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CLIENT PROFILE About my client I have to say that she is 19 years old and she is a student and a part time worker, inside a supermarket. Her complexion is oily and the color of her face a little lighter. The main concern for her is the hair existent on her face more precisely on her upper lip, and her underarm. She I very aware o f the hair present on her face because it¶s darker then the color of her face and so the contrast is visible even from distance. It is obvious that the presence of hair bothers her. For the hair existent in her underarm she just wants to try and gradually eliminate it. She had been using wax to treat both areas, but she wants something that will last longer and the results will be better on a longer time basis and for that reason she wants to try out epilation.
POSSIBLE REASON OF HAIR GROWTH AND HAIR TYPE:
She is not taking any kind of medication except the contraceptive pill, but she sustains that she had the same hair growth even before taking the pill. About her type of hair I have to say that it is not very coarse and thick but it has a very visible pigmentation on the upper lip, but as in most cases the underarm hair is more thicker and coarser, deeper rooted so that means it is not a superficial type of hair like the one present on the upper lip.
It is possible that the contraceptive pill had produced some changes as it affects the endocrine system. She also told me that she doesn¶t have anyone in the family with excessive hair growth so I believe that in this case it could be about a slight hormonal modification.
TREATMENT PLAN AND RATIONALE FOR CHOICE OF TREATMENT
Taking into consideration the fact that my client had never had this procedure done before, I wanted to make sure she understood everything about the machine and the way it worked. I suggested we try the short wave diathermy first and see how that goes. I decided to split the areas into smaller zones and to try and work on every zone at a time, but to make sure that I work on both places in the same day. I planned to work twice a week for 15 minutes on a smaller area of the upper lip and a smaller area of the underarm, just to be able to observe the evolution of the hair growth closely enough. I also needed to pay a closer look to the skin reaction to be able to anticipate how long this treatment will last for. Even though the hair regrowth will be grater with the high frequency in general, in this case I think that it¶s best if we start with it because it might work just fine.
After checking for any contraindications I positioned my client on the bed and started explaining the procedure, the needle sizes, the effects and the sensation she was about to experience during the treatment. She was a little nervous but she kept calm and decided to carry on with the procedure. I
decided to start with the first zone of the upper lip treat it for 10 minutes and then move on to the underarm for another 10 minutes, depending on her skin reaction. I sanitized everything, and started the treatment, using a size 003 needle for the best results as it was matching my client¶s hair diameter and the intensity of 17 for 3 seconds at a time. I began probing the hairs but there was traction present when I tried to take the hair out. For that reason I decided to go up with the intensity to 20, and tried to probe the hairs again. Unfortunately I was still able to feel traction so I turned the intensity up again to 25. This time around the hair was sliding out without any traction which was great. After my 10 minutes allocated to the upper lip area I moved on to the underarm where, again the area was split into 3 main zones. This time I had to change the needle as the hair was thicker, and I went for a 004 needle to try and disperse the intensity evenly at the root of the hair follicle and probe it efficiently. This time I started at a higher intensity of 20 and tried to probe one of the hairs present there. Unfortunately there was a lot of traction so I decided to go up with the intensity at 25, and try again. Even at 25 the traction was still there, and I then realized that this machine wasn¶t the best to use in this area, because the traction was still present, and I did not want to hurt my client, as the underarm is such a sensitive area. For the upper lip the short wave diathermy was going great, I was probing the hair, but the underarm wasn¶t looking that great. However, I will allow the first 2 treatments to be done with the short wave diathermy, and in the mean time I will take the time to revise my working technique and options for treatment.
REACTION DURING/AFTER/BETWEEN TREATMENT(s):
I have to say that in a way I expected her to react in a certain way, but fortunately during the treatment all I was able to hear were heavier breaths. She did feel some pain when I was working on the underarm area, and she did say she could feel me plucking out the hairs rather than probing them. About the upper lip area she told me she was able to control the pain better and that it wasn¶t as bad as the underarm. She was able to feel the current flowing, but did not feel the needle at all, which was good news. Erythema was present in the area, and on the underarm I was able to see the area a little irritated, I guess it was because of the plucking I did. During the treatment my client did not complain at all, she was very nervous and even got sweaty at some point. She did tell me that she felt that the hair in the underarm area was not probed but plucked and that it bothered her a little because of the discomfort. For a good reaction between the treatment sessions I tried to keep a good relation with my client so that I would get as much feedback as possible; I needed every detail in order to see if this machine was the best to go on with for the rest of the treatment. So she told me that the hair on her upper lip grew out very slow and very thin and almost lacking pigment which was a very good sign, meaning that the treatment was successful. About the underarm hair she told me it grew back just as thick as before and the she wasn¶t very happy about it, and the treatment at which point I decided to take another approach of the problem and tried another treatment plan.
RATIONALE FOR CHOICE OF TREATMENT:
For both areas I wanted to try and work with the other epilation machine- blend. The upper lip as I previously stated had a thinner hair type not very pigmented, and I wasn¶t very sure about the result I would get by using the blend in this area, but I was worth trying. As for the underarm area the blend machine would be more suitable for the deep rooted hairs existent there, because it needs moisture so that the chemical responsible for killing the hair is activated. I explained to my client that the blend machine was a combination between the short wave diathermy and galvanic, and that together are more efficient for the removal of hair. I also told her that this procedure takes longer than the short wave and that the hair regrowth rate would be lower.
I would try using the blend on these area 2 times a week for 10 minutes, depending on the skin¶s reaction, for the next 6 weeks to evaluate the efficiency.
And so I met my client again to try and probe the existent underarm hair. I chose a size 004 needle and started working with the intensity of two(2) on the high frequency, the timing five(5) seconds and the galvanic was set at fifteen(15).
After sanitizing the area I begun probing the hairs, but I was able to feel a bit of traction when pulling them out so after announcing my client I turned the galvanic at twenty(20) and started probing again; this time around the hair was coming out easier but still not perfectly sliding, and for that reason I decided to turn up the galvanic again and this time it was set at twenty five(25). I made sure that the skin was stretched enough so that the insertion was easier and the discomfort minimum. The hairs were easily coming out this time at which point I knew I have found my working intensity for the next visit of my client. I was already familiar with the type of hair my client had on her upper lip area and because the hair in the area I was about to work was a not very thick I used a size 003 needle which would provide a nice even heat and lye pattern. I knew that the upper lip area was a very sensitive area and so I explained to my client that this procedure won¶t hurt as much as the short wave diathermy, that the skin reaction varies with each individual but that is milder than the other one alone, and that depending on the hair growth, fewer treatments may be required. I started the treatment with the original settings, 2 for high frequency, the timing was 5 seconds and the galvanic current was set on 15, I then began probing the hairs in that area, but when I tried I was able to feel traction when trying to pull them out; so for that reason I decided to increase my galvanic current to 20 keeping the other settings as before and went back again to try and probe another hair. I was successful this time because the hair came out very easy and with no traction present, which was great. I made sure to always keep my client comfortable and make them aware of what I was doing, weather I was increasing the current or changing the needle size.
I then tried to probe another hair, and the result was the same, they were sliding out, without causing any pain to the client, and I was glad that I had just found my working intensity for this area using the blend machine.
REACTION DURING/AFTER/BETWEEN TREATMENT(s):
About the treatment performed today my clients was very enthusiast, she told me she was able to feel a slight discomfort at the beginning but that after that the area was numb, and I figured it was because of the sodium hydroxide produced when probing the hair. The irritation wasn¶t as visible as before, and the pain wasn¶t as bad because there was no plucking going on. In time my client told me that the treatment was effective, that the hair growth was slower, and that she couldn¶t believe how thinner the hairs were every time they would grow back. It was obvious that the blend machine was doing a better job than SWD in this area.
CLIENT COMMENTS: ( SHORT WAVE DIATHERMY AND BLEND)
Aishling was a little concerned about the redness in the area after the first treatment, because the irritation was present for around an hour and a half after the treatment had stopped. She also told me that it is an unpleasant treatment, and that she gets nervous every time she has to come back to get it done but that she is indeed pleased with the results and hopes her hair growth will eventually stop.
HOMECARE ADVICE: (SHORT WAVE DIATHERMY AND BLEND)
As I had to pay attention to the way her hair would grow back, I recommended her to stop shaving, or using any kind o depilatory method for as long as this treatment takes place. In case the hair growth would bother her that much I told her that what she could do about that was to cut the hair to a bearable level using a scissors. I told her that she had to keep the area as clean as possible for the next hours, not to smoke, because she is a smoker, I told her to avoid touching the area, and later on to apply after care lotion if needed. Along with this I told her to avoid any heat based treatments such as hot bath or shower, or exposure to UV light, because this will minimize the irritation risks for the next 24-48 hours. I also told her to try and avoid make-up as her pores are opened and exposed, and make-up is not indicated in such situations.
REFLECTIVE PRACTICE AND CONCLUSION: (SHORT WAVE DIATHERMY AND BLEND)
I wasn¶t very delighted with the fact that my client wasn¶t very comfortable with the whole procedure, and that I wasn¶t able to probe the underarm hairs efficiently at first, but this is all due to my inexperience and I know the next time what machine to use for different types of hair without putting my client under pressure and discomfort. I tried to stretch the skin as much as I could so that the insertion would be accurate and from that point of view I think I did well. The choice of needles was a good one, but maybe
the next time I will use a gold needle for the more sensitive areas. Another problem I have is the magnifying lamp, I have a problem adjusting it to the right angle and I have to keep on moving until I find my right posture which could be disturbing for the client. As an overall conclusion I was pleased with the treatment, with the fact that I did manage to probe the hairs, and get some results. I took my time when working and the results were good. In a way I regret putting my client through all the trouble with the short wave diathermy, but it¶s the best way of knowing what machine is more efficient.
My client¶s name is Nicoleta Suciu she is 30 years old, and she has a son for 2 years. She is not taking any medication, or contraceptive pill, and she never did, but she always had a problem with growing hair on her jaw line. That is her main concern because it¶s visible, and it¶s affecting her emotionally. And she told me that if she is having epilation done on her face she wants to try it on her bikini line as well, because she is tired of shaving and she does not consider waxing as an option, because she thinks is painful for that area. She wants something that will eventually solve her problem for a longer time, and even though she knows epilation takes some time to produce great results, she is willing to try it and to see how it goes.
POSSIBLE REASON FOR HAIR GROWTH AND HAIR TYPE
From talking to her it might be because of a hormonal imbalance, aggravated by the pregnancy. Another aspect I have to mention is that she told me that she had some problems with her thyroid gland in the past, and that this might have contributed to the hair growth as well. She had to take treatment for this affection but stopped it when she wanted to try for a baby. All of these must have affected her in many ways, and one of them is the hair growth she developed on her jaw line.
RATIONALE FOR CHOICE OF TREATMENT
The machines I was going to work with in the first place was the short wave diathermy because it would be the most logical option to start with. Apart from that I believe that it creates less damage to the surrounding tissue as and it¶s best to try and avoid that for as long as possible when dealing with epilation over a longer period of time.
I have two areas to treat and two machines to use for both of them: the short wave diathermy and the blend machine. Looking at her hair type on her jaw line it was thinner than the one on her bikini line that for sure, but it was still coarser and thicker for a facial hair. Fortunately the area covered with it was a medium size, and because of that I¶ve decided to treat it with the short wave diathermy once a week for the next 7 weeks, and depending on her skin reaction o would know for sure for how long I would epilate each time. As for the bikini line I would have to split in smaller zones that would help me visualize the regrowth easier and will allow me to compare the results. The bikini line is a very sensitive area to work on, and the hairs existent there may vary in shape and color. In this case some of them were very coarse and strong, others were thinner and not as pigmented. I would work on each zone at the time, again once a week for the next 7 weeks, depending on how effective is the treatment. Again I will determine the
amount of time allocated to work on each zone in accordance with the skin¶s reaction to treatment.
Today the 19th of January 2010, I started the epilation treatment on my second client. Before beginning, I wanted to talk to my client about what is going to happen during the treatment, about the discomfort the treatment causes, the amount of hair that I would remove from one area in one treatment, the duration or treatment, and especially about the fact that I did not want her to get high hopes about permanently removing the hair after one treatment. As she had no contraindications to treatment I set her on the bed, and started doing the electrical checks just to make sure that everything was working right, and began sanitizing everything. I then positioned my lamp and wiped the area to be treated, in this case the jaw line with cotton wool and Savlon and then used a tissue to blot it dry. I was then able to take a closer look to the hair size in order to select my needle size, and I went for a size 003. I turned on the high frequency machine, set it with the intensity at 18, repositioned my lamp and chair to have a good working posture and I started probing the existent hair on that area. As I was expecting the intensity of the current was to low to kill the dermal papilla, so there was traction when I tried to pluck the hair out. I explained the situation to my clients and turned the intensity up to 23, then went back again for the same hair to try and epilate it this time.
This time I was able to epilate the hair but I did feel some traction and my client felt it as well. In this case I had to go back again and turn the intensity of the current a little bit higher so I¶ve set it on 26 and tried to epilate another hair in the area. The needle size was just perfect, the intensity higher, and this time I was successful, because the hair slide out without any traction. I also paid a very close look to her skin¶s reaction to treatment, and I knew then that I would have to work around 15 minutes in one treatment for that area in order to get the best results without irritating the skin too much. At the end of those 15 minutes I applied aloe vera gel to soothe the area I¶ve just worked on, and dispose the needle intro the sharps box provided. My next treatment area with the short wave diathermy was the bikini line, or the first zone of the bikini line the upper left part of it, I sanitized the area and replaced my trolley and magnifying lamp in order to work on this area and for the hair she had in this zone I picked up a size 005 needle. I turned on the machine again to the starting intensity of 18 and began epilating the hairs making sure I maintain a very good stretch as my position wasn¶t very comfortable. After the 3 seconds I released the button, took the probe out and tried to pluck the hair but I was unsuccessful as I expected. The hair existent in that area is a very strong hair and because of that I told her that I would have to put the current up to a higher intensity which I did not once but twice and the last time I tried the intensity was at 28. The hair was coming out but not perfectly sliding out. So I tried again on other hairs to see if the intensity was good enough. On the thinner hairs it would work perfect with no problem, the hair was sliding out, but for the thicker one there was still a problem. As I performed this for around 10 minutes I
decided to stop because my client¶s skin got a little bit irritated and I wanted her to be able to get a second treatment as well.
REACTION DURING/AFTER/BETWEEN TREATMENT(s):
My client had been very honest with me and told me that she was able to feel it when I was working on her jaw line but that it was something she could handle, she also thanked me for always talking to her during the procedure and always filling her in about what I was doing or about to do , so that she would know exactly what to expect. About the bikini line, we had to stop after the 10 minutes because she couldn¶t take more than that and I completely understood her because of the sensitivity of that particular area. After the treatment there was erythema produces on her jaw line nothing very visible though, but then on the bikini line there was oedema produce at the opening of the follicles, and a slight irritation, which calmed down a little bit with the aftercare lotion that I applied after the treatment was over. I explained to her that the redness would disappeare within the next hours and that she shouldn¶t worry about it too much. I was very curious about the feedback my client would give me about the way her hair was growing back, and if she was pleased with the treatment, and she told me that on the jaw line she believed that there was still a large amount of hair growth but that the pigment wasn¶t that strong, and about the bikini line she told me that she is not very satisfied, as it seemed that the treatment wasn¶t working as we expected. I did not get upset about it because in a way I saw it coming, and I anticipated this reaction.
RATIONALE FOR CHOICE OF TREATMENT AND TREATMENT PLAN II
This time I had to use the blend machine for both areas. The blend machine is a very efficient machine but unfortunately takes a longer time each treatment. The blend machine uses a combined current direct current provided by the galvanic machine and alternating current provided by the high frequency, the effects of each modality : the chemical destruction of the sodium hydroxide caused by direct current and the coagulating heat of the short wave diathermy are both combined in the follicle. It is also more suitable for darker, deep rooted hairs than for more superficial hairs, and today I will try to see how well it works on the two areas. So as a treatment plan I suggested my client to have this one done once a twice a week on her chin and once a week on her bikini line for the next 6 or 7 weeks depending on the rate of hair growth.
Before starting I told her that some people find this procedure more painful than the short wave diathermy, and some people might say that this is less painful and that is has a slight numbing effect on the area. I also explained to her how the machine worked, and why she had to hold on to the inactive electrode in order to complete the circuit. I then mentioned the fact that I was going to use the simultaneous method,
meaning that the production the chemical and the production of heat will start and end at the same time. With all these said I prepared the machine on the trolley, gathered everything I needed for the treatment, made the security checks, and started the treatment with the jaw line. I used the same needle size of 003 and started with the original setting of 2 in thermolysis, timing 5 seconds and the galvanic current set at 15. With this I started to probe the hair on her jaw line, maintaining a good stretch and applying a little bit of pressure to the area to diminish the sensation of the current. To my surprise the hair just slide out of the follicle without any traction. I then epilated another one and another one and the result was all the same, I was epilating the hairs efficiently at a small intensity without causing any pain to my client, I have just found my working intensity for the treatments to come with the blend machine for this area on this client. I¶ve spent around 15 minutes doing this procedure and I was able to epilate a good amount of hair from the area; at the end I applied after care aloe vera gel for its antiseptic proprieties. In the future I will try to work just as well as now, if the skin¶s reaction will be the same every time. Moving on to the bikini line, again I selected a number 005 needle that will match the diameter of hair and sanitized the area, positioned my client in a comfortable position and started epilating the hairs with the original machine settings thermolysis at 2, timing 5 seconds and galvanic current at 15. I was unsuccessful the first time and so after notifying my client I decided to turn the galvanic intensity up to 20 and try again, but with the same bad result. I was now working at an intensity of 25 and there was till some traction in the area, at which point I decided to leave the galvanic current at 25 and to put the timing up to 6 seconds. This extra second will
allow a bigger quantity of sodium hydroxide to be produces inside the follicle, therefore the method being more effective in killing the hair¶s blood supply. I also told my client that I added an extra second to allow more chemical production in the area. So this was my third time that I was trying to epilate efficiently the unwanted hair in this area and I was becoming more nervous with every strike. This time I was more lucky, the hair did slide out without any problems and I felt relieved and so did my client. I carried on with the treatment for around 15 minutes and then I stopped because the area was getting irritated again. When I was done treating the area I applied after care to keep the area clean an clear after the treatment.
REACTION DURING/AFTER/BETWEEN TREATMENT(s):
During the treatment this time my client did not complain at all, she told me that she was aware of what was happening and that she felt the current and the heat being produced in the area I was working on but that it did not hurt as much as the other procedure alone. She also told me that she didn¶t feel as much traction as the last time, when I was trying the machine to get the settings right. After the treatment the redness was more visible on her jaw line, than with the short wave, but she did not mind. She just told me that she was very curious to see how this machine worked and the results it had on her hair growth. The bikini line had the same problem with the irritation but it would be better in time.
I asked her to tell me everything she saw different in her hair growth and she told me that for her jaw line, it didn¶t really grow back, she told me that is was here and there, and very fine think hair, and as for the bikini line the one I was more nervous about she told me that she did see an improvement in the texture of the hair, in the way it felt at touch, and visibly thinner than before. she also told me that she did not believe that this tretment would work, but now that she had seen it¶s results she would really like to go on with the treatment and eventualy remove it from the area.
Short wave diathermy: My client found the treatment painful enough, she was hoping to get the best result though, and for that she was really patient. She also said that she had chosen this method because it is more accessible for her, financially speaking. She expected the hairs to slide out without any problem and she couldn¶t believe how resistant the hair can be until she had this treatment done. Nicoleta wasn¶t very pleased with the short wave diathermy, because of the higher rate of hair re growth and the pain it caused during treatment.
Blend: She also told me that she would rather finish her treatment using the blend machine, which even though takes longer, double the time that the short wave diathermy would take, she was pleased with the blend and its effects. She was also a little bit concerned about the irritation caused in the
bikini line area, because she did not expect the area to be so sensitive and to respond so fast to external stimuli.
HOMECARE ADVICE (SHORT WAVE DIATHERMY AND BLEND)
To complete te treatment the homecare advice must be taken very seriously as the follicles are open and the risk of infection and further damage or irritation is high. That is why I started by telling her not to wear any makeup for the rest of the day because of the treatment done on her jaw line, along with this I recommended her to avoid touching the area, exposing her skin to the sun or sun beds, to used any kind of moisturizer that would produce a follicle blockage and to keep the area clean and sanitized. For the bikini line I advice her to avoid wearing any tight clothes, to avoid friction, or excessive sweating. To try not to expose herself to sun, or to chlorine, such as in the pool water; to avoid any heat treatments that might irritate her even more. In case she needed something to soothe the area she should use an after care gel like the aloe vera gel, that will assure that nothing unwanted would penetrate the area. If she did not have any aloe vera gel she should use savlon then or witch hazel which will minimize the follicle opening and has an antiseptic propriety.
REFLECTIVE PRACTICE AND CONCLUSION (SHORT WAVE DIATHERMY AND BLEND)
In my opinion the treatment went on well, if we take out of consideration the pain my client felt. Unfortunately this is not a very pleasant treatment and the pain is more likely to occur depending on the area you work on, and I¶ve seen this today once again when I worked on her bikini line, that there is just some much a person can take, and that as a becoming therapist you have to do your best in achieving the best results in that particular time, weather is a 10 minutes treatment or a 15 minutes treatment. On her jaw line everything turned out just fine, but for her bikini line I was concerned about he irritation there, and I believe it was because of the needle I was using; the area was so sensitive and it was interacting with the needle producing this adverse reaction that appeared as an irritation on her skin. The next time I do this treatment I will try out a gold needle to see if the reaction persists, but from my point of view it shouldn¶t. About the results I have to say that I¶m always happy when I see that I¶m getting along with the procedure and that I get positive feedback from my clients. What I do know is that I need to practice all the time in order to become more confident about what I am doing. As an overall conclusion I have to say that I am progressing with every client I have, and with every area I have to treat. I just hope to get better at communicating with the client, and making them less nervous about the whole procedure.
About my last epilation client I would like to say that she is a 21 year old girl and that her name is Iris. She had decided to come to me today to start a course of epilation treatments in order to eliminate the unwanted hair she had on her face, to be more specific her chin was the first problematic area; and the second one was an area on her chest, at the bottom of the sternum between her breasts. She had been using waxing for a while now, but she wanted to try epilation because she was looking for a more efficient alternative and I recommended her to try and give this treatment a try and she agreed. She enjoys a healthy and active lifestyle and she plans on going into a longer holiday this summer. This is one of the reasons she wanted to try and sort things out before taking her vacation.
POSSIBLE REASON FOR HAIR GROWTH AND HAIR TYPE
She believes it to be because of a hormonal imbalance, but she never got it checked with a doctor because she never thought it was ever the case. Along with this she had been taking the pill on an on off basis, so this as well might have caused the problem, or worsen it. The hair type was thinner and less pigmented on her chin and coarser, deep rooted on her chest area.
RATIONALE FOR CHOICE OF TREATMENT
She was very aware of it presence and that is why she got it bleached at some point. Not long after that I took care of the area using wax as a temporary plan. She eventually changed her mind and asked me for advice at
which point I offered to treat her problem using the short wave diathermy because this machine would allow me to pay attention to the hair regrowth as it is said to have a bigger amount of hair regrowth after treatment. However I have to mention that I have seen situations when it wasn¶t the case and when the short wave diathermy worked wonders and this treatment could be one of them.
The areas I wanted to start working on were fortunately not very wide, so I only had to split them in two, to try and work one area at the time and take note on the hair growth when working on the other on. Judging from a first impression I would have to say that for the chin area I could consider treating it 3 times a week for around 15 minutes depending on the skin¶s ability to tolerate the treatment. For the other area I was a little nervous because I had never worked on that specific area before and I was certain that the sensitivity of the skin was extreme, and so I decided to try and work on the area two times a week, for as much as her skin can take, I wasn¶t able to determine a specific timing at the start of the treatment so I had to wait and see how the treatment would progress.
I started the treatment on the 14th of February; and I began by positioning my client comfortably on the bed in a comfortable position that would allow her to see me because I wanted to go through the procedure
again with her, to make sure that she understands all the aspects of the treatment. I also wanted her to be aware of the fact that she might feel discomfort especially on her chest area. I had the machine ready and everything prepared, so I started doing all the security checks before using the machine to make sure that it was in perfect condition for the treatment to come. I sanitized the machine and lamp, my hands and positioned my chair comfortably to begin the treatment. The first area I wanted to work on was her chest because of the bigger sensitivity and because I was sure the treatment won¶t be very long and I would be able to move on to my next area, her chin. After looking at her hair type and considering its position, I decided to go for a size 003 gold needle to avoid any irritation, except the normal one produced by the treatment itself. The starting intensity for the short wave diathermy was 18, and the timing was 3 seconds. I tried to keep a very good stretch of the skin to allow a correct insertion and I also applied some pressure to try and annihilate any pain caused by the current flowing in the area I was working on. Unfortunately there was traction when I wanted to pull the hair out so after announcing my client I had to put the intensity up to 22 at which point I went back to try and get the hair before. This time I was successful in removing the hair without any tractions and I was very happy. I found the intensity I should work with on this area for the next treatments, and I was happy about it because I expected it to be harder to find, but to my surprise the hair slide out without any traction. I was able to work on this area for around 10 minutes, and after that I had to stop because my client wasn¶t feeling very well and needed some time to let the skin heal.
So because of that I took the opportunity to ask her if she wanted me to still perform the treatment on her chin area and to my surprise she said yes. I applied after care gel onto the treated area and gave her some time to rest while I was preparing the machine and needle for the next area. After sanitizing the area I started again with the original settings on the machine 18, and for 3 seconds, and this time I used a normal size 002 needles. A size 002 needle is a finer needle and it matched the diameter of her hair type but I had to make sure I would not bend it as it is very fragile to work with. The original settings were not very efficient and that is why I had to turn up the intensity to get a better result so my new intensity was now 22, point at which I tried to go back and epilate hairs again but to my misfortune the intensity still wasn¶t the right one, at which point I had to turn it up even more and so I¶ve reached 25. When I tried to pull the hair out, it would slide out but not perfectly, so I got a new idea and that was to replace the size 002 needle with a size 003 and to keep the intensity at 25. So I started working with the size 003 needle and to my surprise this time it worked perfectly. I was able to treat the area for 15 minutes and was very happy with the result.
REACTION DURING/AFTER/BETWEEN TREATMENT(s):
During the treatment erythema was present in the area and a slight oedema at the opening of the follicles. She felt some discomfort when I was working on her chin and she told me that the worst area was her chest area and that is why she couldn¶t handle more than 10 minutes in one treatment.
After the treatment she the redness was still there on her chin area and it was more visible on her chest area; fortunately both areas are not that visible in a way and she was able to hide the redness by keeping her head in a normal position. I kept a close relation with my client in order to receive feed back with all the details that might help me decide further in this treatment, and she told me that the treatment was effective and that the amount of hair regrowht was minimized.
She had been very nervous about the treatment and so had I, but it turned out just fine. She told me that it had been very painful to work on her chest area and that she could not wait for the treatment to be done in that area. As for the chin area she was able to take that better and for a longer time. She was happy with the results and with the amount of her I was able to epilate in the allocated time. She was looking forward to come and get her next treatment done.
SECOND TREATMENT PLAN
My next step in this treatment is to treat both areas with the other epilation machine ± blend. The blend method as it is known is a
combination of the two methods of epilation short wave diathermy and galvanic. The blend method takes the best of both techniques and produces a faster and more efficient treatment. The heat generated by thermolysis is combined with the chemical transformation to µlye¶ of electrolysis giving heated lye. This is what damages the hair follicle to prevent hair growth. This method is particularly effective on thicker coarser hairs. So in this case to try and solve the problem I would recommend my client to get the treatment done for the chest area 10 minutes for the next 4 weeks and for her chin area 15 minutes for the next 5 weeks, all of them depending in the skin¶s reaction.
RATIONALE FOR CHOICE OF TREATMENT
The reason I¶ve chosen to work with this machine today is because of the fact that in a treatment both machines combined together would give the best result and that is what I was looking for from the beginning. It¶s a very suitable method for more sensitive skin types, and for coarser hair, and the results are often better than the ones obtained by using the short wave diathermy.
Once my second plan was done, I started talking to my client about how the blend machine works, the reaction it would have and what she was going to feel during the treatment. After all these had been covered to set her on the bed and got a comfortable position so that I would be able to work easily reaching the area I wanted to get treated. Again I decided to go for the chest area first as it was more sensitive to the procedure, and after I had chosen the needle a 003 gold needle, I began probing using the original settings, thermolysis at 2, the timing was for 5 seconds and the galvanic current was set at 15. But as I thought the intensity was too low to be effective and there was traction when I wanted to pull the hair out. Now when using the blend machine it is advisable not to probe the same hair again and in this kind of situation the only thing left to do is to pluck it out with a tweezers which can be very unpleasant depending on the area you would be working on. So I increased my current at 20 and then again at 25 after I have seen that it still wasn¶t the right intensity to work with. With 25 now I tried again and the result was great because I managed to get the hair out without any problem. I carried on the treatment with this intensity for 10 minutes and then stopped to apply the after care and move on to the next area to be treated. For the chin area I now started with a 003 needle, as the last time I used a size 002 needle it did not work out so well, because the heating pattern was not correctly dispersed into the hair follicle. My starting point were the original setting which were changed at the second attentive to
probe the hairs, so my working intensity was 2 in thermolisys, for 5 seconds and the galvanic intensity had been increased to 20. I was content that I had found my working intensity for the treatments to come in this area and for my client and after 15 minutes of treatment I stopped and applied aloe vera gel for after care.
REACTION DURING/AFTER/BETWEEN TREATMENT(s):
She responded to treatment better than before and I have to mention that this time the redness on the skin was not as visible as before, this treatment took longer than the last one so I wasn¶t able to removes as much as I did then but I was still happy with the results and sop was my client. After the treatment was finished the skin reacted normally, there was no excessive swelling in the area or intense erythema or irritation. As for the reaction between the treatments I have to mention that Iris was very happy with the fact the amount of hair regrowth was not that big as before and that her hair would only grow in certain areas, not as visible and not as coarse as before.
My client wanted to let me know that she found this treatment less painful than the other one performed with the short wave diathermy. Along with that she was pleased about the results obtained after the blend treatment, and she thought that she liked this one better. She also told me
that for the next treatment sessions she would rather have the treatment done with the blend machine.
HOMECARE ADVICE (HIGH FREQUENCY AND BLEND)
Taking into consideration the area that I had worked on I had specific homecare advice for each treated area, and so for her chin area I recommended her to try and not apply any makeup on after the treatment and to allow the follicles to heal and close. Another thing I mentioned was to avoid smoking, and using any kind of moisturizer that could block her pores and create further irritation to the area. As for the chest area first of all I told her to avoid wearing anything synthetic or tight as the area was already very sensible and friction or excessive sweating were not advisable after an epilation treatment. To try and avoid and heat producing activities like hot baths, sun beds, sun bathing, and to apply specialized after care lotion and not any kind of body lotion, oil or cream that might irritate the area.
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