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Aesthetic Practice With Technology

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Aesthetic Practice With Technology Question: Discuss about the Aesthetic Practice with Technology.     Answer: Skin ageing is one of the most complex as well as inevitable physiological process in every person’s life span. It has become a subject of extensive study in recent years as there is a huge psychosocial impact of ageing in a large proportion of the population, and skin health is often related to the overall well-being and health perception of an individual (Ganceviciene,  Liakou, Theodoridis,  Makrantonaki & Zouboulis, 2012). Ageing can result from a culmination of both exogenous and endogenous factors. Several scientific approaches are being employed to postpone, reduce or in certain scenarios repair the unwanted symptoms of ageing especially in context with facial skin. Apart from medicinal and cosmetic intervention, recent advances in technology provide several electrical modalities that provide effective and instant results in a non-invasive manner (Ramos-e-Silva, Celem, Ramos-e-Silva & Fucci-da-Costa, 2013). The present report sheds light on two such electrical modalities, discussing their principles, beneficial and adverse effects if any, contraindications and precautionary steps to be taken while application. The latter part of the report discusses about the given case scenario of Natalie and provides appropriate recommendations regarding the treatment procedures that should be adopted, considering the special needs and demands of the client.  Galvanic Current Skin Treatment The most common type of electrical modality used for the facial electrotherapy is Galvanic Treatment, which evident from its name utilizes Galvanic Current to fulfil the purpose. An advanced galvanic device is used to emit direct current at a desired quantity, which when applied on the skin induces a series of chemical changes. The primary objective this technique serves is to enhance the impurity extraction process of the skin and also increases the penetration of skin care products applied for anti-aging results (Sun, Wu, Liu, Chantalat & Omer, 2009). The device consists of a probe, most commonly a roller although different types of probes are available, which is connected to a conducting wire. Another wire is attached to another part of the body preferably the arm or the leg to create a closed loop circuit for continuous flow of current. The roller is moved over the skin after turning the device on and current starts flowing through the same. A very low voltage current is applied and hence the process is totally non-invasive and painless. The first step of the treatment procedure is applying an acidic solution over the skin surface, for softening the skin, increasing blood circulation and opening up skin pores. This step is termed as Disincrustation and helps in efficient cleansing and removal of excess oil, blackheads and whiteheads from the skin surface (??????? et al., 2016). After the cleansing process an alkaline solution is applied over the skin before the application of the galvanic probe, which reduces the blood circulation, soothes the nerves and firms the tissues. This step is called Anaphoresis. The final step of the procedures is called Ionotophoresis (Tapper, 2001). It involves the application of a positive pole current to improve the penetration of active skin-care ingredients. Galvanic Electrical Facial Treatment includes an array of beneficial effects on the skin that includes detoxification of the facial skin, increased blood circulation leading to removal of cellular waste products, reduction of fine lines and wrinkles, deeper product penetration, and skin brightening. However, this non-invasive technique does possess some contraindications. The disincrustation step may cause skin infection or irritation depending on the sensitivity of skin. It may cause adverse effects in the patient in case of presence of metal pins or plates in the face. Further excessive dental fining in the mouth can also pose risk with applying the direct current. Often vascular and hypersensitive skin is more prone to be suffering from unwanted results. Several precautions must be taken by the esthetician as well as the patient while undergoing the procedure. Improper application of galvanic current may cause long term damage to the skin. It must be ensured that plenty of products are present at all the time of application of current, the probe must be kept moving all along the procedure and the right amount of current intensity must be applied according to the patient limitations and needs. The intensity should be adjusted slowly and smoothly and the electrodes must not be lifted from the face without turning down the intensity to zero. Further the resistance of the skin must be monitored continuously as a drop in resistance could cause abrupt increase in the current intensity.   High Frequency Skin Treatment Another popular electrical modality for skin treatment is High Frequency Electrical Treatment that involves application of alternating current producing high impact oscillations over the skin. The alternating current is incapable of producing muscle contractions due to its low pulse duration. It is most commonly used for acne removal or disinfection of the skin but it can also reduce aging skin symptoms. Two wide spread methods are used: Direct method and Indirect Method. The Direct method utilizes a glass tool that is applied directly on the skin surface. Several direct glass electrodes are available which include bulb or mushroom electrode, fulgurator electrode, roller electrode and horse-shoe electrode. The process is often called effulvation as the current spreads all over the skin (Rattan, 2004). Ozone gas is production during application of current and hence this method is highly beneficial for oily, congested and acne prone skin. Some of the beneficial effects include bactericidal and disinfectant effect due to the production of ozone, increased lymphatic and blood circulation due to alternating current and ozone also produces a drying effect which is why it is referred for oily skins. In the Indirect method the client holds the probe and the therapist completes the circuit. Current flows through the body of the client while the therapist messages the clients’ face thus completing the circuit and creating a warm relaxing effect. This method is particularly beneficial for clients with dry sluggish and dehydrated skin. Cell metabolism speeds up and activity of sebaceous glands is increased which can improve the appearance of the skin a great deal (“Annet King”, 2017) The general contraindications for direct high frequency treatment are high vascular conditions, excessive metal fillings or bridgework, tense or nervous client, migraine, acne rosacea. Similarly in case of sunburn, excessive metal fillings and occurrence of migraine, indirect method of high frequency treatment must be avoided. Certain precautions must be taken before undergoing the procedure to prevent any adverse effect on the cline or the therapist. Before application of the electrode the dials must be kept at zero pointers. All metal jewelleries must be removed to prevent experiencing shock. Intensity must be reduced when applied over bony areas. The client must be made aware of the buzzing noise and ozone smell to prevent panic. Based on the client information it can be observed that Natalie has been undergoing anti-ageing facial treatment for the past 9 months and although she is somewhat satisfied with the results she wants to include an electrical modality to his treatment for instant results. She is 42 years of age has some minor heat sensitivity to the skin and has dry skin. Additionally she has fine lines and wrinkles over her face, suffers from pigmentation, type 2 diabetes and is prone to migraines. Based on the health particulars as provided in the client details it is quite obvious that Natalie must not undergo high-frequency alternating current facial treatment although it is beneficial for dry skins as in case of Natalie. She suffers from type 2 Diabetes and is prone to migraines, both of which are significant contraindications for the treatment. Hence, the certain recommendation would be to go with Galvanic Current facial Treatment. The process of disincrustation would provide a deep cleansing of the skin, increased circulation, waste removal and cell renewal. The iontophoresis process can enhance the process of penetration of active substances into the skin in relation to mere manual application. Apart from the electrical modalities several other anti-ageing treatment products can be recommend for Natalie keeping in mid her skin nature. Vitamin A derivatives are highly effective for dry skin treatment according to several dermatologists. Vitamin E has antioxidant and moisturising properties and has topical action against the effects of UV radiation. Other secondary photo ageing treatments available are antioxidants, oestrogens, growth factors and cytokines. Certain moisturizers are very beneficial for dry skin as they help prevent water loss from the skin surface and provide a protective layer over the skin and retain water in the epidermis. A combination of vitamins, antioxidants and moisturizers can help rejuvenate the skin of the client and prevent ageing signs and symptoms.   References Annet King (2017). Retrieved 26 July 2017, from Ganceviciene, R., Liakou, A. I., Theodoridis, A., Makrantonaki, E., & Zouboulis, C. C. (2012). Skin anti-aging strategies. Dermato-endocrinology, 4(3), pp 308-319. Ramos-e-Silva, M., Celem, L. R., Ramos-e-Silva, S., & Fucci-da-Costa, A. P. (2013). Anti-aging cosmetics: Facts and controversies. Clinics in dermatology, 31(6), pp 750-758. Rattan, S. I. (2004). The future of aging interventions: aging intervention, prevention, and therapy through hormesis. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 59(7), pp B705-B709. Sun, Y., Wu, J., Liu, J. C., Chantalat, J., & Omer, A. (2009). U.S. Patent No. 7,479,133. Washington, DC: U.S. Patent and Trademark Office. Tapper, R. (2001). U.S. Patent No. 6,238,381. Washington, DC: U.S. Patent and Trademark Office. ???????, ?. ?., ????????, ?. ?., ???????, ?. ?., ?????????, ?. ?., Bilovol, A. M., Beregova, A. A., … & Tatuzyan, E. G. (2016). Physiotherapy in cosmetology: study guidelines for the 5th-year English medium students of medicine.

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