Understanding Hyperpigmentation and Treating with Combined Strategies - NEW Yellow Peel Protocol

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NEW Yellow Peel Protocol for the Treatment of Hyperpigmentation.

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Understanding Hyperpigmentation and Treating with Combined Strategies - NEW Yellow Peel Protocol

  1. 1. Understanding Hyperpigmentation andtreating it with combined strategies
  2. 2. MELANOCYTES The pigment-producing cells of the skin are called melanocytes and their activity is the major determinant of the color of the hair and skin. Within the epidermis, melanocytes reside in the basal layer in a ratio of about 10 keratinocytes to 1 melanocyte. However, each melanocyte via its dendrites supplies melanin to about 30 nearby keratinocytes.www.skinpedia.org
  3. 3. www.skinpedia.org
  4. 4. When ultraviolet rays penetrate the skin it triggers the production of melanin as a defense mechanism. Melanin moves along arm-like structures called dendrites in a special container called a melanosome. After the complete synthesis of melanin, melanosomes filled with this pigment are injected in the interior of keratinocytes. Once inside keratinocytes, melanosomes tend to spread through the cytoplasm, over the upper part of the nucleus, so as to protect it from ultraviolet radiations. .www.wikipedia.org/wiki/Melanocyte
  5. 5. www.google.com
  6. 6. Inflammation is the cause of Hyperpigmentation• External Causes – Sun Exposure – Skin trauma, burn, cosmetic treatment, surgery – Acne wound, psoriaisis, eczema.
  7. 7. Inflammation is the cause of Hyperpigmentation• Internal Causes – Inflammatory hormones • Pregnancy, Oral Hormone Therapy, Menopause, other hormones—primarily the sex steroids progesterone and estrogen – High amounts of Omega 6, low amounts of Omega 3
  8. 8. What is Melasma? Melasma is a skin condition presenting as brown patches on the face of adults. Both sides of the face are usually affected. The most common sites of involvement are the cheeks, bridge of nose, forehead, and upper lip.www.add.org
  9. 9. Who gets Melasma? Melasma mostly occurs in women. Only 10% of those affected are men. Dark-skinned races, particularly Hispanics, Asians, Indians, people from the Middle East, and Northern Africa, tend to have melasma more than others.www.add.org
  10. 10. What causes Melasma? The precise cause of melasma is unknown. People with a family history of melasma are more likely to develop melasma themselves. A change in hormonal status may trigger melasma. It is commonly associated with pregnancy and called chloasma, or the "mask of pregnancy." Birth control pills may also cause melasma, however, hormone replacement therapy used after menopause has not been shown to cause the condition. The most influencing factor seems to be estrogen and ultraviolet light.www.add.org, Baumann
  11. 11. What are the types of Melasma?Epidermal •Brown color •Light brown color •Appears more obvious under black light •Responds well to treatmentDermal •Blue gray color •Dark brown color •Unchanged under black light •Responds poorly to treatmentMixed •Combination of light and brown patches •Partial improvement with treatment
  12. 12. MELASMA / CHLOASMA IMPORTANT INFORMATION • UNDERSTANDING THE PHYSIOPATHOLOGY • UNDERSTANDING THE MECHANISM OF ACTION OF THE CHEMICAL AGENTS TO BE USED • CORRECT DIAGNOSTIC OF THE LESION TO BE TREATED (MIXED, SUPERFICIAL OR DEEP?) • PLAN THE TREATMENT WITH YOUR PATIENT AND A TREATMENT PROGNOSTIC .Romulo Mene, MD - Rio de Janeiro - Brazil
  13. 13. YELLOW PEEL ProtocolThis new Yellow Peel Protocol was created to suit the Spa/Skin Care Setting. This protocol will allow professionals to perform the Yellow Peel within a 2 hours time frame. In order to achieve results similar to Dr. Romulo Mene original protocol a series of treatment will be required.
  14. 14. YELLOW PEEL ProtocolThe slide show will explain the new protocol based on skin classification and condition. The graphs will guide you to choose the appropriate professional treatment and home care for you client.
  15. 15. YELLOW PEELRetinol / Salicylic Acid / Phytic AcidKojic Acid / Azelaic Acid Emu Oil/ Alantoin
  16. 16. YELLOW PEEL Protocol1. Photo Documentation2. Skin Analysis3. Check Up Peel - Glycolic Acid Soap 20%4. Apha Beta Complex Gel (ABC) or 30% Glycolic Gel3. Yellow Peel Balm4. Post Peel Recovery Formula
  17. 17. YELLOW PEEL Protocol Check Up Peel1. APPLY CHECK UP PEEL TO ENTIRE FACE. LEAVE ON THE SKIN FROM 5-20 MINUTES. THE MORE OILY AND/OR DAMAGED THE SKIN THE LONGER TO LEAVE ON.2. WASH SKIN WITH FRESH WATER.3. Evaluate the sensitive points of the skin, as detected by CHECK UP PEEL4. CHOOSE HOW TO PROCEED WITH TREATMENT
  18. 18. A B C OR 30% GLYCOLIC PEELVERY SUPERFICIAL PEEL (MELASMA, ASIAN, AFROAMERICAN)PHOTOTYPES V & VI•APPLY ACID GEL ON THE SKIN AND REMOVE WITH WATER ASSOON AS THE PATIENT REPORTS FEELING A HOT SENSATION ONTHE SKIN
  19. 19. YELLOW PEEL ABC or 30% Glycolic Peel• SUPERFICIAL PEEL (INICIAL PHOTOAGING) PHOTOTYPE III & IV APPLY ACID GEL ON THE SKIN AND REMOVE WITH WATER WHEN THE SKIN DEVELOPS A PINK COLOR ERITHEMA• MEDIUM PEEL (MIDLE PHOTOAGING) PHOTOTYPE I, II & III APPLY ACID GEL ON THE SKIN AND REMOVE WITH WATER WHEN THE SKIN DEVELOPS AN ERITHEMA OF MEDIUM RED COLOR• DEEP PEEL (SEVERE PHOTOAGING) PHOTOTYPE I & II APPLY ACID GEL ON THE SKIN AND REMOVE WITH WATER WHEN THE SKIN DEVELOPS AN SHOWS A INTENSE RED ERYTHEMA IN THE TREATED AREA.POST PEEL PHASE: MOISTURIZE THE SKIN FOR THE NEXT 3 DAYS WITHPOST PEEL RECOVERY FORMULA
  20. 20. YELLOW PEELVERY SUPERFICIAL PEEL (MELASMA, ASIAN, AFROAMERICAN)PHOTOTYPES V & VI
  21. 21. Very Superficial Peeling Protocol• Indicated for: EPIDERMAL MELASMA, ASIAN SKINS, DARK SKIN, SKINS HYPERPIGMENTATION DISORDERS.• PHOTOTYPES V & VI• Apply the yellow cream to the facial skin, and leave to work for 20-30 minutes.• Remove the inactive cream with a SkinRenu Micro-Bead Cleanser and reapply a new layer of yellow cream, leaving it to act for another 20-30 minutes.• Repeat these steps 1 to 3 times (1-3 applications), until the skin become HOT, BUT WITHOUT SIGNS OF ERYTHEMA.• Apply Post Peel Recovery Formula for the next 8-10 days; use SkinRenu Micro-bead Cleanser soap for washing or plain water.
  22. 22. Professional Treatment
  23. 23. Home TreatmentVery Sensitive Skin/Epidermal Melasma/Phototypes V & VI
  24. 24. COMPLEX MELASMA PHOTOS WITH UV EFFECT Rômulo Mêne, MD - Rio de Janeiro - Brazil
  25. 25. PHOTO WITH EFECT UV BEFORERômulo Mêne, MD - Rio de Janeiro - Brasil BEFORE PHOTO WITH EFECT UV
  26. 26. Superficial Peeling Protocol• Indicated for INICIAL HYPERPIGMENTATION and Sensitive Skins.• PHOTOTYPE III & IV• Apply the yellow cream to the facial skin, and leave to work for 20-30 minutes.• Remove the inactive cream with a SkinRenu Micro-Bead Cleanser and reapply a new layer of yellow cream, leaving it to act for another 20-30 minutes.• Repeat these steps 3 times (1-3 applications) until AN INTENSE, PINK COLORED ERYTHEMA appears on the skin.• Apply Post Peel Recovery Formula for the next 8-10 days; use SkinRenu Micro-bead Cleanser soap for washing or plain water.
  27. 27. Professional Treatment
  28. 28. Home Treatment Sensitive Skin/ InitialHyperpigmentation/ Phototypes III & IV
  29. 29. Professional Treatment
  30. 30. Home Treatment Sensitive Skin/ ModerateHyperpigmentation/ Phototypes III & IV
  31. 31. Professional Treatment
  32. 32. Home Treatment Sensitive Skin/ SevereHyperpigmentation/ Phototypes III & IV
  33. 33. PHOTOS WITH EFECT UV AFTER 14 DAYS WITH PHOTOS WITH EFECT UVBEFORE YELLOW PEEL Rômulo Mêne, MD - Rio de Janeiro - Brazil
  34. 34. BEFORE BEFORE PHOTO WITH EFECT UV Rômulo M êne, MD - Rio de Janeiro - Brazil Mê AFTER TREATMENT WITH SUPERFICIAL CHEMICHAL PEEL AND SKIN BLEACHING GEL
  35. 35. Medium Peeling Protocol• Indicated for MODERATE and SEVERE HYPERPIGMENTATION in PHOTOTYPES I, II & III• Apply the yellow cream to the facial skin, and leave to work for 15-20 minutes.• Remove the inactive cream with Check Up Peel soap and reapply a new layer of yellow cream, leaving it to act for another 15-20 minutes.• Repeat these steps 3 times, until the SKIN SHOW A STRONG ERYTHEMA (similar to intense sunburn).• Apply Post Peel Recovery Formula for the next 8-10 days; use SkinRenu Micro-bead Cleanser soap for washing or plain water.
  36. 36. End Point of Medium Peel
  37. 37. Professional Treatment
  38. 38. Home TreatmentInitial Hyperpigmentation / Phototypes I, II, & III
  39. 39. Professional Treatment
  40. 40. Home TreatmentModerate Hyperpigmentation / Phototypes I, II, & III
  41. 41. BEFORE 15 DAYS AFTER YELLOW PEEL Rômulo Mêne, MD - Rio de Janeiro, Brazil
  42. 42. Rômulo Mêne, MD – Rio de Janeiro - BrasilBEFORE 1996 AFTER 4 DAYS AFTER 2 YEARS YELLOW PEEL 2001 YELLOW PEEL 2004 AFTER 2 YEARSBEFORE 2001 YELLOW PEEL
  43. 43. Fig. 1 Fig. 2 Fig 1. Pre-treatment. Fig 2. Patient showing crusts on the 4th day after the application of YELLOW PEEL Fig 3. 30 days after the initial peeling with YELLOW PEEL and maintenance withFig. 3 Phytic Acid
  44. 44. PHOTOS WITH EFECT UV BEFORE AFTER 6 YEARS (YELLOW PEEL/LIGHTENING GEL)BEFORE Rômulo Mêne, MD - Rio de Janeiro - Brazil
  45. 45. HIPERPIGMENTATION AND 10 DAYS AFTER THE 1THHIDROQUINONE SEQUELES YELLOW PEEL
  46. 46. AFTER 2 YEARSBEFORE ALPHA BETA, NUTRI CREAM, LIGHT. GEL, FADE SHADE BLEPHAROPLASTY (2007)Rômulo Mêne, MD - Rio de Janeiro, Brazil
  47. 47. PHOTO WITH EFECT UV AFTER 2 YEARSBEFORE ALPHA BETA, NUTRI CREAM, LIGHT. GEL, FADE SHADE BLEPHAROPLASTY (2007)Rômulo Mêne, MD - Rio de Janeiro, Brazil
  48. 48. Professional Treatment
  49. 49. Home TreatmentSevere Hyperpigmentation/Phototypes I, II& III
  50. 50. Jordana LewisFlorida/Caribbean DistributorTrainer305-335-8719877-646-RENU

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