Provide rejuvenation of the skin using medium grade skin peeling procedures

URN: SKANSC9
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 providing safe and effective medium grade skin peeling procedures to rejuvenate 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 medium grade skin peeling procedure

  2. discuss to establish the individual's objectives, concerns, expectations and desired outcomes to inform the medium grade skin peeling procedure plan to include:

2.1 alternative treatment options

2.2 skin classification, characteristics and condition

2.3 **preparatory skin priming programme

  1. reiterate, confirm and agree with the individual, they have understood the proposed medium grade skin peeling procedure to include:

3.1 *contra-actions*

3.2 adverse reactions

  1. obtain the individual's written informed consent for the medium grade skin peeling procedure, 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 and apply appropriate protection for prohibited sites in accordance with the medium grade skin peeling procedure protocol

  4. select, prepare and use the formulation of medium grade skin peeling agents for the individual's skin classification and condition **according to:

7.1 physiological effects

7.2 percentage strength

7.3 viscosity

7.4 pH

7.5 pKa

  1. follow the medium grade skin peeling procedure protocol to ensure even coverage of the peeling agents on the treatment area to include:

8.1 different zones

8.2 peel depths

8.3 duration

  1. monitor the individual's health, wellbeing and skin reaction throughout the medium grade skin peeling procedure

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

  3. follow the medium grade skin peeling procedure protocol for the neutralisation and removal of the peeling agent according to manufacturer's instructions

  4. conclude the procedure in accordance with the medium grade skin peeling procedure protocol, legislative requirements and organisational policies and procedures

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

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

  7. use reflective practice to evaluate the medium grade skin peeling procedure and take appropriate action

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

  9. record the outcome and evaluation of the medium grade skin peeling procedure to agree and inform future procedures

  10. 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 pH scale and its relevance to skin sensitivity

  3. the action of acid and alkaline concentrations on the skin

  4. how and why the skins barrier function is impaired following a medium grade skin peeling procedure to include:

9.1 the increase risk of photosensitivity and ways to protect the skin

  1. the types, formulations, uses and limitations of medium grade skin peeling agents taking account of:

10.1skin *classification

10.2skin *condition

10.3 individual's objectives

  1. the individual and combination effects, benefits and limitations of medium grade skin peeling agents according to:

11.1 physiological effects

11.2 percentage strength

11.3 pH

11.4 pKa

11.5 viscosity

  1. the differentiation and classification of medium grade skin peels and their potential to cause harm

  2. the chemical peel agents only suitable for medical use and why

  3. the sourcing, storage, handling, usage and disposal of medium depth skin peeling agents in accordance with the manufacturer's instructions and legislative requirements to include:

14.1 product name

14.2 batch numbers

14.3. storage

14.4 material data sheets

14.4 expiry date

14.5 waste management

  1. the reasons for prompt application, timing and the removal of all medium grade skin peeling formulations

  2. the adverse reactions associated with a medium grade skin peeling procedure and how to respond

  3. the health and safety responsibilities in line with legislation before, during and after the medium grade skin peeling procedure

18.  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 medium grade skin peeling procedure and associated risks

  4. the types of skin priming programmes and its relevance to the success of the medium grade skin peeling procedure

  5. the types of prescription topicals prescribed by a healthcare professional and how it impacts and/or supports the skin priming programme and can improve skin healing

  6. the legislative and indemnity requirements of gaining signed, informed consent for the medium grade skin peeling procedure

  7. the importance of adhering to the medium grade skin peeling procedure protocol* *

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

  9. the reasons for working systematically to cover the individual's treatment area and in line with the medium grade skin peeling procedure protocol to include:

27.1 the adaptations of formulations and application according to different zones

  1. the importance of monitoring the health and wellbeing of the individual during and post the medium grade skin peeling procedure

  2. the types, benefits and use of post procedure products to increase skin healing and skin regeneration processes

  3. the benefits and use of tyrosinase inhibitors to avoid post-inflammatory hyperpigmentation when treating Fitzpatrick classification, scale 4-6

  4. the type of chemical* *agents that do and do not require neutralisation

32. the reasons for restoring pH levels of the skin following the application of medium grade skin peeling agents

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

  2. the legislative and regulatory requirements of completing and storing the individual's medium grade skin peeling procedure records

  3. the expected outcomes of a medium grade skin peeling procedure

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

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

  6. the importance to record the outcome and evaluation of the medium grade skin peeling procedure

  7. the instructions and advice pre and post the medium grade skin peeling 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 agreed within 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. progressive skin rejuvenation
  2. progressive improvement of superficial blemishes
  3. progressive improvement of pigmentation variations
  4. progressive improvement of skin texture and tone
  5. progressive improvement of skin hydration
  6. progressive improvement of acne
  7. progressive improvement of scarring

Skin classification

  1. Fitzpatrick scale
  2. Glogau photo-damage 

* *

Skin characteristics

  1. oily
  2. dry
  3. combination
  4. sensitive
  5. mature
  6. dehydrated
  7. congested
  8. acne
  9. pigmentation irregularities
  10. skin density

* *

Contra-actions

  1. blanching and frosting
  2. hyperaemia
  3. flaking
  4. epidermal peeling
  5. temporary skin tightness
  6. discomfort
  7. mild oedema
  8. compromised skin barrier function

* *

Prohibited sites

  1. eyes
  2. nostrils
  3. lips
  4. breaks in the skin

* *

Skin peeling agents

  1. Alpha Hydroxy Acids
  2. Beta Hydroxy Acids
  3. Poly Hydroxy Acids
  4. Dicarboxcylic Acids

  5. Cyclic / Alpha-Keto Acids

  6. Acetic Acids
  7. Phenol Derivatives
  8. combination formulations

* *

Treatment area

  1. face and jawline
  2. upper torso
  3. limbs

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
  6. the process of desquamation, exfoliation and skin resurfacing
  7. the topical effects of medium grade skin peeling agents on the skin and skin conditions

Adverse reactions

  1. excessive oedema
  2. pigmentary changes
  3. excessive discomfort
  4. compromised healing process
  5. blood spotting
  6. excessive histamine reaction
  7. necrosis
  8. tissue loss
  9. scarring
  10. infection

Visual aids

  1. Illustrative images
  2. Illustrative diagrams

Medium grade skin peeling 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

Medium grade skin peels

Medium grade skin peels are known as intraepidermal peels that can manually desquamate the epidermal layers of the skin through chemical formulations.

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, ​SKANSC5, ​SKANSC6, ​SKANSC7 and ​SKANSC8


External Links


Version Number

1

Indicative Review Date

2022

Validity

Current

Status

Original

Originating Organisation

SkillsActiveb

Original URN

n/a

Relevant Occupations

Beauty Aesthetics, Aesthetic Practitioner

SOC Code

6222

Keywords

medium grade skin peels, elective non-surgical cosmetic procedures, regulation, Alpha Hydroxy Acids, Beta Hydroxy Acids, Poly Hydroxy Acids, Dicarboxcylic Acid, Cyclic / Alpha-Keto Acids, Acetic Acids, Phenol Derivatives, combination formulations