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Circadia
By Peter T. Pugliese, MD
Our founder, Peter T. Pugliese, MD has been
the undisputed pioneer of cosmetic research,
formulation and education in the field of skin
health. He has spent more than 50 years
dedicating his life to research and science.
His research in the field of anti-aging and skin
physiology has given him numerous awards,
patents and discoveries which have
influenced the course of professional skin care
around the globe.
Dr. Pugliese has contributed chapters to over
a dozen books and published over 60
scientific papers. He has authored four books,
including, in 1990, the first textbook written for
estheticians by a physician, Advanced
Professional Skin Care, to bridge esthetics and
medicine with a common language. His
newest publication is Advanced Professional
Skin Care – Medical Edition.
Everything that is relevant to the educational
and professional roles of estheticians is
covered in great detail in this book.
Dr. Pugliese teaches advanced courses for
the skin care professional in skin physiology,
histology, biochemistry, cosmetic chemistry
and medical esthetics. His goal is to elevate
the practice of esthetics to the status of a
profession through higher standards of
education in the United States.
The Circadia skin care line is the culmination of
all his hard work and research in skin and
aging.
Circadia is his proven formula for skin health!
Circadia translated means “circa dies” or around the
day. Circadian rhythms are life’s 24 hour cycles
caused by the earth’s rotation around the sun.
Circadia products were designed to work in harmony
with the body’s day and night cycles to provide
optimum results for skin health.
last (third)quarter
waning Moon
moon orbit`s
earth
SUN
gibbous moon
crescent earth
full moon
new moon
gibbous moon
crescent
waxing Moon
first q uarter
As the skincare professional, you must accomplish a
number of tasks in order to establish a program of skin health for your client/patient.
1.
First and foremost, and we can not stress this enough, learn your product line
inside and out!
Your success will depend on it. You have made the decision to carry a result-oriented skin care line
which means you are serious about your career in skin care. Educate yourself as much as possible
on your product ingredients, what, how, and why they benefit the skin.
There is no single
ingredient or machine that will alleviate all signs of aging.
Develop a relationship with your client
based on trust. If the client trusts you to give them honest answers regarding trends, popular
treatments, or ingredients they will come to you before they invest in something advertised as the
latest and greatest at the office down the street.
Dr. Pugliese and staff and here to help you and
your business become as profitable as possible.
You can depend on Dr. Pugliese to give honest
answers to your questions based on research and proven scientific studies.
2. Explain the products and introduce the concept of Circadia to your client.
Take a few minutes to explain the circadian rhythms and how it is only natural to pattern your skin
care around the body’s own repair cycle. Stress the importance of proper sun protection during the
day, without it all your hard work, the time, and money spent will be wasted.
3. Evaluate the skin, document all findings, and go over the client consultation
form.
This is very important not only for the client’s safety but your safety as well. Positive results depend on
thorough and proper skin evaluation. If any problems occur, you have everything documented and
dated. Double check all health problems and allergies before coming up with a treatment program
or home care program.
A health evaluation form is completed during the first visit. It is helpful to recommend that the client
show up 15 minutes prior to their scheduled appointment. Begin to visually evaluate your client
immediately.
o
o
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Did the skin look flushed when they walked in?
Does it have deep nasal labial folds or creases?
Does it appear pigmented?
Does the neck area lack tone?
How did the makeup look?
Is the eye area dry, have dark circles, or show tightness and wrinkles?
When the skin is thoroughly cleansed and free of all makeup, carefully evaluate under the
magnifying light and Wood’s Light. As you examine the skin, document all findings and make notes
of exact locations and sizes of all blemishes and marks.
THE WOODS LIGHT
A Wood’s light must be used in a very dark room. Remove all topical products on the client’s face, i.e.,
salicylates, petrolatum, mineral oil and certain antibiotics such as tetracycline since they will produce a
strong fluorescence.
What you see
What it means
White Fluorescent
Thick stratum corneum
White Spots
Dead cells
Blue/White Fluorescent
Normal, Healthy Skin
Purple Fluorescent
Dehydrated skin
Yellow or Pink Fluorescent
Oil area, blackheads (bacterial products)
Brown
Pigmentation & dark spots
The Wood’s light has been used for many years to diagnose fungal infections of the skin, along
with some other diseases. We shall look at just a few of these conditions because they help you
to refer clients who may require medical help.
Tinea capitis
Known as ringworm of the scalp, it is cause by several organisms Microsporum audouini and
Mirosporum canis. They have a green fluorescence on the hairs everywhere the fungus is present. The
absence of fluorescence, however, does not rule out this infection.
Erythrasma
This is an infectious disease of the skin caused by a bacterium in the diphtheroid group. It
produces a porphyrin pigment that has a coral pink fluorescence. The lesions are flat, scaly pink or brown
color and sometimes white.
Acne
Acne appears as coral to red fluorescence around the nose if there are certain bacteria present
that produce porphryins. Under the Wood’s light, the areas are seen as bright red dots scattered over the
skin. This bacterium is known as Propionibacterium acnes (also known as “P-acnes”). Another skin
bacterium not associated with acne is Pseudomonas pyocyanea that have a yellowish-green
fluorescence.
Tinea versicolor
Also known as Pityriasis versicolor, this condition is caused by a fungus that goes by various names.
Malessezia furfur is one that is accepted by most dermatologists. Under the Wood’s light, it will fluoresce a
yellow color, which distinguishes it from Erythrasma.
Pigmentation
Pigmentation shows up dark against the blue background of the Wood’s light. Pigment that
becomes more intense is epidermal in origin. This is the most common pigment that you will see. Freckles
normally are in the epidermis.
Pigmentation that is visually noticed and than becomes less under the Wood’s light is most likely
dermal oriented pigment. Dermal-oriented pigment should be referred to a dermatologist.
Melasma
Melasma is a discoloration of the skin associated with pregnancy, birth control pills and other
causes. It is easily viewed under the Wood’s Light. When properly treated you can measure the
effectiveness of your treatment can be measured with the use of the Wood’s Light.
Photodamage
Characterized by large amount of pigment changes, hyperpigmentation is the most common
finding with excess sun exposure and skin damage. Note small changes in the vertical lines about the
mouth and horizontal lines around the eyes. At first these changes may not be obvious; however, if you
examine them closely, they are noticeable, particularly in Skin Type I and Type II.
THE pH SCALE
pH is an acronym for the power, or potential of hydrogen. The power of hydrogen indicates the acidity or
alkalinity of a solution.
This is measured in units called logarithms, using a scale called the pH scale. This
scale runs from pH 0 to pH 14.
A highly acidic solution will have a lower pH number.
Highly alkaline
solutions are high on the scale.
The human body’s entire system depends upon maintaining a pH balance, which promotes general
health. The epidermis is responsible for keeping out substances that can be harmful to the body. The
body’s acid mantle has a slightly acidic pH of 4.5-5.5, this wards off harmful bacteria and prevents its
growth on the skin.
Keeping a healthy stratum corneum is the key to successful skin care.
To ensure a healtlhy, balanced
protective barrier, educate your clients on the dangers of harsh exfoliants, drying cleansers, too many
products, etc.
Measuring the pH is easy to do by using a pH pencil. Utilizing a pH pencil as a tool allows you to educate
your clients on the importance of a pH balanced product as well as the pH of their skin.
Many clients who have overused aggressive products are hard to convince that they do not need to
“scrub” or constantly dry out their skin.
A compromised lipid barrier will not be in the normal pH range of
4.5 to 6.0, it will be more alkaline.
4. Educate and involve the client in the development of the routine you will be
prescribing.
Involving the client will insure that they are in agreement with your recommendations in regard to
money and time involved. They are more likely to follow through and commit to a program and
treatment that they were a part of putting together rather than told what to do and pressured to buy
products that they do not know how to use. (or why they are using them)
It is a partnership and
needs both sides cooperating to have positive results.
5. Emphasize the need to follow instructions faithfully. 100% cooperation is needed
for positive results. Stress the importance of sun protection at all times.
Let them know it takes time and patience to repair and change the skin. Have them commit to “at
least a few months” before they evaluate the results. If possible, take before and after pictures,
many times, results are gradual and aren’t seen as major improvements until the client sees the
“before” pictures.
6. If the client has over-used aggressive products, such as glycolic acid or retinoids,
they will need to transition away from these products and allow the skin to recover
before beginning any vitamin A products, Swich treatments, and peels. Generally,
2 weeks is sufficient time to allow the skin to rebuild a depleted lipid barrier. The skin accepts new
products with ease after a period of “rest.” At this point, introduce the basic products for two weeks,
and then incorporate the repair or corrective products.
7. Keep in mind that you are “prescribing” a program for skin health.
If it is presented as a health matter as well as a cosmetic improvement, the client will understand the
importance of the routine and are likely to purchase what you suggest and use it appropriately.
“Exfoliating too aggressively or too frequently will expose immature cells to an environment they
are not ready to handle.”
Peter T. Pugliese, MD
The Products
Circadia offers both back bar products for professional use and smaller retail size
products. The professional products are not packaged for resale although
some of our estheticians like to sell some of the professional sizes when
appropriate. Keep in mind that it is very unlikely that a single client could use
the larger size fast enough that the product would not lose potency or spoil.
An exception would be if they purchase a product for use on the body as well
as the face.
Cleanse
Vitamin Veil Cleanser
Lipid Replacing Cleansing Gel
Cleansing Gel with Salicylic Acid
Protect
Light Day Cream SPF 15
Light Day Cream SPF 30
Vitamin C Reversal Serum
White Veil Lightener
Moisture on Demand
Hydrating Cream
Repair
Rosacea Rx Cream
Circadia Night Repair Cream
Circadia Plus Night Repair Cream
Vitamin A Rx Cream
Myo Rx
Acne Care
Daytime Control
Night Control
Spot Stop
Specialties
Vitage
Anti Cellulite Gel
PherAdore
Red & Green Tea Masks
Emergency Eye Lift
Full Circle Eye Repair
CLEANSE
All Circadia cleansers are formulated to be complete and effective without
depleting the lipid barrier. When recommending a cleanser, keep in mind that
not everyone can use the same cleanser all the time. Skin conditions,
environment, and general aging all play a role in the changing needs of the
skin.
You will see that Circadia does not sell toners. A well formulated cleanser will
leave the skin clean, balanced and ready for nourishing serums and creams
without the need for a toner.
Vitamin Veil Cleanser
pH 4.5
The Vitamin Veil Cleanser is formulated to gently cleanse make-up, dirt, and debris
without breaking the skin barrier or denaturing the keratin. Vitamin Veil is
excellent for aging, dry, sensitive, and mature skin. It leaves a thin veil of antioxidants
on the skin which aids in the penetration of any subsequent products by conditioning
the cell matrix. A soothing and comfortable cleanser for use during chemotherapy.
Contains:
Soybean oil – emollient and emulsifying. Processed with heat to manifest several components
not normally active in soybean oil.
Vitamin E acetate- Ester form of vitamin E, an antioxidant
OPC: Oligomeric Proanthocyanidins- a special complex with highly anti-inflammatory and antioxidant properties.
Home Use:
Use in the evening to cleanse and remove make-up. Apply cleanser to the face and
work around in small circular movements. Remove with warm washcloth.
Retail Size- 8 oz.
Professional Use:
Apply to cotton esthetic pad and remove eye make-up.
Use for cleansing post- surgery and post- laser. Gently cleanses scars and healing skin
without irritation.
Professional Size- 16 oz.
Lipid Replacing Cleansing Gel
pH 6.9
Lipid Cleansing Gel is a non-irritating low foaming clear gel cleanser with a slightly acid
pH.
It gently and effectively removes dirt, debris, and lipids without breaking the skin barrier.
Leaves skin soft and non-irritated.
Contains:
Phospholipid EFA- an essential fatty acid that will restore any fatty acids removed during the
cleansing process.
Linolieic Esters- anti-inflammatory and analgesic
Panthenol (provitamin B5)- regenerative and soothing
Allantoin- anti-irritant, repairs
Home Use:
Apply a small amount to fingertips and cleanse in circular motion adding more water
when needed. Rinse thoroughly.
Retail Size- 8 oz.
Professional Use:
Excellent backbar product. Safely and thoroughly cleanses prior to chemical peels,
microdermabrasion, or enzyme treatments.
Professional Size – 16 oz.
Cleansing Gel with Salicylic Acid
pH 4.0
This Salicylic Acid cleansing gel is a clear foamy cleanser with antiseptic action.
It will help reduce sebum, deep cleans, and loosens keratin plugs in the sebaceous
follicle.
Contains:
2% Salicylic Acid- a beta-hydroxy acid with keratoylic and germicidal affects.
Linoleic esters – anti-inflammatory and analgesic
Home Use:
Avoid eye area.
Gently cleanse in circular motion adding water to lather. Rinse thoroughly.
Repeat if necessary.
Educate client on proper use. If dryness occurs alternate use with the Lipid Replacing
Cleansing Gel or use Salicylic Cleanser in the evening and Lipid Cleanser in the
morning.
Retail Size- 8 oz.
Professional Size- 16 oz.
PROTECT
Protection from environmental assaults as well as moisture loss is extremely
important for maintaining healthy skin.
Everyone should know the importance of proper sun protection and also the
benefits of using vitamin C on a regular basis.
Vitamin C will not act as a sun block or sun screen but it will reduce the
inflammatory response caused by the UV rays. This will help to reduce free
radical activity.
Light Day Cream SPF 30 and SPF 15
pH 6.3
The Light Day Cream is a velvety blend of perfectly balanced ingredients formulated to
be brightening, hydrating, anti-aging and protective. This medium weight lotion is
easy to use and leaves the skin feeling clean not smothered.
It contains a time-released delivery system of targeted ingredients. Excellent for use
after peels, microdermabrasion, and waxing.
Feature Ingredients
Octyl Methoxycinnamate----UVB screen
Octyl Salicylate--UVB screen
Butyl Methoxydibenzoylmethane
--UVA screen (Parsol 1789)
Titanium Dioxide-- UVA/B screen
Linoleic Esters (patented Hepes complex)--Anti-inflammatory, analgesic
Glycerin--Emollient, humectant
Avena sativa (Oat protein)--Powerful antioxidant, anti-irritant
Ascorbyl palmitate--Antioxidant
Allantoin--Soothing, anti-irritant
Lentinula edodes (Shitake Mushroom)--Immune booster
Home Use:
Apply as a morning moisturizer and sunscreen on clean skin before make-up.
Retail Size- 2 oz.
Professional Use:
Apply at the end of any facial treatment.
Professional Size- 8 oz.
Vitamin C Reversal Serum
pH 7.8
This clear serum is a biologically active form of vitamin C that inhibits the breakdown of
collagen. It helps restore firmness to the skin and soften fine lines.
Feature Ingredients
Sodium Hyaluronate--Binds moisture and soothes
Magnesium Ascorbyl Phosphate (Vitamin C)--Antioxidant, firming, smoothing
Panthenol (Provitamin B5)--Regenerative, soothing
Theophylline--Firming
*Magnesium Ascorbyl Phosphate must be in a non-acid medium to be stable. It is converted to
natural acid vitamin C in the skin.
Home Use:
Apply two to three drops to the face and neck after cleansing morning and/or night.
Safe for use around the eye area.
Retail Size- .5% glass dropper bottle
Professional Use:
Apply at the end of a facial prior to moisturizer or use under a mask after exfoliating.
Professional Size- 1 oz. Plastic bottle
White Veil Lightener
pH 3.5
The White Veil Lightener is a light lotion with ingredients that inhibit the production of
tyrosinase. It contains no hydroquinone or acids.
Safe and gentle, it can be used as the morning moisturizer under the sunscreen.
Feature Ingredients:
Oat protein (Avena sativa)--Powerful antioxidant, anti-irritant
Niacinamide--Tyrosinase inhibitor
Arbutin -- Tyrosinase inhibitor
Oat protein (Avena sativa)--Powerful antioxidant, anti-irritant
OPC: Oligomeric Proanthocyanidins-- Anti-inflammatory, antioxidant, protease inhibitor
Vitamin C--Regenerative, antioxidant, lightening
Tocopherol (Vitamin E)—antioxidant, regenerative
Home Use:
Apply to the entire face prior to sunscreen. May be used as a spot treatment on
pigmented areas.
When using in conjunction with a series of resurfacing facials, recommend use morning
and night and begin two weeks prior to treatment.
Continue during treatments and
use as a maintenance product after pigment is corrected.
Use sunscreen at all times.
Retail Size- 2 fl. Oz.
Professional Use:
Apply to the face after facial and before sunscreen.
Moisture on Demand
pH 6.3
This product acts as a moisture booster and protector from transepidermal water loss.
It is a lightweight formula that provides extra hydration when needed as it will adjust to
climatic conditions.
Excellent for winter sports enthusiasts, frequent air travelers, or mature thinning skin.
Feature Ingredients
Phospholipids-sphingolipids--Moisturizing, emollient
Jojoba (Buxus chinensis) oil--Emollient, lubricating
Oat protein (Avena sativa)--Emollient, regenerative
Panthenol (Provitamin B5)--Regenerative, soothing
Linoleic Esters (patented Hepes complex)--Anti-inflammatory, analgesic
Chitosan Lactate--Anti-inflammatant
OPC-: Oligomeric Proanthocyanidins--Special complex highly anti-inflammatory, antioxidants,
protease inhibitors
Vitamin E--Regenerative, antioxidant
Home Use:
Apply as a moisture boost under moisturizer. Massage a few drops into the skin and
around eye area until penetrated.
Retail Size- .5 oz. Bottle
Professional Use:
Apply at the end of a facial prior to moisturizer or under mask treatment as a moisture
boost for dehydrated skin. A few drops can be added to the hydrating cream before
application.
Professional Size – 1 oz. Plastic bottle
REPAIR
Applying night repair products between the hours of 9 and 11 PM will give the
optimum results. It is important to work with the body’s natural repair cycle and
give the skin what it needs to fuel this repair process.
Circadia Night Repair, Night Repair Plus, and Vitamin A Rx Cream are all vitamin
A products. We offer the three different strengths of retinol so that the skin care
professional can treat all skin types and conditions with minimal side effects and
optimal results.
Circadia Night Time Repair Cream
pH 6.0
Formulated for skin under 35 years or very sensitive skin, this rich cream contains a
metabolic stimulating complex that works with the skin’s natural night time repair cycle.
This is a .03% retinol product.
Night Repair increases cell turnover, rejuvenates skin cells, increases skin strength.
Feature Ingredients:
Simmondsia chinensis (Jojoba Oil--Emollient, moisturizing
Avena sativa (Oat Protein)--Powerful antioxidant, anti-irritant
Phospholipids & Sphingolipids--Helps restore barrier function
OPC: Oligomeric Proanthocyanidins--Special complex highly anti-inflammatory,
antioxidants, protease inhibitors
Linoleic Ester (patented Hepes complex)--Anti-inflammatory, antioxidant,
anti-irritant
Retinol (vitamin A)--Regenerative, reparative
Tocopherol (vitamin E Acetate)-Antioxidant, moisturizing
Vitamin A--Regenerative, antioxidant
Home Use:
Use at night between 9PM and midnight.
immediate eye area.
Apply product to the face and neck, avoid
Retail Size- 2 oz.
Professional Use:
Apply at the end of a facial.
Professional Size- 4 oz.
Circadia Plus Night Time Repair Cream
pH 6.0
A time released delivery system allows for maximum delivery of the anti-aging
ingredients. A rejuvenating night repair cream formulated for age 35 years and
beyond.
This rich, velvety cream contains a metabolic stimulating complex that works with the
skin’s natural night time repair cycle.
Night Repair Plus will increase cell turnover,
rejuvenate skin cells, increase the skin’s strength and elasticity by activating the natural
repair system. It will improve texture and enhance the skin’s radiance.
Feature Ingredients
Simmondsia chinensis (Jojoba Oil) --Emollient, moisturizing
Avena sativa (Oat Protein)--Powerful antioxidant, anti-irritant
Lipoic Acid- -Essential for glucose and fat metabolic processes; regenerative
OPC: Oligomeric Proanthocyanidins--Anti-inflammatory, antioxidant, protease inhibitor
Linoleic Ester (patented Hepes complex)--Anti-inflammatory, analgesic, protease
Inhibitor
Retinol (vitamin A)--Regenerative, reparative, structural support
Tocopherol (vitamin E acetate)-Antioxidant, regenerative
Ascorbyl Palmitate (vitamin C)--Stabilizes E, antioxidant
Polypeptide 5--Moisturizing
Beta glucan--Immune stimulant, activates natural repair system
Home Use:
Use at night between 9PM and midnight.
immediate eye area.
Retail Size- 2 oz.
Professional Use:
Apply at the end of a facial.
Professional Size- 4 oz.
Apply product to the face and neck, avoid
Vitamin A Rx Cream
pH 5.5
This powerful night time repair cream is formulated to maximize the effects of vitamin A
while minimizing the unwanted side effects. Used as a treatment night cream for a
limited amount of time, it will work to soften fine lines, minimize wrinkles, firm lax skin,
improve skin texture, and lighten discolorations.
This is a powerful repair cream that
can be used to condition the skin prior to surgery, repair sun damage and work to
rebuild the skin.
Directions for use: To be used under the supervision of a skin care professional only.
After using appropriate cleanser, apply to entire face every night for 3 consecutive
nights between 9 and 11 PM. Let the skin rest for 4 nights, using the Hydrating Cream
in place of the Vitamin A Rx Cream. Continue 3 nights on and 4 nights off the vitamin
A cream for 6 weeks. Re-evaluate the skin at this point.
Note: Do not use if erythema is present. Discontinue use if irritation occurs.
The
goal is to use this product consistently for 5 nights without signs of dryness or irritation.
Increase the number of nights as the skin can tolerate.
This cream contains 1% retinol which is equivalent to 0.1% tretinoin. (Retin-A)
Contraindications:
Sensitive skin
Rosacea
Dry and/or Dehydrated skin
Pregnant or nursing
Anyone using the following:
Retin-A
Renova
Accutane
Glycolic Acids
Retail Size: 2 oz jar
Rosacea Rx Cream
pH 7.3
Rosacea Rx Cream is a lightweight cream that contains calming and antimicrobial
properties. It is anti-inflammatory, healing and contains powerful botanicals to help
kill the Demodex mite, support skin barrier function, and moisture retention.
Feature Ingredients
Linoleic Esters (patented Hepes complex)--Anti-inflammatory, analgesic, protease
Inhibitor
Oenothera biennis (Evening Primrose)--Gamma linoleic acid supports skin barrier function, hydrating, antiinflammatory
Rosemary (Rosmarinus chinensis)--Antimicrobial, anti-inflammatory
Home Use:
Apply morning and night on clean skin.
apply only at night.
If dryness occurs discontinue morning use and
Professional Use:
Can be used at the end of a facial as the moisturizer before applying sunblock.
The Rosacea Rx Cream is generally used as a maintenance home care product during
and after a series of professional treatments.
Rosacea Rx Serum is recommended as the professional treatment for helping to control
rosacea.
When using the rosacea serum as a treatment it is not necessary to apply
the Rosacea Rx Cream.
For complete instructions on rosacea care refer to the
treatment section of the manual.
Retail Size: 2 oz jar
Myo Rx
pH 7.0
MyoRx is a unique skin care product formulated to restore skin collagen and to reduce
the appearance of wrinkles. It contains two new polypeptides, a hexapeptide, and a
pentapeptide. They have been found to inhibit certain wrinkle inducing compounds in
the skin and to stimulate regeneration of collagen and elastin. These ingredients
combined promote smoother, younger looking skin almost instantly.
Feature Ingredients:
Acetyl Hexapeptide- six amino acids that inhibit the formation of biochemicals that can cause tissue
alterations that result in wrinkle formation. The biochemical action of acetyl hexapeptide is very complex
but essentially it inhibits one of the pathways that is responsible for tissue changes that result in wrinkle
formation. The other action suppresses the formation of a group of chemicals called catecholamines
which have an adverse effect on collagen synthesis.
Palmitoyl Pentapeptide- five amino acids and palmitic acid. It is capable of stimulating collagen synthesis
as well as having a positive effect on the synthesis of elastin and glycosaminoglycans. The action is very
similar to retinol without the irritation.
Palmitoyl Pentapeptide-3- a repair type polypeptide that functions as a second messenger which
activates the protein system in the extra cellular matrix to repair damaged tissues and to synthesize new
macromolecules. In the extracellular matrix, collagen, elastin, and the glycosaminoglycans make up the
bulk of the macromolecules.
Hyaluronic Acid- a natural moisturizer and lubricant that hydrates the skin and immediately smoothes it.
The other ingredients work quickly to rebuild the collagen and restore the tone and beauty of the skin.
Passion Flower Extract- three powerful muscle relaxants that are effective in smoothing wrinkled skin. It also
acts as an anti-inflammatory agent and as an antioxidant. It is synergistic with the other ingredients to relax
and tone the skin.
L-Proline- an essential amino acid that is required for collagen cross linking to make the fully developed
collagen fibers.
L-Serine- an essential amino acid required for the polypeptide chains in collagen.
Home Use:
One to three times per day. Massage one drop of serum into the skin on areas prone
to wrinkling. Do not apply to upper eye lid area.
Follow with moisturizer or sun block.
Professional Use:
Apply at the end of a facial before moisturizer or sunblock. Can be massaged into the
skin before mask application.
The Hyaluronic acid immediately improves the appearance of dry, thinning, and
mature skin.
One Size - .5 oz.
HYDRATING CREAM
pH 5.5
A nourishing, light hydrating cream with powerful antioxidants and regenerative
ingredients that penetrates immediately leaving the skin hydrated without an oily feel.
o
o
o
Contains natural oils for their emollient, regenerative and soothing properties.
Boosts moisture, protecting from transepidermal water loss (TEWL)
Contains special collagenase inhibitors and collagen metabolic stimulators.
Feature Ingredients:
Avocado Oil (Persea gratissima) -Softening and soothes
Olive (Olea Europoea) Oil- Emollient, anti-bacterial, collagen stimulating
Macadamia Ternifolia Nut Oil-Contains palmitoleic acid beneficial dry skin
Panthenol (Provitamin B5)- Regenerative, soothing
Linoleic Esters (patented Hepes complex)-Anti-inflammatory, analgesic
OPC-Antioxidant, collagen stimulator
Vitamin E-Regenerative, antioxidant
Home Use:
Apply as a daytime moisturizer under make-up or as a nourishing night cream.
Professional Use:
Use as a finishing moisturizer under sunblock, after microdermbrasion, or peels.
Retail: 2 oz. jar
ACNE CARE
Treating acne or oily/acne prone skin can be a challenge. Circadia acne
products will help to reduce inflammation, clear breakouts, and heal the skin.
The products are formulated to be helpful to all types of acne and must be
prescribed according to condition, prescriptions being used, and lifestyle.
Daytime Control Lotion
pH 6.3
A light lotion with special anti-inflammatory, anti-microbial agents, and UV protection.
This day formula will help to control excess sebum throughout the day, soothe and
protect while controlling breakouts. Easily tolerated.
Feature Ingredients
Octyl Methoxycinnamate--UVB screen
Butyl Methoxydibenzoylmethane --UVA screen
Benzoyl Peroxide--Antibacterial, exfoliating
Oenothera biennis (Evening Primrose)--Gamma linoleic acid supports skin barrier function, hydrating, antiinflammatory
Linoleic Esters (patented Hepes complex)--Anti-inflammatory, analgesic
Tocopherol (vitamin E)--Antioxidant, moisturizing
Allantoin--Soothing
Home Use:
Apply daily as a moisturizer under makeup.
Retail Size- 2 oz. Plastic pump bottle
Professional Use:
Apply at the end of a facial treatment as a moisturizer.
Night Control Lotion
pH 6.0-6.5
A night repair product containing anti-inflammatory, kerotolytic and germicidal agents.
Night Control Lotion works synergistically to combat the cause of acne and reduce
inflammation associated with acne. Works to eliminate and control follicle
congestion.
It contains established acne treatment ingredients in compliance with FDA
monographs.
Feature Ingredients
Benzoyl peroxide (5%)--Antibacterial, exfoliating
Oenothera biennis (Evening Primrose)--Gamma linoleic acid supports skin barrier function, hydrating, antiinflammatory
Linoleic Esters (patented Hepes complex)--Anti-inflammatory, analgesic, protease inhibitor
Tocopherol (vitamin E acetate)-- Antioxidant
Home Use:
Use at night. Beginning at forehead, apply a small amount to entire face and neck.
May be used as a spot treatment for localized acne eruptions.
If dryness occurs or skin becomes irritated, apply every other night or as often as can
comfortably tolerate.
Retail Size- 2 oz. Plastic pump bottle
Spot Stop
pH 5.5 – 6.5
A clear light gel that is germicidal, anti-inflammatory and soothing.
Reduces redness and helps control inflammation and painful swelling.
Feature Ingredients
Linoleic Esters(patented Hepes complex)--Anti-inflammatory, analgesic, protease inhibitor
Bisabolol --Anti-inflammatory, regenerative, antimicrobial
Home Use:
Apply directly to spot at first sign of redness, swelling, or pain and continue to reapply as
often as needed.
Massage a small amount onto lesion after applying Daytime Control Lotion and before
makeup.
Apply after Night Control Lotion in the evening.
Retail Size- .5 oz.
Professional Use:
Use at the end of a facial.
Massage area of concern and finish with sunblock.
SPECIALTIES
Dr. Pugliese has formulated many innovative products that deserve a category
All their own. He believes it is what’s inside the bottle that makes the difference
and has earned his reputation for quality, honesty, and remarkable results.
Our specialty products are an example of his dedication to skin and body
health.
Full Circle Eye Repair
Emergency Eye Lift
Vitage
Firming and Shaping Gel
Green and Red Tea Masks
Full Circle Eye Repair
This product is a balanced formula of highly effective ingredients for treating multiple
concerns of the eye area.
Full Circle is packaged as a boxed set of day and night treatment creams.
Day Formula has the following benefits:
• Contains natural herbs for constricting capillaries which will help to lighten under
eye circles.
• It decreases the absorption of light into the eye lid, increasing the reflection of
light which will bring out the natural tone of the skin.
• Peptides inhibit muscular contraction, reducing the formation of wrinkles.
• Antioxidants prevent the destruction of collagen.
• Contains ingredients that will inhibit enzymes that destroy collagen.
• Works to decrease fluid build-up and de-puff.
• Soothing, anti-inflammatory, and protective against environmental assaults.
Night Formula has peptides to stimulate repair and increase collagen formation and at
the same time minimize the formation of new lines.
Vitamin A strengthens support tissue, aids in growth and repair of the epidermis,
stimulates fibroblast cells to produce collagen and thicken the skin, improving firmness
and elasticity.
Application:
Full Circle should be applied to the area of the orbicularis oculi muscle which forms a
complete circle around the eye area. Apply product beginning with the inside point of
the eyebrow and above brow line over to temple area and down around lower eye
region. Using light pressure repeat until all product has been absorbed into the skin.
Night Formula should be applied up to approximately 2 cm of lower lash line. Do not
apply Night Formula to upper eye lid area.
Retail Size: 2 – 1oz. bottles packaged as a set.
Ingredients:
Deionized water, cetearlyl alcohol and ceteareth-20, dipentaerythrityl
hexaheptanoate/hexacaprylate/hexacaprate, stearyl alcohol, phenoxyethanol,
polyacrylamide and C 13-14 isoparaffin and laureth-7, retinyl acetate, propylene glycol, glucose
oxidase, diazolidinyl urea, vitamin E acetate, methylparaben, propylparaben, butylated
hydroxytoluene, butylated hydroxyanisole.
Ingredients:
Deionized water, acetyl hexapeptide-3, glyceryl stearate and peg-100 stearate, C 12-15 alkyl
benzoate, linoleic ester, behenyl alcohol, dimethicone, polyacrylamide and C 13-14 isoparaffin
and laureth-7, titanium dioxide, silica and mica, ascorbyl tetraisopalmitate, oat protein,
propylene glycol, phenoxyethanol, OPC, butcher broom, horse chestnut, diazolidinyl urea,
tocopherol, disodium EDTA, methylparaben, L-phenylephrine HCL, propylparaben.
Emergency Eye Lift
pH 7.2
A clear light gel with tightening and firming properties.
Clinically tested to improve eye appearance by tightening and smoothing the fine lines
around the eyes.
Results last approximately 3 hours.
Emergency Eye Lift is compatible with other eye treatments.
Feature Ingredients
Sodium Hyaluronate-- Binds moisture and soothes
Galactomannanes--Humectant, hydrating
Panthenol (Provitamin B5)--Regenerative, soothing
Home Use:
Dispense a few drops onto fingertip and smooth under eye area, crows feet, and
eyelid. Wait until product is absorbed before applying makeup.
Retail Size- .5 oz. Bottle
Professional Use:
May be used as an eye masque during a facial treatment. Apply around eye area
and cover with cool moistened eye pads.
Professional Size- 1 oz. Plastic bottle
Vitage
This is an affective anti-aging supplement with a synergy of ingredients that
have been clinically found to be very supportive to the aging body. New
research has found that immune boosters, anti-inflammatory agents, and
antioxidants are very beneficial anti-aging ingredients.
Vitage has shown the following benefits:
o Helps improve cell turnover and skin elasticity
o Helps with the quality of the hair and nails
o Supportive in the production of epidermal growth factor
o Helps to support circulation
o Beneficial to aging joints
o Improvement in well being
Performance Ingredients:
Sea Cucumber is a relative of the starfish and is actually a protein. Rich in
mucopolysaccharides, fatty acids and chondroitins, it has been found to help boost
elasticity. It is a staple in Asian food and used in health practices.
Chondroitin sulfate is marine-derived and is a polysaccharide containing
glycosoaminoglycans, which are the building blocks of cartilage. Studies have found
that it is very supportive in treating degenerative joint disease.
Beta glucan is a known immune booster and is hypothesized to simulate immune system
activity by activating white blood cells to attack infections and tumors. The immune
response is enhanced to fight against infections, viruses, bacteria, fungi and parasites.
In laboratory studies, in vitro studies have confirmed that beta glucan stimulates the
production of monocyte cytokines, which may help promote regression of certain
tumors. It is a known wound healer and is an anti-inflammatant.
Ursolic acid is found in rosemary (Rosmarinus officinalis) and is high in antioxidant
compounds. It has been found to facilitate collagen and elastin synthesis, restoring the
overall health and function of photoaged skin as well as facilitate tissue repair.
Oligomeric Proanthocyanidins (OPC) is extracted from the bark of the Pinus maritime
pine tree and the seeds of Vitis vinifera grapes producing a patented and highly
efficacious source of OPC from France. It was first extracted over 50 years ago. In
nature, OPC protects plants against oxidation, rancidity and aging. OPC is used
extensively in human health products. Oligomeric Proanthocyanidins (OPC) have been
found to be the most active free radical scavenging antioxidant known. They help
protect against degenerative conditions and have been found to be very beneficial
for circulatory problems. One of the greatest values of OPC is its ability to preserve and
protect collagen and elastin, which are important structural constituents of the vascular
wall, skin and connective tissues, including ligaments, tendons and others. Plants that
are rich in Oligomeric Proanthocyanidins have been used for many years due to their
very powerful healing effects.
Recommended dosage: Take one tablet twice daily with food.
120 caplets per bottle
Firming and Shaping Gel
This is a light, cool gel that contains ingredients to smooth the uneven appearance of
cellulite.
o
o
o
o
Scientifically proven to reduce the appearance of cellulite on thighs and
buttocks
Noticeably smoothes and firms, improves skin tone and texture
Fast absorbing gel with natural fresh fragrance
Excellent companion product for in-clinic treatment with body wraps
Feature Ingredients
Theophylline--Increases utilization of fatty tissues
Algsium--Seaweed product used as binding and releasing agent
Aesculus hippocastanum (Horse Chestnut)--Contains escin beneficial to circulation
L-carnitine--Helps metabolize fat
Mentha sp. (Wild Mint)--Stimulating, refreshing
Home Use:
Dispense a generous amount into hands and briskly massage into entire thigh and
buttock area. Maximum results achieved when performed twice daily. Apply in
morning one hour before breakfast.
Apply 30-minutes before retiring. Allow two hours after eating. Effectiveness
greatly enhanced when used before exercise.
Retail Size- 8 oz. bottle
Professional use:
Use in a program of cellulite treatments. Apply prior to wrapping.
Professional Size- 16 oz pump bottle
Green and Red Tea Masks
The red and green tea masks are designed to deliver antioxidants into the skin.
Both masks have the same ingredients with the exception of the teas.
Although it is safe for all skin types, it works especially well for combination to oily skin
types because of the kaolin base.
Rich in antioxidants, oil absorbing properties, purifying, nourishing and soothing both
masks leave the skin with a clear more even toned skin with a matte finish.
Applicaton:
This mask was designed to be massaged into the skin for maximum absorption of the
antioxidants.
In the final step of a facial or after exfoliating:
Apply the mask generously to the face and neck avoiding immediate eye area. With
fingertips, massage around the face using small circular motions and moderate direct
pressure for 3- 5 minutes. Leave the mask on the skin an additional 5 minutes. Keeping
the mask moist during contact with the skin will allow for easy removal.
2 oz. jars
THE TREATMENTS
The Enzymes
Alpha/Beta Peel
Citrus Enzyme
Cocoa Enzyme
Red Raspberry Enzyme
Sensitive Skin Formula 30%/10%
Full Strength Formula 40%/15%
The SWiCH Dermal Rejuvenation System
The Oxygen Rx Treatment
Rosacea Rx Treatment Serum
Dermafrost Salicylic Acid Peel
Sensitive Skin Formula -12.5%
Full Strength Formula- 25%
THE ENZYMES
Jessner’s Peel
Lactic Peel- 30%
Lactic Peel- 40%
Professional Use Only
Enzymes are a necessity for life and every cell process in the body. They are considered
a catalyst. They cause things – chemical reactions – to happen. For example, when
there is excess collagen, or collagen needs to be modified, an enzyme called
collagenase is responsible for breaking down these byproducts.
Some enzymes are considered proteolytic. They digest proteins. In a facial treatment,
the enzyme powder is mixed with a “wetting” (activator) solution into the consistency of
a pancake batter, and gently brushed onto the skin. It must remain moist. The action
of the enzyme dissolves different forms of cellular debris and protein buildup leaving the
skin soft, clearer and more receptive to any subsequent correction product.
Each enzyme product – Zymase, Raspberry and Chocolate - is a combination of
bromelain (pineapple), papain (papaya) and trypsin (bovine derivative). Bromelain
and papain are cysteine protease and trypsin is a serine protease.
Bromelain is an effective anti-inflammatory agent.
Papain works with the sulfhydryl group and is highly effective in removing the keratin.
Trypsin attacks proteins that contain amino acids.
With these three enzymes working together to attack different parts of the keratin
molecule, they produce very effective results.
Our enzymes are a safe and gentle treatment, which can be used as a light peel or as
a pretreatment before a salicylic acid peel.
Applying the cocoa enzyme for 5 min.
after microdermabrasion leaves the skin with a “polished” radiant appearance.
Indications
o Remove keratin buildup on skin.
o Acne skin with pustules and macules
o Back treatment
o Use between SWiCH™ treatments.
Contraindications
o Accutane or other medications causing severe skin sensitivity
o Allergies to pineapple or papaya
o Sunburned skin
o Any condition that may give cause for non-use of this product
o DO NOT USE THE COCOA ENZYME on anyone allergic to chocolate.
o DO NOT USE THE RASPBERRY ENZYME on anyone allergic to red raspberries.
Feature Ingredients
Bromelain--Dissolves cysteine protease, anti-inflammatory
Papain--Dissolves sulphydroxyl protein group
Trypsin--Dissolves keratin
Raspberry--Anti-inflammatory, anti-viral, antioxidant, anti-inflammatory, tyrosinase inhibitor.
Cocoa- antioxidant, vaso-constrictor, soothing.
Cocoa Enzyme
This is an elegant product with soothing and calming properties. The enticing aroma of
the cocoa makes it appealing as well as relaxing.
Excellent for use on rosacea, inflamed acne, and sensitive skin.
The Cocoa Enzyme removes keratin buildup and helps to brighten and clarify. Calms
irritated or inflamed skin while it gently exfoliates. Leaves the skin with a healthy,
luminous appearance.
Red Raspberry Enzyme
A raspberry enhanced enzyme with the same multiple enzyme base as the Cocoa and
Citrus. A light and refreshing berry scent with multiple benefits from the red raspberry.
Great for use on pigmented or sun damaged skin.
Citrus Enzyme
The Citrus Enzyme is appropriate for use on most skin types. It removes keratin buildup
and helps brighten and clarify the skin.
APPLICATION OF ENZYMES
RECOMMENDED PRODUCTS & SUPPLIES
o
o
o
o
o
o
o
o
o
Lipid Cleansing Gel
Enzyme Activator
Zymase, Raspberry or
Chocolate Enzyme Powder
Vitamin C
Light Day Cream SPF 30
4x4 cotton gauze pads
Eye protection
Spatula
Steamer or warm moist towels
CLIENT PREPARATION
• Client must remove contact lenses
• Protect hair with cap.
CLEANSING
1. Remove eye makeup.
2. Place a few drops of cleanser onto fingertips and apply to client’s face and
neck. Cleanse in circular motion and rinse thoroughly.
3. Apply eye pads.
ANALYSIS
4. Examine the face with the magnifying light and Wood’s light.
EXFOLIATION
5. To mix enzyme: Place ½ tsp. of enzyme powder into a small mixing cup/bowl.
Add 3 tsp of Activator and mix thoroughly to the constancy of a thin pudding.
Adjust powder to activator as necessary. Allow to stand for two minutes. Add
more liquid if necessary.
6. Apply with mask brush or spatula to face and neck. Be careful not to apply too
close to eyes.
7. Direct steamer from a distance to keep enzyme moist. Enzyme must be kept
moist to be active. If steamer is not available, gently lay a warm moist towel to
the face or spray with toner to keep moist.
8. Time for 10-20 minutes. Watch skin for erythema. First time clients or very sensitive
skin: use for 5-10 minutes only.
9. Rinse thoroughly with tepid water.
Apply a mask at this point or finish the treatment.
To end treatment:
Apply Vitamin C Serum to entire face and pat to aid in absorption.
Apply moisturizer and/or the Light Day Cream SPF 30.
Enzyme treatments can be safely administered every two weeks if needed.
Enzyme Powder – 4 oz. jar, 65 grams
Enzyme Activator – 8 oz. bottle
DERMAFROST SALICYLIC ACID
Professional Use Only
Salicylic acid has been used for more than 100 years to treat dandruff, seborrheic
dermatitis, warts, psoriasis and other conditions. It is found in wintergreen and birch
bark. Referred to as a beta acid, salicylic acid is different from glycolic acid due to the
positioning of the hydroxy group on the carbon chain of the acid. Alpha indicates that
the group is on the first carbon atom, whereas beta means that the group is on the
second carbon atom.
Salicylic acid is lipid-soluble, in contrast to the water-soluble AHA’s. This is very
important in relation to how it affects the follicular orifice, which is filled with sebum, a
lipid. Due to these characteristics, salicylic acid easily penetrates into the lipid plug in a
congested follicle. It is considered keratolytic and antimicrobial. Studies performed by
Dr. Albert Kligman report that salicylic is more effective than glycolic resulting in
decreased comedones, quicker exfoliation and an accelerated improvement of the
skin without excessive irritation. It does not increase transepidermal water loss even
though the proliferative effect of the exfoliant is greater. It is less irritating and does not
alter skin barrier properties. During the past ten years, formulations combining salicylic
acid with various alpha hydroxy acids have become more popular and are used to
treat acne, problematic, dry and aging skin.
Unlike AHAs that require neutralizing, salicylic acids are self-neutralizing, meaning
that they are applied in one or more layers and allowed to dry. Skin exfoliation takes
place within the next few days after the peel.
The use of salicylic acid is a rapid in-office procedure with high tolerability, safety,
and efficiency for the patient.
Circadia has two strengths of salicylic acid – 12.5% and 25% at a pH of 2.9-3.0. It is
advised to begin with a 12.5% in the first treatment. Treatment may be repeated up to
three sessions spaced out once every four weeks. In a more sensitive skin, always use
the 12.5%. Normally, salicylic is appropriate to use in most Fitzpatrick skin classifications.
Always patch test. Sunscreen must be used at all times. If the goal of the treatment is
to correct pigment irregularities, advise patient to use White Veil Lightener.
Indications
o
o
o
o
o
o
o
Sun damaged skin (actinic keratoses)
Fine wrinkling
Deep wrinkling and loss of elasticity
Acne vulgaris types I and II
Pigmentation abnormalities
Aging skin, fine wrinkles
Rough, calloused skin
Contraindications
o Aspirin or salicylic sensitivity – Important!
o History of fever blisters, “cold sores”. (Herpes Simplex- Type 1)
o Seborrhea or atopic dermatitis
o History of being “highly allergic” to anything
o Pregnant or nursing baby
o Accutane® within the last year
o Antibiotics – topical or systemic
o Broken skin
o Laser surgery within the last twelve weeks
o Using glycolic acid products, Retin-A® or Renova® in the last 4 weeks
o Over-treated skin showing signs of a damaged lipid barrier.
Pre Peel Conditioning- acne or oily skin types.
For best results from the Dermafrost we suggest the client start using the Cleansing Gel
with Salicylic Acid at least two weeks prior to the peel. Other products such as the Day
Time or Night Time Control Lotions should be used in accordance with skin condition.
Night Control Lotion should not be used for 2 days prior to peel.
Pre Peel Conditioning- pigment irregularities
For best results the patient should begin using White Veil Lightener two weeks prior to
the peel applying it morning and night.
Morning application should be followed by
the Light Day Cream SPF 30.
What to Expect
Immediately after application of the Dermafrost, the patient will experience a slight
burning or stinging sensation. This will subside quickly (as the solution dries). A small
fan will help to keep the patient comfortable.
Do not try to neutralize the peel with water, as this will intensify the burning. The
Dermafrost is self-neutralizing.
As the alcohol evaporates there will be a white layer of salicylic acid on the skin. This is
what we call frosting and that means the peel is dry and has neutralized. This can be
removed gently with cool water.
The skin will feel tight and smooth immediately after the peel.
starts in two days and may continue for seven days. More peeling
central part of the face, particularly around the mouth, compared to
face. Acne lesions and inflamed areas show more intensive peeling.
smoother with fine lines and pigmented areas reduced.
Peeling usually
is noted in the
the sides of the
The skin will be
Use caution with a patient who has seborrhea or atopic dermatitis. A history of cold
sores/fever blisters is a contraindication and usually an antiviral medication is
recommended.
Have the patient check with the attending physician before
administering peel.
Post Peel Care
Do not use too many products immediately after a peel. Keep the skin care regimen
simple. The skin needs time to recover and return to normal. When the peeling or
flaking has subsided the patient may resume using retinols, Retin-A, or Renova. This is
also the time to begin using the White Veil Lightener again for pigment correction.
Patients should avoid excessive sun exposure, use sunscreen at all times, and apply a
daily moisturizer.
Derma Frost can be performed in a series of three sessions spaced four weeks apart
allowing for epidermal regeneration.
DERMAFROST TREATMENT PROTOCOL
Sensitive Skin Formula -12.5%
pH 2.75
Appropriate for early to moderate photodamage and acne
Treatment time- 30 minutes
RECOMMENDED PRODUCTS & SUPPLIES
o
o
o
o
o
Lipid Cleansing Gel
Post Peel Lotion
DermaFrost- 12.5%
Light Day Cream with SPF 30
Cotton eye pads or 2x2 gauze
pads
o
4x4 cotton gauze pads or 4x4
cotton esthetic wipes
o
Small hand-held fan
Have client fill out and sign consent form. Repeat contraindications, verbally, before
proceeding with peel.
Prep:
Protect hair with cap or headband.
Remove eye makeup.
Place a few drops of Lipid Cleansing Gel onto fingertips and apply to client’s face and
neck. Cleanse in circular motion and rinse thoroughly.
Apply eye pads moistened with water.
Place a thin layer of Vaselene™ on the lips and nasolabial junction with a Q-tip swab.
At this point, take a minute to check the skin under the magnifying light.
Application of Dermafrost:
1. Pour ¼ tsp of Dermafrost into a small glass cup.
2. Give client small fan to hold and direct at face.
3. Using a cotton 4x4 folded in half, carefully dip into solution pressing 4x4 onto side
of the glass cup to remove excess and apply one layer section-by-section
beginning at the forehead, cheeks, nose, chin and ending with the upper lip.
4. Client will feel a slight burning or warming sensation until the product completely
frosts and dries. Wait until product is thoroughly dry before checking for frosting.
Check under wood light or magnifying lamp for signs of frost.
5. If no frosting is visible and client did not experience any burning sensation, a
second coat may be applied. Always ask client first for tolerance. Ask them to
rate the burning sensation on a scale of 1 to 10. (10 being severe burning.) Do
not exceed 2 coats. These instructions are for the 12.5% Dermafrost only.
6. When thoroughly dry, gently rinse with cool towel or cotton 4x4’s moistened with
cool water.
7. Do not perform extractions.
PROTECT
8. Apply Post Peel Lotion.
9. Apply Light Day Cream SPF 30.
Note: When using the Dermafrost 25% do not apply more than one coat.
Home Care Instructions for Dermafrost: Do not wash face for 24-hours. The skin will
show some peeling within 2 days. Avoid sun and tanning beds for 2 weeks following
peel. Always wear sunblock when outdoors. Do not use any other type of exfoliation
products such as AHA’s, or scrubs for two weeks.
DermaFrost 12.5% - pH 2.75
DermaFrost 25% - pH 2.54
THE ALPHA-BETA PEEL- Professional Use Only
Suitable for most skin types.
Circadia offers two strengths of the Alpha-Beta Peel.
30% Lactic Acid with 10% Salicylic Acid- pH 1.95
40% Lactic Acid with 15% Salicylic Acid- pH 1.40
This very effective peel uses the perfect blend of acids to exfoliate without
harshness, irritation, or inflammation. A new technology in peeling, the client will experience
little to no stinging and should not notice flaking or peeling post peel.
RECOMMENDED PRODUCTS & SUPPLIES
o
o
o
o
o
o
Lipid Cleansing Gel
Vitamin C Reversal Serum
Hydrating Cream
Light Day Cream with SPF 30
Cotton eye pads or 2x2 gauze pads
4x4 cotton gauze pads or 4x4 cotton esthetic wipes
Have client fill out and sign consent form
Prep:
Protect hair with cap or headband.
Remove eye makeup.
Place a few drops of Lipid Cleansing Gel onto fingertips and apply to client’s face and neck.
Cleanse in circular motion and rinse thoroughly.
Apply eye pads moistened with water.
Place a thin layer of Vaseline™ on the lips and nasolabial junction with a Q-tip swab.
At this point, take a minute to check the skin under the magnifying light.
Application:
1.
2.
3.
4.
Dispense a small amount of peel solution into a cup.
Fold a 4”x4” cotton esthetic wipe in half. Turn and fold in half again.
Dip one flat edge of the cotton wipe into the peel solution pressing off any excess.
Beginning with forehead apply one even coat to the face, ending in a feathering
motion onto the neck.
5. Leave on for 10-20 minutes, adjust timing according to skin type and condition.
6. Wipe excess peel solution off with a soft cloth or cotton wipe.
7. Apply 2-3 drops of Vitamin C Reversal Serum directly on top of peel. Gently work
around the face.
8. This will prevent any flare-up when neutralizing the peel .
9. Rinse thoroughly with cool water or sodium bicarbonate solution and pat dry.
10. Apply two additional drops of Vitamin C Reversal Serum and massage into the skin.
11. Finish with Light Day Cream SPF 30 or Hydrating Cream.
12. Advise client on home care and sun protection.
The timing of the peel should be adjusted according to skin type and condition.
The application time for the first visit should not be longer than 20 minutes.
Subsequent applications can be increased up to 30 minutes.
Lactic Acid Peel
Professional Use Only
35% Lactic Acid- pH 2.00
45% Lactic Acid – pH 1.85
Suitable for most skin types. Ideal for aging, dry, and sensitive skin.
RECOMMENDED PRODUCTS & SUPPLIES
o
o
o
o
o
o
Lipid Cleansing Gel
Vitamin C Reversal Serum
Hydrating Cream
Light Day Cream with SPF 30
Cotton eye pads or 2x2 gauze pads
4x4 cotton gauze pads or 4x4 cotton esthetic wipes
Have client fill out and sign consent form
Prep:
Protect hair with cap or headband.
Remove eye makeup.
Place a few drops of Lipid Cleansing Gel onto fingertips and apply to client’s face and neck.
Cleanse in circular motion and rinse thoroughly.
Apply eye pads moistened with water.
Place a thin layer of Vaseline™ on the lips and nasolabial junction with a Q-tip swab.
At this point, take a minute to check the skin under the magnifying light.
Application:
1.
2.
3.
4.
Dispense a small amount of peel solution into a cup.
Fold a 4”x4” cotton esthetic wipe in half. Turn and fold in half again.
Dip one flat edge of the cotton wipe into the peel solution pressing off any excess.
Beginning with forehead apply one even coat to the face, ending in a feathering
motion onto the neck.
5. Leave on for 10-20 minutes, adjust the timing according to skin type and condition.
6. Wash off with cool moist towel or esthetic wipe.
7. Apply two to three drops of Vitamin C Reversal Serum and massage into the skin.
8. Finish with the Light Day Cream SPF 30 or Hydrating Cream.
Jessner’s Solution - Professional Use Only
pH 2.20
Indications for Jessner’s peel:
Acne
Photodamaged skin and premature aging
Actinic keratoses
Pigment Irregularities
Contraindications:
Allergies to resorcinol
Retin A® or Renova® within 4 weeks
Allergies to aspirin or salicylates
Laser resurfacing surgery within the last 6 months
Hypersensitivity or anyone “highly allergic”
Dry and dehydrated skin or compromised lipid barrier
Accutane within the past year
Pregnancy or nursing
Glycolic acid or salicylic acid within the past week.
The Jessner’s solution contains 14% Salicylic acid, 14% Lactic acid and 14% Resorcinol.
Resorcinol will increase the amount of peeling experienced after a peel.
Peeling is usually light to moderate and depends on the skin condition and depth of the
peel.
One coat of Jessner’s solution is advised but may be increased as you build experience
with the peel and the individual skin types, conditions, and tolerances.
Never apply more than 3 coats.
Have client fill out and sign consent form.
Application:
Prep:
Protect hair with cap or headband.
Remove eye makeup.
Place a few drops of Lipid Cleansing Gel onto fingertips and apply to client’s face and neck
adding water when needed. Cleanse in circular motion and rinse thoroughly.
Apply eye pads moistened with water.
Place a thin layer of Vaseline™ on the lips and nasolabial junction with a Q-tip swab.
At this point, take a minute to check the skin under the magnifying light.
•
•
•
•
•
Pour approximately one tsp. of peel solution into a cup.
Dip a folded cotton esthetic wipe into solution and press off any excess.
Apply starting at the forehead, moving to nose, cheeks, and finishing with jaw line lightly
feathering down onto the neck.
Keep pressure and quantity of solution constant.
Leave peel on the skin for approximately 10-15 minutes. Adjust the timing according to skin
type, condition and tolerance.
Mild erythema may be seen.
You will not see a true frosting.
When a mild frost is seen it is generally the residue from the salicylic acid and can
be brushed off with a cotton wipe.
§
•
•
•
Wash the peel off with cool, moist, soft cloth.
(cont. on next page)
Finish with the Hydrating Cream and Light Day Cream SPF 30.
Arrange for a follow-up appointment in 5 to 7 days.
Instruct the client to call with any questions or concerns.
Home Care:
Advise client to not wash the face until the following morning.
Use gentle cleansers and soothing hydrating creams until peeling subsides.
Stress the importance of sun protection at all times.
No scrubs, retinoic acids, AHA’s, BHA’s, or astringents until the skin has healed.
No peeling or picking at the skin.
It is not recommended to
OXYGEN RX TREATMENT – 6 TREATMENT KIT
“For many years I objected to the use of oxygen on the skin since it is well known
that skin is basically an anaerobic organ and uses oxygen for only 10% of its
energy needs. In recent years I have learned that there are other roles for
molecular oxygen besides respiration. (Though 95% of all the oxygen we breath
is used for respiration) I have listed the main cellular actions of oxygen so that
you will know why to use it in skin care. Please read the following information
before proceeding to the next step.”
Peter T. Pugliese, MD
Energy Metabolism
The bodies need for energy is provided by the metabolism of glucose to produce ATP,
adenosine triphosphate. Energy stored in the glucose molecule is captured and stored
in the molecule of ATP and then used wherever and whenever the body needs energy.
In the process of metabolizing glucose many free protons are produced. Oxygen’s role
in this process is to neutralize these proton by-products of glucose metabolism by
binding them and making water, a much needed substance in the body. Without
oxygen we would use up all our energy and in less than 8 minutes and die.
The Making of Collagen
This is the reason oxygen can be used to help aging skin. In a cell called the fibroblast
(which is in the dermis) collagen cross linking requires the presence of two amino acids,
proline and lysine. However, to use these amino acids to produce collagen they must
first be changed to a new form which requires oxygen. The process is called
hydroxylation and the end result is two new amino acids-hydroxyproline and
hydroxylysine.
New Blood Vessel Formation or Neovascularization
Oxygen reaches tissues and cells mainly from the red blood cells in the capillaries. So to
repair damaged tissue the body must make new capillaries. The process is most
complex, but it is the presence of oxygen that initiates this process.
The Need for Extra Oxygen in Tissue Repair
Applying topical oxygen can increase tissue repair in many cases. Remember that
aged skin is damaged skin and as such it needs a bit more oxygen. As oxygen leaves
the capillary and enters the tissue on the way to the cellular mitochondria, the amount
of available oxygen drops way down. We call this the oxygen cascade and often
there is not enough oxygen to recover injured tissue, since injured tissues have a greater
need for an increase in metabolism and thus an increase in oxygen. Using oxygen
requires a knowledge of these things since too much oxygen can have a negative
result on tissue in the formation of free radicals. As an esthetician you have an
excellent tool in oxygen therapy, but you must know how to use it well.
OXYGEN RX TREATMENT PROTOCOL
Professional Use Only
Suitable for all skin types.
Properties:
o Kills anaerobes, the germicidal action makes it excellent for the treatment of
acne.
o Breaks the bonds that hold the cells together- proteolytic oxidation.
o Bleaching by oxidation, lightens and brightens the skin.
o Vaso-constricting, making it useful for the treatment of Rosacea and
Telangiectasia.
o Increases skin function stimulating endothelial cells to make new blood vessels
which will allow more blood to enter thereby making it easier to get nutrients into
the skin.
o Stimulates fibroblasts to produce more collagen in the dermis.
o The presence of oxygen makes the skin firmer.
Prep:
Cleanse the skin with the appropriate cleanser.
Use one of the Circadia enzyme treatments following directions on the enzyme
package.
Thoroughly remove all enzyme and rinse with warm towel.
Make sure hair is covered completely before beginning Oxygen Rx treatment.
Cover eyebrows with Vaseline.
Before proceeding to next step, assemble all products for easy access.
Make sure all spray bottles have pumps on top.
Do not mix powder and gel base until ready to proceed.
Begin Oxygen Rx:
1.) Empty one vial of oxygen Rx powder (step 1-b) into one gel base (step 1-a) stirring
carefully and quickly until all the powder is dissolved.
Immediately begin applying to the face in one even layer.
Avoid immediate eye area.
Do not apply to upper eye area.
Let rest for 2 minutes.
Total time product is on the face will be approximately 3 minutes.
2.) Do not remove product. Spray enzyme activator on top of first step. (step 2) With
gloved hands lightly massage in small circular movements for 3 minutes.
3.) Remove excess product with spatula, spray area with ph neutralizer (step 3).
Using a warm moist towel, remove all product from the face. If needed, rinse a
second time with a clean towel.
4.)
Spray with the citric spray (step 4). Pat to absorb.
5.) Finish with appropriate moisturizer and /or sunblock.
Oxygen Rx treatment can be given once a week. Refer to Circadia technical guide for
additional information on Oxygen Rx use.
Oxygen Rx treatment with the enzyme can be given every 2 weeks or as needed.
TREATING ROSACEA WITH THE OXYGEN TREATMENT
o
o
o
o
o
o
o
Cleanse the skin with Lipid Replacing Cleansing Gel.
Apply Cocoa Enzyme treatment following directions on the enzyme package.
Leave on 5-15 minutes (duration depends on skin type and condition), checking
on the skin periodically for erythema.
Thoroughly remove all enzyme and rinse with warm towel.
Begin Oxygen Rx treatment and follow the step by step instructions included in
the product kit or technical guide.
When completed, let the skin rest for 10 minutes.
Apply Rosacea Serum to affected areas and let penetrate.
Apply Light Day Cream SPF 30.
Aging Skin Oxygen Protocol:
o
o
o
o
o
Cleanse the skin with Lipid Cleansing Gel.
Apply an enzyme or exfoliant of choice.
Thoroughly remove all enzyme from the face and rinse well.
Begin Oxygen Rx treatment and follow the step by step instructions included in
the product kit or technical guide.
Finish with Vitamin C Serum and then a collagenase inhibitor such as the
Circadia Plus Night Time Repair.
ROSACEA RX SERUM
PROFESSIONAL USE ONLY
PROPERTIES: A powerful blend of essential oils formulated for controlling the symptoms
of rosacea.
• Anti-microbial
• Anti-inflammatory
• Powerful botanicals help to kill the demodex mite.
• Vaso-constricting
APPLICATION:
Using a Q-tip moistened with Rosacea Serum carefully apply a small amount to effected
areas only. Allow to penetrate and dry.
TREATMENT RECOMMENDATIONS:
Rosacea Serum should be applied once a week for 3 weeks.
For best results, apply rosacea serum after a cocoa enzyme treatment.
ROSACEA RX TREATMENT PROTOCOL:
CLIENT PREPARATION
• Client must remove contact lenses
• Protect hair with cap.
CLEANSING
• Remove eye makeup.
• Pump a small amount of Lipid Replacing Cleansing Gel onto fingertips and apply to
client’s face and neck. Cleanse in circular motion and rinse thoroughly.
• Apply eye pads.
ANALYSIS
• Examine the face with the magnifying light and Wood’s light.
EXFOLIATION
1.
Mix Cocoa Enzyme
Place 1 tsp. of enzyme powder into a small mixing cup/bowl. Add 3 tsp of
Activator and mix thoroughly to the constancy of a thin pudding. Adjust powder to
activator as necessary. Allow to stand for two minutes. Add more liquid if necessary.
2.
Apply with mask brush or spatula to face and neck. Be careful not to apply too close
Direct steamer from a distance to keep enzyme moist but not warm. Enzyme must
be kept moist to be active. If steamer is not available, gently lay a tepid moist towel to
the face or mist with water to keep moist.
3.
4.
5.
Time for 10-20 minutes. Watch skin very closely for erythema. First time clients: use
for 5-10 minutes only.
Rinse thoroughly with tepid water. Allow skin to rest for approximately 3 min.
Apply rosacea serum to effected areas only. Allow to penetrate and dry.
Apply Light Day Cream SPF 30.
OPTIONAL STEP:
If client has responded well to the enzyme and the skin is calm, the following step
may be added to the treatment before applying the rosacea serum.
Thoroughly remove all enzyme from the face. Mist or moisten the face with cool water.
Administer the Oxygen Rx Treatment as directed in the kit or technical guide.
When complete, allow the skin to rest for 10 minutes.
Apply the Rosacea Serum to effected areas. Allow to penetrate and dry.
Finish with Light Day Cream SPF 30.
The cocoa enzyme works well for rosacea, it will calm the skin as it exfoliates.
Time the enzyme according to skin condition, results will be seen in as little as 5 minutes.
If the skin is calm after removal of the enzyme, the Oxygen Rx treatment can be
administered.
The Oxygen Rx treatment will rid the skin of bacteria, constrict the capillaries, (helping to
take down the redness), and help to heal pustules. The rosacea serum will then control
the Demodex mite and complete the treatment.
The SWiCH™ Dermal Rejuvenation System
“The SWiCH™ is an effective alternative to chemical peels.
In the past chemical peeling has been practiced by physicians and skin care
professionals to rejuvenate damaged and aging skin. This method relies on the
skin’s ability to repair itself after injury. Consistent damage to the epidermis,
however, may lead to more serious side effects. With SWiCH™ it is possible to
trigger the repair system without injury to the skin. “
Peter T. Pugliese, MD
The SWiCH™ System is based on a physiological principle of inducing the natural repair
system of the skin to become active. Activation of the repair system can then effect a
restoration of both sun-damaged skin and intrinsic skin aging changes. The four-step
process is as follows:
1. Cleansing the skin with gentle cleanser to remove dead cells and excess lipids.
2. Application of urea modified keratin proteins to allow increased penetration of
actives.
3. Application of pyruvate-succinic acid complex activates the Kreb’s Cycle,
increases flow of electrons to the Electron Transport System generating more
energy through ATP synthesis. This product is not removed. It remains on the skin
and is followed by the Fraction V.
4. Post-treatment with Fraction V stimulates the immune system and simultaneously
activates multiple processes to accelerate healing.
5. Side
effects
include
superficial
crusting,
hyperpigmentation in areas of inflammatory acne.
edema,
and
transient
6. The SWiCH™ mechanism provides benefit up to one month.
7. The SWiCH™ System should be performed for 6-8 times spaced out once every 46 weeks.
Unlike most acid-based treatments, The SWiCH™ System is a leave-on system. The
active ingredient remains to provide continuous treatment for repair and restoration.
Since tissue damage is minimal, repeated treatment can be performed at regular
intervals without risk of over-treatment.
Contraindications
o
o
o
o
o
o
o
o
o
o
o
Allergy to aspirin or salicylates
Allergy to citric acid of any kind – oranges, lemons, grapefruit, etc.
Anyone who says they are “highly allergic.”
Pregnant or trying to get pregnant.
User of Accutane® less than one year ago.
Use of antibiotics (topical or systemic).
Laser surgery within the last twelve weeks.
Using glycolic acid products, Retin-A, or Renova in the last 10 days.
Use with caution on Asian skin types since they have a tendency to be sensitive
and/or have pigment problems.
Do not apply to skin with a compromised lipid barrier.
Clients considering the SWiCH™ program must discontinue the use of Retin-A,
Renova, and any AHA products prior to their session.
The guideline for timing
Retin-A or retinol use with SWiCH depends on individual skin type. Any vitamin A
product must be stopped at least 5 days before a SWiCH treatment and in some
cases 10 days or longer.
Do not perform the SWiCH™ treatments when clients are non-compliant with these
guidelines.
Do not perform the SWiCH  treatment on any client with compromised skin of any
type.
Do not perform SWiCH for three months after a face lift or blepharoplasty.
The SWiCH™ is for professional use only.
SWiCH is for use on aging, photo and environmentally damaged skin.
Treatment time – 90 minutes
RECOMMENDED PRODUCTS & SUPPLIES
o
o
o
o
o
o
o
o
Hydrating Cleanser (shake before use)
EpiPrep
Cellular SWiCH
Fraction V
Small fan brush
4x4 cotton gauze pads or facial towels
Eye protection
Fan for client
CLIENT PREPARATION
Have client read and sign consent form. Verbally go over contraindications with the client.
Contact lenses must be removed.
Protect hair with cap or headband.
Step 1 - Cleansing
1. Remove eye makeup with the Vitamin Veil Cleanser and rinse.
2. Shake Hydrating Cleanser and place small amount onto fingertips and apply to
face and neck. With light pressure and circular movements gently cleanse, adding
water as needed. Rinse thoroughly.
Step 2 – Prep
1. Apply an even layer of Epiprep on face and neck. It may be applied to the under eye area
within 2 cm of the lower lid; DO NOT apply to upper eyelid. Time for 30 minutes.
2. Wash again with Hydrating Cleanser removing all traces of EpiPrep. Rinse thoroughly and pat dry.
Step 3- SWiCH™ Solution
1. With a pipette, dispense 3ml of the SWiCH™ solution into a cup.
2. Using a 4x4 cotton esthetic wipe folded in half, dip end into solution pressing off
excess against side of cup. Carefully apply one even coat to face and neck.
DO NOT go over an area more than once.
3. Time for 30 minutes.
4. DO NOT WASH OFF.
5. Apply Fraction V evenly over treated area.
Step 4- Completing treatment
Complete and detach SWiCH™ “At Home Care instructions.”
Thoroughly review “At Home Care” instructions with client and provide client with the 3-day supply
of Vitamin Veil Cleanser and the Fraction V solution.
Schedule follow-up visit for an enzyme treatment. (7 to 10 days)
Schedule next SWiCH treatment. (in 4 weeks)
FOLLOW-UP
Call your client/patient within 24 hours.
Sun damage to cheek area
before SWiCH™
Helpful Suggestions:
If possible, schedule client to come in one week to ten days after a SWiCH™ treatment for an
enzyme application. The Cocoa Enzyme is recommended to remove the buildup of dead cells
and return the skin to glowing appearance which remains until the end of the month and the time
for another SWiCH™.
Take time to explain how it works to your clients. Keep SWiCH™ brochures in your waiting area.
Sell the SWiCH™ treatments in packages of 3 including the enzyme follow-ups. Generally, after the
third treatment you will see a noticeable improvement and clients are encouraged to purchase a
second set of three.
SWiCH™ is not recommended for active acne. Although, when all pustules have healed and skin is
in a healthy condition, it will help to eliminate discolorations left from the acne.
When using it on pigmented skin, start the client on White Veil Lightener two weeks prior to first
treatment.
White Veil Lightener should be applied in the morning under the sunblock and in the
evening after cleansing.
ALWAYS MAKE SURE THE CLIENT UNDERSTANDS THE IMPORTANCE OF SUN PROTECTION AT ALL TIMES.
The SWiCH™ is sold as a complete kit, do not substitute or alter any steps.
Thoroughly remove all traces of Epiprep before applying SWiCH™ Solution.
Do not go over any areas a second time with the SWiCH™ solution.
Always cover the eyes when applying the SWiCH™ solution.
NEVER substitute microdermabrasion for the Epiprep.
Sun damage improved after 3 SWiCH™ Treatments
SWiCH™Dermal Rejuvenation System – 10 Treatment Kit
Pre and Post Operative Skin Conditioning Program
The goal of this program is to create healthy skin, to repair environmental damage, and restore
normal skin functions which, in turn, will shorten recovery time from cosmetic procedures and give
the patient optimal results. The Circadia skin care system will work to lighten discolorations,
penetrate the skin to allow for cell stimulation, improve circulation, and help to rebuild collagen.
The products utilize the most effective ingredients-all non-prescription-in the highest strengths
necessary to improve skin at the cellular level.
Pre Operative Conditioning
This protocol should be followed for at least 6 weeks prior to any cosmetic procedure for best results.
All programs will differ depending on the condition of the skin at the beginning of treatment, the
skin type, and lifestyle of the client. This protocol must be adjusted to each individual and the
number of weeks before surgery.
Beginning stages of treatment may show the following symptoms:
*dryness
*flakiness
*increased sensitivity
These reactions are normal and are a sign that the skin is beginning restoration.
If skin becomes too sensitive, it may be necessary to skip a few nights of Vitamin A Rx Cream.
Begin the first week by applying the Vitamin A Rx Cream for 2 consecutive nights, using the
Hydrating Cream the remainder of the week.
Use your first week as a guide for the following week.
The goal is to apply the Vitamin A Rx Cream for as many nights as the skin can tolerate, watching for
irritation and stopping when skin shows flakiness or sensitivity.
Pre Operative Protocol (with pigment control)
AM
1. Cleanse with Lipid Replacing Cleansing Gel.
2. Vitamin C Reversal Serum- apply to face, neck and eye area and allow to penetrate.
3. White Veil Lightener- apply evenly to entire face. (neck area if being treated). Wait until cream is
absorbed before proceeding to next step.
4. Apply the Light Day Cream SPF 30.
Sun protection is necessary at all times. When exposed to the sun, apply Light Day Cream SPF 30
several times a day. If you cannot follow these precautions and avoiding the sun is impossible,
discontinue Vitamin A Rx Cream a week prior to sun exposure and continue with balance of
program as soon as possible.
5. Take two Vitage daily with food.
PM
1. Cleanse with Vitamin Veil Cleanser
2. White Veil Lightener- apply evenly to entire face. (neck area if being treated) Wait until cream is
absorbed before proceeding to next step.
3. Vitamin A Rx Cream- apply evenly to entire face, extending to hairline, ending with a feathering
motion. Do not apply too close the lower lash line or on upper eye lid area.
4. Hydrating Cream- to be used for comfort and hydration in place of the Vitamin A Rx Cream.
Stop Vitamin A Rx Cream 5 days before procedure.
Post Operative Protocol (pigment control)
Begin protocol only when directed by attending physician.
AM
1. Cleanse with Lipid Replacing Cleansing Gel
2. Apply the White Veil Lightener.
3. Apply Light Day Cream SPF 30.
4. Take two Vitage daily with food.
PM
1. Cleanse with Vitamin Veil Cleanser
2. Apply the White Veil Lightener.
3. Hydrating Cream- may be applied over post peel for extra hydration.
Do not begin Vitamin A Rx Cream until instructed by physician or skin care professional.
Pre Operative Conditioning
(cosmetic surgery)
AM
1. Cleanse with Lipid Replacing Cleansing Gel.
2. Vitamin C Reversal Serum- apply to face, neck and eye area and allow to penetrate.
3. Apply MyoRx to areas prone to wrinkling.
4. Apply Full Circle Eye Repair – Day Formula to eye area.
5. Light Day Cream SPF 30.
PM
1. Cleanse with Vitamin Veil Cleanser
2. Vitamin C Reversal Serum-apply to face, neck and eye area and allow to penetrate. 3. Apply
MyoRx to areas prone to wrinkling.
3. Apply MyoRx to areas prone to wrinkling.
4. Apply Full Circle Eye Repair – Night Formula to eye area according to package directions.
4. Vitamin A Rx Cream- apply evenly on entire face, extending to hairline, ending with a feathering
motion. Do not apply to eye area.
Hydrating Cream- to be used for comfort and hydration in place of the Vitamin A Rx Cream.
Post Operative Instructions- to begin after sutures are removed and no open areas are present.
AM
1. Cleanse with Vitamin Veil Cleanser taking time to gently massage the vitamin veil on scars.
Gently remove with warm washcloth.
2. Vitamin C Reversal Serum- apply to face, neck, and eye area and allow to penetrate.
3. Hydrating Cream may be massaged into scars to keep area hydrated and soothed.
4. Light Day Cream SPF 30.
PM
1. Cleanse with Vitamin Veil Cleanser - gently massage on scars. Remove with warm washcloth.
2. Vitamin C Reversal Serum- apply to face, neck, and eye area and allow to penetrate.
3. Hydrating Cream- apply to entire face making sure to gently massage into scars.
Begin Vitamin A Rx Cream, Circadia Plus Night Time Repair, or Full Circle Eye Repair Night Formula
approximately 2 weeks post surgery or as directed by physician.
Moisture Therapy
AM
1. Cleanse- Circadia Milk Cleanser
2. Apply MyoRx Serum to face and under eye area, massaging into the skin.
3. Apply Hydrating Cream or Light Day Cream SPF 30.
PM
1. Cleanse - Apply Vitamin Veil Cleanser to face including eye area. Remove cleanser with warm
wash cloth.
2. Apply MyoRx Serum to face and under eye area, massaging into the skin.
3. Apply Hydrating Cream.
One to two drops of Moisture on Demand may be added to the Hydrating Cream for extra moisture.
THE ABOVE PROTOCOLS ARE SUGGESTIONS FOR CONDITIONING AND CARING FOR THE
SKIN.
INDIVIDUAL SKIN TYPES AND CONDITIONS VARY, AND PROTOCOLS SHOULD BE ADJUSTED
ACCORDINGLY.
Frequently Asked Questions
What if the skin becomes sensitive in the beginning?
Everyone tolerates things differently and the prescribed protocol can always be changed to
accommodate each clients personal needs. Keep in mind that the reactions around the mouth or
eye area may be more pronounced than on the rest of the face. This is typical of vitamin A use.
Always let the client know they should call with any concerns or questions.
What should the client do if they going to be on vacation and in the sun?
Instruct them to use the Light Day Cream SPF 30, reapply several times a day, and wear a hat when
possible. Avoid hot saunas, hot tubs, and protect from wind and sun at all times wearing a hat or
visor when necessary. If they cannot follow these instructions, they should discontinue the Vitamin A
Rx Cream before leaving for vacation, continue with the balance of the protocol and begin using
the Vitamin A Rx Cream as soon as possible after sun exposure.
What if the skin gets itchy and dry?
Stop the Vitamin A Rx Cream for a night or two and substitute the Hydrating Cream for comfort and
hydration.
Can the products be used on the hands and arms?
Yes, the skin conditioning protocol can be used on face, hands, arms, or neck and decollete.
Can it be used while pregnant or nursing?
No, it is not recommended.
Products Used :
Vitamin Veil Cleanser- a soybean oil based cleanser that nourishes and soothes the skin.
Lipid Replacing Cleansing Gel- a gentle gel cleanser that effectively cleans without breaking the
lipid barrier or denaturing the keratin.
Vitamin C Reversal Serum- biologically active vitamin C that inhibits the breakdown of collagen
Hydrating Cream-boosts moisture, protecting from transepidermal water loss , contains collagenase
inhibitors, collagen metabolic stimulators, and powerful antioxidants.
White Veil Lightener- a clear light lotion with tyrosinase inhibitors & antioxidants.
Circadia Plus Night Time Repair- a regenerative, reparative, and rejuvenating cream designed to
work with the skin’s natural nighttime repair cycle.
Vitamin A Rx Cream- same properties as the Circadia Plus Night Time Repair but a higher
percentage of vitamin A.
Light Day Cream SPF 30- gentle UVA and UVB protection in a light cream containing antioxidants.
Vitage- a daily vitamin supplement formulated to increase skin elasticity, boost the immune system,
and reduce the appearance of fine lines.
FACIAL CONFIDENTIAL QUESTIONNAIRE
PLEASE PRINT
Today’s Date __________________________
First Name ___________________________________ Last Name _____________________________________ Date of Birth ____/____/_______
Street ___________________________________________ Apt. # ______ City __________________ State ________ Zip ______________
Phone – Home (
) ________________________ Work (
) _________________________ Mobile (
Dermatologist/physician _________________________________________________________ Phone (
Emergency Contact ________________________________________________________ Phone (
) ______________________
) _________________________
) _______________________________
Your occupation ________________________________________________________ E-Mail ______________________________________
Referred by
q Friend
q Mailer
q Walk-by qYellow Pages
qGift Certificate
q Other ________________
Esthetician Name _________________________________________
1. What is the reason for your visit today?
V
Rarely burns – Deep tan
1. What special areas of concern do you have?
_________________________________________________
_________________________________________________
_________________________________________________
VI
6.
Never burns – Deeply pigmented
Do you ever experience
q flakiness?
EXPECTATIONS and HISTORY
q redness?
q tightness?
q excessive oily shine during day?
2. Which conditions would you like to improve?
qAcne scarring
q
Hyperpigmentation
7. What is your present skin regimen?
qAcne
q
Broken capillaries
q Soap & water only
qAge spots
q
Stretch Marks
q Masque q Moisturizer q Exfoliation
qEnlarged Pores
q
Surgical/facial scars
q Sun Block every day
q Cleanser
q Toner
qFine lines & wrinkles q Other ___________________
other__________________________________
_________________________________________________
8. Are you ever exposed to chemicals, oils, or
other caustic substances that may
aggravate your skin? q Yes q No
What?
2. Have you ever had facial treatment in the
past?
q Yes
q No
3. What was your experience?
_______________________________________________
_________________________________________
9. Do you blush easily?
______________________________________________
If yes, what are the contributing factors?
q Emotions
q Temperature changes
q Normal
___________________
q Oily
q Combination
qSensitive q Sun Damaged
10. Do you
q other
q sun bathe? q use a tanning bed?
5. How would you rate your skin?
11. Have you ever had
Circle one
q microdermabrasion q facial surgery
I Always burns, never tans
q cosmetic Surgery
II Always burns easily, tans slightly
q dermal fillers q laser resurfacing
III Burns moderately – tans gradually
IV Seldom burn – Always tans well
q No
q Foods
4. How would you describe your skin?
q Dry
q Yes
q peels?
q botox
How recently?___________________________
12. Are you under treatment for any current
skin condition?
q Yes
q No If yes, what?_____________________
13. Does your skin heal
q fast?
q scar
easily? q with pigment irregularities?
14. Do you bruise easily? q Yes
q No
15. Do you get sores/blisters (Herpes
Zoster/Shingles)? q Yes q No
16. What medications/hormone
replacement/vitamins do you presently
take?
_________________________________________________
_________________________________________________
47.
48.
49.
50.
Serious Injury
Sleep problems
Thyroid
Varicose Veins
q Yes q No
q Yes q No
q High q Low
q Yes q No
51. Do you smoke?
What ___________
q Normal
q Yes
q No
52. Do you wear contact lenses?
53. q Yes
q No
54. Have you ever had a reaction to
q cosmetics q metals
q medication
q food q fragrance q airborne
particles? q Other
_________________________________________________
Explain ________________________________________
17. Have you ever used
55. For women: Oral contraceptives?
18. q Retin-A®
q Differin
q Accutane®
q Renova® q topical antibiotics
q Tazarac q Hydroquinone
q Alpha Hydroxy Acids?
any topical Rx?
19. When and for how long?
_______________________________
q Yes
q No
56. Are you pregnant or trying to get pregnant?
q Yes
q No
57. Are you taking hormone replacement?
q Yes
20. Any personal or family history of skin
cancer?
q Yes
58. Do you experience hormone imbalances?
q No
q Yes
Provide detail ____________________________________
21. How would you describe your overall
q Good
q Fair
q Poor
22. Have you had any of the following, past or
present?
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
Acne
q Yes q No
Allergies
q Yes q No
Arthritis or Bursitis
q Yes q No
Blood Pressure
q High q Low
Breast Implant
q Yes qNo
Cancer
q Yes q No
Cataracts
q Yes q No
Cholesterol
q High q Low
Claustrophobic
q Yes q No
Diabetes
q Yes q No
Diarrhea/constipation q Yes q No
Eczema
q Yes q No
Epilepsy
q Yes q No
Hay Fever
q Yes qNo
Headaches
q Yes q No
Heart Disease/Conditions q Yes
q No
Hepatitis
q Yes q No
HIV/AIDS
q Yes q No
Infections
q Yes q No
Lupus
q Yes q No
Menopausal
q Yes q No
Metal Implants
q Yes q No
Pace Maker
q Yes q No
46. Phlebitis
q No
For Men:
59. Do you shave with
health?
q Excellent
q No
q Yes
q No
q electric shaver? q razor?
62. Do you experience skin breakouts?
q Yes q No
When __________
63.
q Normal
64. Is your stress level
q high
Where __________
q Yes q No
LIFESTYLE & DIET
________________
q Normal
Do you have ingrown hair?
q medium
q low
65. Do you normally sleep well?
q Yes q No
How often ______
What___________
66.
Do you regularly exercise? q Yes q No
67. Do you have food intolerances?
q Yes q No
What?______________________________________
68. Do you follow any special diet?
q Yes
q No
69.
How many glasses of water do you
consume daily? ______
70.
How many cups of caffeine-type
beverage (coffee, tea, soft drinks do
you consume daily?
q 1-3 cups
q 4 or more
71.
It may be necessary to recommend
alterations to your treatment program
or additions in your home care
regimen; would that be okay with you?
q Yes
q No
participate in following appointment schedules
and home care procedures to the best of my
ability, so that I may obtain maximum
effectiveness. In the event that I may have
additional questions or concerns regarding my
treatment or suggested home product routine, I
will inform my practitioner immediately.
I release the skin therapist, business name and their
staff harmless from any liability that may result from
products or treatments used and distributed from
this business.
POLICIES
Your practitioner will recommend the
appropriate schedule for future facial
treatments or physician referral in order to
achieve your skin improvement goals.
INFORMED RELEASE
I _________________________________, do fully
understand all the questions above and have
answered them all correctly and honestly. I
understand that the services offered are not a
substitute for medical care. I understand that
the practitioner will completely inform me of
what to expect in the course of treatment and
will recommend adjustments to my regimen if
deemed necessary.
I also am aware that
individual results are dependent upon my age,
skin condition, and lifestyle. I agree to actively
We require 48-hours notice for cancellations.
Cancellation for Monday must be phoned in on the
Friday before.
If you are not satisfied with your service or products,
please contact your skin specialist within 24-hours
after your appointment so that the situation may be
corrected. It is our policy to provide you with the
best professional service and products customized for
your skin condition.
Signature______________________________________
Date _____________
Skin Assessment
First Name __________________________________ Last Name ___________________________________ Date __________
Performed by _________________________________
PERIPHERAL VASCULAR SYSTEM & ITS DISORDERS
q
q
q
q
q
q
q
q
q
q
Normal
Erythrosis (permanent redness) __________________
Couperose (diffuse redness) ______________________
Cyanosis (dark blue)
__________________________
Rhinophyma (bulbous nose)
Erythema (Intermittent redness) _________________
Telangiectasia (distended capillaries) _____________
Angioma (naevus vascularis) ______________________
Spider Angioma _______________________________
Telaniectatic wart ______________________________
LIPID SYSTEM AND ITS DISORDERS
q
q
q
q
q
Acne
Normal secretions: Region(s)
Excess secretions: Region(s) _______________________
Very little secretion: Region(s) ____________________
Seborrheic (oily)
Asphyxiated ____________________________________
q
q
q
q
q
q
Many comedones
Macula - Region(s) ______________________________
Nodules - Region(s) _____________________________-_
Pustule - Region(s) ______________________________
Papule-pustules – Region(s) ______________________
Vesicula – Region(s) _____________________________
q Normal
q Squama
q Hyperkeratinization
q Furfur (flaky scales)
q Hypokeratinization
q Pityriasis simplex
q Eczema
q Psoriasis
q Ichthyosis
q Keratosis senilis
GRAIN OF SKIN
SKIN TEXTURE
q Very fine
q Slightly visible ostium
q Obvious visible ostium
q Enlarged ostium
q Smooth
q Rough
q Granular
SKIN TONE
q Firm
q Mild lack of one
q Severe lack of tone
COMPLEXION & PIGMENTATION DISORDERS
q Milky
q Fair
q Reddish
q Pinkish
q Slightly amber
q Yellowish
q Black
q Olive
q Melanocytic nevus (birthmark)
q Senile lentigo
q Dark circles (eyes)
q Chloasma
q Macula solaris, freckles
q Vitilaligo
q Other _____________________________
q Other _____________________________
SKIN DISORDERS
Eruption Pattern
q Few
q Many
q Intermittent
q Permanent
Acne Grade
Grade 1:
Grade 2: _____________________________________________
Grade 3: ______________________________________________
Grade 4: _____________________________________________
q None
q Chapping
q Ulcers
q Scars
q Nodules
q Furuncle (boil)
q Cheloids
q Phlycena (blister)
q Excoriation
q Carbuncle (larger area of inflammation
q Escar (scabies)
q Stretch marks
q Other _____________________________
SKIN GROWTHS
Medically treated? q Yes
q No
Fatty Inclusions
q None
q Milium
q Closed comedones
q Seborrheic hyperplasia
q Micro sebaceous cyst
q Open comedones
q Escar (scabies)
q Xanthoma
SKIN HYDRATION
q Normal hydration
q Superficial dehydration
q Deep dehydration
q Ridules – Regions _____________________________________
q Wrinkles – Regions ___________________________________
q Furrows – Regions ___________________________________
SKIN SENSITIVITY
q Normal
q Burning sensation
q Reactive
q Pruritus (itching)
q Hyper-reative
q To Pressure
q Intolerant to ________________________________________
KERATINIZATION
q None
q Pigmented hair
q Nevus epidermalq Molluscum pendulum (tag)
q Melanocytic nevus (birthmark)
FITZPATRICK CLASSIFICATION
Always burns easily, never
Type I – White
tans
Type II – White
Burns easily, tans slightly
Type III – White
Sometimes burns, then tans
gradually and moderately
Type IV – Moderate Brown
Burns minimally, always tans
well
Type V – Dark Brown
Burns rarely, tans deeply
Type VI – Black
Almost never burns, deeply
pigmented
TREATMENT RECORD FOR ______________
Date __________________ Esthetician ______________________
Date __________________ Esthetician _______________________
Today’s Treatment _______________________________________
Today’s Treatment _______________________________________
Cleanser _______________________________________________
Cleanser _______________________________________________
Toner _________________________________________________
Toner _________________________________________________
Exfoliation ______________________________ Time ___________
Exfoliation ______________________________ Time ___________
Extraction q Yes q No ___________________________________
Extraction q Yes q No ___________________________________
Steam? q Yes q No How long ____________________________
Steam? q Yes q No How long ____________________________
High Frequency?
q Yes q No
High Frequency?
q Yes q No
Galvanic
qYes q No
Galvanic
qYes q No
Ampoule? q Yes q No What _____________________________
Ampoule? q Yes q No What ____________________________
Masque?
Masque?
What ___________________________ Time_________
What ___________________________ Time_________
Moisturizer What ________________________________________
Moisturizer What ________________________________________
Sun Block
Sun Block
SPF ____
SPF ____
Other services and comments:
Other services and comments:
Date __________________ Esthetician ______________________
Date __________________ Esthetician _______________________
Today’s Treatment _______________________________________
Today’s Treatment _______________________________________
Cleanser _______________________________________________
Cleanser _______________________________________________
Toner _________________________________________________
Toner _________________________________________________
Exfoliation ______________________________ Time ___________
Exfoliation ______________________________ Time ___________
Extraction q Yes q No ___________________________________
Extraction q Yes q No ___________________________________
Steam? q Yes q No How long ____________________________
Steam? q Yes q No How long ____________________________
High Frequency?
q Yes q No
High Frequency?
q Yes q No
Galvanic
qYes q No
Galvanic
qYes q No
Ampoule? q Yes q No What _____________________________
Ampoule? q Yes q No What ____________________________
Masque?
Masque?
What ___________________________ Time_________
What ___________________________ Time_________
Moisturizer What ________________________________________
Moisturizer What ________________________________________
Sun Block
Sun Block
SPF ____
Other services and comments:
SPF ____
Other services and comments
Informed Consent – DERMAFROST SALICYLIC PEEL
1. I, ________________________________________, understand that the purpose of the
salicylic acid peel is to lightly peel the outer surface of my skin. Some of the benefits
include lessening of pigmentation, reduces the appearance of fine lines and wrinkles,
and helps control certain acne conditions.
2. I understand there is a possibility of side effects, such as excessive peeling, redness,
or pigmentation.
3. I understand that I am to complete a medical history and be complete and truthful
about my physical conditions, medications that I may be taking, and my current skin
care regimen. I am also aware that my lifestyle, which if it includes smoking, outdoor
exposure, tanning beds, excessive alcohol consumption and/or recreational use of
controlled substances will effect and diminish the effectiveness and result of the
treatment.
4. If I have any questions regarding the procedure, I agree to call
___________________________________ to discuss any concerns.
5. I understand the cost of the treatment and the fee structure has been explained to
me.
6. I understand that my practitioner will recommend home care products to work in
tandem with the in-clinic treatment.
7. I understand that the following conditions preclude me from having this treatment
and verify that none of these conditions apply to me at this time.
Initial:
______ Allergic to aspirin or any salicylic sensitivity
______ Broken skin
______ Inflammation
______ Recent peels within eight weeks
______ Herpes virus (cold sores)
______ Use of Accutane® within the past 12-months
______ Laser resurfacing surgery within the last 12-months
______ Use of glycolic acid products, Retin-A®, or Renova® in the last 4-weeks
INFORMED CONSENT
I have read and understand this agreement and all of my questions have been answered. I
agree to these terms and I want to proceed with the Dermal Rejuvenation treatment.
Signed _____________________________________________
Date ____________________
Practitioner _________________________________________
Date ____________________
Witness _____________________________________________
Date ____________________
INFORMED CONSENT – SWiCH™ Dermal Rejuvenation System
1.
I, ________________________________________, understand that the SWiCH™ Dermal Rejuvenation
treatment is intended to improve the condition and appearance of my skin. I understand that the
product has been thoroughly studied, clinical trials were performed on a variety of skin types, and
that clinical results may vary.
2.
I understand there is a possibility of rare side effects, as there is with any product, which has been
proven safe and effective in clinical trials. Should I experience an extreme response to this
treatment, I have been given the names and numbers for immediate response for the remedy.
3.
Possible short-term effects are reddening, mild stinging sensations, scabbing, feeling tightness, and
acne-like eruptions in the days following the treatment.
4.
I understand that I am to complete a medical history and be complete and truthful about my
physical conditions, medications that I may be taking, and my current skin care regimen. I am also
aware that my lifestyle, which if it includes smoking, outdoor exposure, tanning beds, excessive
alcohol consumption and/or recreational use of controlled substances will effect and diminish the
effectiveness and result of the Dermal Rejuvenation treatment.
5.
If I have any questions regarding the procedure, I agree to call ______________________ to discuss
any concerns.
6.
I understand the cost of the treatment and the fee structure has been explained to me.
7.
I understand that I will be given products by the esthetician following the treatment, and written
instructions for the use of these products have been explained to me. The clinically demonstrated
positive results of the Dermal Rejuvenation require compliance with the application of these
products.
8.
I understand that the following conditions preclude me from having this treatment at this time and
verify that none of these conditions apply to me at this time.
Initial:
______ Allergic to aspirin
______
Allergic to citric fruits (oranges, grapefruit, lemons)
______
History of being “highly allergic” to anything
______
Pregnant or nursing
______
Use of antibiotics (topical or systemic)
______
Use of Accutane® within the past 12-months
______
Laser resurfacing surgery within the last 12-months
______
Using glycolic acid products, Retin-A®, or Renova® in the last 4-weeks
INFORMED CONSENT
I have read and understand this agreement and all of my questions have been answered. I agree to
these terms and I want to proceed with the Dermal Rejuvenation treatment.
Signed _____________________________________________
Date _______________________________
Practitioner _________________________________________
Date _______________________________
Witness _____________________________________________
Date _______________________________
INFORMED CONSENT FOR CHEMICAL PEEL
I, ______________________________________________, give permission to my skin care
therapist,____________________________________, to perform the chemical peel treatment we
have discussed and will hold him/her and staff harmless from any liability that may result
from this treatment. I understand that every precaution will be taken to minimize or
eliminate negative reactions such as blisters, redness, or irritation. I have given an accurate
account of any over the counter and prescription medications that I am using. I am currently
not using Accutane® or have not used within the past year, I am not using Retin-A®, retinol,
AHA’s or BHA’s at this time nor have I used within the past two weeks. I have not had any
surgical procedures, chemical peels, laser treatments or facial procedures that I haven’t
disclosed to my esthetician. I am not presently pregnant or lactating. _____________(Initial)
I have not had any recent chemotherapy or radioactive treatments, sunburn, windburn, or
broken skin.
I have not recently waxed or used a depilatory (such as Nair) on the area being treated today.
I do not have a history of keloid scarring, diabetes, any autoimmune disease, active herpes
blisters or cold sores. _____________( Initial)
I understand that I should not have a chemical peel if I intend to be in the sun or use a
tanning bed.
I understand that I must use a sunscreen on a regular basis when exposed to the sun.
___________(Initial)
I consent to the taking of photographs to monitor treatment effect and results if desired by
my therapist.________.( Initial)
My expectations are realistic and I understand that the results are not guaranteed and that
for maximum results, more than one application may be necessary. The rate of improvement
depends on my skin type, condition, my age, degree of sun damage, or pigmentation
levels.__________( initial)
I am willing to follow recommendations by my skin care professional for home care. I
understand of the possibility of peeling, flaking and excessive dryness. I agree to use the
products specifically recommended by my esthetician and including a sunscreen._________
(initial).
In the event of any questions or concerns, I will consult my skin care professional
immediately.
I understand the potential risks and complications and have chosen to proceed with the
treatment after careful consideration of both known and unknown risks, complications, and
limitations. I agree that this constitutes full disclosure, and that it supersedes any previous
verbal or written disclosures. I certify that I have red, and fully understand the above
paragraphs and that I have had sufficient opportunity for discussion to have any questions
answered.
Name__________________________________________________Date________________________
Print___________________________________________________
Professional____________________________________________Date_________________________
GLOSSARY OF TERMS
A
Aromatherapy - Ancient art of using scent to relieve physical symptoms (stress) or to accent feelings,
i.e., peppermint invigorates. Plant-derived essential oils are used in treatment and therapy to enhance
the beauty of the skin and body.
Artery - Blood vessel that carries blood to the heart.
Arthrosis - Name under which are designated degenerative chronic conditions of the articulation of
line or juncture between the bones. Causes pain, cracking, deformation or impotency without
deterioration of general conditions.
Asphyxiated skin – Impaired exchange of oxygen in the skin. Exchanges usually caused by excessive
accumulation of keratin on skin surface, thus causing a dull, lifeless complexion. May be accompanied
by numerous comedones and/or vesicles.
Asteatosis – Dry, scaly skin. Partial or absolute deficiency of lipids usually due to aging or bodily
disorders. May be caused by alkalies found in soaps and washing powders.
Asthma – Term used to denote bronchial asthma; a condition of the lungs in which there is widespread
narrowing of airways, varying over short periods of time either spontaneously or as a result of
treatment, due in varying degrees to contraction (spasm) of smooth muscle, edema of the mucosa, and
mucus in the lumen of the bronchi and bronchiles; these changes are caused by the local release of
spasmogens and vasoactive substances in the course of an allergic process.
Astringent – Constricting action on the skin giving a tightening effect. Many botanicals provide an
astringent effect due to the presence of tannins.
Atonic – Pertaining to the lack of tone such as seen in aging skin, and pre-mature aged skin due to
photo damage.
B
Bacteria (Bacterium) – Microscopic unicellular plant lacking chlorophyll and fully defined nuclei.
They occur in three main forms: Spherical (coccus), rod-shaped (bacillus), and spiral (spirilla). They
occur in water, soil, organic matter or living bodies of plants and animals, being saprophytic
(absorbing), parasitic (living in or one), and autotrophic in nutrition.
Barrier vehicle – A substance that allows the flow of product into the skin (through the cell structure
of the epidermis) or through keratinized structure such as a fingernail or hair.
Basal lamina – Basement membrane.
Basal layer – Innermost layer of the epidermis; contains living and dividing cells.
Base – In chemistry, a substance which when dissolved in water, provides hydroxyl ions from its own
molecules; a molecule or ion which can accept protons.
Basic Skin Care – Products that care for the needs of the skin on a day-to-day basis. Usually consists
of a cleanser, freshener and moisturizer.
Benign – Mild form of illness as opposed to fatal or malignant.
Binder – Substance such as gum Arabic, gum tragacanth, glycerin and sorbitol that dispense, swell,
absorb water, increase consistency and hold ingredients together.
Bioextract – Extracts prepared from animal tissues. Soluble collagen and hydrolyzed elastin are to
examples.
Blood vessels – Network of tube-like vessels that supply nutrients and oxygen to the skin. Help
regulate body temperature by contracting and expanding the response to external stimuli.
Botanical – Extract derived from plants. Botanicals are single compounds that are sometimes used in
combination for a more powerful affect. Natural plant extracts are indigenous to many cultures and
have been utilized as remedies for inner and outer health. Therapeutic benefits are emphasized in
numerous medicine remedies and beauty treatments.
Buffer – Usually a solution with a relatively constant acidity/alkalinity ratio used to lengthen the shelf
life of the product and make it gentler on the complexion. A typical solution would be hydrochloric acid
and sodium hydroxide.
C
CTFA – Cosmetic, Toiletries, Fragrances Association. An industry organization formed in order to selfregulate the industry rather than allow the FDA to step in and fill the regulatory vacuum with an
abundance of forms and regulations.
Callous – Hard, tough area of skin created by friction.
Color – Heat
Carbuncle – Large circumscribed inflammation of the subcutaneous tissue similar to a furuncle, but
more extensive.
Carrier – Referring to a substance that dispenses the active ingredient in a product. Effects products
spreadability, stability and time release of active ingredients. A liposome is an example of a carrier.
Cartilage – Connective tissue characterized by lack of blood vessels and is of soft consistency.
Catabolism – Breakdown of complex compounds into simpler ones.
Catalyst – A substance that accelerates or imitates a chemical reaction but remains unchanged while
performing this task many times. Wards ending in “ase” such as “tyrosinase” is an example of the
enzyme that initiates the action of melanin production.
Cell membrane – B-layer of lipids and protein surrounding the cell.
Cellular surface cells or debris – Refers to the natural sloughing off of the stratum corneum (outer
epidermis) and is expelled by all living cells.
Centistoke – Measure of viscosity (thickness).
Chapping – Having or pertaining to skin that is dry, scaly, and fissured (cracked) due to the action of
cold or the excess rate of evaporation of moisture from the skin’s surface.
Chelating agent – Substance that causes a metal ion to react with a molecule to form a chelate, which
is a stable, ring-like structure. Chelating agents are in the EDTA group; EDTA, Disodium
EDTA,Trisodium EDTA. Tetrasodium EDTA and Disodium EDTA Copper. It is any compound that
binds and precipitates metals such as Ethylenediamine Tetracetic acid (EDTA) that removes trace
minerals.
Cheloids (keloids) – Nodular, frequently lobulated, firm, moveable, non-encapsulated often-linear
mass of hyperplastic scar tissue. It consists of widely irregularly distributed bands of collagenous
fibrous tissue. Occurs in the dermis and adjacent subcutaneous tissue, usually after trauma, surgery, a
burn, or severe cutaneous disease such as cystic acne, and is more common in non-Caucasians.
Chemical – A substance formed by altering the molecular structure of a natural material or the
combining of two or more elements to form a new substance.
Chloasma – Moth patch, melanoderma or melasma characterized by the occurrence of extensive brown
patches of irregular shape and size on the face and elsewhere. Pigmented patches are also known as
the mask of pregnancy; associated most commonly with pregnancy, menopause, and oral
contraceptives. Certain antibiotics can also sensitize the skin to UV causing excessive pigmentation.
Cholesterol – A lipid, and the most abundant steroid in animal tissues.
Chromosomes – A body within the cell nucleus containing the biological units of heredity (genes).
Chronic – Symptoms of disorder lasting more than a month.
Colitis – Inflammation of the colon.
Comedogenic – Any agent that may cause comedones; associated with various ingredients rated 0-3
by the Ingredient List of comedogenic Agents.
Comedones – Comedo, comedos. Dilated hair follicle infundibulum filled with keratin, squamae, and
sebum. Commonly termed as a blackhead.
Conductor – Material connecting the two poles which offers resistance of the flow of current.
Connective tissue – Fibrous tissue that functions as the supporting framework of the body; holds
muscle to the skin, muscle to bone, and bone to muscle.
Constitutive skin color – “Normal” skin color generated without exposure to radiation or hormones.
Contaminant – Organism such as bacteria, yeast, mold, fungi or any other unwanted substance.
Contraindication – Any special circumstance or symptom that renders the use of a remedy
inadvisable.
Cornified – Hardened such as cornified cells of the stratum corneum.
Cosmetic – Preparation applied topically to the skin designed to enhance the appearance.
Couperose – Refers to diffuse redness, including telangiectasias of the face and other areas of the
body.
Cutaneous – Relating to the skin.
Cyanosis – Dark bluish or purplish coloration of the skin and mucous membrane due to deficient
oxygenation of the blood evident when reduced hemoglobin in the blood exceeds 5g per 100g.
Cysts – Severe infection of the follicle that appears as a large, hard and painful lump or swelling
underneath the skin’s surface. A severe pimple that takes a longer time to reach the surface of the
skin. As it works it way to the surface, it destroys many live cells and leaves a scar; often referred to as
“acne pits” or “ice pick” scars. Medical intervention is often used to clear the conditions.
Cytochemical – Chemistry of the cell.
Cytoplasm – Fluid part of a cell containing organelles.
Cytoxity – Condition of damaging or poisoning of a cell.
D
D&C – Drug and Cosmetic. Colorant approved for use in drugs and cosmetics, but not in food.
Decongestant - Substance that causes toxic material that has accumulated in the underlying
structure of the skin. Removed through the normal channels of the body’s waste system (lymph).
Dehydration – Result of excessive transdermal water loss in the skin causing it to be flaky, dry,
fissured, and irritated. Contributing factors are UV exposure, environmental influences, menopause,
artificial heat, cigarette smoking, illnesses, and medication.
Dendrite – A foot-like projection of a cell, which receives and directs impulses to the cell body.
Dermatology – Medical study and science of the structure, functions and diseases of the skin.
Dermatosis – Nonspecific term used to denote any cutaneous lesion or group of lesions, or eruptions of
any type.
Dermis – Fibrous skin layer beneath the epidermis composed primarily of elastin and collagen.
Dermatosis – Nonspecific term used to denote any cutaneous lesion or group of lesions or eruptions of
any types.
Dermis – Fibrous skin layer beneath the epidermis composed primarily of elastin and collagen.
Dermography – Form of urticaria in which whealing occurs in the site and in configuration of
application of stroking (pressure, friction) of the skin.
Desquamation – Sloughing of cells from the stratum corneum.
Detergent – An agent that has the ability to act as a surfactant (breaking surface tension) to oil,
water, and grime. Any of a group of synthetic, organic, liquid or water soluble cleansing agents that
are not prepared from fats and oils and are not inactivated by hard water. Most are made from
petroleum derivatives but vary widely in composition.
Diabetes – Either diabetes insipidus or diabetes mellitus, diseases having the common symptom of
polyuria; when used without qualification, refers to diabetes mellitus.
Diapedesis – Migration of cells through blood vessel walls.
Differentiation – process of cell acquiring a specialized function. For example, the cells in the
epidermis “differentiate” as they migrate from the basal layer to the surface.
Direct current – Constant flow of electricity in one direction.
Dispersant – Ingredients that bonds with one or more ingredients to disperse or spread the
ingredients evenly throughout the product. Assists in stabilization.
Diurnal – Occurring and most active during the day.
Drug – A substance or preparation applied topically, injected or taken internally which alters the
physiological processes of the user.
Dye – A soluble colorant that colors each molecule of a substance.
E
Eczema – Generic term for acute or chronic inflammatory conditions of the skin, typically
erythematous, edematous, popular, vesicular, and crusting; followed often by lichenfication and scaling
and occasionally by duskiness of the erythema and infrequently, hyperpigmentation. Often
accompanied by sensations of itching and burning; the vesicles form by intra epidermal spongiosis.
Sometimes referred to colloquially as tetter, dry tetter, and scaly tetter. A very common dermatosis,
representing almost half of the professional dermatitis condition.
Edema – Accumulation of excess fluid in skin tissue.
Elasticity – Pertains to the capacity of the skin to stretch without losing shape.
Elastin – Connective tissue that resembles a net-like sheet of fibers that are cross-linked. It is made
up of protein and is a major component in the skin, lungs, ligaments and large blood vessels.
Elastosis– Degenerative change in elastic tissue, mostly due to excessive sun damage.
Electrocautery – Burning with electric current.
Electrodessication – Process of destroying tissue, usually hair, by removing all its moisture by means
of electric current.
Electrolysis – Decomposition of a salt or certain tissue of the body by means of an electric current.
Emollient – Products of ingredients which soften and soothe the skin. Usually refers to oil-soluble
substances, but can also refer to water-soluble ingredients, especially esters. While the term
moisturizer and emollient are often used interchangeably the two functions are different; however, they
often occur at the same time.
Emulsion Oil and water components blended together creating one substance.
Enzyme – Class of protein compounds produced by a living organism that acts as a catalyst capable of
accelerating or producing biochemical changes. Also referred to as organized catalysts; they are not
consumer in the reactions they catalyze but are regenerated at the end of such reactions. In the food
and drug industries, they are referred to as proteases, amylases, lipases, and pectinase. In topical skin
care, an enzyme such as Papain and bromelain dissolve the buildup of keratinized cells at the skin’s
surface.
Ephelis (freckle) – Yellowish or brownish macules developing on the exposed parts of the skin,
especially in persons of light complexion. Lesions increase in numbers on exposure to ultra violet light.
Epidermis – Outermost layer of the skin containing stratified and cornified cells, melanin, basal cells
and lipids. Its function is to help create a barrier for the dermis.
Epilepsy – Falling sickness; convulsive state; status convulses; seizure.
A chronic disorder
characterized by paroxysmal brain dysfunction due to excessive neuronal discharge, and usually
associated with some alteration of consciousness.
Epithelial – Pertaining to epithelium.
Erythema – Inflammatory redness of the skin.
Erythrosis – Exaggerated tendency to blush.
Eschar – Thick, coagulated crust of slough which develops following a thermal burn, chemical or
physical cauterization of the skin.
Essential Oils – Essential oils are volatile (evaporating) oils, ethereal oils or essences of natural
origin. Usually complex mixtures of organic compounds and generally represent the odoriferous
principles of the plants. Obtained mostly from plants by steam distillation, but also from animal
sources (musk, ambergris, civet) and by other means. Used in cosmetics, aromatherapy, medicine,
perfumery and flavoring.
Esters – Compounds formed by a reaction of an acid or alcohol. Usually emollients and mostly
designed to promote easier spreadability and penetration. They tend to resist rancidity better than
natural oils and are designed to be used in place of these products.
Eumelanin – Brown-black pigment; true melanin.
Excoriation – Scratch mark. Linear break in the skin surface usually covered with blood or serous
crusts.
Exfoliate – Removal of dead surface skin through the use of a scrub, peel, enzyme, AHA, or masque.
Its purpose is said to prevent hyperkeratinization. Stimulates cell regeneration, circulation, and
provides immediate noticeable brightening and smoothing of the skin.
Extracellular fluid – Fluid found outside the cell, i.e., blood, water.
Extract – Generally, but not necessarily, concentrated forms of natural substances obtained by
treating crude materials with a solvent and then removing the solvent completely or partially from the
preparation. Examples of extracts are fluid extracts (liquid), solid extracts, powdered extract (dry)
tinctures and native.
Exudate – Fluid leaking out of a cell.
F
FCC – Food chemical code. Publication listing standards for foods, supplements and additives
employed by the food industry.
FD&C – Food, Drug and Cosmetics. Colorant approved for use in food, drugs and cosmetics.
Fats – Fats are glycerol esters (glycerides) of fatty acids that are semisolid or solid at room
temperatures. They are generally produced from botanicals by expression and from animal materials
by extractions or rendering.
Fatty Acids – Carboxylic acids obtained from natural sources, mostly from fats; both saturated and
unsaturated. Saturated fatty acids are palmitic and stearic acids; unsaturated ones are oleic, linoleic
and linolenic acids.
Fibroblast – Cell capable of synthesizing collagen and elastin.
Fixative – Materials that are usually high boiling and of high molecular weight, that retard
evaporation of the more volatile components in perfume formulations.
Fixed (fatty) oils – Same as fats and differs only physically from fats in that they are generally
liquids at room temperature.
Fluid Extracts – Prepared either from native extracts or solid extracts by adjusting the prescribed
strength with alcohol and water or by direction extraction of the botanicals with alcohol-water
mixtures.
Folliculitis – Inflammatory reaction in hair follicles. Lesions may be papules or pustules.
Formula – Ingredients that make up a product. Includes percentages of these ingredients, the
procedure used to assemble these ingredients when manufacturing a product.
Fragrance – Aromatic blend of either (1) essential oils of natural origin; (2) essential oils of natural
origin and synthetic fragrance materials; or (3) many component ingredients.
Free Radical – Unstable molecules with an impaired electron that becomes highly reactive when
exposed to UV rays, excess heat, fatty foods, smoking, and harsh environmental elements. They
permeate cell membranes causing destruction and contribute to aging and other diseases in the skin.
Free Radical Scavengers – Known as antioxidants, substances contain components that help defend
the skin from free radical invasion. Antioxidants taken internal and/or applied topically are credited
with reducing free radical damage, thus retarding the process of tissue destruction and aging.
Fungi – Plant-like organisms feeding on organic matter.
Furfur – Flaky scales of epidermis, especially bits of scurf that form on the scalp and comes off in
white or grayish scales.
Furuncle – More commonly known as a boil. Caused by bacteria that enters the skin through the hair
follicle. Subcutaneous abscess that fills with pus. A boil can be painful and should be treated by a
physician.
G
Galvanic current – direct current.
Gelling agent – Ingredient which thickens a product by coagulation to become more elastic, jelly-like
or rigid.
Glands – Skin contains two types of duct glands that extract materials from the blood to different
substances. Sudoriferous (sweat) glands secrete sweat. Sebaceous (oil) glands secrete sebum.
Glossing Agent – Ingredient which dispenses other ingredients evenly throughout a formula to
produce an overall glossy appearance to the product.
Glycosides – Sugar containing compounds which on hydrolysis yield one or more sugars. Considered
to be a very important group of natural products, are widely present in plants, and constitute major
classes of drugs. Found in grape skin, alfalfa and licorice for example.
Ground – Large conducting body used as a common return for current relative zero electrical
potential.
Ground substance – Extracellullar material of the dermis, i.e., glycosoaminoglycans.
Gum Resin – Resins occurring and mixed with gums. Usually contain small amounts of volatile oils
and are sometimes referred to as oleogum resins.
H
HIV – Abbreviation for human immunodeficiency virus.
Hemophilia – Hereditary disease transmitted by women and affecting men. An inherited disorder of
blood coagulation characterized by a permanent tendency to hemorrhages, spontaneous or traumatic,
due to a defect in the blood coagulating mechanism.
Hepatic – A term referring to the liver billary secretions.
Herpes – Viral disease marked by groups o watery blisters on the skin or mucous membranes such as
the mouth, lips, or genitals.
High Frequency – Alternating current.
Holocrine Gland – A gland that secretes it own cells; the sebaceous gland.
Humectant – Substance that preserves the moisture content in a product, especially in crèmes and
lotions. Attracts moisture from many places, including eh environment, the product it is in or from the
skin.
Hydrate – To build or add moisture.
Hydrocarbon – Chain of carbon and hydrogen molecules linked together.
Hydrolysis (Hydrolyzed) – Process of making a complex substance into a simpler molecular structure
by the uptake of water. Allows for greater penetration and better absorption by the skin.
Hydroscopic – Refers to an ingredient that has the ability to retain and absorb moisture.
Hyperkeratinization (hyperkeratosis, keratoderma) – Excessive development of horny structures
(thickened skin) caused by lack of adequate exfoliation. Hyperkeratinization appears a dull, lifeless
complexion, formation of comedones and pimples because it causes obstruction of the orifice, therefore,
preventing sebum to freely reach the skin surface.
Hyperkeratotic – Excessively producing keratin, resulting in rough, hard skin.
Hyperplasia – Excessive growth of cells.
Hyperproliferate – To excessively reproduce cells as in psoriasis.
Hypertrichosis – Excessive abnormal growth of hair.
Hypesthesia (hypoesthesia) – Diminished sensitivity to stimulation. Reduced sensitivity to the touch.
Hypoallergenic – Products or ingredients less likely to cause an allergic reaction in people who are
prone to allergies. Prior to making a “hypoallergenic” claim, a product must undergo a Repeat Insult
Patch Test performed on a panel of no fewer than 200 human subjects, with positive results.
Hypokeratinization hyperkeratosis) – Insufficient development of horny structures (thin skin).
I
Ichthyosis – Congenital disorder of Keratinization characterized by dryness and fish-skin-like scaling.
Often associated with other defects. Distinguishable genetically, clinically, microscopically, and by
epidermal cell kinetics. Also called “alligator” or “fish skin.”
Infusion – Dilute aqueous extracts containing water-soluble ingredients of botanicals. Prepared by
extracting the botanical with boiling water. An example is herbal tea.
Inorganic – Substances that are not hydrocarbons or their derivative. Usually minerals that do not
have the structure or organization characteristic of living bodies.
Intercellular space – Space between the cells.
Interstitial fluid – Fluid spaces between cells or structures.
Intraepidermal – Within the epidermis.
Iontophoresis – Delivery system which transfers medicaments by direct currents.
Irritant – Substance which consistently and predictably produces an adverse response such as
reddening, swelling, itching, burning or blistering. Many irritants are harmless in small quantities,
becoming harmful only in their pure form or in large percentages of the total formula. Irritants are not
to be confused with allergies.
Ischemia – Lack of blood and oxygen.
K
Keloid - Hyperplastic scar tissue. See Cheloid.
Keratin - Fibrous protein that is part of the stratum corneum, hair and fingernails.
Keratolytic – Substances that contain the ability to loosen corneocyte adhesions between cells
allowing for them to slough.
Keratosis (Keratiasis) – Any lesion of the epidermis marked by the presence of circumscribed
overgrowths of the horny layer.
Keratosis pilaris - Area of skin marked by overgrowth of horny tissue, center of which is formed by
an entrapped hair.
Keratosis Senile (senilis) – Skin disease observed in elderly persons and complicating the atrophy of
the skin. Characterized by dry brown spots, which gradually are covered by more or less thick
overgrowth of horny tissue, under which the skin is irregular and bloody. Actinic keratosis.
L
Lamellar bodies – Complex lipids that form part of the corneocyte barrier.
Lentigo – Small melanotis spot in which formation of pigment is unrelated to exposure to sunlight.
Potentially malignant. Freckle.
Leukocyte – Infection fighting, white blood cell; basophils, neutrophils, monocytes, eosinophils are all
leukocytes.
Lipids – Oily materials such as fats and waxes; not soluble in water. Provides in impermeable barrier
protecting against invasion of foreign substances as well as acting against moisture loss.
Lipolytic – Capable of breaking down lipids.
Liposomes – Vesicle that forms when phospholipids hydrate in water; liposomes can be “loaded” with
either oil-soluble or water-soluble ingredient and penetrates the skin quite easily to bring moisture,
emollience and captured ingredients to the targeted site.
Lubricant – Oil, oil-rich cream or lotion designed to provide a slippery feel, sleek luster, and reduce
tightness due to lack of surface oil to the skin. Although lubricants do slow moisture loss, this action
should not be confused with building moisture.
Lymph – Clear fluid collected from the tissues of the body, flows through the lymphatic vessels, and is
added to the venous circulation. Contains a clear fluid, some white and a few red blood cells.
M
Macrophage - Phagocyte involved in many immune functions, one that is removing cellular debris.
Macula (spot, macule) – Anatomical structure having the form of a small discolored patch or spot,
differentiated from surrounding tissues which disappears momentarily when pressure is applied.
Malignant – Severe form of an illness, usually resistant treatment such as cancer.
Mast Cell – Cell which releases histamine, causing redness and swelling of a wound.
Matte finish – Even-toned, non-shiny surface quality.
Melanin – Coloring matter in the skin deposited in the stratum germinativum (lowest layer of the 5
layers in the epidermis). Pigment becomes activated within a melanocyte cell when exposed to
ultraviolet. Its intensity varies according to genetic traits.
Melanocytes – Cells that produce pigment granules scattered throughout the basal layer of the
epidermis. Derived from nerve tissue and produce pigment granules passed on to the epidermal cells
that synthesize keratin, giving the skin most of its color (melanin).
Melanocytic nevus (birthmark) – Circumscribed malformation of the skin, especially if colored by
hyperpigmentation or increased vascularity. Melanocytic verrucous nevus: skin-colored or darker wartlike, often linear appearing at birth or early in childhood, and occurring in various sizes and locations,
single or multiple. Pigmented hair epidermal nevus; (Becker’s nevus). Pigmented hairy epidermal
nevus; a nevus first seen as an irregular pigmentation of the shoulders, upper chest, or scapular area,
gradually enlarging irregularly and becoming thickened and hairy.
Melanogenesis – Creation of melanin.
Metabolism – Chemical process with the body which break down substances (fat, glucose) into smaller
components to release energy, used to build other substances (such as protein).
Miconazole – Antifungal agent.
Milium (milia) – Small whitish pearl-like (tuberculum sebaceum) mass due to retention of dead,
keratinized cells and sebaceous matter trapped beneath the epidermis; a whitehead.
Mineral – Inorganic substance occurs in its natural state; usually salts and oxides considered essential
for humans.
Mitochondria – Organelle in nucleus of cell responsible for energy production.
Mitosis – Process of dividing cells.
Moisturizer – Any product or ingredient, which builds the skin’s moisture level by either retarding
water evaporation of adding moisture.
Molecular Weight – Indicative of the size of the chemical compound.
Molluscum pendulum – Fibrous and flabby tumor of the skin. Protuberance may be flat or spread,
depressed to the touch, protruding or even pedicellated. Size may vary from a pinhead to an orange or
more.
Monocyte – Macrophage in the blood stream.
Mucopolysaccharide – Complex of protein
mucopolysaccharides (glycosoaminoglycans).
and
polysaccharides.
Blood
substances
are
Mycosis – Disease caused by fungus or yeast.
N
NDC – National Drug Code. The number code assigned to each manufacturer and/or packer of
drugs.
NF – National Formulary. Book that lists the standards of purity as well as assay methods for
ingredients used by pharmacists to prepare salves, ointments and lotion.
Natural – Substances that occur in their unprocessed form. In cosmetics, the term refers to products
made from ingredients derived from natural materials that are usually organic in nature.
Neoplasia – Growth of new cells.
Neuritis – Inflammation of a nerve associated with neuralgia, hyperesthesia, anesthesia, paresthesia,
paralysis, muscular atrophy in the region supplied by the affected nerve, and with absence of reflexes.
Neuron – Nerve cell.
Nodules – Small mass of rounded or irregular shape. Small, circumscribed solid elevation that usually
extends into the deep layers of the skin.
Non-sensitive – Reduce sensitivity to the environment or other ingredients.
Nucleus – Oval or rounded part of a cell (distinct from the cytoplasm) contains organelles and divides
to reproduce the cell. Contains DNA and RNA.
Nutrient – Substance such as a vitamin, provides elements for the ongoing functioning of the body’s
metabolic process.
O
OTC – Over-the-counter drugs. Non-prescription drug subject to FDA regulations and must be
manufactured, packaged and distributed according to Federal Law.
Occlusive – Materials such as oils and waxes which cannot be penetrated by water. Occlusive shield
or film that is spread onto the skin to slow or present moisture from evaporating.
Ohm – Measure of electrical resistance.
Opacifying System – To make opaque or non-clear. Example would be pearlizing in a cleanser.
Opaque – Opposite of transparent, dense coverage, however, light is allowed to penetrate.
Organelle – body within the cytoplasm of a cell with a specialized function.
Organic – Substances that are or have been alive and contain carbon molecules in their chemical
structure.
Osteoarthritis – Degenerative joint disease, chiefly of the knee and hip, mainly affecting weightbearing joints in older persons.
Otitis – Inflammation of the ear.
Oxidation – Chemical reaction in which a molecule gains an atom of oxygen.
P
pH – Directly defined as power of the hydrogen molecule. Amount of hydrogen present in a substance
determines the acid or alkaline level of a product. In the skin it is the pH of the acid mantle (the
protective fluid made up of perspiration, oils and other debris lying over the horny layer) considered
important in the health of the skin. PH at the skin’s surface in normally between 4.5-5.5.
Papillary Varis – Referred to capillary hemangioma simplex or nevus vascularis. Small, pearl-like
angioma, the size of a needle head or slightly larger, seemingly embedded in the dermis.
Papule – Small, circumscribed, solid elevation on the skin involving predominantly the epidermis or
the dermis, depending on the type of pathological process. If may contain trapped sebum and bacteria
that causes tissue swelling and inflammation due to prolonged follicular congestion.
Papulopustules – Small, semi-solid skin elevation which rapidly evolves into a pustule.
Pathogenicity – Condition of being able to cause disease.
Permanently Approved Color – Color used in cosmetics with the approval of the FDA whose safety
has been proven through the investigation by a committee of the CTFA.
Permeable – Allowing substances to flow into or out of such as fluid substances moving in and out of
the cell membrane through a process called “osmosis.”
Phaeomelanin – Yellow pigment similar to melanin, but containing cysteine.
Phospholipid – Lipid containing phosphorus.
Phlyctena – Blister, bulla, vesicle, vesicular. Swelling of the epidermis filled with transparent serous
fluid such as after severe sunburn or first-degree burn.
Photodamage – Harmful effects of the sun resulting in thickening of the skin, roughness and/or
hyperpigmentation.
Photosynthesize – To make sensitive to ultraviolet light. Fragrances primarily of the citrus family
are known photosynthesizes. Many antibiotics and hormones may cause photosensitivity. Reactions
appear as a reddening to dark spots on exposed skin.
Phyto – Pertaining to plants. Phytotherapy is plan therapy. Phyto oils are plant oils. Phytoestrogens
are plant components that tend to mimic human estrogenic characteristics in the cells.
Pigment – coloring agent in skin or hair.
Pigmentary spots – Coloration either normal or pathologic, resulting from a deposit of pigment.
Pilosebaceous apparatus – consists of the hair, follicle, and sebaceous duct gland.
Pimples – When follicles become filled with oil, dead cells and bacteria swell and ruptures through the
wall follicle escaping into the dermis. The debris is irritating and causes inflammation. White blood
cells rush to fight against the bacteria and create “pus,” a yellowish secretion.
Pituitary gland – The “master gland” located at the base of the brain; controls much of the hormonal
activity of the body.
Pityriasis – Patchy hypopigmentation resulting from mild dermatitis.
desquamation, furfuraceous, of the horny layer.
Non-inflammatory
Pityriasis verisicolor (tinea) – Eruption of tan or brown patches on the trunk, often appearing white,
in contrast with hyperpigmented skin after exposure to strong ultra violet rays.
Polarity – Property of having two opposite poles; possession of opposite characteristics.
Polymers – Substance of a chain of identical units, such as a chain of glucose molecules. Highly
efficient delivery system of lubricants and protectants to the skin.
Preservative - Ingredients that keep dangerous organisms such as bacteria, fungi, yeast and mold
from growing in products.
Proliferation – Growth and reproduction.
Protective film – Film made up of ingredients, which cling to the skin’s surface to protect it from harsh
or threatening environmental influences.
Proteoglycan – Component of ground substance.
Provisionally Approved Color – Color used in cosmetics with approval of the FDA pending an
investigation of its safety in cosmetics by a committee of the CTFA.
Pruritus – Itching, may be associated with prickly heat. Intense itching produced by brief contact
with water at any temperature; associated with local release of acetylcholine, mast-cell degranulation,
and raised histamine concentrations. Itching may be produced by inadequate rinsing off of soap or by
over drying of skin from excessive bathing. May be a result of aging.
Psoriasis – Condition characterized by the eruption of circumscribed, discrete and confluent, reddish,
silvery-scaled maculopapules normally occurring on the elbows, knees, scalp and trunk.
Pumice – Porous, lightweight, abrasive volcanic stone used to soften and polish hard, tough, or
calloused skin.
Pus – Fluid product of inflammation, containing dead white blood cells and other debris.
Pustule– Small circumscribed elevation of skin containing pus and having an inflamed base.
Q
Quantum– Smallest unit of energy.
R
RNA – Ribonucleic acid found in the cell’s nucleic material is responsible for working with the DNA.
Regenerative – Recreation of living material or a renewed functioning. Term used to describe the
word “healing” when used in description of an ingredient used in a skin care product.
Regime – Daily routine in the application of skin care products.
Reticular dermis – Layer of the dermis composed of a fine network of cells that make up connective
tissue and fibers between the cells.
Rhinophyma – Hypertrophy of the nose with follicular dilation, resulting from hyperplasia to
sebaceous glands with fibrosis and increased vascularity. Also referred to as hypertrophic rosacea.
Ribosome – Structure found on the rough endoplasmic reticulum that assist in the synthesis of
protein in the cell.
Rosacea – Also called “acne rosacea,” rosacea is a chronic inflammation of the skin that causes painful
eruptions, usually around the cheek, nose, and at times around the chin area. Characterized by
redness, dilation of the blood vessels, and the formation of the papules and pustules. Over time, the
skin becomes coarse and the pores enlarged. May be caused by genetic traits, poor digestion and the
Demodex mite. Heat, alcohol, extreme temperatures, faulty elimination, hyperacidity, and highly
seasoned foods tend to trigger flares.
S
SD Alcohol (SDA) – Specially denatured alcohol.
unpleasant substances.
Ethyl alcohol made non-drinkable by adding
SPF – Sun Protection Factor. Numerical rating on sunscreen and sun blocks that indicate the level of
protection from UV radiation.
Scars – Fibrous tissue replacing normal tissue destroyed by injury or disease.
Sebaceous Cyst – Pilar or trichilemmal cyst; common cyst of the skin and subcutis containing sebum
and keratin, lined by pale, staining, stratified epithelial cells derived from the pilosebaceous apparatus.
Seborrhea – Excessive sebum secretion where skin becomes rapidly oily and shiny with 1-2 hours
after cleansing. May also be a result of hyperkeratinization.
Sebum – Semi-liquid oil secreted by the sebaceous apparatus that flows to the skin’s surface.
Secretions – Production by a cell or aggregation of cells (a gland) of a physiologically useful substance
and its introduction into the body by direct diffusion or by a duct.
Senile Lentigo – Liver spot; a variably pigmented lentigo occurring on exposed skin of older
Caucasians.
Sensitizer – Ingredient that causes the skin to become sensitive to other ingredients or the
environment. It also refers to an ingredient that causes the skin to produce an adverse physical
reaction such as redness, swelling, blistering or itching.
Sequestrant – Ingredient that releases itself or other ingredients slowly into a product over a period of
time. Usually refers to preservatives that have a “time-release” action in maintaining the color,
consistency and fragrance.
Sinusitis – Inflammation of a sinus of the skull.
Sloughing – Shedding of an outer layer of hornified tissue from a living structure such as the skin.
Soluble – Ability to dissolve into, or being compatible with another substance.
Soothing – Calming ingredient. Reduces the discomfort of irritated, blemished, burning skin.
Spasm – Involuntary muscular contraction; if painful, usually referred to as a cramp; if violent, a
convulsion. Muscle spasm: increased muscular tension and shortness that cannot be released
voluntarily and prevents lengthening of the muscles involved. Spasm is due to painful stimuli to the
lower motor neuron.
Sphingolipid – Lipid containing a long chain base.
Spider vein – Arterial spider angioma generally found on the face and legs; a red spot producing
telangiectasia.
Squama – Structure resembling a scale. An epidemic scale made up of thin flat cells.
Stabilizer – An ingredient that makes a product stable, keeping it from losing its viscosity, separating
or becoming rancid.
Steatoma – Sebaceous cyst. Subcutaneous tumor of the sebaceous gland in which the contents consist
of sebum. Steatoma usually occurs on the scalp, neck and back.
Steroid – A large family of chemical substances comprising many hormones, vitamins, body
constituents and drugs.
Sterol – A steroid.
Stimulant – An ingredient, usually and herb or vitamin, which quickens or increases body activities
such as blood flow, waste removal, cell reproduction or metabolic functions.
Stratum corneum – Flat, cornified (keratinized) skin cells that form a protective outer layer. Also
known as the horny later.
Stretchmarks – Bands of thin wrinkled skin, initially red but becoming purple and white, occur
commonly on the abdomen, buttocks, and thighs at puberty and/or during and following pregnancy.
Result from atrophy of the dermis and overextension of the skin.
Subcutaneous – Below the skin.
Substantive – Refers to the ability of an ingredient to be retained in the hair of the skin.
Substrate – Substance an enzyme acts upon.
Sudoriferous (sweat) glands – Tube-like structures (duct) that ends at the skin surface to form the
sweat pore. Almost all parts of the body have sweat glands. They regulate body temperature and help
eliminate waste products. Controlled by the nervous system.
Sunscreen – Preparation that blocks harmful, burning sunrays.
Surfactant – Abbreviation of the term “surface-active” agent. Wetting agent that reduces the surface
tension of oils, grease and other substances allowing them to be broken up into smaller particles to
facilitate cleansing and promote easier spreadability and penetration.
Synthetic – Material formed by combining simple element structure. Most parent elements used to
manufacture synthetic cosmetic ingredients are of natural origin.
T
T-Zone – T-shaped area of the face formed by the forehead, nose and chin. These areas tend to be
oilier than other parts of the face.
Tactily – Using the fingertips.
Telangiectasia – Dilation of previously existing small or terminal vessels. Lesion formed by a dilated
capillary or terminal artery, most commonly on the skin.
Telomere – Before a cell divides, it copies it chromosomes to give each new cell a complete set. In
most cells, however, this process does not include the long spirals of DNA called telomeres, which
protect the ends of every chromosome. Telomeres get shorter with each cell division. Some scientists
believe they are so short that the cell can no longer divide and becomes vulnerable to damage and
decay.
Texture – Ingredients or product which dramatically and noticeably smoothes and soften the skin’s
surface.
Thickener – Ingredient that increases viscosity of a product.
Thickness of the skin – Varies from one geographical cultural region and from one individual to the
other. Essential to differentiate thickness of the epidermis and thickness of the skin, which refers to
the epidermis, dermis and hypodermis. Minimal thickness of the epidermis at the eyelid level is of
0.04mm maximal thickness of palms and soles I 1.5mm. Average thickness varies from 0.006 to 1 mm.
Thrombosis – Formation or presence of a thrombus; clotting within a blood vessel that may cause
infraction of tissues supplied by the vessel.
Tincture - Slight infusion of alcohol and water.
Toning – Restoring color and tone to the skin.
Toxic – Poisonous.
Tuberculoses – Highly variable communicable disease caused by the presence of Mycobacterium
tuberculosis and characterized by toxic symptoms or allergic manifestations which primarily affect the
lungs.
U
U.S.P. – The United States Pharmacopoeia. A book of standards for purity, formulas and chemical
assay methods of actual drugs.
Ulcers – Lesion on the surface of the skin or a mucous surface, caused by superficial loss of tissue,
usually with inflammation. A wound with superficial loss of tissue from trauma is not primarily an
ulcer, but may become ulcerated if infection occurs.
Ultraviolet – Range of light wavelengths between violet radiation in the visible spectrum
and the invisible x-ray spectrum. Such rays can be harmful to the skin.
V
Vacuole – Cavity in the cytoplasm of a cell which may act as a stomach.
Varicose veins – Varix, varicosis. Dilated vein, enlarge and painful vein, artery, or lymphatic vessel.
Vascular – Pertaining to, or containing, blood vessels.
Vasoconstriction – Constriction, or shrinking in diameter, of blood vessels.
Vesicle – Small abnormal elevation of the outer layer of skin enclosing a serious liquid; a blister or
bulla.
PRODUCT INGREDIENTS
Vitamin Veil Cleanser
Soybean Oil (Glycine Soya), Isopropyl Palmitate, Tocopherol (Vitamin E Acetate), Propylparaben,
Fragrance, BHT, OPC CLR01
Lipid Replacing Cleansing Gel
Deionized Water, Sodium Laureth Sulfate, Potassium C12-13 Monoalkyl Phosphate/Polysorbate 60, Potassium
C12-13 Monoalkyl Phosphate, Disodium Lauroamphodiacetate, Citric Acid, Linoleamidopropyl PG-Dimonium
Chloride Phosphate, Hepes Acetate, Propylene glycol, Panthenol, Diazolidinyl Urea, Allantoin, Sodium Chloride,
Methylparaben, Octoxynol 9, Fragrance, Propylparaben
Cleansing Gel with Salicylic Acid
Deionized Water (Aqua), Sodium C14-16 Olefin Sulfonate, Milkamidopropyl Betaine, Linoleamidopropyl PGDimonium Chloride Phosphate, Sodium Chloride, Hepes Acetate, Panthenol, Octoxyol-9, Fragrance,
Methylchloroisothiazolinone/Methylisothiazolinone
Post Peel Lotion
Deionized Water, PPG-15 Stearyl Ether, Linoleic Esters, Squalane, Glycerin, Carbomer,
Methylchloroisothiazolinone, Panthenol, Allantoin, Guar Hydroxypropyltrimonium Chloride, Propylene
Glycol, Diazolidinyl Urea, Methylparaben, Alpha Bisabolol, Beta Glucan, Tetrasodium EDTA, Fragrance,
Propylparaben CM05
Light Day Cream SPF 30
Active Ingredients:
Octyl Methoxycinnamate (6.5%), Octyl Salicylate (4.0%), Butyl Methoxydibenzoylmethane,
(2.5%), Titanium Dioxide (2.0%)
Other Ingredients: Deionized Water, C12-15 Alkyl Benzoate, Butyl Methoxydibenzoylmethane, Glycerin, Linoleic
Ester, Titanium Dioxide, Avena Sativa (Oat Protein), Carbomer, Sorbitan Oleate,
Acrylates/C10-C30 Alkyl Acrylate
Crosspolymer, Methylparaben, Ethylparaben, Propylparaben, Ascorbyl Palmitate, Disodium EDTA, Allantoin,
Lentinula Edodes (Shitake Mushroom) Extract CR08
Daytime Control Lotion
Deionized Water (Aqua), Hexyldecanol, Methyl Propanediol, Ethoxydiglycol, Benzoyl Peroxide 2.5%, Cetearyl
Alcohol and Ceteath-20, Glyceryl Stearate and PEG-100 Stearate, Linoleic Ester, Octyl Methoxycinnamate,
Cyclomethicone and dimethiconol, Propylene Glycol, Diazolidinyl Urea, Methylparaben, Propylparaben, Butyl
Methoxydibenzoylmethane, Evening Primrose (Oenothera biennis) Oil, Vitamin E Acetate, Allantoin
Night Time Control Lotion
Deionized Water (Aqua), Benzoyl Peroxide 5.0%, Hexyldecanol, Ethoxydiglycol, Methyl Propanediol, Cetearyl
Alcohol and Ceteath-20, Glyceryl Stearate and PEG-100 Stearate, Linoleic Ester, Cyclomethicone and
dimethiconol, Propylene Glycol, Diazolidinyl Urea, Methylparaben, Propylparaben, Evening Primrose Oil
(Oenothera biennis), Vitamin E Acetate, Allantoin
Circadia Night Repair Cream
Deionized Water, Glyceryl Stearate, PEG-100 Stearate, Simmondsia Chinensis (Jojoba) Seed Oil, Ethoxydiglycol, C12-15 Alkyl Benzoate, Cetyl Alcohol, Saccharide Isomerate, Avena Sativa (Oat Protein), Glycerin,
Dimethicone, Propylene Glycol, Oligomeric Proanthocyanidins, Polysaccharides, Linoleic Ester, Diazolidinyl
Urea, Carbomer, Titanium Dioxide, Vitamin E Acetate, dl-Tocopherol, Vitamin A Acetate, Methylparaben,
Tetrasodium EDTA, Ascorbyl Palmitate, Butylated Hydrdoxytoluene, Propylparaben, Genistein, Beta Glucan
CM09
Circadia Plus Night Repair Cream
Deionized Water, Glyceryl Stearate, PEG-100 Stearate, C12-15 Alkyl Benzoate, Isopropyl
Palmitate, Saccharide Isomerate, Simmondsia Chinensis (Jojoba) Seed Oil, Cetyl Alcohol, Steareth 10, Avena
Sativa (Oat Protein), Dimethicone, Propylene Glycol, Lipoic Acid, L-Tyrosine, Oligomeric Proanthocyanidins,
Linoleic Ester, Vitamin A Acetate, Tocopherol (Vitamin E Acetate), Diazolidinyl Urea, dl-Tocopherol, Tetrasodium
EDTA, Ascorbyl Palmitate (vitamin C), Ursolic Acid, Genistein, Polypeptide 5, Beta Glucan, Fragrance,
Methylparaben, Propylparaben,
Diazolidinyl Urea
Vitamin A Rx Cream
Deionized water, Cetearyl alcohol, Ceteareth-20, Dipentaerythrityl
Hexaheptanoate/Hexacaprylate/Hexacaprate, Stearyl alcohol, Phenoxyethanol, Vitamin A,
Polyacrylamide and C13-14 isoparaffin and laureth-7, Propylene glycol, Glucose oxidase,
Diazolidinyl urea, Vitamin E Acetate, Methylparaben, Propylparaben, BHT, BHA.
Rosacea Rx Cream
Deionized Water, Linoleic Ester, Rosmarinus Chinensis (Rosemary) Oil, Oenothera Biennis (Evening
Primrose) Oil, Phenoxyethanol, Carbomer, Propylene Glycol, Diazolidinyl Urea, Methylparaben, Ursolic Acid,
Propylparaben
Hydrating Cream
Deionized Water (Aqua), Hydrogenated Polyisobutene, Cetearyl Alcohol and Ceteareth 20,
Glycerin, Avocado (Persea Gratissima) Oil, Avocado (Persea Gratissima) Extract, Olive (Olea
Europoea) Oil, OPC, Stearyl Alcohol, Macadamia Ternifolia Nut Oil, Phenyl Trimethicone, Propylene
Glycol, Phenyl Trimethicone, Hepes Linoleate, Phenoxyethanol, Soybean (Glycine Soja), Diazolidinyl
Urea,
diPanthenol, Benzyl Alcohol, Acrylates/C10-C30 Alkyl Acrylate Crosspolymer,
Methylparaben, and Propylparaben, Tocopheryl Acetate.
Emergency Eye Lift
Sodium Hyaluronate, Deionized Water (Aqua), Galactomannanes, dl-panthenol, Propylene Glycol, Diazolidinyl
Urea, Methylparaben, Propylparaben
C03
Vitamin C Reversal Serum
Sodium Hyaluronate, Aqua (Deionized Water), Magnesium L-Ascorbyl-2-Phosphate, Propylene Glycol,
dl-Panthenol, Diazolidinyl Urea, Theophylline Acetate, Methylparaben, Triethanolamine, Propylparaben
C04
MyoRx
Acetyl hexapeptide, Palmitoyl Pentapeptide,
Palmitoyl Pentapeptide-3, Hyaluronic Acid,
Passion Flower Extract, L-Proline,
L-Serine
Moisture on Demand
Deionized Water, Glyceryl Stearate and PEG-100 Stearate, Saccharide Isomerate, C12-15
Alkyl Benzoate, Cetyl Alcohol, Hydrogenated Polysorbutane, Steareth 20, Phospholipids-Sphingolipids,
Buxus Chinensis (Jojoba) Seed Oil, Dimethicone, Avena Sativa (Oat Protein), Panthenol, Butylene Glycol,
Chitosan Lactate, Linoleic Esters, Phenoxyethanol, OPC Ester, Diazolidinyl Urea, Tetrasodium EDTA,
Vitamin E Acetate, Methylparaben, Propylparaben, Fragrance
C11
White Veil Lightener
(Deionized Water), Glyceryl Stearate and PEG 100 Stearate, Niacinamide, Vitamin C, Arbutin,
C12-15 Alkyl Benzoate, Dimethicone, Jojoba Oil, Steareth 20, Cetyl Alcohol, Phenoxyethanol, Oat Protein,
Butylene Glycol Synthetic Beeswax, OPC (1%), Vitamin E Acetate, Diazolidinyl Urea, Carbomer, Tetrasodium
EDTA, Methylparaben, Propylparaben, Butylated Hydroxytulene
Firming and Shaping Gel
Aqua (Deionized Water), Theo C, SD39C Alcohol, Algsium C, Coleus, Aesculus Hippocastanum
(Horsechestnut), Germaben II, Carbopol 981, TEA, Genistein, L-Carnitine, Tween80, EDTA, Cornmint Oil
Vitage
Sea cucumber, Ursolic Acid, Beta Glucan, OPC(Oligomeric Proanthocyanidins), Condroitin Sulfate