MEGAPEEL EX BRONZE SERIES Operating and maintenance manual

Bronze Series
®

Bronze Series
2
CONTENTS
TECHNICAL DESCRIPTION OF THE MEGAPEEL EX 4
MEGAPEEL EX PARTS AND SUPPLIES 5
INTRODUCTION 9
Chapter 1
ASSEMBLING THE MEGAPEEL EX 11
Chapter 2
PERFORMING A MICRODERMABRASION TREATMENT 20
MICRODERMABRASION TREATMENT GUIDELINE 22
Chapter 3
INCORPORATING CHEMICAL PEELS WITH YOUR MICRODERMABRASION
PRECISION PEEL® TREATMENT 29
Chapter 4
INCORPORATING CHEMICAL PEELS WITH YOUR MICRODERMABRASION
HYDRA BRIGHT FACIAL TREATMENT 31
Chapter 5
TROUBLESHOOTING 34
MEGAPEEL EX® MICRODERMABRASION TREATMENT  CONSENT FORM 39
SKINCARE QUESTIONNAIRE 40
MEGAPEEL EX® TREATMENT NOTES 41
DM SKINCARE ROUTINE 43
BEFORE AND AFTER PHOTOS 48

3
Thank you for deciding to purchase the MegaPeel EX® Bronze
Series microdermabrasion system from DermaMed Solutions, LLC.
We realize that it is of the utmost importance that the quality of
our products and services to you match the high standards of
quality that you set for the rest of your business.
This manual will guide you in using the DermaMed system. We are
never more than a phone call away for any questions.
DermaMed Solutions, LLC
610-358-4447
www.DermaMedSolutions.com

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Lid
Crystal Return
Vacuum Outtake
Crystal Control Knob
Power Button
Vacuum Control Knob
Hand-piece holster
Vacuum Pressure Gage
Bronze Series
Diamond Hand-piece & Tubing Crystal Hand-piece & Tubing
®
TECHNICAL DESCRIPTION
Made in U.S.A.
Patent # 6,432,113
115 V. » 60 Hz 5A Fuse 8 Amp Type T
230 V. » 50 Hz 2.5A Fuse IEC 6.3 Amp
Class 1 Microdermabrasion Type B Applied part
This device conforms to the requirements of EN60601.1.2 for electromagnetic compatibility and will not
cause or be eected by electrical noise.
Transport and storage conditions: Max50C 80 percent relative humidity
This device must be serviced only by an authorized agent. If it is serviced by an unauthorized person, the
warranty will be void.

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MegaPeel EX®Parts and Supplies
CRYSTALS AND FILTERS
MegaPeel EX Backup Filter
Sold in a box with 2 sets of each
Always dispose and replace crystals & waste lters simultaneously. If you do not
change your waste lter along with your crystals an overow can occur. Be sure to
depress rings before disconnecting your crystal & waste lter.
MegaPeel EX Bronze Crystals and Filters (CFG1000)
Sold in a box with 2 sets of each
Always dispose and replace crystals & waste lters simultaneously. If you do not
change your waste lter along with your crystals an overow can occur. Be sure to
depress rings before disconnecting your crystal & waste lter.
DISPOSABLE TIPS, HAND-PIECES AND TUBING
Blue Tip (BT1000)
Does not come with system but available for purchase. Sold in a pack of 12
DermaMed Solutions, LLC. advises MegaPeel EX technicians to dispose of treatment tips after
each client to ensure the client’s safety. Before each treatment, make sure you inspect the tips
for scratches or cracks. NEVER AUTOCLAVE YOUR TIPS!
Divided Clear Tip (CT1000)
Sold in a pack of 12
DermaMed Solutions, LLC. advises MegaPeel EX technicians to dispose of treatment tips after
each client to ensure the client’s safety. Before each treatment, make sure you inspect the tips
for scratches or cracks. NEVER AUTOCLAVE YOUR TIPS!
Gold Tip (GT1000)
Sold in a pack of 12
DermaMed Solutions, LLC. advises MegaPeel EX technicians to dispose of treatment tips after
each client to ensure the client’s safety. Before each treatment, make sure you inspect the tips
for scratches or cracks. NEVER AUTOCLAVE YOUR TIPS!

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DISPOSABLE TIPS, HAND-PIECES AND TUBING
Silver Hand-piece (HPS1000)
Most frequently used hand-piece
The clear tip with the silver hand-piece is our most frequently used combination. When using
the silver hand-piece, the minimum KPA is 45. For tougher or less sensitive skin, increase the
vacuum. To be replaced after 300 treatment peels.
Gold Hand-piece (HPG1000)
Medical hand-piece for aggressive treatments
The gold tip with the gold hand-piece is ideal for body and more aggressive treatments later
in the patient’s series. A kPa of 35 is very aggressive. The gold tip is the only tip to be used with
the gold hand-piece. To be replaced after 300 treatment peels.
Tubing and Coupling (TC1000)
Recommended to be changed every 9 months
The pink and blue tubes connect to the hand-piece. The blue tube is connected to
the crystals and the pink tube is connected to the vacuum. It is important to change
your tubing because it begins to wear overtime. You will know it is time to change
your tubing when it becomes cloudy or the ends begin to yellow and keeps falling out
of hand piece.
Spare Parts Kit (SPK1000)
For troubleshooting your MegaPeel
To be used in case of problems with your MegaPeel. Call the technical support
line at 610.358.4447 for instructions. The kit of spare parts includes: 6 red O-rings,
1 clear U-shaped tube, 1 fuse, 1 pin, 1 short blue tube.
DISPOSABLE MARKETING MATERIALS
MegaPeel Informational Brochure (DMS6002)
Also available in Spanish & French
Promotional marketing material used to educates patients and clients
about microdermabrasion. Sold individually
MegaPeel Gift Certificates (DMS3003)
When your customers can’t decide on the ‘’perfect gift’’ don’t give up
the sale, be ready to oer them the option of gift certicates. These
MegaPeel Gift Certicates are everything you need to supply and pro-
mote your microdermabrasion program.

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MegaPeel Poster (DMS2006)
Eective way to advertise, inform your clients that you are now performing micro-
dermabrasion.
Color poster is printed on a glossy paper stock measures 17” x 24”
MegaPeel Promotional Postcard (DM3003)
Promote your microdermabrasion business by mailing post cards to your
clientel.
Blank backside allows for personalization and an area for mailing sticker
containing your information.
MegaPeel Counter Card & Display Stand (DMS6004-D)
Displays the brochures in your waiting area, promoting your microdermabrasion
business.
MegaPeel Manual (DMS2003-G)
MegaPeel Training DVD (DMTDVD)
This all-in-one video teaches you how to operate the MegaPeel, shows a step-by
step how to perform a microdermabrasion treatment, how to incorporate chemi-
cal peels into a microdermabrasion treatment and shows step-by-step and how to
troubleshoot your system.
MegaPeel Informative Loop DVD (DMLDVD)
You already have the most desirable advertising situation in your waiting room: a
captive audience with clients who already trust your reputation and expertise. So,
take advantage of this opportunity to let them know about how you are oering
microdermabrasion. In this looping promotional DVD for your waiting room, clients
will learn all about microdermabrasion treatments and their benets

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DIAMOND HAND-PIECE, TIPS AND TUBING
Diamond Hand-Piece and Tip Set (DTCFKIT)
Oer clients who ask for crystal-free treatments
Diamond hand-piece and tips are embedded with high-quality industrial diamonds.
The tips are available in a variety of microns/grits for dierent skin conditions. The
combination of dierent crystal-free tips allows you to provide eective exfoliation for
most skin types, deeper abrasion for thicker skin areas, less aggressive exfoliation, yet
eective results for sensitive, fragile skin. Each tip can be easily removed from the hand
piece to clean.
Diamond Hand-piece (DTH1000)
Additional hand-piece available for purchase
Extra hand-piece available for purchase
Diamond Hand-piece Tubing (DTT1000)
Recommended to be changed every 3 – 9 months depending on usage
The pink tube connect to the hand-piece. It is important to change your tubing
because it begins to wear overtime.
Diamond Tubing Connector (DTC1000)
Connector used to connect Diamond Hand-piece
Connector can be replaced if necessary. Call the technical support line at 610.358.4447
for instructions.
Diamond Tip Cleaning Kit (EX-511)
For cleaning the Diamond Tips and Hand-piece
To be used to clean the Diamond Hand-pieces and Tips. Call the technical support
line at 610.358.4447 for instructions.
Cavicide Disinfectant Spray (EX-903SCD)
A convenient, ready-to-use, intermediate-level surface disinfectant for the Diamond Hand-
piece and Diamond Tips.
NOTE Throughout the MegaPeel EX Manual you will notice microdermabrasion dened as mechanical
exfoliation using crystals. Wherever this is stated, you may also use it to refer to microexfoliation
which is done using the Diamond Hand-piece and tips.

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INTRODUCTION
WHAT IS MICRODERMABRASION?
Microdermabrasion is a simple and eective form of exfoliation. It is a mechanical exfoliation that uses
aluminum oxide crystals to remove the outer layer of dead or damaged skin cells, revealing a more youth-
ful skin. Microdermabrasion is a non-invasive treatment designed to improve the overall texture, tone
and clarity of the skin while restoring the skin’s elasticity.
HOW DOES MICRODERMABRASION WORK?
This type of exfoliation involves gently sandblasting the skin with a high-pressure ow of crystals de-
signed to remove the outermost layers of the epidermis (stratum corneum), followed by a vacuum suction
that removes the crystals from the skin While the crystals perform the exfoliation, the vacuum suction
stimulates the lower layers of the skin. This repeated process stimulates the production of a new layer of
skin cells, bringing with it an increased level of collagen and elastin, which further improves your skin’s
appearance.
HOW MANY TREATMENTS ARE NEEDED?
We recommend that people undergo a series of 4 to 6 microdermabrasion treatments. The results are cu-
mulative. Microdermabrasion is a progressive treatment. Although 1 microdermabrasion treatment yields
fresher, smoother looking skin, generally results improve substantially after the 4th, 5th or 6th treatment. The
number of necessary treatments depends on the condition of the skin and the needs of the client. Initially
you can treat patients every 7 to 14 days. With further treatments, they can maintain the desired results.
WHAT TYPE OF SKIN CAN BENEFIT?
All skin types and skin colors can benet from microdermabrasion. The process rejuvenates and refreshes
aging, aky, dry, thickened, blemished, dull and sun-damaged skin. Blotchiness, uneven skin tones and
texture improve. Microdermabrasion reduces the appearance of ne lines, acne scars, hyperpigmenta-
tion, chicken pox scars, brown/age spots, ne-lined wrinkles (rhytides), hyperkeratosis, large pores and
other skin imperfections.

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WHEN SHOULD ONE USE MICRODERMABRASION?
Use MegaPeel EX Microdermabrasion to treat:
 Face, neck and décolletage.
 Shoulders and back.
 Hands.
 Elbows and knees.
WHAT SKIN CONDITIONS RESPOND FAVORABLY TO
MICRODERMABRASION?
 Acne/acne scarring.
 Dehydrated/dull skin.
 Fine lines/aging skin.
 Photo-aged skin/hyperpigmentation.
 Post inammatory hyperpigmentation.
 Rosacea.
WHEN SHOULD ONE NOT USE MICRODERMABRASION?
Do not use microdermabrasion on people who have:
 Active acne.
 Cancer, including skin cancer.
 Eczema.
 Herpes simplex (cold sores) unless they take preventative medication before and after treatment
 Keloid scarring.
 Prescribed topical medications, such as Dierin, Retin-A, Retin-A Micro, Tazorac
 Raised moles, warts, skin tags.
 Skin sensitivity.
 Sunburn.
 Uncontrolled diabetes.
 Untreated diabetes.
 Vitiligo.
Do not use microdermabrasion in:
 Areas of telangiectasias.
 Children under age 12.
 People taking Accutane within the last 6 months.
 People under the care of a physician.
 People who overuse exfoliants.
 Pregnant or nursing women.

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CHAPTER 1
ASSEMBLING THE MEGAPEEL EX®
NOTE
 Take the MegaPeel EX machine out of its shipping carton.
 Store the box and packaging materials in case you need to return them.
 Put the machine on a level surface.
 Plug one end of the electrical cord into the machine and the other into a
grounded, 3-pronged electrical outlet.
 Remove the lid of the MegaPeel EX and put aside.
 Inside the machine, remove the blue tube in the pink connector
by pushing in on the pink ring and pull out blue tube at the same
time.
CRYSTAL AND FILTER SET-UP
 Open the white box of MegaPeel EX crystals and lters.
 Take out the smaller, heavier bottle containing crystals.
 Remove the cap on the crystal container.
 Attach the container to the metal grommet at the end of the blue tube.
 Gently put this container upside down in the smaller space in the machine, on the left side.
If you plan to operate a steamer in the same room as the MegaPeel EX, call us immediately to dis-
cuss proper care. Steamers can cause crystals to clog in the MegaPeel EX.

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 Take out the larger, empty waste canister with pink and blue tubes, which collects the waste
from the procedures.
 Install it with the tube-side up in the space toward the right side of the machine.
 Use pressure to insert the blue tube into the blue O-ring. Push in the tube.
 Insert the pink tube into the pink O-ring.
 Replace the lid of the MegaPeel EX machine.
REMOVING AND DISCARDING USED CRYSTALS AND FILTERS
Disconnect tubes by depressing the color-coordinated connector rings. At the same time, pull out the tubes .
NOTE
ASSEMBLING TUBING
 Open the 10”-by-12”cardboard box, which holds the MegaPeel EX
supplies.
 Take out the pink and blue tubing. Notice that one end of the
tubing has longer metal ttings than the other.
 Insert the longer grommets into the same-color O-rings on the
front of the machine.
 Push to lock them into place.
NOTE
The labels on the top of the Enviro-Sealed™ HEPA Cartridge (waste reservoir/lter) instruct you to
change this container when you change the clean-crystal container.
If you do not do this, your warranty will be void.
The Platinum, Gold, Silver and Bronze MegaPeel EX machines come with a silver hand-piece.
The Platinum and Gold MegaPeel EX machines come with an additional gold hand-piece.

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ASSEMBLING THE HAND-PIECES
Assemble the silver and gold hand-pieces the same way.
 Connect the other side of the tubing to the hand-piece.
 Put the pink end into the larger hole.
 Put the blue end into the smaller hole.
 Twist the tting on the tubing to seal the connections. Tug the
hand-piece to make sure that it is secure.
CLEANING THE HAND-PIECES
 Ream out the hand-piece using the needle in the spare-parts kit.
 Thoroughly rinse out the crystals inside the openings of the hand-piece.
 Thoroughly wash the exterior of the hand-piece.
 After treating each patient, sterilize the hand-piece by using an autoclave or alcohol.
 Replace the hand-pieces after 300 uses.
NOTE
USING THE DISPOSABLE TIPS
From the same carton, remove the tip that you will use for treatment.
The tips determine the depth of the treatment. Start with the shallowest and move deeper as treatments
progress.
Use the clear tip for most treatments, especially the rst treatment. Adjust
pressure to at least 45 kPa. Use the clear tip.
 Notice 2 holes on the top of the hand-piece.
 Screw the clear tip into the hand-piece, placing the divider goes
between the 2 holes.
 Leave some space showing between the divider and the hand-
piece.
 CAUTION: Do not over-twist the tip. The gap needs to remain in
place.
Use the gold tip for patients interested in more aggressive treatments. Start
with pressure of at least 35 kPa with the gold tip, which excels for areas with
tougher skin, such as the back, feet and scars.
 Attach the tubing to the gold hand-piece the same way you
attached it to the silver hand-piece.
 WARNING: Because this tip is very powerful, start the pressure at
no more than 35 kPa.
Change the tubing and the orange pressure-locking ring every 9 months.

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NOTE
You can purchase the blue tips separately. They are designed for those
sta who are used to working at a 45 degree angle. The blue tips work for
moderate to aggressive peels. Start the pressure at no less than 45 kPa.
 Attach the blue tip, screwing it on just to the point that the thin
black line on the hand-set lines up with the raised line on the blue
tip.
SETTING THE VACUUM PRESSURE TO START MEGAPEEL EX
TREATMENT
The vacuum pressure setting determines the power of the treatment. The vacuum control knob is the
knob on the left-hand side. The pressure plus your chosen tip determine the depth of the treatment as
well. The MegaPeel EX uses kPa (kilopascals) as to measure vacuum pressure.
 For the 1st treatment for each patient, test the patient’s reaction and comfort level.
 Use the clear tip.
 Set the vacuum pressure up to 45 kPa.
 Increase the pressure slowly if you want a more aggressive peel.
 If you are using the gold tip for a more aggressive peel, start the pressure at 35 kPa.
SETTING THE CRYSTAL FLOW
 On the outside of the machine, lower the crystal ow dial on the right by turning it to the left,
counterclockwise, as far as you can without stopping it.
 Use a minimal amount of crystals – just enough to abrade the skin – to achieve the best results.
NOTE
 If you have questions, please visit our website or call us at 610-358-4447.
NOTE
Almost all patients treated with the gold tip will experience crusting from dried serum.
Crusting, which is normal, indicates that you performed the procedure properly.
The crusts clear on their own in 3 to 5 days after treatment.
Tell patients that they can avoid crusting if they keep the skin moist after treatment. We recommend
the use of dmSkincare’s argan boost serum™
The machine produces a little tornado of crystals in the top of the tip. Do not ll the whole side of
the tip with crystals. If you have your crystals turned up too high, you will waste crystals. You will not,
however, damage the machine.
When you place your last crystal and lter set in the system, please call and order a new box of supplies.

15
Diamond Hand-piece and Diamond Tips
ASSEMBLING THE DIAMOND HAND-PIECE
When using the Diamond hand-piece and Diamond tips, make sure that no other tubing is plugged into the
front of the MegaPeel EX system.
 To use the Diamond hand-piece and tips, take the single pink tube and insert into the vacuum (pink)
side on the front of the MegaPeel EX. The crystal (blue) side will be left without a tube.
 Insert the other end of the tubing with the metal connector into the Diamond hand-piece, making
sure it is secure.
 Attach the desired Diamond tip to the end of the Diamond hand-piece.
NOTE:
Before placing the Diamond tip to the hand-piece, make sure the black o-ring is in place on the
handpiece.

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Daily Maintenance of Diamond Tips
CLEANING AND STERILIZATION OF TIPS IMMEDIATELY AFTER USE
Proper cleaning of the Diamond tips is imperative to your patients’ health. Cleaning must be performed
immediately after every treatment. It is not necessary to clean the Diamond hand-piece after each treat-
ment.
 Immediately after each use, remove the Diamond tip from the Diamond hand-piece and rinse
under hot running water. Scrub the abrasive surface of the Diamond tip with a brush (located in
the cleaning kit which comes with the Diamond Tips) to remove the protein material.
 The Diamond tip should then be placed in the CaviCide1, using either a tray or an ultrasonic
unit, making sure it is completely covered and let it soak in CaviCide1 for 3 minutes at room
temperature (68°F/20°C).
STANDARD STEAM STERILIZATION OF TIPS
 Standard steam sterilization is based on your autoclave’s maintenance parameters.
 Every sterilizer is dierent, please consult with your sterilizer’s operating manual for
recommended sterilization times and temperatures.
 Steam sterilization should always be used if the surface of the skin may be penetrated.
NOTE
COLD STEAM STERILIZATION
 Most cold sterilization solutions render instruments only after a 10 hour immersion. If the
instruments need to “disinfect”only, cold sterilization is ok as disinfection will take place in only
10 minutes.
 Follow all cold sterilization/disinfection protocol as mandated by your facility. Use only a facility
approved disinfectant.
NOTE
General Guidelines: 30 minutes: 250° Fahrenheit at 15psi or 121° Celsius at 1kg/CM2
General Guidelines: Soak tips in a facility approved disinfectant (such as DermaMed Solutions’
Cavicide Disinfectant Spray (Item # EX-903SCD - to order please call 610.358.4447)

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Maintenance of Diamond Hand-piece
CLEANING AND STERILIZATION OF HAND-PIECE
NOTE
 To clean the Diamond hand-piece, rst remove the Diamond hand-piece from the tubing
attachment using the small screwdriver found in the Tip Box.
 Carefully insert the end of the screwdriver into the space between the Diamond hand-piece and
the metal connector attached to the pink tubing. Use the screwdriver to separate the 2 pieces.
 The Diamond hand -piece should then be placed in the Cavicide1, using either a tray or an
ultrasonic unit, making sure they are completely covered and let them soak in CaviCide for 3
minutes at room temperature (68°F/20°C).
STANDARD STEAM STERILIZATION OF HAND-PIECE
 Standard steam sterilization is based on your autoclave’s maintenance parameters.
 Every sterilizer is dierent, please consult with your sterilizer’s operating manual for
recommended sterilization times and temperatures.
 Steam sterilization should always be used if the surface of the skin may be penetrated.
NOTE
It is not necessary to clean the Diamond hand-piece after each use
General Guidelines: 30 minutes: 250° Fahrenheit at 15psi or 121° Celsius at 1kg/CM2

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COLD STEAM STERILIZATION
 Most cold sterilization solutions render instruments only after a 10 hour immersion. If the
instruments need to “disinfect”only, cold sterilization is ok as disinfection will take place in only
10 minutes.
 Follow all cold sterilization/disinfection protocol as mandated by your facility. Use only a facility
approved disinfectant.
NOTE
Maintenance of Diamond Tubing
CLEANING AND STERILIZATION OF CONNECTOR ON TUBING
NOTE
 To clean the Diamond tubing connector, depress the connector ring located at the bottom of
the tubing and at the same time, pull out the pink tube.
 The tubing connector should then be placed in the Cavicide1, using either a tray or an
ultrasonic unit, making sure they are completely covered and let them soak in CaviCide for 3
minutes at room temperature (68°F/20°C).
 The tubing can also be placed in the CaviCide solution while still attached to the pink tubing.
Diamond Hand-piece Treatment
Guidelines
VACUUM
 The vacuum setting determines the amount of pressure between the skin and the abrasive
surface.
 Low vacuum setting, 35 kPa, applies a low force.
 High vacuum setting, 45 kPa, applies a high force between the skin and the abrasive.
NOTE
General Guidelines: Soak tips in a facility approved disinfectant (such as DermaMed Solutions’
Cavicide Disinfectant Spray (Item # EX-903SCD - to order please call 610.358.4447)
It is not necessary to clean the connector on tubing. The connector can NOT be autoclaved and only
placed in CaviCide1
Never use vacuum around the eye area. Vacuum can cause redness and swelling in this sensitive
area.

19
 The vacuum setting can only be read when the tip end is covered.
 Cover the end of the wand and the gauge will show the current vacuum setting.
 Turning the vacuum knob clockwise will increase the vacuum pressure.
NUMBER OF PASSES
 The wands should pass over the skin surface at least twice and the passes should be
overlapping to achieve a uniform result.
 The rst pass is normally vertical and the second pass is horizontal.
 The speed which you move the wand is not critical.
NOTE
Diamond Tip Guide
Bonded on to the ends of the tips are natural diamonds. The diamond tips abrasiveness is measured in
microns. The ner the abrasive, the less material is removed with each pass. Each tip has a number on the
base which indicates the mesh. They vary anywhere from 75-200 mesh.
 The tip with 75 mesh diamond abrasive is more aggressive.
 The medium tips have a diamond abrasive which read 100 and 150 mesh.
 The ner tip has a diamond abrasive of 200 mesh.
It is very important is to keep the abrasive surface clean and to make sure you remove all skin particles.
Replace the tips if they become chipped or worn.
Refer to Chapter 2: PERFORMING A MICRODERMABRASION TREATMENT MICRODERMABRASION
TREATMENT GUIDELINE in the MegaPeel EX Instructional Manual.

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CHAPTER 2
PERFORMING A MICRODERMABRASION TREATMENT
Microdermabrasion removes dead cells from the surface of the skin. It thickens the outer layer, or epider-
mis, of the skin and increases the production of new skin cells, collagen and elastin. Microdermabrasion
leaves the skin smooth and clean with mild redness (erythema). Complete at least 5 peels to achieve a
lasting eect. The patient who follows a proper skin-care program will enjoy long-lasting improvement
in the skin.
RECOMMENDED PROCEDURE:
PEEL # 1
This peel should be a conservative peel if the skin technician does not know the patient’s skin and reac-
tion to other irritants, such as glycolics, Retin-A, etc., although these products can be incorporated into
a benecial MegaPeel EX® program. Before the treatment, ask the patient if redness is acceptable and
inform the patient that redness may last for a day (the pre-consultation should address this issue). Adjust
setting lower if patient is apprehensive. The setting generally found to be most successful for the 1st peel
is approximately 45 – 50 kPa using the clear divided tip.
PEEL # 2
When the patient comes into the oce for the 2nd treatment, nd out how quickly he/she recovered
from the 1st treatment. Usually, the patient will report quick healing time, and with the patient’s consent,
the technician can be more aggressive with this peel. Increase the kPa and adjust according to the pa-
tient’s tolerance. Make as many slow, even passes over the treatment area as necessary.
PEEL # 3 +
After the 2nd peel, assess the patient’s recovery time. If you were aggressive, it may be necessary to space
this peel 10 – 14 days after the 2nd peel. As you become more aggressive and incorporate more aggres-
sive home care products, allow the skin to heal for up to two weeks before proceeding with another ag-
gressive peel. The gold tip and hand-piece may be used at this point once the patient is interested in a
more aggressive treatment.