Despite such an advanced beauty and skin care culture, it is disappointing that a majority of the skin analysis conducted in beauty therapy and skin treatment clinics is still of insufficient detail to be useful. The main reason for this is that in many clinics, detailed consultations and skin diagnostic tools are not being used. So with this utilization of old-fashioned terminology, diagnostic language and procedures (which is often no better than what a client could get at a department store) is it any wonder we have not grown past 8-9% market share of the personal care industry?
None of this reflects well for the image of the skin treatment therapy profession, and the lack of use of credible procedures and diagnostic tools in conjunction with outdated knowledge is being used as a reflection of our base knowledge, which in all truth is far higher than perceived by the public.
Example: If you still think that dehydration is a skin condition, then you are not likely to have considered how oil and water work in synergy, the physics of trans epidermal water loss and how the relevant ambient humidity affects water evaporation. You need to re-educate!
Today, we should be far more aware of how the leading causes of a skin conditions will affect the cells and systems of skin. Today’s clients are more informed and want information and knowledge from you that they will not be reading in the weekly women’s magazines on the Internet. The client should be seeing you as an expert in “skin” and one that has an extensive understanding of skin structure and function.
Many skin treatment practitioners however, apply the approach of treating the symptoms and not the cause of skin conditions, and this can be why many treatment protocols fail to deliver the kind of results clients expect and deserve. By determining the cause of the condition(s), and what subsystems of the skin have been affected, more appropriate and effective plans of action can be formulated.
One of the reasons I believe we are losing our place in the “skin” industry because of a reluctance to take on new analysis methods and diagnostic technology. Even with a detailed examination and consultation, how can we be sure that everything we see or hear is exactly what is actually happening within the skin? How dry is dry, and how oily is oily? We can’t assess this by looking or guessing and this is where skin diagnostic tools become absolutely imperative as part of a skin treatment therapists clinic and diagnostic service.
I have observed over the years clinics spending tens of thousands of dollars on a modality to treat the skin, without one diagnostic tool being used to ascertain if that modality was even suitable to use on some skins. The term “suitable for all skin types” should be approached with caution. There are always risk factors to be considered.
IPL is a prime example; there are many of these devices being used without any diagnostic equipment to determine “skin colour” and “skin risk” for hyper or hypo pigmentation side effects. A diagnostic tool that would help determine this would cost less than 15% of the price of the devices used for the treatment, and is not a lot to pay to ensure your clients “skin health”. Many insurance claims and litigation for treatments gone wrong could have been easily avoided by the use of these relatively inexpensive devices.
Over twenty years ago, I began teaching a progressive method of skin analysis now known globally as the Pastiche Method®. This was the first non-product aligned, intensive program covering the major relevant aspects of effective, contemporary analysis and consultation. In addition to a complete update of the relevant anatomy and physiology of the skin, The Pastiche Method® brought new competencies and skills including:
•How to link skin structure and function to skin conditions
•How to quickly determine leading causes and to link that cause to skin structure and function.
•Understand the "cascade" effect that is a result of related conditions
•Determine triggers and contributing factors of the conditions
•How to prioritise condition treatment order for maximum results
This approach to professional skin analysis is now the norm in professional clinics in many parts of the world, but even at the beginning, when I began teaching this method I realised some form of skin measurement tools were needed. I needed to establish key points of reference for four important parameters or aspects of the skin. These parameters cannot be guessed; they must be measured to be credible and useful. There are four aspects of the skin that we should be measuring during a detailed analysis:
Hydration: By monitoring the percentage of free water in epidermis one is able to ascertain a number of key “Skin Health” indicators, including the condition of the first 3 lines of skin barrier defense, the enzymatic action of the epidermis and the levels of fluid intake and dispersion of fluid intake.
Skin Lipid levels: Testing sebum or skin lipids will determine the amount of sebum being excreted to the skin surface and the state of the acid mantle. As the acid mantle is the first line of skin barrier defense, the quality of the surface fluid balance is a useful diagnostic tool when diagnosing skin disorders like Eczema and Allergic Contact Dermatitis, Rosacea type conditions and Essential Fatty Acid Deficiency. In these cases, the health of the acid mantle should be measured as a point of reference. Without this point of reference there is no starting point and therefore no credible scientific way of proving skin health progress.
Melanin: Increasingly important is a measurement of the melanin content of the skin. Today, with so many mixed ethnicities (and gene pools), the risk factors and protocols for many treatments involving heat, abrasion or chemicals need to be determined before choosing a modality. By measuring the melanin content over various sites of the body, we can not only determine what the base phototype type is, but accurately asses the rate of Melanogenesis and MED. (Minimal Erythemic Dose or burn time)
Erythema: The measuring of erythema (or the density of the vascular mat) provides information that will indicate the predisposition to permanent diffused redness and flushing. It also tells us about the density of the supporting connective tissue of the dermis, and the level of damage in older skins. Measuring vascularity provides more accurate data than subjective opinion, and when referenced measurements are compared over time, more precise condition change can be determined.
When you have conducted a professional skin analysis there should be a wealth of valuable information at your fingertips that will help you determine exactly what has gone wrong and what treatment solutions are required.
Not only should you know the clients:
•Nutrition & Lifestyle
•Cosmetic & medical history
•Client skin type
•Intrinsic characteristics (born with a genetic predisposition)
•Extrinsic characteristics (developed through clients work/play lifestyle)
•Treatment risk factors & Client protocols for home care
You will also discover:
•The primary cause of conditions
•The secondary effect on cells & systems
•Priority skin conditions
•Secondary skin conditions
Which will lead you to:
•Identifying the First priority skin condition for clinical intervention
•Second priority skin condition for client home care
•What treatment modalities to use and in what order
Only with this knowledge can you prepare a credible summary report on clients skin conditions and prescribe effective treatment plans. As mentioned, the fundamentals of determining cause and identifying affected cells and systems are the cornerstones of treatment success. Without this information, it can be a “hit or miss” approach to prescribing an effective treatment plan.
Many skin conditions require a multiple treatment modality approach, but which one to use first? What order and frequency will be required?
Most often, when the cause of the skin condition is addressed first, the levels of improvement of subsequent treatment steps are accelerated; delivering faster and better results.
It is this type of knowledge and approach to skin treatment therapy that will elevate the industry in both the eyes of the public and the medical profession to enable us to “bridge the gap” between beauty therapy/clinical aesthetics and dermatology. Professional credibility and earning potential can only follow.