Download Acne Solutions - Danne M. King

Acne Solutions
Paramedical Skin Revision
Version 01: December 2014
We believe that better skin leads to a better life.
We believe in creating confidence.
We believe a beautiful day starts with beautiful skin.
We believe in being the best version of yourself
and smiling at the reflection in the mirror.
We believe in loving your skin, and that
great skin lights up the world.
We believe that everyone deserves great skin.
We believe in giving you the skin you dream
of and we believe in happy skin.
Your Journey to Great Skin.
Before
After
Before
After
Before
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Before
After
© 2006 Courtesy Leanne Cave, Skin for Life
Before
After
Before
After
© 2006 Courtesy Leanne Cave, Skin for Life
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Before
After
Before
After
© 2006 Courtesy Leanne Cave, Skin for Life
Introduction
DMK Acne Solutions
DMK offers an acne solution for all ages, skin conditions and genetic backgrounds.
With over 40 years of research and experience in 30 different countries, DMK is one
of the world’s leading providers of paramedical skin revision.
It has been over forty years since Danné
Montague-King founded the DMK skin care
system and embarked on a journey that would
transform lives.
Frustrated by the absence of a treatment for
his own acne, Danné was inspired to create
a solution with deep and long lasting results.
By rebuilding skin, we rebuild lives.
DMK Acne Solutions is a collection of successful
techniques developed by DMK for revising acne.
They are based on a natural healing approach
using various modalities and botanical chemistry
to restore skin functionality.
This manual outlines the acne condition, it's
causes and types and how to diagnose it
correctly. It provides an introduction to DMK
products, formulated specifically for use on
acne-prone skin, and the protocols and
treatments used by DMK skin technicians that
achieve optimum results.
By the end of this course, DMK Technicians
should be able to:
„„Understand and explain the origin and causes
of acne.
„„Diagnose different types of acne.
„„Conduct treatments for different types of acne.
„„Prescribe Home Prescriptive products
designed to help resolve the acne condition.
Forty years of helping people discover healthy,
beautiful skin.
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DMK Acne Solutions
Contents
Origins of acne................................................ 8
Case Study – Jessika.................................... 20
Accutane®...................................................... 21
What is acne?.................................................. 8
Erythromycin® 2% (topical gel)...................... 21
The chain of events that lead to acne............. 8
Tetracycline and Minocin®............................. 21
Part 1 – The Acne Condition............................... 8
Biology of acneic skin................................... 10
Progression of an acneic lesion.................... 10
Acne formation in the follicle......................... 11
Part 2 – Diagnosing Acne................................. 12
Types of acne................................................ 12
The four grades of acne................................ 13
The acne wave.............................................. 13
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Part 4 – DMK Professional Products for Acne.. 22
Retosin........................................................... 22
DMK Efa Plus................................................. 24
Part 5 – DMK Home Prescriptives for Acne...... 27
Standard Home Prescriptives for acne......... 27
Standard Home Prescriptives regime for acne.... 28
Weekly Home Maintenance.......................... 29
Part 3 – Causes of Acne.................................... 14
ACU-KLENZ.................................................. 30
Consultation checklist................................... 14
FIBROMAX C™............................................. 31
Acne is genetic.............................................. 14
Pore Reduction Drops................................... 32
Stress............................................................ 15
Beta Gel......................................................... 34
Hormones...................................................... 16
Direct Delivery Vitamin C............................... 36
Menstrual cycle and pregnancy.................... 16
ACU-MIST...................................................... 38
Pressure/friction............................................ 17
ACU-KLEAR.................................................. 39
Picking........................................................... 17
ACU-MOIST................................................... 40
Hair shaft....................................................... 17
ACU-THERM.................................................. 41
Lipid abnormalities........................................ 17
Solar Damage Gel......................................... 42
Humidity/climate............................................ 17
Actrol Powder................................................ 44
Industrial chemicals...................................... 17
DMK SOLEIL PROTECT 15 UVA & UVB....... 45
Diet................................................................ 17
DMK SOLEIL DEFENCE 50+ UVA & UVB.... 46
Drugs............................................................. 18
Foamy Lift...................................................... 47
What types of drugs cause acne?................ 18
Micro Peel...................................................... 48
Cosmetics..................................................... 19
Acu Masque.................................................. 49
Case Study – William Rickard....................... 19
Dermatox....................................................... 50
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Part 6 – DMK Acne Treatments......................... 51
Part 7 – Professional Acne Treatment Programs.... 62
Acne Quick Peel & Enzyme Treatment.......... 51
Treatment overview........................................ 62
Design a program for acne........................... 51
Example – 12 week program for
inflamed acne................................................ 63
Acne Prozyme & Enzyme Treatment............. 52
Acne Hydradermaze Treatment.................... 53
AlphaZyme.................................................... 54
Acne Evacuderm Treatment Program........... 54
Red Vein Protocol – R.V.T.............................. 55
Eliminaire....................................................... 56
ACUTROL Basic............................................ 56
ACUTROL Advanced.................................... 57
Warnings for the use of pH Revision............. 58
FRP (Face Remodelling Procedure)
Treatment Program........................................ 58
Example – 12 week program for
non-inflamed acne........................................ 64
Acne scar revision......................................... 66
Enzyme skin tightening treatments............... 66
Microdermabrasion....................................... 66
Pro Alpha Six-layer Peel................................ 67
pH Revision for scarring................................ 67
Alkalize the tissues........................................ 67
Hydradermaze............................................... 67
AlphaZyme.................................................... 67
RP for Body Protocol..................................... 61
RP (Remodelling Procedures)....................... 67
Remodelling Procedure post-treatment
for break-outs................................................ 61
Pro Peel......................................................... 67
Scar Revision Treatment Protocols............... 68
The Effective Treatment of Acne....................... 70
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Part 1
The Acne Condition
Acne – deriving from the Greek word, meaning "point".
Origins of acne
What is acne?
Acne has five contributing etiologic or medical
causes: sebaceous glands, androgens, keratin
plugging, bacteria and inflammation.
Technically known as retention hyperkeratosis,
acne is a chronic inflammatory condition of
the pilosebaceous (hair follicle and its
sebaceous gland).
There is no single cause for oily and acne prone
skin. Acne can be a genetic condition or caused
by external factors. Common contributing factors
to acne include:
„„Hormonal fluctuations.
It is characterized by comedos (blackheads),
macules (discoloured spots), papules (inflammatory
elevation of skin not containing pus), pustules,
cysts and scars.
„„Stress.
The chain of events that lead to acne
„„Medication.
„„At puberty the body starts producing
testosterone.
„„Climatic conditions.
„„Cosmetic ingredients that irritate the skin and
clog pores.
„„Drugs.
„„Hereditary conditions.
„„An enzyme in the skin changes testosterone
to dihydrotestosterone (biologically active
metabolite of the hormone testosterone
formed primarily in the prostate gland, testes
and hair follicles).
„„Dihydrotestosterone stimulates the sebaceous
glands to begin the production of sebum.
„„Sebum sets off retention hyperkeratosis or
acne in the acne-prone follicle.
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Keratosis
Retention
Keratosis, or the growth of keratin on the skin,
occurs as the cells move upward from the basal
layer (innermost layer of the epidermis) towards
the surface. As they move into the layer of the
stratum corneum, they lose moisture content
and flatten out until they are almost entirely
made up of a hard and impervious protein known
as keratin.
The excessive dumping of cells into the follicle
cause the cells to clump up or stick together,
making it difficult for the follicular secretions to
wash this mass of dead skin cells up and out
into the surface of the skin.
Approximately 14 cell layers thick, the thickness
of the stratum corneum is maintained by
exfoliating one cell layer per day. Exfoliation on
the skin’s surface occurs as cells are naturally
rubbed off. Inside the follicle, however, the cells
must rely on the follicular secretion (sebum) to
push the mass up and out to the surface.
Hyper
In acne-prone follicles, cells shed four to five
times faster than the normal rate of one cell layer
per day, giving rise to the term hyperkeratosis.
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This mass or impaction, also called a
microcomedone, is the root of the acne problem
and must be addressed if acne is to be brought
under control.
Retention hyperkeratosis
The acne condition is caused therefore, by a
combination of factors including excess cell
turnover, bacteria and excess sebum or oil flow.
Acne peaks between the ages of 14 to 17 in
females and 16 to 19 in males. Up to 40% of
females and 35% of males are affected by acne
during these peak years. However, adult acne is
increasing today due to stress, medications and
environmental factors.
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Biology of acneic skin
The five major factors in the origin of acne are:
„„Increased sebum production.
„„Ductal hypercornification or keratin plugging
caused by cells keratinising too early. This
results in blockages deep down in hair shafts
and sebaceous glands.
„„An impaired acid mantle or abnormality in the
microflora of the skin.
„„By products of P-acne bacteria
(Propionebacterium) can produce
inflammation and stimulate the process of
pustule formation.
„„Hormones creating elevated androgen activity
(adrenal activity and testosterone).
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Progression of an acne lesion
Microcomedo
A lesion in the beginning
stages where an invisible
impaction is deep in
the follicle.
Closed
comedo
Small white seed beneath
the skin as the impaction
grows it becomes visible.
Easy to see if you stretch
the skin.
Comedo
Acne impaction.
Papule
Circumscribed, solid
elevation of skin with no
visible fluid.
Pustule
Elevation of skin with
visible fluid.
DMK – Building a World of Confidence from the Outside In
Hair follicle_normal
Acne formation in the follicle
When an excessive amount of keratinized cells
block the opening of the follicle, the trapped
sebum becomes a perfect breeding ground for
bacteria. This bacteria attaches to the bottom
of the clogged mass becoming inflamed then
creating a pimple.
Epidermis
Dermis
Sebaceous gland
Normal hair follicle
Subcutis
Hair follicle_blocked
Comedo
Dermis
Trapped sebum
Trapped hair follicle
Subcutis
Hair follicle_inflamed
Comedo
Inflamed tissue
Rupture into
dermis
Pus
Trapped hair follicle
Subcutis
Source: The Human Body, Bostock, Luke, Merrell.
1989.
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Part 2
Diagnosing Acne
Acne is diagnosed as either INFLAMED or NON-INFLAMED, and can be graded from 1
to 4 depending on the severity.
Types of acne
Type 1: Non-inflamed acne
Type 2: Inflamed acne
Closed comedo: As dead skin cells become
progressively impacted, the lesion enlarges into a
closed comedo. Although there is a small opening
at the top, it is termed ‘closed’ because the opening
is unable to dilate and move onto the surface.
When the pressure inside the follicle exceeds the
strength of the follicle wall, the follicular lining will
rupture, spilling the contents of the follicle into
the dermal tissue. The body’s immune system
reacts immediately, viewing the impaction as an
invader. It sends white blood cells (leukocytes)
into the area to try to dissolve the impaction
initiating inflammation and a papule forms.
Open comedo (blackhead): As more cells
compact in the lesion, the surface opening
dilates from internal pressure. The follicle
opening becomes large, exposing the content
to the surface air. The surface of the impaction
oxidizes and turns a brownish-black, causing
what is known as a blackhead.
Once a closed comedo progresses to an open
comedo, the impaction has opened up and the
cell is ready to expel its contents. The pressure
is off. The impaction may expel naturally, but
treatment will expedite the process.
Clearly, non-inflamed is the more desirable condition
because there is virtually no scarring or pain.
Before
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After
Inflammation is a response from the body to a
break in the follicle wall, signalled by itching,
swelling and tenderness of a lesion.
Within the first 72 hours of the follicular break,
the white blood cells may clump together,
forming pus which will migrate to the surface,
bringing the impacted material with it (pustule).
The acne ends after the impaction and the
resulting inflammation is extracted.
Scar damage depends on the speed and
intensity of the inflammation. If it happened
quickly, there may be no scar left at all. However,
if the follicular break is deeper (nodule) or the
impaction is driven deeper by picking, the
inflammation may last for several more days or
even weeks and the loss of tissue and depth of
scarring can be significant.
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Papules, pustules, nodules and cysts are the four
lesions that occur when inflammation sets in.
The DMK skin technician's goal when working
with inflamed acne, is to reduce the inflammation
as quickly as possible. This is the objective of
the treatments provided in this manual.
Grade 3 – Inflamed
This type of acne is probably the most common.
It consists of inflamed papules and pustules
along with the milder stages of acne – open and
closed comedones.
Grade 4 – Inflamed
Before
Grade 4 acne is built up from Grades 1 to 3.
It consists of open and closed comedones,
large papules, pustules and cysts. Grade 4 acne
is often accompanied by severe inflammation
which becomes very red and even purplish. It is
the most scarring type of acne, but it responds
the most rapidly to treatment.
After
The four grades of acne
Grade 1
Grade 2
Grade 3
Grade 4
NonInflamed
Inflamed
Inflamed
Inflamed
Open
Comedo
Small
Papule
Large
Papule
Large
Papule
Closed
Comedo
Small
Pustule
Large
Pustule
Large
Pustule
Not all sebaceous glands mature at the same
time. During adolescence they start to mature
and begin producing oil in a progression that
moves across the face and body like a wave.
This process accounts for acne occurring in
the face and body at different ages.
Nodules
Cysts
The wave action is usually:
The acne wave
Dermatologists often divide acne vulgaris into
four major grades:
„„Central forehead, nose and chin.
Grade 1 – Non-inflamed
„„Jaw line, upper neck and lower back.
The mildest grade consisting of open and closed
comedones. This is a non-inflamed condition.
Understanding this wave phenomenon helps
us to stay ahead of the acne and keep it
under control.
„„Cheeks, upper chest and upper back.
Grade 2 – Non-inflamed
This is a unique type of acne where the face
becomes studded with closed comedones
(white heads). This process is called maturation
arrest because the comedones do not go ahead
and mature into blackheads. Instead, they
continue to enlarge with the surface opening and
never dilate, thus trapping the material inside.
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13
Part 3
Causes of Acne
A thorough client questionnaire and consultation is vital to identifying the various causes
of acne. This will help you understand more about your client’s lifestyle, family history,
and other factors.
Consultation checklist
Use the following checklist to pinpoint
potential causes of acne:
1.What products are you using?
2.Do you smoke? Drink?
Take recreational drugs?
3.Do you suffer stress at work? At home?
4.Do you have a family history of acne?
5. Menstrual cycle?
6. Medications, contraceptive pill?
7. Digestion?
8. Sleep?
9. Have you recently changed climate?
10. Diet and lifestyle?
If you have tried everything and still cannot
clear the skin, chances are that one or more
of the following factors could be delaying
your progress.
Acne is genetic
While all acne has identical underlying physiological
and anatomical influences, research shows that
genetic predisposition is the most powerful factor.
If both parents have acne, approximately three
out of four of their offspring will develop acne.
If one parent has acne, two of their four offspring
will develop acne.
It is important to know as much about the
client’s family acne history as possible. Chances
are that the client will have the same acne type,
severity, scarring patterns and burnout ages as
their parents.
Studies measuring the levels of acne-causing
hormones have found similar levels between
acne patients and those with healthy skin. So it’s
not the absolute levels of these hormones that
cause acne, but how acne-prone skin reacts to
them. One example is the increased conversion
of testosterone to DHT.
And this is where genes come into play.
Because of genetic factors acne patients are
deficient in nuclear transcription factor FoxO1.
Sebum production and skin cell growth
are out of control in acne patients. FoxO1
acts like a break to these processes, and
its malfunctioning.
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FoxO1 reduces sensitivity to androgens by
suppressing androgen receptors and regulates
cell growth and inflammation. Insulin and IGF-1
can make the situation even worse by further
reducing FoxO1 levels. vitamin A can help
to restore FoxO1. Genes also influence the
production of anti-inflammatory chemicals in
the skin, and because of factors like these some
people get acne and some other people don’t,
even if you have identical diets, lifestyle and
other environmental factors.
What ‘acne genes’ do
They increase your propensity to develop acne.
They modify the physiology of your skin to be
more sensitive to hormones and other factors.
Genes influence how sensitive your skin is to
hormones, therefore similar levels of androgen
hormones have different effects on acne-prone
and healthy skin. Because of this, acne-prone
skin produces more sebum and has a faster rate
of skin cell growth.
Stress
Most experts agree that stress is the number
one aggravating factor in acne, a major factor
which in turn contributes to the increased
number of women with acne.
When under stress, the pituitary gland sends
messages to the adrenal and testicle glands
to produce more androgens (male hormones).
Extra male hormones circulating in the body set
off the Retention Hyperkeratosis cycle.
Stress affects us physically at our most vulnerable
point. In acne-prone individuals that is the
follicle. The follicle wall is stretched to capacity
and easily breaks down causing inflammation.
Elevated cortisol levels cause an increase in
blood sugar. This in turn causes an instant
response from our cells as they enter an extreme
inflammatory mode.
Cortisol the stress hormone increases androgens,
increases inflammation, and makes the system
more acidic.
Genes influence the strength of inflammatory
response to bacteria. It’s known that acne
patients have far stronger inflammatory response
to P. Acnes bacteria and other minor injuries.
Genetic acne
Before
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After
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15
Hormones
Hormones play an important role in skin
physiology and acne. Hormones have the ability
to change messages and instructions within our
body. An increase in the amount of androgens
that stimulate the sebaceous glands can cause
acne in both males and females.
Here’s how these hormones affect the skin:
IGF-1 stimulates the growth of sebocytes and
thus increases sebum production. This makes
skin cells grow faster.
It also stimulates the synthesis of androgens in
the testes and ovaries, making the skin more
sensitive to androgens.
So while insulin and IGF-1 act on the skin directly,
their primary effect on acne comes from the fact
that they multiply the effect of androgens.
Acne belongs to the group of hyper androgenic
diseases, which means conditions characterized
by the excessive production of androgens.
Other such conditions are polycystic ovary
syndrome and male pattern baldness, and that’s
why they can appear together with acne.
Here’s how androgens directly affect acne:
„„Increase sebum production, much like IGF-1
does, stimulate the growth of skin cells.
„„Hinders separation of dead skin cells.
„„Increase inflammation. Testosterone and DHT
up-regulate inflammatory response.
„„This not only makes the pimple bigger and
more painful but also slows down healing of
the wound.
„„Androgens may affect acne also indirectly by
weakening the skin barrier function. Healthy
skin barrier retains moisture and prevents
entry for bacteria and other pathogens.
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„„Weaker skin barrier function makes the skin
just that much more prone to acne.
„„Studies have shown that acne-prone skin has
markedly weaker skin barrier function than
healthy skin, androgens play a role in this.
Multiplier effect: conversion of testosterone
to DHT.
„„The human skin is not just a passive organ.
It actively processes and creates hormones.
One example of this is the conversion of
testosterone to DHT, which is up to 10 times
more potent than testosterone.
„„An enzyme called 5-alpha reductase is
responsible for this conversion.
„„Another difference between acne-prone and
healthy skin: In acne-prone people this enzyme
is much more active. IGF-1 further stimulates
this conversion. Luckily there are substances
known as 5-alpha reductase inhibitors.
Menstrual cycle and pregnancy
Some women feel that they break out during
menstruation. In reality, the outbreak usually
occurs 10 to 14 days before they begin to
menstruate. This is due to hormonal activity
which triggers an increase of sebum production.
Pregnancy can affect the skin in each woman
differently. During the first three months of
pregnancy, acne-prone women usually have an
outbreak due to hormonal changes, but in the
last six months, the body is flooded with extra
estrogen which reduces sebum flow.
Low estrogen pills are acne-aggravators. The
buzzword “low dose” really means high androgen
(male hormone) which increases sebum.
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Pressure/friction
irritant acid substances and pus. With nowhere
else to go, the pus bursts the hair follicle and
seeps into the dermal tissue. The skin becomes
inflamed, and a white-headed pimple forms.
Acne is aggravated by the constant rubbing
and touching of the skin. Increased pressure
on a follicle that is on the verge of breakdown
can initiate inflammation. Hard scrubbing and
over-exfoliation also exacerbates the problem
by over-accelerating oil production.
Lipid abnormalities
Picking
If the skin is not properly prepared when
pressure is applied to expel the follicular debris,
there is not an adequate opening for the debris
to move to the surface. This forces the follicle to
break down and imbed the matter deeper in the
skin tissue.
Hair shaft
Acne cannot form without sebaceous gland
activity. Increased sebaceous lipid production
or a compositional mix can exasperate acne.
Research shows that acne sufferers demonstrate
high levels of free fatty acids and low levels of
linoleic acid.
Humidity/climate
The swelling or hyperhydration of the skin due
to hot and humid climates can break down the
fragile follicle and cause inflammation.
The hair shaft is not merely a hair factory.
Researchers have discovered that the hair
follicle is the source of new cells for the skin’s
outermost layer. When a hair is present in a
sebaceous gland, it is called a sebaceous follicle.
Industrial chemicals
NOTE: Every hair is associated with a
sebaceous gland, but not every sebaceous
gland is associated with hair follicles.
Diet
The comedo or blackhead is one of the most
common skin blemishes. Large numbers of
blackheads occurring together result in acne.
Blackheads are caused by sebum; a mixture
of waxes and fatty acids produced by the skin’s
sebaceous glands. During puberty, increased
hormonal activity encourages these glands
to produce more sebum. Dead skin cells
accumulate in the minute pit around the base
of a hair, mix with sebum and form a plug that
stops further sebum from escaping.
Enzymes from bacteria in neighbouring
sebaceous glands then get to work, forming
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Some chemicals, such as coal and grease, are
potent. When they come into contact with the
skin, they are capable of aggravating acne.
Although most experts agree that chocolate and
greasy foods do not cause acne, it is also known
that what you eat can show up on your skin,
and one way this happens is through hormones.
Studies link acne to Western-style diets (high in
sugar and calories), eating sugar and refined
carbohydrates causes the pancreas to release
large amounts of insulin and IGF-1.
Over time this type of diet leads to insulin
resistance and chronically high levels of these
acne-causing hormones.
Eating minimally processed low glycemic index
foods can reverse the situation, and this has
been now demonstrated in several studies.
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17
But it’s not only sugar that gives you pimples;
dairy products are also to blame. What’s the role
of milk? To help baby cows grow.
Milk has plenty of IGF-1 and other growth
hormones. These hormones make their way into
your blood and eventually to your skin where they
stimulate sebum production and skin cell growth.
Drugs
Certain drugs go beyond aggravating acne
and actually cause acne in skins which
would otherwise not be vulnerable. Marijuana
aggravates acne because it briefly lowers
testosterone levels then rapidly raises these
levels producing an imbalance in hormones.
„„Corticosteroids – These are essentially fake
hormones. They are a treatment for hives and
eczema. However since they are ‘fake’
hormones, they have been known to cause
acne since it’s dealing with hormones this is
really no surprise.
„„Oral or topical corticosteroids.
„„Bromides.
„„Iodides.
„„Phenyton.
„„Lithium Carbonate – anti-depressant.
„„Contraceptives – sometimes cause acne
because they are dealing with hormones. Usually
women who already have an acne problem
find that contraceptives tend to make acne
better. However this isn’t the case in all women.
„„High dose of vitamin B12.
„„Cocaine.
„„Dilantin – Epilepsy, anticonvulsant.
„„Speed (amphetamines).
„„Danazol – Hormone management trade
name Danocrin.
What types of drugs cause acne?
Here is a list of a few drugs that have been
known to cause acne in some patients.
„„Lithium – Lithium is a mood stabilizer that
is prescribed for people suffering from
depression or bi-polar disorder. Some patients
taking Lithium have found that it causes acne
outbreaks. Often people who take Lithium
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„„Dehydroepiandrosterone (DHE) – is an antiageing hormone and is also used as a type of
steroid hormone. The DHE is converted into
testosterone and as a side effect produces
more hair which tends to cause pores to
become clogged and can eventually lead
to acne.
„„Barbiturates – Barbiturates are addictive
drugs that are often prescribed as sedatives
to patients. Doctors have been advised to not
prescribe them because they are so addictive.
However, they are still used in treating anxiety
and stress. The other downfall is that they
tend to cause acne.
Drugs known to cause acne-like lesions:
18
suffer from acne outbreaks occurring on the
back and/or chest.
„„Anabolic-Androgenic Steroids – This type
of drug known for its use in bodybuilding
and sports. Patients may suffer from acne
on the back, chest and shoulders and rarely
on the face. However women tend to be the
opposite, getting acne more on their face and
are less prone to getting it on their back, chest
or shoulders.
„„Cocaine – Not only is cocaine a dangerous
drug with many nasty side effects, it also
can cause acne due to the changes in
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testosterone and estrogen that it causes
during and after administration of the drug.
Chronic cocaine use has also been proven to
disrupt the menstrual cycle in women, which
can really mess with hormones and cause
acne outbreaks to occur.
„„Anticonvulsants – Certain anti-convulsants
such as the drug Dilantin prescribed for
seizures and epilepsy have been shown to
cause acne as a side effect.
„„Thyroid medications – Some thyroid
medications have been proven to cause acne
in patients. Large amounts of Iodine, which is
sometimes also used to help control thyroid
function, can also cause breakouts to occur.
„„Sobriety Medications – For some recovering
alcoholics sobriety medications such as
Disulfiram that are prescribed to help
alcoholics break the habit of drinking, may
find that in some cases the recurring use
of Antabuse, has been known to cause
acne outbreaks.
Case Study
After several DMK treatments for both
inflamed acne and associated scarring,
William is now a renewed teenage boy,
whose confidence and handsome looks
have been completely restored. As far as
life changing results go, William says,
“I would recommend DMK to anyone who
suffers with any type of acne; it will change
you and your life, that’s a fact.”
William Rickard (pictured)
Before
Cosmetics
After 4 treatments
Comedogenicity is the tendency of the skin’s
pores to clog when exposed to a certain
cosmetic ingredient. Comedones caused by
cosmetics will protrude from the pore instead
of being imbedded in the skin. The skin around
these comedones will be free of redness.
Cosmetic acne is easy to spot because it is
localized and follows a predictable pattern.
After 9 treatments
Some experts believe that fabric softeners,
especially dryer sheets, can cause acne on virtually
anyone. However, this has not been proven.
There is no panacea for people with comedogenic
skin. Theirs is a life long struggle to avoid
products that will tend to clog their pores.
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DMK – Building a World of Confidence from the Outside In
19
Case Study
“A gradual and steady decline in my skin
caused me to be one of the many victims
dying for clear skin. Along with severe Acne
distorting my physical appearance, it claimed
my confidence, joy, self esteem, and self worth.
At age 19 I shrank from the world, locking
myself away, hiding from everyone and
refusing to even take a glimpse at my
reflection. The Acne covered my entire face
and neck, it was sore to the touch, red, raised
and constantly bleeding. I would go to sleep
and awake to blood on my pillow. I was
ashamed of my own appearance, not being
able to look anyone in the eyes.
In my desperation I paid £180 for an alleged
cure, Roaccutane; this drug appeared to
be a light in the darkness, my last chance,
despite the poignant concern over the high
suicidal side-effects. But after being advised
to watch the Dying for Clear Skin program the
day after my consultation, any desire to use
Roaccutane was obliterated.
The DMK treatments and home care
products (which work hand in hand), have
changed my life and the daily regime that I
implement in caring for my skin. As Danné
has stated “no two Acne patients skin is
the same”, and I love that each patient’s
treatment is personalised to that individual’s
needs. I’ve been undergoing treatments for
a year and have seen a substantial difference
in the quality and overall health of my skin.
Without Danné and DMK I honestly don’t
know where I’d be today - if living at all. It’s an
ongoing battle, a daily walk, but all thanks to
Danné and DMK, I envision myself winning.
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I was so enamoured by my therapist,
Susanne’s drive and diligence to hear my
heart’s cry and bring that desire to life.
I’m sure you’re all aware of the Walt Disney
Classic Cinderella and the pivotal moment
she’s left alone, distraught and without hope
of anything better. Her Fairy Godmother
appears and blesses her with the chance of a
greater tomorrow. Susanne has rightly earned
the pseudo title of my Fairy Godmother. I’ll be
forever in her debt.
Danné, you are one of my heroes. I constantly
think about your determination to secure a
solution for this dreadful skin disorder. Your
tenacity and integrity; never allowing Acne
to defeat you-and now us! You inspire me
to want to be better, to do better. You’ve
given me the opportunity to chase my
career dreams in the public eye and to do
something as simple as walk the streets in
daylight with my head held high.
I thank my Heavenly Father for your life and
your pursuits to further the DMK line. I pray
He blesses you in all good endeavours.
Once again thank you for all you have
attained on our behalf!
Jessika (pictured)
Before
After
DMK – Building a World of Confidence from the Outside In
Accutane®
Erythromycin® 2% (topical gel)
Accutane® (Isotretinoin) is an extremely potent
and highly controversial systemic drug that is
used in the treatment of severe, recalcitrant,
cystic or treatment resistant acne. It is
prescribed only by doctors and works by literally
shutting down the sebaceous activity in the body.
Erythromycin® is an antibiotic used to suppress
the P-acne bacteria. Adverse reactions include
dryness, tenderness, itchiness, desquamation,
erythema, oiliness and a burning sensation.
18% of patients exposed to Erythromycin®
experienced some type of adverse effect.
NOTE: DMK skin technicians cannot treat
people who have taken Accutane® in the last 6
to 12 months.
The use of antibiotic agents may be associated
with the overgrowth of antibiotic-resistant
organisms which can translate into yeast
infections in women.
Clinical pharmacology
The exact mechanism of Accutane® is unknown.
Clinical improvement in cystic acne patients
occurs in association with a reduction in sebum
secretion. The decrease in sebum secretion
is temporary and is related to the dose and
duration of treatment. It reflects a reduction in
the size of the sebaceous gland size.
Side effects can include:
„„Severe birth defects.
„„Diabetes.
„„Kidney malfunction.
„„Dry and peeling skin.
„„Gum inflammation and bleeding.
Tetracycline and Minocin®
Used to suppress the P-acne bacteria, these
chemicals filter through to the skin and become
bound to the protein in the stratum corneum.
They kill a relatively small amount of the bacteria.
Side effects include fetal harm when
administered to a pregnant woman and tooth
discoloration in infants and children up to
8 years old. Photosensitivity manifested by
an exaggerated sunburn reaction has been
observed in some individuals taking tetracycline,
although rarely in people taking Minocin®.
Concurrent use of tetracycline may render oral
contraceptives less effective.
„„Severe sun sensitivity.
„„Aching joints.
„„Nausea and vomiting.
„„Infertility.
„„Depression or anxiety (even leading to suicide).
Regular pregnancy testing, foolproof birth
control and blood tests are mandatory.
Accutane® is only effective in the case of severe,
inflammatory cystic acne. Any lesser grade does
not respond to the treatment.
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DMK – Building a World of Confidence from the Outside In
21
Part 4
DMK Professional Products for Acne
Retosin
Retosin is a signature DMK formulation designed
to strengthen the skin and regulate the natural
rhythm of cellular proliferation.
Diagnostic
Retosin was designed as a nightly crème for
acne skins or clients undergoing an acne or
scar revision program, to regulate dysfunctions
that contribute to acne and restore balance and
rebuild the skin.
Key ingredients
„„Retinyl Palmitate – A keratolytic antioxidant
with exfoliating properties that neutralizes
free radicals which attack the skin’s primary
structure. It also extends the life of the cell and
helps to promote collagen production and
regulate cell proliferation.
„„Beta Carotene – Pure strength plant extract,
a precursor for other vitamin A derivatives
and acts as an antioxidant.
„„Retinol (vitamin A – Enzymatically converted
to Retinoic Acid as needed, giving it many
regulating and rebuilding benefits to acne.
„„Resorcinol – Suppresses melanin, enhances
penetration and aids in exfoliation. It also
has antiseptic and anti-seboraic (anti-flaking)
qualities, and kills acne bacteria.
„„Cholecalciferol – Biologically speaking,
antioxidant, Cholecalciferol is a hormone
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that’s essential to the body’s immune system.
With regards to skin care, this ingredient is
mostly known for treating rapid cell growth in
psoriatic skin. Topical supplementation with
Cholecalciferol increased measurements of
skin moisturization significantly improving
skin moisture.
Retinoids
Retinoids are a class of chemical compounds
related to vitamin A that are used in
medicine for their ability to regulate cell
growth. Skin cells change structurally as they
move away from the basal layer. Retinoids
act as regulators for cellular differentiation.
This results in the regulation of keratinization
of the cells, and normalizing exfoliation.
Retosin acts to:
„„Normalize abnormal cell division.
„„Work with growth receptors that depend
on them for stimulation or suppression.
„„Reduce sebaceous fluid production.
„„Regulate the number of fibroblasts cells
and their production of collagen through
the retinoid receptors in dermal
fibroblast cells.
„„Enhance RNA by transmitting instructions
to each cell on how to perform. The body
must be able to synthesise new RNA or
cell degeneration begins.
DMK – Building a World of Confidence from the Outside In
Function
Professional directions
Vitamin A helps to rejuvenate the skin by
promoting the growth of healthy cells and
inhibiting the growth of unhealthy ones. The
only way to prevent acne and ageing is to
restore balance to the skin. Retosin acts against
hypercornification (where cells keratinize down in
the ducts causing ductal plugging). By allowing
fluids to flow freely, the powerful, regenerative
properties of Retinol (vitamin A) are known to
promote collagen activity, kill P-acne bacteria,
inhibit tyrosinase (an enzyme that catalyzes
the oxidation of tyrosine into melanin and other
pigments), and regulate the flow of oil and
cellular proliferation. The beneficial actions of
vitamin A’s are optimal when a variety of vitamin
A’s are used together, rather than alone. Unlike
other vitamin A products, Retosin does not
penetrate the blood stream.
„„Prescribe nightly or alternate nights during
treatments depending on sensitivity.
NOTE: Some clients may experience an initial
sensitivity to Retosin such as redness and
irritation. Discontinue use immediately. This may
be temporary and they could resume application
once the irritation subsides. If the skin becomes
very itchy and bumpy the client should not use
Retosin again.
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„„Cleanse the skin and directly apply Retosin.
„„Do not use Herb & Mineral Mist.
„„Clients must wear DMK SOLEIL PROTECT 15
UVA & UVB during the day when using Retosin.
During long-term daily applications of Retosin,
the client may turn a darker, gold or orange tone.
Their skin may actually look more wrinkled and
dehydrated as the dead cell structure is lifting
off. This is normal. Always advise your client
of these conditions and reassure them that
when the old cells finally shed, they will have a
younger and more radiant skin.
Product combinations
Retosin can be used on alternate nights with
Super Bright for revising pigmentation.
Selling tips
Retosin is an essential formulation during the
skin revision treatment phase as it rebuilds,
regulates and strengthens the skin.
DMK – Building a World of Confidence from the Outside In
23
DMK Efa Plus
The DMK Efa Plus supplements are a
powerful group of essential fatty acids 3, 6,
7 and 9 derived from Evening Primrose and
Seabuckthorn Seed Oil and provide more than
190 nutrients and bioactive substances.
Diagnostic
DMK Efa Plus is prescribed for a wide variety
of conditions to repair the cell membranes and
help rebuild a stronger healthier and better
functioning skin. DMK Efa Plus improves barrier
function and reduces transepidermal water loss.
It is particularly useful for acne and inflamed
or reactive skin, pigmentation and hormonal
imbalance as well as fine lines, wrinkles and
ageing, saggy skin.
Key ingredients
„„Seabuckthorn – An outstanding rich source
of vital nutrients, minerals and essential
fatty acids.
Seabuckthorn
Seabuckthorn is an outstanding rich source
of vital nutrients, vitamins, minerals and
essential fatty acids, for skin conditions from
healing to age prevention. After sourcing
the seed in Tibet, the DMK research team
discovered multiple benefits.
Seabuckthorn seed oil provides more than
190 nutrients and bioactive substances,
many of which build the skin’s immune
system, such as linolenic acid vitamins E
and A, carotene, polyphenols, flavonoids
and vital trace elements for younger
appearing skin, such as copper, manganese
and selenium.
Seabuckthorn’s miraculous stimulation of
tissue regeneration and skin cell healing
combined with analgesic and
anti-inflammation effects make it a valuable
ingredient for skin revision treatments.
„„ Evening Primrose Oil – A rich source of essential
fatty acids which help to increase free water
levels, prevent transepidermal water loss and
improve the structural integrity of the skin while
improving barrier function.
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DMK – Building a World of Confidence from the Outside In
Function
The health of our skin is determined by the
matrix. Our matrix is the jellylike substance made
up of glycoaminoglycans (GAGs) that surrounds
our cells.
EFAs are a major component of the lipid barrier
that prevents excessive moisture loss in skin.
Linolenic acids promote the repair of tissue
damage, especially after aggressive skin
revision treatments or cosmetic surgery.
They are essential in the production of critical
metabolites (intermediates of metabolism).
Sitosterol, for example, improves microcirculation in the skin, while phosphatides form
a protective film to prevent moisture loss and
keep free radicals at bay.
Individual supplements are rarely sufficient.
Patients with acne, for example, tend to have
higher levels of squalene and wax esters, and
show lower levels of essential fatty acids. This
causes sebaceous fluid to be thicker and
stickier, therefore clogging the pores and ducts.
By boosting the skin and body’s immune
responses, DMK Efa Plus promotes the repair of
damaged tissue. It helps to maintain the turgidity
and bounce of skin by strengthening and
maintaining the glycoaminoglycans (material
that makes up the matrix) and increasing free
water levels. DMK Efa Plus works quickly from
INSIDE the skin, offering results within as little as
three weeks.
EFAs are required for the structure of all
membranes in the body. They waterproof the
skin, maintain the impermeable barrier of the
skin, and act as precursors for the production of
prostaglandins, which regulate all cell functions.
Prostaglandins help regulate hormones.
EFA fatty acids must be obtained from the diet.
They come from an outside source and are not
manufactured by our body.
EFA deficiency will prevent the complete
formation of the bi-layers that are responsible for
corneocyte adhesion and prevent transepidermal
water loss. If the skin can’t retain proper amounts
of water it will not excrete waste properly and
therefore stagnate and become clogged.
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DMK – Building a World of Confidence from the Outside In
25
DMK Acne Products
The New Approach to Acne
The Klear Collection consists of:
„„ACU-KLENZ
„„ACU-MIST
„„ACU-KLEAR
„„ACU-MOIST
„„ACU-THERM
Part 5
Home Prescriptives for Acne
There is no “magic bullet” in this DMK acne range, no “stand alone” miracle. Yet it took
three years to assemble and put together effective ingredients balanced to address the
common concerns of acne.
A variety of medicines are available to fight the condition, but as is the case with many
dermatological afflictions, the underlying causes are not addressed. The fact that the
DMK acne range does this in such a fundamental, natural way is a drug-free miracle!
The Home Prescriptives range was developed to improve and extend progress made by
our professional treatments.
Standard Home Prescriptives for acne
ACU-MOIST
The following Home Prescriptives have been
specifically formulated for acne conditions:
ACU-MOIST is a gentle rebalancing moisturizer
designed to encourage the skin's continued hydration
and enhance P-acnes bacteria guard support.
ACU-KLENZ
A deep cleansing gel containing Salicylic Acid.
Its deep penetrating and exfoliating action helps
to keep pores clean while drying up existing acne.
DMK SOLEIL PROTECT 15 UVA & UVB
DMK SOLEIL PROTECT 15 UVA & UVB is a
light non-greasy sunscreen that protects skin
without clogging pores.
ACU-KLEAR
Actrol Powder
This acne lotion helps to quickly alleviate
and reduce existing acne and prevent future
breakouts.
Specifically formulated to reduce excess
sebaceous oils, encourage healing and protect
the skin.
ACU-MIST
To normalize the skin's acid mantle, ACU-MIST
is sprayed over the face before applying ACUMOIST and work them into the skin together.
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ACU-THERM
By creating a pseudo heat on the skin (a flushing
action) this blemish gel dissolves sebum plugs
relieving the pressure in congested areas
helping to eliminate acne.
DMK – Building a World of Confidence from the Outside In
27
Micro Peel
Standard Home Prescriptive regime for acne
Offers a quick and non-irritating method of dead
cell removal, ideal for acne or congested skin.
1.Cleanse
Acu Masque
Ideal for oily skins prone to blemishes, Acu
Masque is a diverse and versatile application
that desquamates the skin’s surface and
unplugs blocked ducts.
The skin should be cleansed twice daily
(three times for the extremely oily skins) using
ACU-KLENZ or Deep Pore Pure cleanser.
2.Ice
Ice inflamed lesions at least two to three times
per day to reduce inflammation and give the
lesion a chance to heal.
Foamy Lift
When combined with Exoderma Peel, Foamy
Lift is a potent home maintenance masque.
3.Pore Reduction Drops (optional)
Apply to reduce redness and inflammation.
4. Beta Gel
Apply DMK's immune boosting serum
after cleansing.
5.ACU-KLEAR
Apply to areas of congestion and breakouts.
6.ACU-MOIST
Spray the skin with ACU-MIST, apply
ACU-MOIST to the skin and work in together.
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DMK – Building a World of Confidence from the Outside In
7. Sun protection
Weekly Home Maintenance
DMK SOLEIL PROTECT 15 UVA & UVB MUST
be applied over the products.
Perform a home treatment every three days.
Alternate Option 1 & 2.
8.Actrol Powder
Option 1
Actrol Powder can be dusted under or over
foundation, as a translucent powder. Apply at
night to absorb excess sebaceous flow.
Cleanse, Dermatox (3 mins), Micro Peel (10
mins), Acu Masque (10 mins), finished with
Home Prescriptive.
9.Revise-A, Super Bright, DMK Efa Plus
and Retosin
Option 2
The client can apply ACU-THERM to the
pimples. Leave it for 3-5 minutes followed
by Retosin or Revise-A over the top. Hyperpigmentation-prone skins can alternate
Super Bright.
Take 4 DMK Efa Plus supplements each day.
Cleanse, Dermatox (3 mins), Foamy Lift/
Exoderma Peel (30 mins), finished with
Home Prescriptive.
Option 3
Cleanse, Dermatox, apply Acu Therm to the
pimples and congested areas and leave on for
3 mins then blot and apply Foamy Lift mixed
with Exoderma Peel (30 mins), finish with
Home Prescriptive.
Option 4
Cleanse, apply Red Vein Crème to the
congested and red acne scarred areas, spray
with Herb & Mineral Mist and work in. Apply
Foamy Lift and Exoderma Peel over the top
(30 mins), finish with Home Prescriptive.
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DMK – Building a World of Confidence from the Outside In
29
ACU-KLENZ
Function
ACU-KLENZ is a home use product designed
for acne skins, including cystic inflamed acne,
anywhere on the face or body. This prevents
pores from clogging by slowing down the
shedding of cells inside hair follicles which help
to prevent acne. ACU-KLENZ is part of the DMK
acne solutions system.
Formulated with calming Aloe Extract to reduce
redness and inflammation, ACU-KLENZ
encourages pore cleansing and sebum control.
ACU-KLENZ is designed to fight acne-causing
bacteria leaving you with clean and clear skin.
Professional directions
„„Mix a pea sized amount with water in your hand
or in a small bowl with your DMK Fan Brush.
Diagnostic
ACU-KLENZ is popular amongst teenagers who
cannot attend treatments on a regular basis, or
adults. It is suitable for clients with clogged and
congested skin who are starting a skin revision
program as it will control breakouts while the
skin is being cleaned out. ACU-KLENZ is
Benzoyl Peroxide, Paraben and Sulfate free.
„„Massage in with dampened fingertips
avoiding direct eye contact.
„„Rinse thoroughly with water.
Key Ingredients
„„Salicylic Acid – Aids in the correction of
abnormal desquamation that occurs in
acne-prone skin. Salicylic Acid is especially
helpful in treating acne as it aids in penetrating
the follicle.
„„ Aloe Vera – Greatly reduces swelling, inflammation
and redness associated with acne.
„„Panthenol – Vitamin B5 contains antimicrobial
properties that are crucial to controlling the
growth and spread of bacteria. Rebalances oil
production. B5 increases Coenzyme A, which
is involved in the metabolism and breaking
down of sebum.
„„Botanical Extracts – Botanical antimicrobial
topical antiseptic.
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DMK – Building a World of Confidence from the Outside In
FIBROMAX C™
FIBROMAX C™ is an exclusive formula of liquid
droplets encapsulated in Silica particles. These
encapsulated droplets form a dry, free flowing
powder that is predominantly liquid. This powder
will remain stable under ordinary temperature or
pressure. However, an increase in temperatures
above 30 degrees Celsius (85 Farenheit)
combined with gentle friction will loosen the links
between the Silica particles, breaking the shell
and releasing the liquid inside.
„„Taurine – Taurine modulates multiple skindamaging pathways when applied topically
to the skin. Specifically, evidence suggests
Taurine repairs the skin barrier, rehydrates
keratinocytes (the main cells of the upper
skin layers), inhibits apoptosis, and reduces
free radical damage. Taurine also offers
antioxidant, anti-inflammatory benefits –
protecting against premature ageing and
environmental toxins. Taurine is believed to
inhibit glycation, one of the main causes of
cellular ageing.
Diagnostic
„„Silica – Essential for healthy skin.
FIBROMAX C™ can be on areas of fine lines,
pigmentation or any area needing lifting and
support. It may help brighten the skin and
protect against UVB damage, as well as benefit
individuals suffering with acne or eczema.
„„Zinc Oxide.
Key Ingredients
„„Ascorbyl Glucoside.
Function
Vitamin C is used by the fibroblast cell in
the production of collagen, and acts as an
antioxidant and free radical scavenger to protect
the skin.
Product combinations
„„Hyaluronic Acid.
„„Beta-Glucan.
FIBROMAX C™ should be used immediately after
a treatment, and applied first before applying
any serums, spritz’s and nourishing crèmes.
„„Hippophae Rhamnoides Oil (Seabuckthorn
Seed Oil).
Professional directions
„„Carthamus Tinctorius Oil (Safflower Oil).
„„Centella Asiatica Leaf Extract – Used in
the treatment of skin damage as well as for
circulatory enhancement. Centella Asiatica
(Gotu Kola) is one of the most effective
natural treatments for anti-ageing where it
offers dramatic improvement in support of
the skin's underlying structure... where healthy
skin begins.
„„Beta Carotene.
„„Curcuma Longa Root Extract – Turmeric has
a powerful anti-inflammatory effect. It is also a
powerful antioxidant.
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„„After cleansing, pour desired amount onto
palette. Using an applicator spread directly
onto desired areas. It can be worked in with
the fingertips.
„„Avoid getting directly into eyes, DMK serums
and creams should then be applied.
„„Clean palette with DMKC Brush Cleaner.
„„Store in cool (Below 30˚C or 85˚F) and dry
area, away from direct sunlight. Do not shake
vials and close immediately after use.
DMK – Building a World of Confidence from the Outside In
31
Pore Reduction Drops
Key Ingredients
Pore Reduction Drops are designed to visibly
reduce pores without stripping the skin of
natural oils in an acne skin. Pore Reduction
Drops reduce inflammation and suppress
5-a reductase by regulating the dysfunctions
involved in acne.
„„Laminaria Digitata (Kelp) – Seaweed
contains high levels of many vitamins – solid
levels of antioxidant vitamins A, C, and
E, as well as D and all the Bs, including
B12, plus 60 trace minerals like Calcium
and Magnesium. Combine these with the
moisture-giving molecules in Seaweed called
Polysaccharides, and you have a superfood
for the skin. Laminaria Digitata (a brown
Algae) helps boost collagen production – skin
is simply made healthier by using it. "It gives
back exactly what your skin needs in the way
of minerals and trace elements", "Like eating
right, seaweed feeds the skin."
Diagnostic
„„Recommended for skins displaying large
or stretched pores, red reactive skin, acne,
congestion and Rosacea.
„„Eczema, psoriasis.
„„Ageing, sun damage.
„„Wrinkles and glycation.
„„Fragile capillaries, redness.
„„This product is professionally applied
after extraction.
„„Mentha Piperita Leaf Extract (Peppermint)
– Peppermint extract minerals and nutrients
including; Iron, Manganese, Magnesium,
Folate, Calcium, Potassium, Copper,
Omega-3 Fatty Acids, vitamins A and C.
Peppermint helps control and eliminate
excess oil, and this in turn prevents clogged
pores and acne. Dull skin becomes brighter
on using Peppermint. Improves micro
circulation. The menthol in Peppermint has
analgesic counter-irritant properties.
„„Medicago Sativa Extract (Alfalfa) – Aids in the
absorption and assimilation of other herbs.
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DMK – Building a World of Confidence from the Outside In
Function
„„Smilax Aristolochiaefolia Root Extract
(Sarsaparilla) – Detoxifying agent, rich in
flavanoids, plant sterols and saponins.
„„Cimicifuga Racemosa Root Extract (Black
Cohosh) – A botanical ingredient with
calming, antiseptic properties. Refines pores.
It contains the anti-inflammatory Salicylic
Acid among several other constituents such
as Triterpene Glycosides. Glycosides exhibit
wound healing and anti-inflammatory activities
and stimulate the formation of lipids and
proteins necessary for healthy skin.
Pore Reduction Drops has significant
advantages over astringents, alcohols, or
abrasives. Pore Reduction Drops use an
ionized solution to carry the herbal properties
into the skin without using electrical modalities.
The solution helps to clear the pores and
allows them to refine naturally. Minimizes the
appearance of open pores, purifying, good for
acne and congested skin. Calming, good for
reactive inflamed skin.
Professional directions
„„Salvia Officinalis Extract (Sage) – An
anti-bacterial, anti-stress and astringent
botanical extract.
„„Verbascum Thapsus Extract (Mullein) – Acts
as a natural skin antibiotic and anti-irritant.
„„Trigonella Foenum-Graecum Seed Extract
(Fenugreek) – A herbal extract used to
stimulate surface capillaries to reduce
inflammatory conditions in the skin. It is also
used to retain moisture in the epidermis.
„„Apply directly to a perfectly cleansed skin,
morning and evening, after a professional
treatment where the pores have been evacuated.
„„Leave on skin, do not rinse. Follow with your
other DMK products.
„„Humulus Lupulus Extract (Hops) – A rich
source of natural protein and acts as an
astringent and calming agent on the skin.
They are also an excellent source of Vitamin C.
„„Cayenne – Increases the blood flow to the
surface of the skin.
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DMK – Building a World of Confidence from the Outside In
33
Beta Gel
This DMK signature formula is designed to
address acne, Rosacea and reactive, irritated
or inflamed skin.
Diagnostic
Beta Gel was originally formulated for acne
clients who found Betagen too rich for their
skin. It can be used on a wide variety of skin
conditions including acne, congestion
and Rosacea.
It has been particularly successful on
traumatized skin, sutures and staples and in
treatments for pre and post-operative clients.
Smokers, slow healers and skins suffering from
environmental damage, eczema or psoriasis
also benefit.
Key ingredients
„„Betaglucan – Protects and repairs the immune
function and stimulates Langerhans cells to
reduce swelling, redness and inflammation
and promotes healing.
„„Witch Hazel – Soothes and relieves the pain
of irritated or inflamed conditions.
„„Palmitoyl Oligopeptide (Pal-GHK) – Consists
of a short chain of three amino acids (a.k.a.
GHK Peptide or Glycine-Histidine-Lysine)
connected to Palmitic Acid. Palmitic Acid is
a fatty acid added to improve the peptide’s
oil solubility and thus skin penetration. The
Peptide GHK is a fragment of type I collagen
molecule and is believed to serve as a
biological indicator of increased degradation
of the skin matrix. Indeed, when collagen
is degraded, more of its small fragments
are created in the body, including GHK.
Furthermore, GHK is believed to stimulate
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the feedback loop triggering the synthesis of
new collagen as well as other components
of the skin matrix. When the key skin matrixproducing cells (fibroblasts) detect increased
levels of GHK, they “assume” that the skin
matrix is being lost at a higher rate and begin
synthesizing it more vigorously. Thus,
Pal-GHK (a version of GHK designed for
better skin penetration) is intended to
stimulate skin matrix replenishment via topical
application, leading, to wrinkle reduction, skin
firming and other benefits. Another interesting
point about the GHK is that it is a part of
another well known skin care ingredient, the
Copper Peptide Cu-GHK. Copper Peptides
are known to improve wound healing, activate
skin remodeling, improve the structure of
skin matrix, reduce scarring and exert other
beneficial effects on the skin.
„„Palmitoyl Tetrapeptide-7 (Pal-GQPR) – Works
by reducing the production of Interleukin-6
(IL-6) by the key skin cells, Keratinocytes
and Fibroblasts. IL-6 is a molecule that
promotes inflammation, which, in turn, leads
to faster degradation of the skin matrix
and thus contributes to the development
of wrinkles and loss of skin firmness and
elasticity. Combing Palmitoyl Oligopeptide
and Palmitoyl Tetrapeptide-7 not just because
two active ingredients are better then one,
these two peptides produce a synergy when
used together, i.e. the skin benefits of such
combination are greater than what one
would expect if each agent’s effects were
independent of each other. Here’s a fictitious
example of synergy to illustrate the point:
Ingredient A causes a 10% improvement
and ingredient B causes a 15% percent
improvement whereas A+B combo causes
DMK – Building a World of Confidence from the Outside In
a 60% improvement (as opposed to the
expected 25% improvement). A tissue culture
study of the synergy between Palmitoyl
Oligopeptide and Palmitoyl Tetrapeptide-7
showed an increase of the synthesis of skin
matrix roughly 2.5-3.5 times. In particular,
the synthesis of collagen type I increased by
258%, Fibronectin - by 164% and Hyaluronic
Acid - by 179%.
„„Turmeric Extract – Boosts immune responses
in the skin.
„„Antioxidants – Softens rough and scaly skin
whilst fighting free radical damage.
„„Magnesium Ascorbyl Phosphate – A stabilized
source of vitamin C which helps to strengthen
and repair the skin, whilst inhibiting Tyrosinase
(an enzyme that catalyzes the oxidation of
Tyrosine into melanin and other pigments).
„„Safflower Oil (Carthamus Tinctorius) – An
antioxidant rich in vitamin A. Safflower Oil
is rich in linoleic acid (almost 79 percent),
an essential fatty acid that offers many
benefits for skin, including maintenance
of cell membrane integrity. Linoleic acid is
also an important carrier of vitamins A, D, K,
and especially vitamin E. It helps maintain
skin elasticity by enabling the skin to retain
moisture and removes dry skin. Safflower
Oil helps to treat damage and inflammation.
Reduces the appearance of wrinkles by
smoothing and hydrating the skin.
„„Tocopherol – A natural vitamin E which
accumulates in the epidermis and forms
a barrier against moisture evaporation.
It is a major antioxidant nutrient which
retards cellular ageing and keeps skin healthy
and youthful by inhibiting the oxidation of
unsaturated lipids.
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Function
The key ingredients of Beta Gel stimulate the
Langerhans cells (the skin’s inbuilt immune
system) to activate the macrophages (white
blood cells which fight invaders) within the
dermis. Once activated, the macrophages
release a series of compounds that stimulate the
fibroblast cells to produce collagen and elastin.
Beta Gel contains potent antioxidant and free
radical scavenging capabilities.
Professional directions
„„Apply to clean skin. Can be applied directly on
sutures or closed wounds.
„„Follow with DMK serums, oils and
transepidermal crèmes.
NOTE: Beta Gel has excellent results when
applied in combination with Direct Delivery
Vitamin C.
Product combinations
Direct Delivery Vitamin C and all DMK
transepidermal crèmes, oils and sprays.
Selling tips
Beta Gel is a highly versatile
formulation designed for a
wide variety of skin conditions.
It should form part of each
client’s Home Prescriptive
routine to maintain skin health
and is an essential formulation
for clients that are undertaking
Alkaline Wash acne and
scar revision treatments.
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35
Direct Delivery Vitamin C
Direct Delivery Vitamin C is a highly potent
serum with strong anti-ageing and antioxidant
properties which inhibits and brightens
pigmentation.
Diagnostic
In addition to its anti-ageing properties and
antioxidant powers, Direct Delivery Vitamin C
helps to prevent acne scarring and encourages
healing. The serum is specifically formulated for
darker skin tones, pigmentation, scarring and
age management and is popular as a pre and
post-operative treatment.
Key ingredients
„„Vitamin C (Ascorbic Acid) – Acts as a free
radical scavenger which stimulates collagen
via the fibroblast cells and suppresses
melanogenisis. A potent antioxidant and antiinflammatory ingredient that acts to calm, heal
and regenerate the skin.
„„Ascorbyl Glucoside – Ascorbyl Glucoside
is broken down into L-Ascorbic Acid and
glucose by the enzyme Alpha-Glucosidase.
Because Ascorbyl Glucoside is broken down
into L-Ascorbic Acid, it has the same functions
as L-Ascorbic Acid: exhibiting high antioxidant
activity, acting as a coenzyme for enzymes
involved in collagen synthesis (namely Prolyl
and Lysyl Hydroxylase), and inhibiting the
synthesis of melanin. So what are the benefits
of using products with Ascorbyl Glucoside
as opposed to the usual vitamin C found in
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skin care formulations. Ascorbyl Glucoside
has greater stability than L-Ascorbic Acid,
which tends to break down in heat, light, in the
presence of oxygen, and in certain pH levels.
Ascorbyl Glucoside has excellent stability in
heat, light, and in the presence of oxygen
and metal ions when compared to other
forms of vitamin C. This means that Ascorbyl
Glucoside lasts over twice as long as other
forms of vitamin C, and thereby delivers the
effects of vitamin C to the skin for a longer
period of time.
„„Sodium Ascorbate – Non-acidic and more
soluble than Ascorbic Acid. It is more reactive
compared to Ascorbic Acid in building
connective tissues. Another difference of
Sodium Ascorbate from Ascorbic Acid is that
it is absorbed more efficiently by the body
since it provides a more bio-available source
of vitamin C as opposed to Ascorbic Acid.
„„Magnesium Ascorbyl Phosphate – A stabilized
source of vitamin C which helps to strengthen
and repair the skin whilst inhibiting Tyrosinase
(an enzyme that catalyzes the oxidation of
Tyrosine into melanin and other pigments).
„„Panthenol – Provides vitamin B5 and has
humectant like properties that promote
moisture absorption and act as a moisturizer
to smooth skin. It is a biologically active
substance with revitalizing and conditioning
effects well known for its ability to soothe the
skin. It enhances cellular stimulation, restores
barrier function and aids in vital tissue repair.
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Function
Product combinations
Regarded as one of our most powerful skin
rebuilding tools, Direct Delivery Vitamin C
is designed to help produce new collagen in
the skin by stimulating the amino acids in the
fibroblast cells. By focusing on the powers of
vitamin C, it addresses areas of the skin where
collagen fibres are becoming inactive.
Combine with Beta Gel and
Eye Tone.
The serum acts to:
Selling tips
Direct Delivery Vitamin C
is a synergistic blend of
stabilized vitamin C delivered
directly to the cellular level.
„„Affect the fibroblast cells to stimulate and
maximize collagen and GAGS regeneration.
„„Provide a strength and support system for
the skin.
„„Improve texture and firmness, producing a
more radiant, youthful appearance.
„„Restore the interstitial liquid (tissue fluid) of
the epidermis, bringing hydration and vitality
and creating a firmer, plumper and more
replenished skin.
Professional directions
„„Apply two pumps onto clean, dry skin and
work in.
„„Apply more onto areas of concern.
NOTE: Direct Delivery Vitamin C must be used
within 12 weeks of opening the bottle.
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37
ACU-MIST
Key Ingredients
Designed to help acne sufferers restore the
very important acid mantle (which acts as a
barrier against bacteria, and other potential
contaminants), eliminating acne-causing
bacteria fast, as well as hydrating the skin and
protecting against trans epidermal water loss.
„„ Salicylic Acid – Aids in the correction of abnormal
desquamation that occurs in acne-prone skin.
Salicylic Acid is especially helpful in treating
acne as it aids in penetrating the follicle.
Diagnostic
Function
ACU-MIST is a crucial part of the Klear
Collection routine. Sprayed over the skin and
combined with the ACU-MOIST moisturizer,
the duo work into the skin together – the mist
helping the moisturizer reach into the voids of
the skin.
After cleansing with ACU-KLENZ spray
ACU-MIST over the face and work into the
skin with ACU-MOIST.
Professional directions
TIP: ACU-MIST can be sprayed over the face
multiple times a day as an antibacterial barrier
and hydrator.
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„„Aloe Barbadensis Leaf Extract – Soothing,
healing and anti-inflammatory properties.
„„Spray directly onto cleansed skin and apply
ACU-MOIST.
„„Work into face, neck and décolleté together.
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ACU-KLEAR
Function
ACU-KLEAR is a Home Prescriptive product for
acne prone skin. This product helps to minimize
pimples and control acne breakouts.
„„ACU-KLEAR has an anti-bacterial action
fighting the acne-causing bacteria.
Diagnostic
ACU-KLEAR can be used on acne conditions
on either the face or the body.
Key Ingredients
„„Salicylic Acid – Aids in the correction of abnormal
desquamation that occurs in acne-prone skin.
Salicylic Acid is especially helpful in treating
acne as it aids in penetrating the follicle.
„„Azelamide – Inhibitor of 5-a reductase
(type 1). A sebum-balancer for greasy skin,
seborrhoeic skin and melanic spots.
„„Draws down into the follicle and kills the acnecausing bacteria.
„„Water based gel achieves deep penetration.
Professional directions
„„Start applying the product on infected areas
only. Apply to the breakouts and congestion
after cleansing and before ACU-MIST and
ACU-MOIST.
„„Gradually increase the thickness of
application as needed.
„„Niacinamide – Increases oxygenation within
the capillaries and acts as a toxic flush.
„„Krameric Trianda Root Extract – Naturally rich
in Lycopene and controls the stress hormonal
flux associated with acne conditions. Is naturally
rich Lycopene, a superior antioxidant. Helps to
calm inflammatory conditions.
„„Zinc Oxide & Magensium Ascorbyl Phosphate
– Long known as an "acne supplement", when
combined with vitamin C, Zinc becomes a
powerful anti-acne compound.
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39
ACU-MOIST
Function
ACU-MOIST is a key Home Prescriptive for acne
skins that require hydration whilst using the DMK
Klear Collection range. ACU-MOIST aims to
rebalance and regulate acne-prone skin.
ACU-MOIST revives hydration, inflammation
and healing, while aiding in rebalancing oily
congested skin. It also helps to alleviate the
flaking and drying effects caused by drying
acne treatments.
Diagnostic
Specifically formulated for clients on the
Klear Collection range, ACU-MOIST can be
prescribed for inflamed acne, deeply congested
and excessively oily skin.
Professional directions
„„Apply a thin layer of ACU-MOIST after
cleansing the skin and spray ACU-MIST.
Work into the skin together.
Key Ingredients
„„Safflower – Contains essential fatty acids and
acts as an antioxidant.
„„Allantoin – Enhances water retention.
„„Panthenol – Source of vitamin B5, contains
antimicrobial properties that are crucial to
controlling the growth and spread of bacteria.
Rebalances oil production – B5 increases
Coenzyme A, involved in the metabolism and
breaking down of sebum. Restores barriers
and promotes healing.
„„Zinc Oxide – Sunscreen. Zinc Oxide has a
broader UV absorption profile than titanium
dioxide, Zinc Oxide absorbs UV and does so
very effectively.
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ACU-THERM
Key ingredients
A petrolatum-free blemish gel designed to “heat
up” painful pustules, papules and pimples to
hydrolyze the hardened sebum wax and bacteria
trapped in pores.
„„Angelica Polymorpha Sinensis Extract (Dong
Quoi) – A traditional Chinese medicine used
to treat a variety of skin conditions including
boils and puss-filled acne.
Diagnostic
This topical spot gel is designed to heat up
(through a pseudo heat) and soften sebum plugs
allowing the pores to rid themselves of backed up
fluid and bacteria trapped within. Antibacterial
and anti-inflammatory ingredients are incorporated
to reduce contamination and swelling.
„„Dong Quoi – This herb contains compounds
called coumarins that stimulate blood
circulation to the skin and accelerate tissue
repair, other compounds of the herb block
the creation of prostaglandins, substances
that cause inflammation and pain associated
with acne.
Function
Ingredients
The ultimate “deep pore cleansing” tool.
Pseudo heat ingredients (herbal rubefacients):
„„Clove.
„„Cassia.
„„Capsicum.
All three ingredients are known for their
purging effects in skin and natural antibacterial
properties.
ACU-THERM is the ultimate deep pore
cleansing tool which softens blind pimples
and congested acne which can often be hard
to extract. Using a cotton bud, place a small
amount on to each blemish. As the ingredients
get to work, a hot sensation is felt. This is the
pseudo heat.
Professional directions
„„Apply directly to pimples, pustules and
blackheads.
„„Leave on for 1 or 2 minutes, and then wipe
away excess.
„„Discontinue use after the pimple starts to heal.
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41
Solar Damage Gel
Key Ingredients
Solar Damage Gel restores skin that has been
punished by age, harmful ultra violet rays,
climatic conditions and any external aggravation.
Solar Damage Gel is the antidote for cellular
fatigue. Restores the interstitial fluid of the
epidermis bringing hydration and vitality back,
creating a firmer plumper more replenished skin.
„„Aqua (Water).
„„Medicago Sativa Extract (Alfalfa).
„„Cimicifuga Racemosa Extract (Black Cohosh).
„„Glycyrrhiza Glabra Root Extract (Licorice
Root Extract).
„„Verbascum Thapsus Extract (Mullein).
„„Trigonella Foenum Graecum Seed Extract
(Fenugreek).
Diagnostic
Solar Damage Gel is suitable for:
„„Humulus Lupulus Extract (Hops).
„„Acne and congestion.
„„Capsicum Frutescens Fruit Extract.
„„Premature ageing, sun damaged and
environmental damaged skins.
„„Weakened skin, dehydrated with poor bounce
and turgidity.
„„After IPL, Laser or any heat and erythema
(redness) inducing treatments.
„„Dry, stressed, strained and taut skin.
„„Sensitive, inflamed, aggravated skin conditions.
„„Scarring and stretch marks.
„„Burns or any skin trauma.
„„Can be applied to any area of the face, neck,
eye area, hands or body.
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Function
Home Use
Solar Damage Gel has specific barrier protection
effects, helping to protect and rejuvenate the
skin. Designed to reduce inflammation and posttreatment irritation and redness.
„„After cleansing and applying DMK serums
oils and crèmes, apply a thin layer and gently
massage to help absorption. Can be used
morning and evening.
Pre and Post Treatment
Professional directions
When using Solar Damage Gel pre-operatively
or post-operatively the key benefits will be:
As a professional treatment formulation it can be
used in two different ways:
„„Cellular revision.
„„As a finishing moisture repair system, applied
at the end of your treatment regime.
„„A protective chain prior to treatment.
„„A build up of antioxidants.
„„Encourage healing.
„„Reduction in inflammation and post-treatment
irritation and redness.
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„„Used as a masque after Needling, Laser or
IPL or any treatments or peels that leave the
skin irritated, hot or inflamed. Apply a slightly
thicker layer and leave it to sink in for 5-7
minutes. Leave on the skin.
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43
Actrol Powder
Function
Actrol Powder is specifically formulated to
reduce excess sebaceous oils and fluids,
encourage healing and protect the skin.
The powder is suitable for sensitive, oily and
acne prone skins.
Actrol Powder increases skin healing and
puts a protective seal over the skin. Absorbs
oil better than talc by removing the excessive
shine promoted by oil production, without
drying out the skin. By eliminating the moist,
damp environment in which bacteria thrives, the
incidence of blemishes is reduced.
Key ingredients
Professional directions
„„Golden Seal, or Orangeroot – A herb with
healing properties.
„„With a dry DMK fan brush lightly dust over the
skin after all other Home Prescriptives.
„„Thymus Vulgaris – An antioxidant, antiseptic
and anti-inflammatory.
„„Actrol Powder can be applied under DMKC
Foundation and over the top.
Diagnostic
„„Vitamin C (Ascorbic Acid) – Acts as a free
radical scavenger which stimulates collagen
and suppresses melanogenesis via the
fibroblast cells. A potent antioxidant and
anti-inflammatory ingredient that acts to calm,
heal and regenerate the skin.
„„Chloroxylenol – Contains anti-bacterial and
anti-fungal agents and is used as to kill gram
positive and gram negative bacteria.
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DMK SOLEIL PROTECT 15 UVA & UVB
Product combinations
DMK SOLEIL PROTECT 15 UVA & UVB is
a light non-greasy sun crème that provides
protection without clogging pores.
DMK SOLEIL PROTECT 15 UVA & UVB can
be combined with all other DMK Home
Prescriptive products.
Diagnostic
Professional directions
DMK SOLEIL PROTECT 15 UVA & UVB can
be used on all skin conditions, but especially
acne since it does not clog the pores or leave
a greasy layer on top of the skin. Proper
protection is the first line of defence in
maintaining a youthful appearance.
„„Apply to skin every day, and re-apply as
needed after swimming and exercise or
extended sun exposure.
„„Use on the tops of hands and neck to avoid
premature ageing.
Key Ingredients
„„Titanium Dioxide – A light absorber which
protects against both UVA and UVB rays.
„„Allantoin – Soothes and calms the skin.
Function
DMK’s signature sun crème protects skin from
UVA and UBA rays that contribute to premature
ageing and pigmentation. It can be worn
everyday and under make-up without causing
break outs.
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DMK – Building a World of Confidence from the Outside In
45
DMK SOLEIL DEFENCE 50+ UVA & UVB
„„Phenylbenzimidazole Sulfonic Acid – UVB.
DMK SOLEIL DEFENCE 50+ UVA & UVB
is a non-greasy sunscreen that provides high
protection without clogging pores.
„„Diethylamino Hydroxybenzoyl Hexyl Benzoate
– Absorbs UVA. Transepidermal absorption.
Function
Diagnostic
DMK SOLEIL DEFENCE 50+ UVA & UVB can
be used on all skin conditions, especially acne,
as it does not clog the pores or leave a greasy
layer on top of the skin. Proper protection is
the first line of defence, in maintaining a
youthful appearance.
UVB is the major cause of sunburn and increased
skin cancer risk, while UVA contributes to ageing
of the skin, as well as skin cancer risk. Offering
protection from both UVA and UVB rays, this
broad spectrum sunscreen may assist in preventing
and reducing the risk of some skin cancers, as
well as aiding in the prevention of sunspots,
solar keratosis and premature skin ageing.
Ingredients
DMK’s premium sunscreen protects skin from
UVA and UBA rays that contribute to premature
ageing and pigmentation. It can be worn everyday
and under make-up without causing breakouts.
Product combinations
DMK SOLEIL DEFENCE 50+ UVA & UVB can
be combined with all other DMK Home
Prescriptive products.
Professional directions
„„Apply to skin every day, and re-apply as
needed after swimming and exercise or
extended sun exposure.
„„Use on the face, neck, body and top of hands
to avoid premature ageing.
Formulation – Protection against UVA & UVB
effects.
UV Absorbing Compounds:
„„Bemotrizinol – Provides a range of UV
spectrums covered. UVA1 and UVA2 and
UVB. Photo stable and stabilizes the other
less photo stable ingredients, it is very
compatible with other ingredients. No
estrogenic effects, non-toxic.
„„Octyl Methoxycinnamate – An organic ester,
absorbs UVB.
„„Octyl Triazone – Insoluable in water, long
lasting. Absorbs UVB.
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DMK – Building a World of Confidence from the Outside In
Foamy Lift
Selling tips
Combined with Exoderma Peel, Foamy Lift
masque is an effective home maintenance masque.
Foamy Lift masque is a potent conditioning
masque that can be used to maintain results
between professional Enzyme Treatments.
Diagnostic
It is recommended for any skin condition or color.
Professional directions
„„Citric Acid – Helps to improve dermal hydration.
„„Mix 2 teaspoons of Foamy Lift with 2
teaspoons of Exoderma Peel using the DMK
fan brush and apply in upwards strokes.
„„Aspartic Acid – A roborant that helps to
strengthen the tissue and capillaries.
„„Leave on for 30-40 minutes whilst keeping
head elevated to alleviate pressure.
„„Antioxidants – Fight and combat free
radical damage.
„„Remove with your DMK cleanser.
Ingredients
„„Finish with chosen serums, oils and
nourishing crèmes.
Function
„„Spray with Herb & Mineral Mist.
By mixing with Exoderma Peel, Foamy Lift
masque activates micro circulation to keep the
skin functioning between treatments. It tightens
and tones the skin by removing dead skin cells
and impurities. It also brightens the skin and
increases dermal hydration.
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47
Micro Peel
Function
Micro Peel offers a quick and non-irritating
method of removing dead cells and debris
to improve the appearance of dull, coarse or
wrinkled skin. It is an ideal quick exfoliation for
acne and congested skin.
Micro Peel is a gentle exfoliant to eliminate
dead cell material and to restore a fresh, soft,
glowing appearance.
Professional directions
„„Apply a thin layer to cleansed skin.
Diagnostic
Recommended for most skins.
„„Leave for five to ten minutes and rinse off with
warm towels.
Ingredients
„„Finish with the appropriate DMK serums, oils,
mists and nourishing crèmes.
„„Glycolic Acid – Removes dead skin cells on
the surface.
„„Lactic Acid – Stimulates cell renewal while
refreshing and re-texturing skin.
OPTIONAL: Follow Micro Peel with Acu Masque
or Hydrating Masque.
„„Citric Acid – Balances the pH and helps to
increase dermal hydration.
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Acu Masque
Function
Ideal for oily skins prone to blemishes, Acu
Masque is a diverse and versatile masque that
aims to fight acne-causing bacteria, purify the
skin, soothe and reduce redness, inflammation,
and unplug blocked ducts.
Acu Masque is designed to reduced stubborn
blackheads and blemishes by absorbing oils
and dissolving dead skin cells. It also purifies
ducts which are plugged by dead cells and
sebum, and prevents pimple eruptions, while
acting as an astringent on enlarged pores.
Soothes red irritated skin.
Diagnostic
It is strongly recommended for acne, congestion,
blackheads, open pores and oily or dull skin as
well as red, reactive, inflamed skins.
Professional directions
„„Cleanse and apply Acu Masque.
„„Leave for twenty minutes and rinse off with
warm water.
Ingredients
„„Sulphur – Topical Sulphur is harmful to various
strains of bacteria (which are the primary
cause of acne). It is called natures “beauty
mineral”, because it keeps hair glossy and
smooth and keeps the complexion clear
and youthful. Sulphur plays a part in tissue
respiration (the process whereby oxygen and
other substances are used to build cells and
release energy).
„„Apply DMK serums, oils and crèmes.
„„Kaolin – Kaolin calms and soothes skin with
fine particles that absorb excess oils.
„„Bentonite – It's highest power lies in its ability
to absorb toxins, acting like a magnetic
sponge pulling out impurities, congestion and
toxins without any harsh drying or stripping.
According to Verba Prima (a company based
in Ashland Oregon) Bentonite clay minerals
are negatively charged while toxins are
positive. These are attracted like a magnet
drawing metal shavings.
„„Zinc Oxide – Has a mild astringent action.
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49
Dermatox
Function
Dermatox is a 3-minute skin cleanser for
unhealthy skin. Dermatox aims to eliminate
impurities working to clear and brighten the skin.
Dermatox is ionized to turn the skin’s toxins
into a gas which evaporates from the skin. It is
designed to act like a liquid magnet for impurities
in the skin, drawing them to the surface of the
skin where they evaporate. This sometimes
causes unpleasant odours.
Diagnostic
Designed for those suffering from acne and
congested skin, as well as people with a high
environmental exposure to toxins, Dermatox
is especially recommended for city-based
people, smokers, drinkers and clients on
heavy medications.
Professional directions
„„For home use apply once to twice a week.
„„Apply to skin with a cotton ball and wait
3-5 minutes.
„„Rinse thoroughly with cool water.
Ingredients
„„Sea Salt – The drawing agent for toxins to rise
to the surface of skin.
„„A strong odour indicates a high level of
impurities being drawn from your skin.
„„Kelp – A detoxifying agent.
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DMK – Building a World of Confidence from the Outside In
Part 6
DMK Acne Treatments
This manual is intended to give skin technicians the theory around treatment options
and how they will help the acne condition. DMK is a very versatile system, there are
many options, it is important the DMK therapist is confident and has a solid knowledge
of each DMK professional formulation. DMK recommend acne clients undergo a
program integrating various treatments starting with a 12 treatment program.
Acne Quick Peel & Enzyme Treatment
Design a program for acne
Observed conditions
Programs consist of a series of treatments
starting with a 12 treatment program
utilising the different treatment options
overleaf. Treat weekly initially, then fortnightly,
and then monthly.
Severe inflammation with multiple papules,
pustules, nodules and cysts.
Function
Detoxifies the skin and prepares it for improved
functionality. Quick Peel removes the symptoms
of inflammation while Enzyme Masque #1 flushes
away toxins and increases oxygenation to the skin.
Protocol
„„Cleansing Protocol
„„Dermatox Protocol
„„Quick Peel Protocol
„„Ice, then apply Melanotech Protocol and
Pore Reduction Drops Protocol
„„Enzyme Masque #1 Protocol
„„OPTIONAL: Metier® Low Level Laser Protocol
„„Transepidermal Finishing Protocol
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Acne Prozyme & Enzyme Treatment
Protocol
Observed conditions
„„Cleansing Protocol.
Blackheads and superficial congestion.
„„Prozyme Protocol.
„„Sebum Soak Protocol.
Function
Prozyme ingests dead cell material and debris
from the skin’s surface while Sebum Soak
loosens impacted sebum making extractions
easier. Dermatox will release any toxic build-up
in the skin and Enzyme Masque #1 improves
skin functioning. The combination acts to shift
blackheads and resolve light congestion.
„„Extract and ice.
„„Dermatox Protocol, Pore Reduction Drops
Protocol, Melanotech Protocol.
„„Enzyme Masque #1 Protocol using
Aqua D'Herb.
„„Transepidermal Finishing Protocol.
Warning
Do NOT massage after the treatment.
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Acne Hydradermaze Treatment
Protocol
Hydradermaze is an advanced treatment
program designed to accelerate results when
treating very congested skin. It combines the
forces of Retosin, Prozyme, Pro Alpha #1 and
Enzyme Masque #1.
„„Cleansing Protocol using Deep Pore Pure
Observed conditions
„„Enzyme Masque # 1 Protocol using
Aqua D'Herb.
Ductal plugging caused by excess keratinisation,
non-inflamed, congested acne with open or
closed comedones, microcomedones, nodules
and open pores.
Function
Prozyme digests the dead cell material blocking
the sebaceous glands and hair shafts while Pro
Alpha #1 aids the penetration of AHA’s into the
epidermis. When combined, Prozyme and Pro
Alpha #1 draw water and congestion up to the
skin’s surface removing blockages.
„„Dermatox Protocol.
„„Prozyme Protocol for 10 minutes.
„„Pro Alpha #1 Protocol, Melanotech Protocol,
Pore Reduction Drops Protocol.
„„Transepidermal Finishing Protocol using
Melanotech, Pore Reduction Drops, then
Beta Gel and Direct Delivery Vitamin C.
Apply Herbal Pigment Oil sprayed with Herb
& Mineral Mist. Followed by Contraderm
sprayed with Herb & Mineral Mist. Lock
in with Hydrophilic Crème. Finish with
DMK SOLEIL PROTECT 15 UVA & UVB.
Enzyme Masque #1 restores optimal skin
functionality by bringing a fresh supply of rich
nutrients and increased oxygenation to the cells
helping tissue repair and regenerate, increasing
the cell's metabolic rate, and circulation.
Warning
„„Skin may be red or sting for 1 to 2 days
after treatment.
„„Crusty, dry patches are common.
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AlphaZyme
Acne Evacuderm Treatment Program
Observed conditions
Observed conditions
Dislodge acne impaction and clear the pores.
Evacuderm Treatment Protocol is for a more
deep-seated congestion, where the compaction
is trapped deep down in the sebaceous glands
and hair shafts. This needs to be brought to the
surface in order for us to effectively clean it out.
Protocol
„„Cleanse with Deep Pore Pure.
„„Apply Pro Alpha #1 to the skin and occlude
with cling film and hot towels for 5 to 10 mins.
Remove the occlusion and blot with a tissue
to remove from the surface.
„„Heat the skin, mix Prozyme with Aqua D'Herb
and apply to the skin. Occlude and leave on
for 10 mins. Remove Prozyme well with warm
moist towel and ice.
„„Heat the skin, mix Sebum Soak with Aqua
D'Herb, and apply to the congested areas.
Heat and leave on for 5 mins. Perform
extractions then remove the Sebum Soak
and ice.
Function
Pro Alpha #1 and #2 are used to quickly
release and bring to the surface trapped sebum
and dead cell material, Prozyme removes the
dead cells and waste material, while Enzyme
Masque #1 restores optimal skin functioning
by improving lymphatic drainage and circulation
bringing fresh nutrients and oxygen to the skin.
The combined formulations bring congestion
to the surface, flush out the debris and restore
optimal skin functionality.
„„Dermatox.
Warning
„„Ice and apply Pore Reduction Drops,
Melanotech, LLL, Enzyme Masque #1 mixed
with Aqua D'Herb and leave on for 45 mins.
„„Do NOT perform on a full face or as the
client’s first treatment.
„„Transepidermal Finishing Protocol using Pore
Reduction Drops, Melanotech, Beta Gel,
Direct Delivery Vitamin C, ACU-KLEAR
directly onto the pimples, Contraderm with
Herb & Mineral Mist, Solar Damage Gel,
DMK SOLEIL PROTECT 15 UVA & UVB, dust
over with Actrol Powder.
„„Finish with a light covering of DMKC
Foundation mixed with Crème Glacé.
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Treatment 1 - Day 1
Red Vein Protocol – R.V.T
„„Cleansing Protocol.
Observed conditions
„„Dermatox Protocol.
Red acne scarring and deeply congested areas.
„„Select a strength for Pro Alpha #1 and Pro
Alpha #2 and mix the solutions in a DMK
mixing bowl.
Strength 1:
50% Pro Alpha #1, 50% Pro Alpha #2.
Strength 2:
25% Pro Alpha #1, 75% Pro Alpha #2.
„„Apply 2 layers to the relevant areas. Never
perform more than 2 layers, otherwise the
client should be prescribed the Pro Alpha
Six-layer Peel.
Protocol
„„Cleanse with Deep Pore Pure.
„„Apply Red Vein Crème to the area being
treated, and then allow it to sit on the skin
for 5 minutes before blotting the area with a
tissue and leaving the remaining Red Vein
Crème on the skin.
„„Mix Enzyme Masque #1 with Aqua D'Herb
and apply over the top and leave on for
45 minutes.
„„After treatment, advise the client to leave the
solution on their skin for 12 hours. Remove
with warm (not hot) water and gently pat dry.
„„The client will go home with the solution on,
and then 12 hours later gently cleanse the
skin, and apply their DMK day regime.
„„Remove the Enzyme Masque and finish with
Pore Reduction Drops, Melanotech, Beta
Gel, Direct Delivery Vitamin C, Seba-E
and spray with Herb & Mineral Mist before
applying Biogen C, Solar Damage Gel,
DMK SOLEIL PROTECT 15 UVA & UVB.
Treatment 2 - Day 3 or 4
„„Prozyme Protocol for 10 minutes.
„„Perform extractions and Low Level Laser
Protocol.
„„Ice, then apply Melanotech Protocol.
„„Pore Reduction Drops Protocol.
„„Enzyme Masque #1 Protocol using
Aqua D'Herb.
„„Transepidermal Finishing Protocol using
Melanotech, Direct Delivery Vitamin C and
Beta Gel sprayed with Herb & Mineral Mist.
Apply Contraderm sprayed with Herb &
Mineral Mist. Lock in with Hydrophilic Crème.
„„Finish with DMK SOLEIL PROTECT 15 UVA
& UVB.
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Eliminaire
ACUTROL Basic
Observed conditions
Observed conditions
An acne treatment protocol to flush and
eradicate deep congestion and redness.
For acne and Rosacea. Increases healing, fights
bacteria, and encourages a faster recovery.
Protocol
Protocol
„„Cleanse.
OPTIONAL - Exfoliation can be performed
using: Desquamate, Quick Peel, Pro Alpha #1
occlusion, Prozyme or microdermabrasion.
„„Dermatox.
„„Desquamate for 10 mins.
„„ Red Vein Crème and spray with Herb & Mineral
Mist, work into the impacted areas leave for 3
mins then blot and apply Enzyme Masque #1
mixed with Aqua D'Herb over the top.
„„Transepidermal Finishing Protocol using Pore
Reduction Drops, Melanotech, Beta Gel,
Direct Delivery Vitamin C, ACU-KLEAR
on the breakouts, Seba-E, Herb & Mineral
Mist, acu crème, Solar Damage Gel, DMK
SOLEIL PROTECT 15 UVA & UVB and dust
over with Actrol Powder.
„„Apply DMKC Foundation.
„„Cleanse with either Deep Pore Pure or
Milky Clean & Pure.
„„Dermatox.
„„Apply Pore Reduction Drops, Melanotech,
Low Level Laser.
„„ Dust the skin over with Actrol Powder and
mix Enzyme Masque #1 with Aqua D'Herb.
Apply over the top of the Actrol Powder.
Leave on for 45 mins.
„„Transepidermal Finishing Protocol using Pore
Reduction Drops, Melanotech, Beta Gel,
FIBROMAX C™, Direct Delivery Vitamin C,
ACU-KLEAR on eruptions and congestion,
Seba-E sprayed with Herb & Mineral Mist,
Contraderm sprayed with Herb & Mineral
Mist. Dust over with Actrol Powder.
„„Apply DMKC Foundation.
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ACUTROL Advanced
Protocol
ACUTROL Advanced utilizes Alkaline Wash
solution.
„„ Cleanse with either Deep Pore Pure or Milky
Clean & Pure.
„„Alkaline, neutralize.
Observed conditions
„„Ice, Pore Reduction Drops, Melanotech,
Low Level Laser, dust over with Actrol Powder.
For inflamed cystic acne and Rosacea.
Increases healing, fights bacteria, and
encourages a faster recovery.
„„Enzyme Masque #1 mixed with Aqua D'Herb
apply over the top, leave on for 45 mins.
Functionality
„„Swells, softens and dissolves to remove
excess cell build-up and release inflammation,
impaction and kill the acne causing bacteria.
„„Alkaline Wash plus Enzyme will dislodge
the underling manifestation and eliminate the
inflammation and infection.
„„Finishing Protocol: Pore Reduction Drops,
Melanotech, Beta Gel, Direct Delivery
Vitamin C, ACU-KLEAR on eruptions and
congestion, Seba-E sprayed with Herb &
Mineral Mist, Contraderm sprayed with Herb &
Mineral Mist. Dust over with Actrol Powder.
„„Apply DMKC Foundation.
NOTE: pH Revision treatments are best
performed every 14 days. For a rapid response,
alternate treatments. Always reassess the
skin and treat according to the condition that
presents itself. You may do an Alkaline Wash
and Enzyme Treatment, then 2 weeks later
perform a Prozyme and Enzyme Treatment
or Hydradermaze, and keep alternating.
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Warnings for the use of pH Revision
FRP (Face Remodelling Procedure)
Treatment Program
Clients may experience the following
temporary side-effects after pH Revision
for acne:
What is RP? “Remodel: to reconstruct, return to
its original healthy state.”
Remodel the abnormal processes that have
developed as a result of the acne.
„„Weeping or rubbery skin.
„„Redness.
Reconstruct the architecture of the skin, and
return skin to its original or properly functioning
condition.
„„Hot, stinging, red or raw skin.
„„Crusty and dry patches.
„„A rush of oil over night or the next day
(this will normalize quickly).
„„A small amount of scabbing similar to
gravel rash (this is more likely to occur after
a first treatment and cannot harm the skin
if it is left to come off naturally).
„„Dry and tight skin after 2 to 3 days.
RP removes build-up and enhances the skin’s
own ability to remove excess keratin plugs within
the ducts.
Re-establishes a healthy environment for normal
cell proliferation.
FRP should be used instead of Pro Alpha Sixlayer Peel for clients who have congested or oily
skin or are prone to breakouts.
Observed conditions
A thick build-up of dead skin cells and
pigmented, oily or congested skin on the
face, excellent for acne scarring. Once the
inflammation has been reduced RP can help to
blow out the deep congestion and reduce the
scarring and pigmented marks. By adding the
RP into your acne treatment program the results
will be much faster.
Function
The FRP (Face Remodelling Procedure) is an
alternative treatment to Pro Alpha Six-layer Peel
for clients who have congested or oily skin or are
prone to breakouts.
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RP - Contraindications
Home Prescriptives
„„Do not use on Indian skin.
„„Cleanse with Deep Pore Pure or
ACU-KLENZ.
„„Caution is required on darker skins.
„„Clients that are allergic to Retosin or Pro
Alpha #1 or #2 will need a patch test.
„„Do not use on eczema, dermatitis, psoriasis
or any inflamed skin.
„„Do not use on anyone who is averse to peeling.
„„Not suitable for clients on medications, or
those who have autoimmune disorders.
„„Cold sore sufferers will be prone to getting
an eruption – consult doctor for the cold sore
prevention medication prior to RP.
„„Apply Direct Delivery Vitamin C, Beta Gel,
Herbal Pigment Oil sprayed with Herb &
Mineral Mist.
„„Apply Contraderm sprayed with Herb &
Mineral Mist.
„„Apply Solar Damage Gel and finish with
DMK SOLEIL PROTECT 15 UVA & UVB.
„„Take 4 DMK Efa Plus supplements.
Treatment 1 - Day 1
„„Cleansing Protocol.
Pre-Treatment Protocol
„„RP for Face Protocol.
„„DMK skin technicians must perform a
minimum 2 to 4 Body Enzyme Therapy
Treatments on the area to be remodelled.
„„Mix 1 teaspoon of Pro Alpha #1, 2 teaspoons
of Pro Alpha #2, and 1 teaspoon Retosin in
a DMK bowl with a cotton tip. Apply gently
to the area being treated until the area is
completely covered, and won’t absorb more
solution. Inform the client that skin may sting
and become heated. Fan the client.
„„Client MUST perform the following Home
Prescriptives regime for 10 nights prior to the
first RP Treatment:
¡Cleanse with Deep Pore Pure or Milky Clean
& Pure.
¡Alternate Retosin and Super Bright for
10 nights.
„„Client must also follow the FRP Home
Prescriptive regime.
„„Client will leave RP solution on for 8 hours
or overnight.
„„Advise client to follow the FRP Home
Prescriptives regime. Tell them to be extremely
gentle when cleansing and not to rub their
skin with a towel as this may break or tear
the skin.
NOTE: Remind clients that they should not
use Retosin and Super Bright for the rest of
the program.
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59
Day 3
Treatment 4 - Day 10
Advise client to follow the FRP Home
Prescriptives regime (morning and night).
„„OPTIONAL: Metier® Low Level Laser Protocol.
„„Enzyme Masque #1 Lift Off Protocol.
„„Apply the Dermafield transducers to the client
set to Program 6.
Day 4
Advise client to follow the FRP Home
Prescriptives regime (morning and night).
„„Transepidermal Finishing Protocol as per
Treatment 2.
Treatment 3 - Day 5
„„OPTIONAL: Metier® Low Level Laser Protocol.
„„Enzyme Masque #1 Lift Off Protocol.
„„Apply the Dermafield transducers to the client
set to Program 6.
„„Transepidermal Finishing Protocol as per
Treatment 2.
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RP for Body Protocol
Remodelling Procedure post-treatment for
breakouts
„„Cleansing Protocol.
Observed conditions
„„RP for Face Protocol.
„„Mix 1 teaspoon of Pro Alpha #1, 2 teaspoons
of Pro Alpha #2, and 1 teaspoon Retosin in
a DMK bowl with a cotton tip. Apply gently
to the area being treated until the area is
completely covered, and won’t absorb more
solution. Inform the client that skin may sting
and become heated. Fan the client.
„„Client will leave RP solution on for 8 hours
or overnight.
Function
This treatment uses Alkaline Wash to reduce
the severity of post peel breakouts and prevent
scarring from taking place.
Warning
„„Advise client to follow the FRP Home
Prescriptives regime. Tell them to be extremely
gentle when cleansing and not to rub their
skin with a towel as this may break or tear
the skin.
NOTE: Remind clients that they should not
use Retosin and Super Bright for the rest of
the program.
Whiteheads or cystic pimples during the
Remodelling Procedure Treatment Program.
Alkaline Wash is ONLY to be used by trained
DMK skin technicians who have completed
the pH Revision training course. Do NOT
occlude as heat should NEVER be applied after
Alkaline Wash.
„„Do not use on Asian or Indian skins.
„„Clients may experience redness, irritation,
dryness and some scabbing after treatment.
„„Advise cold sore sufferers that they may
experience eruptions after treatment and may
want to consult their doctor for preventative
medication prior to having the peel.
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Part 7
Professional Acne Treatment Programs
Acne is a chronic condition. All skin conditions represent physical manifestations of
abnormal processes. Understanding the underlying processes will help you to develop
the right treatment for your client. Once you grasp the principles, you can apply them to
individual cases.
It is important to understand that even when the skin looks clear, acne impactions and
tension exist in the follicles. If you could see inside these weakened follicles, you would
see constant breaking, leaking and healing activity.
When acne skin is clear, a delicate balance has been struck with the condition. When
stress weakens the body, healing is temporarily interrupted and acne will re-occur. As
acne is a chronic condition, it must be treated continually until the client has reached the
age when it no longer occurs.
Treatment overview
DMK treatments are tailored to specific skin conditions. The DMK acne range includes a variety of
products designed to target different grades of acne.
Inflamed
acne
Non-inflamed
acne
Blackheads
ductal plugging
Retosin
√
√
√
DMK Efa Plus
√
√
√
Treatment/product option
Klear Collection
Acne Quick Peel & Enzyme Treatment
Acne Prozyme & Enzyme Treatment
√
Acne Hydradermaze Treatment
√
Acne pH Revision & Enzyme Treatment
√
Acne RP Treatment Program
√
√
Acne Evacuderm Treatment Program
√
√
√
√
Alphazyme Treatment
√
√
Eliminare Treatment
√
√
ACUTROL Treatment
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√
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√
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Example – 12 week program for
inflamed acne
Treatment 2 – Week 2
This is an example of a sequence of treatments
which can be modified and adjusted according
to the presenting condition.
Treatment 1 – Week 1
Cleanse, Desquamate, Sebum Soak, extract,
ice, LLL (low level laser) or HF (High frequency),
Dermatox, ice, Melanotech, Pore Reduction
Drops, Enzyme Masque #1 mixed with Aqua
D'Herb.
Transepidermal Finishing Protocol using
Melanotech, Pore Reduction Drops,
FIBROMAX C™, Beta Gel, Direct Delivery
Vitamin C, ACU-KLEAR on breakouts, Herb
& Mineral Mist, Contraderm, DMK SOLEIL
PROTECT 15 UVA & UVB, dust over with Actrol
Powder and finish with DMKC Foundation
mixed with Crème Glacé.
Cleanse, Quick Peel, Sebum Soak, extract, ice,
LLL or HF, Dermatox, ice, Melanotech, Pore
Reduction Drops, Enzyme Masque #1 mixed
with Aqua D'Herb. Transepidermal Finishing
Protocol.
Treatment 3 – Week 3
ACUTROL Advanced. Get the client to start
Foamy Lift and Exoderma Peel at home 3 days
after the ACUTROL treatment then Micro Peel
and Acu Masque 3 days after that and keep
doing this routine to assist the results with the
home treatments.
Treatment 4 – Week 5
Treatments are now performed every 2 weeks.
Hydradermaze.
Treatment 5 – Week 7
ACUTROL Advanced.
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63
Treatment 6 – Week 9
Hydradermaze. Use ACU-THERM and Retosin
one night and then Red Vein Crème on the
worst areas the other night.
Treatment 7 – Week 11
Example – 12 week program for
non-inflamed acne
This is an example of a sequence of treatments
which can be modified and adjusted according
to the presenting condition.
Treatment 1 – Week 1
ACUTROL Advanced.
Treatment 8 – Week 13
Cleanse, Dermatox, Quick Peel, Sebum Soak,
extractions, ice, LLL or HF, Melanotech, Pore
Reduction Drops, Enzyme Masque #1 mixed
with Aqua D'Herb. Transepidermal Finishing
Protocol.
Treatment 9
If the inflammation has subsided you can now
perform RP or you can continue to perform
treatments every two weeks alternating treatment
options. Also now add in AlphaZyme and
Eliminare. Even after the RP there will need to be
some fine tuning to clear the last areas.
Cleanse, Desquamate, Sebum Soak, extract,
ice, LLL (low level laser) or HF (High frequency),
Dermatox, ice, Melanotech, Pore Reduction
Drops, Enzyme Masque #1 mixed with Aqua
D'Herb.
Transepidermal Finishing Protocol using
Melanotech, Pore Reduction Drops,
FIBROMAX C™, Beta Gel, Direct Delivery
Vitamin C, ACU-KLEAR on breakouts, Herb
& Mineral Mist, Contraderm, DMK SOLEIL
PROTECT 15 UVA & UVB, dust over with
Actrol Powder and finish with DMKC mixed
with Crème Glacé.
Treatment 2 – Week 2
Prozyme 10 mins, Sebum Soak, extract,
Dermatox, ice, LLL or HF, Melanotech, Pore
Reduction Drops, Enzyme Masque #1 mixed
with Exoderma Peel. Transepidermal Finishing
Protocol.
Treatment 3 – Week 3
Hydradermaze. Only perform the Pro Alpha
Occlusion on the congested areas.
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Treatment 4 – Week 4
Treatment 10 – Week 14
Quick Peel, Sebum Soak, extract, ice, LLL
or HF, Dermatox, ice, Melanotech, Pore
Reduction Drops, Enzyme Masque #1 mixed
with Aqua D'Herb. Transepidermal Finishing
Protocol.
If the inflammation has gone you can now
perform an RP, or you can continue to perform
treatments every 2 weeks alternating treatment
options. Also now add in AlphaZyme, Eliminare.
Even after the RP there will need to be some fine
tuning to clear the last areas.
Treatment 5 – Week 5
Treatment 11 – Week 16
Hydradermaze.
Rhinovac only on the worst areas.
Treatment 6 – Week 7
Treatments are now performed every 2 weeks.
ACUTROL Advanced.
Treatment 12 – Week 18
ACUTROL Advanced.
Treatment 7 – Week 9
Treatment 13 – Week 19
Eliminare. Use ACU-THERM and Retosin one
night, then Red Vein Crème on the worst areas
on the other night.
Eliminare.
Now perform monthly treatments.
Treatment 8 – Week 10
AlphaZyme.
Treatment 9 – Week 12
Cleanse, Dermatox, Quick Peel, Sebum
Soak, extractions, ice, LLL or HF, Melanotech,
Pore Reduction Drops, Enzyme Masque
#1 mixed with Aqua D'Herb. Transepidermal
Finishing Protocol.
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Acne scar revision
A DMK skin technician should be able to
diagnose the type of scar and advise the client
of medical and non-medical treatment options.
Diagnosis
Scars are a result of the skin’s natural defense
system. If the skin is compromised by laceration,
burning or picking, it’s defence system will
immediately begin forming new cells.
Scars occur when new cells develop too fast
or too slow. Cell proliferation is regulated by
Langerhans cells, which aid in the immunity
of the skin, and the production of the enzyme
collagenase. If one of these elements is missing
or damaged, then abnormal cell proliferation
is likely.
The speed of proliferation of new cells is driven
by age, health, genetic and racial factors, as well
as injury, drugs or the presence of infection.
„„Blood supply to the area.
„„Thickness and colour of skin (including
genetic aspects).
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Treatment options
DMK utilizes a formulation that dissolves and
softens the area to stimulate the tissue to
reform. Following removal, the area is rebuilt
and repaired in a smoother, firmer fashion. Scar
removal is a long-term project. Patience and
commitment are necessary.
Microdermabrasion
„„The direction of the scar on the skin (across
or with the grain of the skin).
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The rebuilding process requires active
ingredients with a small enough molecular
structure to penetrate deep within the skin.
Topical crèmes that work on the skin’s surface
will not remove or reduce scars.
Scars on ageing skin tend to look deeper as the
skin loosens with age, particularly in the case of
“ice pick” acne scars. By tightening the skin with
Enzyme treatments, skin receives a lift which
smoothes out the appearance of scars.
„„Size and depth of the wound.
Scar tissue is still skin tissue. It only becomes
scar tissue after the injury causes the
desmosomes (cell structure specialized for
cell-to-cell adhesion) to release new cells to
surface much faster than the client’s natural
There are many crèmes on the market that
claim to eliminate scars, but a truly effective
treatment needs to re-damage and remove the
scarred tissue, which will then repair and rebuild
stronger, firmer tissue beneath.
Enzyme skin tightening treatments
The development of a scar depends on how
the body heals and the extent of the original
injury. The variables that affect the severity of
scarring include:
Functionality
cell proliferation. It is possible for the scar to be
softened, partially removed and de-pigmented.
Over time, continuous microdermabrasion
treatments will plane down hypertrophic scar
tissue. However, microdermabradors have a
limited impact. The skin tissue under a scar
needs to be rebuilt many times. The correct
chemistry offered by Home Prescriptives can
achieve a result for this type of scarring.
DMK – Building a World of Confidence from the Outside In
Pro Alpha Six-layer Peel
RP (Remodelling Procedures)
Pro Alpha Six-layer Peel can help to reduce the
size of large areas of scarring which can then
be revised through alternating pH Revision,
Prozyme and Enzyme Therapy Treatments.
If clients cannot undergo a Pro Alpha Six-layer
Peel, then alternate treatments using ACUTROL
Advanced and Hydradermaze every 14 days.
RP revises the skin by looking at the underlying
cause of premature ageing. RP aims to revise the
processes that have developed as a result of the
sun or environmental damage. RP is a treatment
to consider for revising sun-damage, premature
ageing, and loose sagging and wrinkled skin. RP
is focused on improving confidence and happiness.
pH Revision for scarring
Pro Peel
pH Revision can be used to swell, soften and
dissolve scarred tissue, thus stimulating tissue
to reform. After removal, Enzyme Therapy is
performed to rebuild a stronger, firmer tissue to
replace the old scar tissue.
Pro Peel is a treatment recommended to
revitalise thickened, uneven, sun-damaged,
sluggish or congested skin with this 6-8
week progressive resurfacing and rebuilding
procedure. This is the ideal alternative for those
wanting similar results to the Pro Alpha Six-layer
Peel, but don’t have the downtime.
Alkalize the tissues
Alkalizing the skin correctly, softens the tissue
and creates a mild irritation that forms a thin scab.
When the scab falls off, the skin appears flatter.
Hydradermaze
Hydradermaze is an advanced treatment program
designed to help clear acne and congestion.
Performed fortnightly for 12 weeks, Hydradermaze
addresses the factors involved in the
pathophysiology of acne. By combining the forces
of Retosin, Prozyme, Pro Alpha #1 and Enzyme
Masque #1, Hydradermaze aims to achieve fast,
effective results in very congested skin.
AlphaZyme
Designed to dislodge acne impactions and
clear the pores, AlphaZyme utilizes Prozyme as
well as heat to soften dead skin cells and clear
pores. Finished with extractions, Dermatox, and
Enzyme Masque #1, AlphaZyme is the ultimate
skin-clearing, detoxifying facial treatment.
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Before
After
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67
Scar Revision Treatment Protocols
Example 1
Treatment 1 – Week 1
Cleanse, Dermatox, Desquamate, Enzyme
Masque #1 mixed with Aqua D'Herb.
Transepidermal Finishing Protocol using
Melanotech, FIBROMAX C™, Beta Gel, Direct
Delivery Vitamin C, Herbal Pigment Oil, Herb
& Mineral Mist, Contraderm, DMK SOLEIL
PROTECT 15 UVA & UVB and dust over with
Actrol Powder. DMKC Foundation can be
applied over the top to conceal the scar.
Before
Treatment 2 – Week 2
Cleanse, Dermatox, Enzyme Masque #1 mixed
with Desquamate.
Cleanse, Alkaline Wash pH Revision, Melanoplex
Drops, Pore Reduction Drops, Enzyme
Masque #1 mixed with Exoderma Peel. Same
Transepidermal Finishing Protocol as above.
Treatment 3 – Week 3
Cleanse, apply Enzyme Masque #1 mixed with
Exoderma Peel. Same Transepidermal Finishing
Protocol as above.
68
After
Example 2
Treatment 1 – Week 1
Transepidermal Finishing Protocol using
Melanotech, FIBROMAX C™, Beta Gel, Direct
Delivery Vitamin C, Herbal Pigment Oil, Herb
& Mineral Mist, Contraderm, and DMK SOLEIL
PROTECT 15 UVA & UVB. DMKC Foundation
can be applied over the top to conceal the scar.
After the first treatment prep the skin for a Pro
Alpha Six-layer Peel.
After this treatment prep for RP (Remodelling
Procedure) prep for 2 weeks alternating Retosin
and Super Bright at night. Follow by full Home
Prescriptive routine and DMK Efa Plus.
Treatment 2 – Week 2
Treatment 4 – Week 5
RP.
Enzyme Masque #2 and #3 skin strengthening
treatment.
Treatment 5 – Week 7
Treatment 4 – Week 5
After the RP, alternate Alkaline Wash and
Prozyme Treatments focusing only on the last
areas of scarring. The other option is to perform
Liquid Laser on the last areas of scarring to
revise them back even further.
Enzyme Masque #2 and #3 skin strengthening
treatment.
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Treatment 2: Pro Alpha Six-layer Peel.
Treatment 3 – Week 4
Treatment 5 – Week 6
Prep the scarred areas for RP.
DMK – Building a World of Confidence from the Outside In
Treatment 6 – Week 8
Treatment approach
Perform RP on the scarred areas only.
Performing a program of regular treatments you
can closely monitor and maintain the client’s
progress. A realistic program contains 12 treatments
that are between 7 and 14 days apart. The products
Retosin, DMK Efa Plus, ACU-KLENZ, ACU-MIST,
ACU-MOIST, ACU-THERM, ACU-KLEAR are
the foundations of all acne treatment protocols.
Treatment 7 – Week 10
Reassess the skin and perform any last revision
alternating Alkaline Wash and Prozyme Treatments
until the client is satisfied with the result.
Before beginning any treatment, it is imperative
that you diagnose skin conditions and
thoroughly explain to the client what is needed
to correct and restore the skin. Typically acne
manifests over a long period of time. Clients that
commit to a treatment program are more likely to
see real functional changes in their skin.
Home Prescriptives work to maintain results on a
long-term basis.
Before
After
NOTE: Always start the treatments by taking
photos and signing the client consent form.
Our goals during treatment are to:
„„Cleanse and soften.
„„Exfoliate and remove excessive keratinisation
and prepare the skin for extraction.
„„Extract to evacuate the follicle.
„„Remove toxins and waste material by effective
lymph drainage.
„„Treat the skin enzymatically which restores
optimal functionality.
By alternating formulations, the skin responds
more rapidly to treatment. Continually assess
the skin and treat it according to what condition
presents itself. Hydrate the skin to prevent it from
becoming resistant to treatment and to minimize
discomfort. Always protect skin with DMK
SOLEIL PROTECT 15 UVA & UVB.
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DMK – Building a World of Confidence from the Outside In
69
The Effective Treatment of Acne
Article by Danné Montague King
Not unlike a lot of skin therapists, as a teenager I was a victim of acne vulgaris. In those
days we treated acne with a chalky beige crème called Clearasil, but since the product
never really dried out the skin, it would crack with the slightest facial movements.
I avoided smiling at all costs, earning me the title of the “death mask kid!”.
Funny stories aside, a teenage acne condition
is far from amusing. There is a feeling of utter
hopelessness, not to mention vulnerability to
the repulsion of the opposite sex. After years
of experimenting with dermatologists and
backyard potions, I decided to take destiny into
my own hands.
I felt that using ivory soap twice a day along with
astringents was the wrong approach. As a kitchen
chemist, I knew all about acids and alkaloids.
After all, the first soaps were made from ash
and fats.
It occurred to me that the alkaloids in commercial
bars of soap, no matter how pure or botanical the
oils used in manufacturing were, would convert the
acid oil in my skin into pre-deposited fats as well. I
realized that this was a likely cause of the plugs of
soap or wax in my pores!
After reading up on Native American lore
and ancient methods of cleaning, I started to
experiment with the powers of natural saponin
obtained from tree barks. I stripped the bark,
soaked them in water and pounded the inside
cellulose into a pulp. This pulp was filtered
into a bottle and combined with powdered
ascorbic acid as a preservative, to form my
first treatment product.
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It kickstarted a period of wild experimentation.
I whipped up odd masks made from oatmeal,
tomatoes, okra and wheat germ. I made a crude
crème with sodium alginate, olive oil and again,
vitamin C which seemed to hold water in my skin
without being greasy like conventional ‘moisture’
crèmes of the day. I altered my diet, refused fatty
foods and replaced soft drinks with water. I was
determined to be as beautiful and as popular as
the blemish free boys in school.
In my 17th year, my skin began to change
and my confidence soared. I was invited to
parties, noticed by girls and even ended up
securing the romantic lead role in a play at the
Queen Elizabeth Theatre in Vancouver, British
Columbia, Canada.
However, my adolescent experience stayed with
me throughout my professional career. As a
scientist, I always want to know why something
works, not just that it does.
The cause of acne
There are as many varieties of acne as there
are stars in the sky. It takes intensive training
to recognize and diagnose each basic category
or combination of categories. As a DMK skin
technician, knowing this list by heart will do you
little good unless you know the cause.
DMK – Building a World of Confidence from the Outside In
Beyond genetic condition, the greatest
contributing factor to acne is stress. Picking,
squeezing, pressure, friction, lifestyle, birth
control pills, cosmetics, climate and diet, all play
their part, but stress is the big one.
Imagine a gland at the top of the head called
the Hypothalamus. Think of it as sort of a radio
antenna that receives all signals of stress
confronting the human body. The signal is relayed
from this gland to the Pituitary (the master gland)
located further down at the base of the skull.
The Pituitary gland, receiving this message of
stress, repeats the message to the adrenal
glands, which then activate testosterone,
also living in all female bodies. Testosterone
stimulates the hair follicles to increase the hair
population and pump more sebaceous oil onto
the skin. This aggressive relay of messages is all
due to stress.
least one petrolatum formula which hydrolyzes
infection when applied to a hardened cystictype pustule. It works on the principle of creating
pseudo-heat within the pustule.
Skin care is a matter of experience and
understanding. Fads in ingredients and products
may come and go, but one thing stays the
same: acne skin needs to be decongested, the
acid mantle restored to normal, and the flow
of sebaceous oil regulated. This is the DMK
principle of Remove-Restore-Protect-Maintain.
DMK removal methods
DMK’s concept draws heavily on the science
of enzymes. It is the macrophage action of
enzymes – the skin’s biological catalysts – which
have placed enzyme treatments at the forefront
of dead skin cell removal for acne skins.
Ingredient fads
AHA’s can be a dangerous ingredient in the
wrong hands due to their stripping actions.
However, a well blended, multiple AHA formula
in a low strength makes a wonderful removal
system. If applied to the skin as an ‘occlusion’
masque under strips of cling film, this approach
breaks up stubborn Milia and allows the
therapist to perform extractions with minimal
scarring. AHAs are NOT for home use on acne
individuals despite the current popularity of
AHA products.
There are a multitude of articles about acne and
recommended treatments. Some of them contain
cut-away skin section drawings suggesting that
the technician must have X-ray eyes in order to
identify a certain condition, others bamboozle with
long lists of ingredients. Others still identify certain
ingredients as ‘bad’.
Finally, playing with the pH is an effective tool to
revise truly inflamed conditions. An acid formula
will ‘harden’ the dead and dying corneum very
quickly and the brittle cells then sort of ‘pop off.’
An alkaline solution will ‘soften’ the corneum and
any keratinized proteins on the skin as well as
hair. This is very good for Folliculitis conditions.
What does this mean? Mineral oil is frequently
cited as a bad ingredient, but DMK has at
Both styles of therapy must be carefully
monitored, require advanced training, and of
Stress can be subliminal, hormonal and can
come from work, family, marriage or social
situation. Teenage stress is the worst of them all.
When an appropriate acne treatment is applied,
a stressed individual will observe a change. This
may even, in turn, alleviate the stress that the
individual is under. Their positive mental attitude
will help the glandular systems to settle.
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DMK – Building a World of Confidence from the Outside In
71
DMK post treatment
course, the individual’s normal pH must be
restored at the conclusion of these types of
treatment each time they are performed.
Scar revision
Many teenagers have superficial acne scars
that appear purplish or red. This is a good age
to undergo scar revision while the skin is in
the growing mode. Unlike ice pick scars that
require more intense methods of skin-planning
such as dermabrasion, laser treatment, or the
Mon’s Tissue Transplant method, teenage acne
scars are often removed easily with enzyme
treatments. This type of treatment allows the
newer, underlying skin cells to rebuild the
surface appearance. Again, advanced training
is required and these types of treatment may
take from six weeks to as long as eight months
to show significant results.
DMK’s Home Prescriptive range is a vital
part of skin revision. Many acne sufferers
also exhibit candida and have highly alkaline
systems. vitamins and supplements should be
recommended to deal with this.
Conclusion
There are many approaches to acne treatment,
drugs among them. My own experience indicates
that the cells of the skin respond to the chemistry
that they recognize. The chemistry is already in
the body waiting to be used – we just have to
imitate that chemistry and work with it.
DMK Pigmentation
Black, Asian, Hispanic, or Aboriginal skins
often exhibit biochemical differences.
Hyperpigmentation typically accompanies acne
in ethnic skin due to the excessive melanocyte
activity, which reaches the peripheral epithelium
cells and even down the side of hair follicles.
Melanin is a defence mechanism that is easily
aroused in ethnic skin when the individual
squeezes or pinches pimples. Pigmentation
treatments, such as the Melanoplex system
developed in the United States, need to be
performed on ethnic individuals along with the
aforementioned acne treatments.
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DMK – Building a World of Confidence from the Outside In
Before
After
© 2006 Courtesy Leanne Cave, Skin for Life
Before
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© 2006 Courtesy Leanne Cave, Skin for Life
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Notes
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Notes
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DMK – Building a World of Confidence from the Outside In
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“Quality is never an accident; it is always the
result of high intention, sincere effort, intelligent
direction and skilful execution; it represents the
wise choice of many alternatives.”
William A. Foster
DMK education, DMK expertise
DMK – Building a World of Confidence from the Outside In
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