Provide rejuvenation of the skin using mesotherapy procedures
Overview
This standard coexists alongside, SKANSC1: Implement and maintain safe, hygienic and effective working practices during elective non-surgical cosmetic procedures and SKANSC2: Consult, assess, plan and prepare for elective non-surgical cosmetic procedures within the working environment. This standard is for advanced aesthetic practitioners using mesotherapy procedures to rejuvenate the skin and improve skin condition. You will also be required to do a post procedure evaluation and reflection for continuous improvement. The aesthetic practitioner must have a First Aid at Work qualification or equivalent and be able to carry out the functions within SFHCHS36: Basic life support and have access to life support equipment as identified in the complication management plan. Users of this standard will need to ensure that their practices reflect up-to-date information, policies, procedures and best practice guidance.
Performance criteria
You must be able to:
carry out a concise and comprehensive consultation face to face with the individual and maintain your responsibilities for health and safety pre, during and post the mesotherapy procedure
discuss to establish the individual's objectives, concerns, expectations and desired outcomes to inform the mesotherapy procedure plan to include:
2.1 alternative treatment options
2.2 skin classification, characteristics and condition
2.3 **preparatory skin priming programme
discuss and agree the pain management **strategy considering the individual's tolerance level, following legislative requirements and organisational policies and procedures
reiterate, confirm and agree with the individual, they have understood the proposed mesotherapy procedure and pain management to include:
4.1 contra-actions
4.2 adverse reactions
obtain the individual's written informed consent for the mesotherapy procedure and pain management, allowing an adequate time scale for the individual to make an informed choice
select an effective hygiene preparation product to meet the individual's needs in accordance with the manufacturer's instructions
prepare the individual's treatment area in accordance with the mesotherapy procedure protocol
select the mesotherapy device and activating solution for the skin classification, characteristics, individual's objectives* and individual's *treatment area
follow the mesotherapy procedure protocol to ensure even coverage of the treatment area to include:
9.1 adaptation of techniques and activating solution for different zones
monitor the individual's health, wellbeing and skin reaction throughout the mesotherapy procedure
implement the correct course of action in the event of an adverse reaction
conclude the procedure in accordance with the mesotherapy procedure protocol, legislative requirements and organisational policies and procedures
take and store consensual visual media of the individual's treatment area in accordance with insurance requirements, organisational policies and procedures
complete the individual's non-surgical cosmetic procedure records and store in accordance with data legislation
use reflective practice to evaluate the mesotherapy procedure and take appropriate action
provide and obtain confirmation of receipt of the verbal and written instructions and advice given to the individual pre and post procedure
record the outcome and evaluation of the mesotherapy procedure to agree and inform future procedures
discuss and agree future procedures with the individual
Knowledge and Understanding
You need to know and understand:
the importance of collaboration with competent professionals to support effective and safe working practices
your role and responsibilities in performing non-surgical cosmetic procedures and the importance of working within your competence
3. why you must comply with ethical practice and work within the legislative requirements
- the importance to engage in, and document continuous professional development to include, up-to-date information policies, procedures and best practice guidance
5. the anatomy and physiology relevant to this standard
the chronological skin ageing process and the relationship to intrinsic and extrinsic factors
the types, composition of activating solutions and the physiological effects in the epidermis
the history of mesotherapy
the electroporation technique used in no needle mesotherapy
the types, purpose, use and limitations of mesotherapy equipment and activating solutions taking account of:
10.1* skin *classification
10.2* skin *characteristics
10.3 individual's objectives
10.4 procedure plan
10.5 the individual's treatment area
10.6* *the individual's physical and psychological suitability for the non-surgical cosmetic procedure
the sourcing, storage, handling, usage and disposal of mesotherapy equipment and activating solutions in accordance with the manufacturer's instructions and legislative requirements
the types of pain management and associated risks
the legislative requirements and restrictions for sourcing, storing and using licensed topical anesthetics
the adverse reactions associated with a mesotherapy procedure and how to respond
the health and safety responsibilities in line with legislation before, during and after the mesotherapy procedure
16. why it is important to discuss and establish the individual's objectives, concerns, expectations, desired outcomes and agree the non-surgical cosmetic procedure plan
the importance of using visual aids to inform the individual of the physical effects
the fee structures and treatment options **
the procedures that could be carried out in conjunction with a mesotherapy procedure and associated risks
the types of skin priming programmes and its relevance to the success of the mesotherapy procedure
the legislative and indemnity requirements of gaining signed, informed consent for the mesotherapy procedure and pain management
the importance of adhering to the mesotherapy procedure protocol* *
the types of hygiene products for the skin and the importance of following manufacturer's instructions
the reasons for working systematically to cover the individual's treatment area and in line with the mesotherapy procedure protocol to include:
24.1 activating solution and techniques and how they differ according to zones
the importance of monitoring the health and wellbeing of the individual during and post the mesotherapy procedure
how to implement the correct course of action in the event of an adverse reaction
how to conclude the procedure in accordance with the mesotherapy procedure protocol, legislative requirements and organisational policies and procedures
the types, benefits and use of pre and post procedure products
the legislative, insurance and organisational requirements for taking and storing visual media of the individual's treatment area
the legislative and regulatory requirements of completing and storing the individual's mesotherapy procedure records
the expected outcomes of a mesotherapy procedure
the purpose of reflective practice and evaluation and how it informs future procedures
how to collate, analyse, summarise and record evaluation feedback in a clear and concise way
the importance to record the outcome and evaluation of the mesotherapy procedure
the instructions and advice pre and post the mesotherapy procedure
Scope/range
Additional information
It is expected that the aesthetic practitioner undertaking this standard already has the skills, knowledge and behaviours identified within the aesthetic practitioner's procedure guidance and non-surgical cosmetic National Occupational Standards.
The aesthetic practitioner is expected to already be able to demonstrate competency in determining the relative (restrictive) and absolute (preventative) contraindications for the non-surgical cosmetic procedures. In addition, the aesthetic practitioner should be able to identify adverse reactions or incidents and take prompt corrective action as identified in the complication management plan.
It is expected that this standard is used in conjunction with SKANSC1: Implement and maintain safe, hygienic and effective working practices during elective non-surgical cosmetic procedures and SKANSC2: Consult, assess, plan and prepare for elective non-surgical cosmetic procedures.
Items listed within the scope/range should be evidenced in line with the specific type of non-surgical cosmetic procedure being performed.
Scope Performance
Individual's objectives
- improve skin rejuvenation
- improve skin condition
- anti-ageing
* *
Skin classification
- Fitzpatrick scale
- Glogau photo-damage
Skin characteristics
- oily
- dry
- combination
- sensitivity
- mature
- dehydrated
- pigmentation irregularities
- skin density
* *
Contra-actions
- hyperemia
- bruising
- discomfort
- oedema
* *
Mesotherapy device
- no needle
- micro needle
- automated equipment
* *
Activating solutions
- hyaluronic acid
- vitamins and minerals
- amino acids
Scope Knowledge
Anatomy and physiology
- the structure and function of the body systems and their interdependence on each other
- structure and function of skin and skin appendages
- skin diseases, disorders and conditions
- the ageing process of the skin including the effects of genetics, lifestyle and environment
- the compromised barrier function and skin regeneration processes
Adverse reactions
- hyperpigmentation
- infection
- scarring
- sensitivity/irritation
- allergic reaction
- papules
- excessive histamine reaction
- compromised healing process
- dizziness
- fainting
- nausea
- pain
- excessive oedema
- necrosis
- infection
- anaphylaxis
- blindness
- vascular occlusion
Visual aids
Illustrative images
Illustrative diagrams
Mesotherapy procedure protocol
- working environment
- health and safety
- risk management plan
- infection prevention and control
- complication management
- procedure plan
- informed consent
- data management
- audit and accountability
- instructions and advice
- waste management
- evidence based and reflective practice
Instructions
- the individual and aesthetic practitioner's legal rights and responsibilities
- complication management plan
- post procedure expectations and associated time frames
- pre and post procedure instructions and care
- restrictions and associated risks
- future procedures
- complaints procedure or concerns protocol
Values
Behaviours
Skills
Glossary
Mesotherapy
Mesotherapy equipment can often be referred to as a mesotherapy gun or automated device. The technique is known as nappage mesotherapy which is a series of superficial injections that place vitamins, minerals, amino acids and hyaluronic acids into the epidermal layers of the skin.
No needle mesotherapy can be referred to as electro mesotherapy or electroporation. A microbiology technique that uses radio frequency or ultrasound to increase permeability of the cell membrane to absorb vitamins, minerals, amino acids and hyaluronic acids in to the dermal layer of the skin.
Universal precautions and standard precautions
Universal precautions are relevant if the practitioner is exposed to blood and/or some bodily fluid. It is the responsibility of the practitioner to implement infection prevention and control measures to prevent exposure to blood borne pathogens or Other Potentially Infectious Materials (OPIM).
Standard precautions are the basic level of infection control that should be used at all times within the working environment, such as hand hygiene, personal protective equipment, prevention of needlestick and injuries from sharps, risk assessment, respiratory hygiene and cough etiquette, environmental cleaning and waste disposal.
Visual media
Visual media is evidence generated through photography or video.
Working environment
The working environment requirements should comply with Health and Safety legislation and be in accordance within guidelines set out either by your local authority or governing body.
Risk assessments should be undertaken and control methods implemented and documented, updated regularly and/or if changes occur. The working environment should be hygienic and fit for purpose for the non-surgical cosmetic procedures to be conducted safely and effectively using aseptic techniques. Infection prevention and control procedures are required to minimise risk of infection and transmission of microbes. Personal protective equipment must be fit for purpose and available. Equipment and products must be maintained in line with the manufacturer's instructions and legislative requirements.
It is advisable to create a complication management and/or emergency plan for all non-surgical cosmetic procedures in the event of an adverse reaction or incident.
Links To Other NOS
SKANSC1, SKANSC2, SKANSC3, SKANSC4, SKANSC6, SKANSC7, SKANSC8 and SKANSC9