Total presentation time (excluding assessments): 4 hours 7 minutes, Typical completion time (including prior reading): 8 days
1. The Pastiche Method
The Pastiche Method of skin analysis is a unique protocol and procedure that gives skin treatment professionals a pathway to diagnose the leading causes of a variety of skin conditions effectively, allowing them to then link the skin condition to skin cells and systems, product composition and treatment methodology. This unit of learning takes you through the Pastiche pathway introducing you to the Pastiche flow charts and the first step towards three dimensional thinking.
2. Introducing the service
Introducing a new methodology into a clinical service does take some thought. It is not easy to go from a complimentary service that takes 15min out of a 1 hour facial to a 1 hour stand alone chargeable service such as the Pastiche Method of skin analysis. This class gives you a practical insight into how to introduce this service to new and existing clients. How to filter the clients into new categories of service that improves the clinics profitability and your income.
3. Diagnostic tools and equipment
This unit of learning covers the correct protocols and contraindications of why skin analysis is conducted away from the facial chair. Also covered is the reasons why before embarking on a skin treatment program (or when the skin is being analyzed) that skin diagnostic equipment should be used that will confirm diagnosis, give a pathway to follow and assist in establishing cause of the skin concern. Skin diagnostic devices provide an understanding of the severity of the problem, and give a professional point of reference to start from, and to return as required.
4. Understanding cellular damage
How to ascertain the biological level of cellular damage from the consultation process. How cellular damage can be a reason why treatments fail to be successful. This lecture is the first example of three dimensional thinking and how to carry a leading cause forward to skin conditions and cells and systems affected by a leading cause. Cellular damage will dictate the modality choice, the success of the clinical treatment as well as how many treatments may be needed to get the desired result.
5. Diagnostic characteristics and clues
The three diagnostic characteristics of Texture, Colour & Secretions are the foundation of the Pastiche Method of skin analysis. This introduction to the diagnostic characteristics will be the first step to understanding the depth of which the Pastiche Method of skin analysis will take you. Understanding the synergy between cells & systems of skin is an integral part of your base knowledge as a treatment clinician; everything I share with you in future training units is based on this knowledge.
6. The power of the consultation
The professional consultation can provide so much valuable information that it can be considered a primary point of reference. This information gathering process is two-sided, with both client and therapist gathering and sharing information that will be the reference for all future activity. This first unit covers the demographic profile of the client including how to establish the first level cellular damage of the client and brief look at the first causes of oxidative stress.
7. Consultation process: Nutrition & general health
To function optimally, many specialist cells such as the fibroblast and keratinocyte have specific nutritional requirements. Essential nutrients such as vitamin C, Omega 3 and 6 are not metabolised by a cell, and can only be available to the cell if they are in the clients eating plan. However, it is not only missing food groups that you must look for in the consultation but also blocking factors that will prevent the absorption of nutrients. This is an important phase of the consultation process.
8. Consultation process: Genetics, risk factors
The next genre in the consultation process covers extrinsic questions regarding the clients UVR exposure, this will help you ascertain the accumulated levels of cellular damage caused by the reactive oxygen species of free radicals, which are instigated by sun burn and unprotected sun exposure of the clients living environment. The intrinsic factors of genetic heritage, burn time and ability to tan, hair colour all contribute to skin cellular damage, skin cancer and pigmented skin conditions.
9. Consultation process: Medical history & medications
Ill health, medications and surgery, contribute to oxidative stress and the subsequent lipid peroxidation that comes about when cells and systems are under duress for long periods of time. Knowing what skin conditions and cells and systems are influenced by medications and illness is crucial to your base knowledge as a skin treatment therapist.
10. Consultation process: Medical conditions & other influencing factors
Any changes in the endocrine system will accelerate ageing or alter barrier defense systems and cause lipid dryness, accelerate superfluous hair growth or cause the innate immune system to become overactive triggering Rosacea or hormonal mediated acne.
12. Viewing the skin: Key steps & techniques
The next step in skin analysis is to develop your eyes and learn a new way of looking at the skin, extending the three dimensional mind set and viewing pattern you are learning. Already your diagnostic mind set should be developing, especially after covering the previous five units on the consultation process. So when a leading cause has been found, your mind is thinking of the skin conditions, and cells and systems affected by that leading cause.
13. Basic majority skin type determination
The next phase of the skin diagnostic procedure after all information has been gathered in the consultation process, is to determine the basic majority skin type, the skin photo type including the skins risk for pigmentation and scarring. When these three intrinsic factors are known, the clinician can move on to the analysis of the skin conditions. Determine the treatment contraindications and protocols choose the correct modality, and write a treatment program.
14. Protocols: Clinical & client
Skin type, skin color, and skin risk for pigmentation are the three intrinsic factors that will determine all protocols and contraindications for clinical treatments, as well as those protocols and contraindications for the client’s daily home care between treatments.
15. Skin colour & pigmentation risk assessment
Many of the treatment modalities involve chemical, heat, light and or electrical impulses, all of which if not controlled can burn, pigment or scar skin, especially those photo types that have the ability to tan. Gathering knowledge of the client’s genetic history and their skins ability to tan is a critical part of the consultation; it should raise concern and may even modify the final choice of modality used to treat the skin.
16. Module one summary
In this presentation, we will summarise what we have learned to date with the aid of a virtual client's consultation. We will examine the items on the consultation form that of particular interest and are "red flagged". carry the leading causes through to the flow charts. Summarising the consultation into basic majority skin type, skin risk for pigmentation, preparatory treatments and professional referrals.