This article was written for Dermascope Magazine – print and online, March 2017 (© 2017) SUNBURN TREATMENT PROTOCOL for Aestheticians Before beginning any facial or body treatment for clients with a sunburn or sun-damaged skin, skin care professionals should always do a full assessment of the degree of damage. This assessment can be done either visually or with a facial magnifying tool. If the spa offers the option of ultraviolet photography, it can also be a valuable tool to assess the true sun damage. Photographs using a small pulse of ultraviolet light as the flash source can reveal markings and underlying damage not visible to the naked eye. If clients show signs of second degree burns or long-term solar keratosis, further evaluation and more appropriate medical treatment from a qualified dermatologist may be necessary. This evaluation is especially important for the early detection and treatment of melanoma. Over-the-counter medications such as aspirin or ibuprofen may decrease inflammation, swelling, and pain after facial sunburn. Advise clients to check with their doctor first to see if these medications are safe for them to take. The typical sunburn will appear inflamed, red, hot to the touch, and sometimes feel itchy. After hours or days, the skin may begin to peel or shed in an attempt to slough off the damaged layers and create new growth. Extreme care should be used when treating sun-damaged skin and most traditional facials should be avoided. Any facial treatments using steaming, chemical peels, acids, or exfoliation will do more harm than good at this time. If the top epidermal layer has been burned, only simple hydrating and healing facials should be employed. Non-comedogenic, hypoallergenic, and herbal ingredients that help the skin repair and protect are best. If the sunburn has occurred very recently, the skin may not have begun to peel. Hydration and cooling are key to helping reduce redness and pain and preventing future scaring. STEP-BY-STEP PROTOCOL 1. Start with a gentle cleansing to remove any dirt, makeup, or sunscreen. Use the most hydrating cream cleanser available. Formulas blended for extremely sensitive skin containing natural oils and healing botanicals are most beneficial. 2. Be careful not to use excessive rubbing or scrubbing motions when applying any treatments to sun-damaged skin as it may dislodge the top skin layer and exacerbate peeling. Apply the cleanser with a soft cotton ball or pad in a gentle patting or circular motion. 3. Continue the cleansing process with a second round of clean,…
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