Provide rejuvenation of the skin using mesotherapy procedures

URN: SKANSC5
Business Sectors (Suites): Non-surgical Cosmetic Procedures
Developed by: SkillsActive
Approved on: 2020

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:

  1. 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

  2. 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

  1. discuss and agree the pain management **strategy considering the individual's tolerance level, following legislative requirements and organisational policies and procedures

  2. 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

  1. 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 

  2. select an effective hygiene preparation product to meet the individual's needs in accordance with the manufacturer's instructions

  3. prepare the individual's treatment area in accordance with the mesotherapy procedure protocol

  4. select the mesotherapy device and activating solution for the skin classification, characteristics, individual's objectivesand individual's *treatment area

  5. 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

  1. monitor the individual's health, wellbeing and skin reaction throughout the mesotherapy procedure

  2. implement the correct course of action in the event of an adverse reaction

  3. conclude the procedure in accordance with the mesotherapy procedure protocol, legislative requirements and organisational policies and procedures

  4. take and store consensual visual media of the individual's treatment area in accordance with insurance requirements, organisational policies and procedures

  5. complete the individual's non-surgical cosmetic procedure records and store in accordance with data legislation

  6. use reflective practice to evaluate the mesotherapy procedure and take appropriate action

  7. provide and obtain confirmation of receipt of the verbal and written instructions and advice given to the individual pre and post procedure

  8. record the outcome and evaluation of the mesotherapy procedure to agree and inform future procedures

  9. discuss and agree future procedures with the individual


Knowledge and Understanding

You need to know and understand:

  1. the importance of collaboration with competent professionals to support effective and safe working practices

  2. 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

  1. 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

  1. the chronological skin ageing process and the relationship to intrinsic and extrinsic factors

  2. the types, composition of activating solutions and the physiological effects in the epidermis 

  3. the history of mesotherapy

  4. the electroporation technique used in no needle mesotherapy

  5. the types, purpose, use and limitations of mesotherapy equipment and activating solutions taking account of:

10.1skin *classification

10.2skin *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

  1. the sourcing, storage, handling, usage and disposal of mesotherapy equipment and activating solutions in accordance with the manufacturer's instructions and legislative requirements

  2. the types of pain management and associated risks

  3. the legislative requirements and restrictions for sourcing, storing and using licensed topical anesthetics

  4. the adverse reactions associated with a mesotherapy procedure and how to respond

  5. 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

  1. the importance of using visual aids to inform the individual of the physical effects

  2. the fee structures and treatment options **

  3. the procedures that could be carried out in conjunction with a mesotherapy procedure and associated risks

  4. the types of skin priming programmes and its relevance to the success of the mesotherapy procedure

  5. the legislative and indemnity requirements of gaining signed, informed consent for the mesotherapy procedure and pain management

  6. the importance of adhering to the mesotherapy procedure protocol* *

  7. the types of hygiene products for the skin and the importance of following manufacturer's instructions

  8. 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

  1. the importance of monitoring the health and wellbeing of the individual during and post the mesotherapy procedure

  2. how to implement the correct course of action in the event of an adverse reaction

  3. how to conclude the procedure in accordance with the mesotherapy procedure protocol, legislative requirements and organisational policies and procedures

  4. the types, benefits and use of pre and post procedure products

  5. the legislative, insurance and organisational requirements for taking and storing visual media of the individual's treatment area

  6. the legislative and regulatory requirements of completing and storing the individual's mesotherapy procedure records

  7. the expected outcomes of a mesotherapy procedure

  8. the purpose of reflective practice and evaluation and how it informs future procedures

  9. how to collate, analyse, summarise and record evaluation feedback in a clear and concise way

  10. the importance to record the outcome and evaluation of the mesotherapy procedure

  11. 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

  1. improve skin rejuvenation
  2. improve skin condition
  3. anti-ageing

* *
Skin classification

  1. Fitzpatrick scale
  2. Glogau photo-damage 

Skin characteristics

  1. oily
  2. dry
  3. combination
  4. sensitivity
  5. mature
  6. dehydrated
  7. pigmentation irregularities
  8. skin density

* *

Contra-actions

  1. hyperemia
  2. bruising
  3. discomfort
  4. oedema

* *

Mesotherapy device

  1. no needle
  2. micro needle
  3. automated equipment

* *

Activating solutions

  1. hyaluronic acid
  2. vitamins and minerals
  3. amino acids

Scope Knowledge

Anatomy and physiology

  1. the structure and function of the body systems and their interdependence on each other
  2. structure and function of skin and skin appendages
  3. skin diseases, disorders and conditions
  4. the ageing process of the skin including the effects of genetics, lifestyle and environment
  5. the compromised barrier function and skin regeneration processes 

Adverse reactions

  1. hyperpigmentation
  2. infection
  3. scarring
  4. sensitivity/irritation
  5. allergic reaction
  6. papules
  7. excessive histamine reaction
  8. compromised healing process
  9. dizziness
  10. fainting
  11. nausea
  12. pain
  13. excessive oedema
  14. necrosis
  15. infection
  16. anaphylaxis
  17. blindness
  18. vascular occlusion

Visual aids

  1. Illustrative images

  2. Illustrative diagrams



Mesotherapy procedure protocol

  1. working environment
  2. health and safety
  3. risk management plan
  4. infection prevention and control
  5. complication management
  6. procedure plan
  7. informed consent
  8. data management
  9. audit and accountability
  10. instructions and advice
  11. waste management
  12. evidence based and reflective practice

Instructions

  1. the individual and aesthetic practitioner's legal rights and responsibilities
  2. complication management plan
  3. post procedure expectations and associated time frames
  4. pre and post procedure instructions and care
  5. restrictions and associated risks
  6. future procedures
  7. 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


External Links


Version Number

1

Indicative Review Date

2022

Validity

Current

Status

Original

Originating Organisation

SkillsActive

Original URN

n/a

Relevant Occupations

Beauty Aesthetics, Aesthetic Practitioner

SOC Code

6222

Keywords

mesotherapy, injectables, injection techniques, complication management plan, hyaluronic acid, pain management, elective non-surgical cosmetic procedures, regulation, meso cocktails, activating solution, no needle mesotherapy, needle mesotherapy