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Skincare Products
302 Treatment Plans
Burns / Laser / IPL

• Introduction: Burns & Pre/Post Laser Treatment
• Pre-Laser (Ablative & Non-Ablative)
  Post Laser (Non-Ablative)
• Post Laser (Ablative)
  Burns: Initial Treatment


Introduction
The use of laser energy to induce a skin repair mechanism presents application difficulties because of widely varying skin protein distribution and limits to repair functions brought by aging.  These variables may result in less than desirable outcomes, downtime and discomfort, in unpredictable ways.

To optimize the response to laser esthetics requires both pre and post topical approaches for the desired histology of a non-inflammatory proliferation of new protein and sustainable synthesis going forward, which may be truncated by poor topical habits.

Various studies cite the benefits of ascorbyl root compounds to potentiate laser esthetics. However, it is important to note that the type of ascorbyl compound and the candidate’s own receptor uptake have very dramatic impacts on the response.

For example, a candidate who has induced receptor fatigue going into a laser treatment through over application of topical products may see very minimal response from laser treatments especially when pigmentation issues are foremost. Conversely, skin that has undergone very minimal topical care tends to have a much lower tolerance threshold to laser energy used to induce the repair response and if not poorer outcomes, quite unpredictable ones.

An integrated program of topical care and laser esthetics generally will produce the most consistent and desirable results with the least downtime and a marked reduction in the incidence of patient discomfort.

A combination epidermal/dermal topical regime, in place prior to and after laser esthetics best addresses this issue.

Pre Laser
For epidermal and epidermal/dermal junction preparation, it is highly desirable to introduce the avocatin 302 or Avogen™ compound. This compound demonstrates a dramatic increase in glucose activation, a key repair function linked to the energy for protein synthesis, as well as a marked anti-inflammatory activity. This last mechanism is not well understood, but likely occurs through the specific inhibition of the lysyl oxidase phenotype which reduces protein fragmenting and especially inhibits the formation of inflammatory protein crosslinking, an often undesirable byproduct of laser energy, indeed any burn or tumor progression.

For dermal preparation, it is complementary and synergistic to use a lipidic ascorbyl compound that by its structure avoids the high sensitization potential of ionic species (e.g. ascorbic acid).

These two compounds, when provided in a daily home care regime, as described below, beginning 30 days prior to treatment provide more consistent and predictable results that can be quite dramatic in their visual outcome with significantly lower incidence of discomfort and downtime.

Most significantly will be the decrease in the incidence of hyper-pigmentation (now approaching 30%, and more in ablative procedures) without the use of consumer averse hydroquinone topicals.

Post Laser & Burn Treatments
Post laser treatments of the area will depend on the nature of the laser and its impact on the skin surface (i.e. ablative or non-ablative) and so regimes must be chosen that reflect the skin condition.

Non-Ablative Lasers
Maintain the daily regime as provided pre-laser. The use of Mist will be quite helpful in dealing with various discomforts such as itching.

Ablative Lasers and Burns
Where open wound techniques are chosen it will be necessary to stop the laser pre-treatment regime and introduce Active Recovery: Face and Ointment Rx immediately afterward, during the saline cleansing period (or 0.25% acetic acid or tap water).

The Active Recovery: Face maintains the use of 302, at reduced concentration levels in a neutral lipid base of jojoba oil and avocado esters, which will improve esthetic outcome, retard crust formation and accelerate healing. It is very well tolerated.

Ointment Rx is a zinc oxide/glycerol ointment which provides a guard against sun exposure and healing during the re-epithelization period and beyond and too, eliminates the need for any additional ointments, especially if used in conjunction with Active Recovery: Face.  It is soothing and protective.

Cleansing with saline ultimately will give way to Recovery Cleanser Rx, or Sensitive Cleanser formulated without ionic charge to eliminate discomfort in cleansing.

Pruritus relief is maintained with Recovery Mist Rx, which has found outstanding efficacy with chemotherapy patients with EGFRI rashes and may be introduced at any time during recovery.

Post Laser: Non-Ablative
Gradually, as healing proceeds, the re-introduction of the pre-treatment regime may be re-established or in the case of burns, introduce 302 Serum or 302 Drops every other day for two weeks and then go to daily application. In one month, introduce C-Boost and alternate days with 302 Serum or 302 Drops, once daily. See the regime for Pre-Laser (Ablative and Non-Ablative).
 

Pre-Laser (Ablative & Non-Ablative)


Post Laser (Non-Ablative)


 
HOME CARE REGIME

Apply 302 Drops (or 302 Serum) on alternate days with C-Boost (or Lightening Drops), once per day.

Mornings

Gently and lightly cleanse: apply Sensitive Cleanser, lather and rinse quickly.  Pat Dry

Optional: Apply Calming Mist and Recovery Plus and follow with Recovery Minerals (SPF-30).

Optional (for significant daytime sun exposure): Apply Calming Mist and SPF-30

Evenings


Apply Sensitive Cleanser to dry skin. Massage in as if a lotion. Add lather from the Bar and some water and work into a suspension, rinse very well.

Apply 302 Serum evenly and massage in well. For other products (C-Boost, Lightening Drops or 302 Drops) leave skin wet, apply a small amount of product and massage in well beginning with neck and working upwards to forehead.

Tip: push down dispenser slowly – a little goes a long way. Smooth evenly and reapply Mist or water to ensure even spreading.

Optional: Recovery Plus for hydration.

AVOID HEAVY CREAMS AND OTHER PRODUCTS
LIMIT YOUR USE OF LIQUID MAKEUP (NONE IS BEST)
 

Post Laser (Ablative)


Burns: Initial Treatment



HOME CARE REGIME

Please consult your physician for variation in these instructions.

Saline soak for 20 minutes every 4 hours during waking hours for first two days.  Apply a cold compress and immediately after, gently apply Ointment Rx using a cotton swab.

Reduce frequency of saline soak to twice daily for the next three days. Soak for 5-10 minutes. Apply a cold compress and immediately after, gently apply Ointment Rx using a cotton swab.

After the fourth day, after saline soak, introduce Active Recovery: Face and follow with Ointment Rx.  Use Recovery Mist Rx as needed for itching and hydration.

Modify saline soak as required to avoid crusting. Continue use of Active Recovery: Face and Ointment Rx.  Use Recovery Mist as needed for itching and hydration.

Continue treatment after re-epithelization progresses until the end of the second week or longer if sensitivity is high.

Transition back to Pre-Laser Regime by careful re-introduction of products.

Stay out of sunlight. Avoid contact with persons who are infected.  Avoid high bacteria or fungal contact.  Do not apply makeup.

AVOID OTHER CREAMS AND LOTIONS
LIMIT MAKEUP TO MINERAL MAKEUP
(See Recovery Minerals (SPF-30) - or equivalent.  Be certain ingredients are non-irritating)