigmentation on the lips

2. recent facial surgery (within 6 months)

3. allergies

4. haemophilia

5. hypertrophic scars

6. body dysmorphia

Contra-indications requiring medical referral

1. insulin controlled diabetes

2. blood thinning medication

3. chemotherapy

4. high blood pressure

5. heart disorders

6. HIV

7. hepatitis

8. under 18

**Advice and recommendations

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1. schedule a future appointment, 4-12 weeks post procedure, to assess treatment results

2. avoid certain activities and products during the skin healing process

3. the use of skin care products during the healing process, in accordance with manufacturers' instructions

4. inform the client to avoid blood donation for the period of four months post treatment

5. avoid undergoing certain procedures post treatment such as MRI scan, injectables and laser treatment

6. post-treatment assessment through client feedback such as questionnaire, telephone call, next visit follow-up

Anatomy and physiology

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1. the structure and functions of the skin

2. the basic function of blood and the principles of circulation

3. the basic structure and function of the arteries, veins and capillaries

4. the basic principles and functions of the lymphatic system

5. the purpose and function of phagocytes and how they affect the pigment

6. the skin healing process following micropigmentation and skin rejuvenation treatments

7. the purpose and function of melanin and how it affects the pigment

8. the structure of the eye and lips and how this can impact on the treatments

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The following key values underpin the delivery of services in the beauty, nails and spa sectors

1. a willingness to learn

2. a flexible working attitude

3. a team worker

4. a positive attitude

5. personal and professional ethics

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The following behaviours underpin the delivery of services in the beauty, nails and spa sectors. These behaviours ensure that clients receive a positive impression of both the organisation and the individual

1. meeting the organisation's standards of behaviour

2. greeting the client respectfully and in a friendly manner

3. communicating with the client in a way that makes them feel valued and respected

4. treating the client courteously and helpfully at all times

5. adapting behaviour to respond effectively to different client behaviour

6. checking with the client that you have fully understood their expectations

7. responding promptly and positively to the client's questions and comments 

8. recognising information that the client might find complicated and checking whether they fully understood

9. explaining clearly to the client any reasons why their needs or expectations cannot be met

10. maintaining effective, hygienic and safe working methods

11. adhering to workplace, suppliers' and manufacturers' instructions for the safe use of equipment, materials and products  

12. meeting both organisational and industry standards of appearance.

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The following key skills underpin the delivery of services in the beauty, nails and spa sectors

1. the ability to self-manage

2. excellent verbal and non-verbal communication

3. using the most appropriate ways of communicating with a client

4. responding promptly to a client seeking assistance

5. quickly locating information that will help the client

6. providing the client with information they need about services and products offered by the organisation

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Device

This is an electronic device which aims to cool the skin and reduce skin sensation to make micropigmentation more comfortable for the client.

Medical professional

This could include plastic and reconstruction surgeons, oncologists, psychiatrists and GPs.

Obervoid

An implantation technique used in micropigmentation whereby the pigment is applied in an overlapping circular movement.

Pointillism

An implantation technique used in micropigmentation whereby a surface is covered with tiny dots of colour pigment to create a shaded effect for example lower lash line and the areola.

Topical anaesthetic (numbing agent)

This is a cream applied to the surface of the skin as a method of reducing pain.  This can be applied prior to and during treatment.

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29 Apr 2020

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Current

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Original

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SkillsActive

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Beauty Therapy

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micropigmentation; advanced micropigmentation; skin rejuvenation techniques;

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