Level 3 the medical environment

what is the market value for cosmetic medical procedures?

over $20 billion. and is projected to grow over $22 billion worldwide by 2025.

what is an estheticians’s role in the medical environment?

to support the physician in providing care for the patient, increase clinic revenue and help patients with self-care.

what is an esthetician’s responsibility?

preform services under cosmetology board guidelines and generate revenue. Understand services identified as out of scope. follow all written standing orders and office procedures as delegated. take an active role in learning all modalities, procedures and delegated tasks. truthfully represent all competencies and comply with licensing laws. follow all privacy and safety laws

what is an esthetician’s responsibility when working under medical supervision?

perform or delegate cosmetic medical procedures based on the law. take full liability for cosmetic medical procedures. provide written standing orders for procedures delegated. verify and/or provide training to preform delegated medical procedures. provide medical malprcatice insurance, comply with all licensing and medical laws. follow all privacy, employment, safety, and medical regulations/laws.

what are the four working environments you may see in the cosmetic medical field?

dermatology office, cosmetic surgery office, medical spa, wellness center

esthetics in a dermatology office

facial treatments, waxing, makeuo, device use (microdermabrassion, etc), superficial chemical exfoliation (peels)

medical side of the cosmetic medical field in a dermatology office

lasers/IPL, medical chemical peels, class 3-4 devices, injectables.

esthetics in a cosmetic surgery office

pre-op facial treatments, lyphatic drainage, device use, hair removal, superficial chemical exfoliation (peels)

medical side of the cosmetic medical field in a cosmetic surgery office

pre- and post-op care, laser use, medical chemical peels, injectables

esthetics in a medical spa

facial treatments, chemical peels, hair removal, device use, makeup, superficial chemical exfoliation (peels)

medical side of the cosmetic medical field at a medical spa

lasers/IPL, injectables, medical chemical peels

esthetics in a wellness center

facial treatments, hair removal, body treatments, makeup, superficial chemical exfoliation (peels)

medical side of the costmetic medical field in a wellness center

lasers/IPL, medical chemical peels

technical skills needed to work in the medical cosmetic field

chemical peels, laser/IPL hair removal, non-ablative laser/IPL use, advanced device use, esthetic device use, skin assessment, treatment planning and post-op care, advanced facial treatments

what are some professional skills needed in the cosmetic medical field?

medical office procedures, front desk procedures, professional development personal development.

in scope

regulated by your cosmetology board or local laws. generally, patient care and common esthetic services are within scope.

in scope: patient care

working in a medical environment requires a high level of patient care. many of these services are high-risj with significant side effects.

what is the goal of a esthetician in, in scope patient care?

coach the patient, follow up as required, identify patient concerns, communicate with the medical supervisor.

in-scope esthetic services are designated by who?

the rules of the state cosmetology board.

what are some common in-scope services?

facial treatments,superficial chemical peels or exfoliation, hair removal, makeup application, body treatments (wraps/exfoliation). lash extensions, esthetic device use (intended use to cleanse, stimulate or beautify the skin)

out of scope

procedures identified by medical law as the practice of medicine, cannot be preformed without supervision

what does working out of scope require an esthetician to do professionally?

requires supervision and you to identify yourself as a medical assistant or non-physician. it must be fully disclosed on all consent forms and any patient coomunication. the esthetician should not proceed if the dermis is directly impacted.

what are 7 out of scope medical procedures a esthetian can work on when supervised?

ablative laser resurfacing, non-ablative lasers, blepharoplasty, rhinoplasty, phytidectomy, liposuction, injectables.

ablative laser resurfacing

reduces medium/deep wrinkles, softens lines around the eyes and mouth, minimizes facial scars, reduces hyperpigmentation, tightens skin, improves skin texture.

non-ablative lasers

hair removal, reduces fine wrinkles, softens lines around the eyes and mouth, minimizes uneven pigmentation, reduces redness and small capillaries, tightens skin.

blepharoplasty

lifts drooping upper eyelids, removes puffy bags below the eyes.

rhinoplasty

reshapes nose

rhytidectomy

improves sagging facial skin, reduces jowls, makes loose neck skin tauter.

liposuction

removes excess fat deposits in various areas

neuromodulators

reduces wrinkles caused by facial expressions, relax spasmatic muscles, reduces migraines. help TMJ symptoms which affect jaw joints and jaw muscles, reduce hyperhidrosis

dermal fillers

plump up facial skin, decrease indentations, add fullness to lups, provide lift to lax skin

post-op

early decetion of post-operative complications can prevent major side-effects, poor healing and scaring. If you work in any medical setting, you need a basic knowledge of post-operative concersn and possible complications.

what are some signs of complications post-op?

poor woound healing, bacterial infections, ecchymosis (bruising), yeast infections (candida), sevre erythema (reddness of the skin), conjunctivitis (pink eye), signs of scaring, herpetic infections (cold sores), client discomfort and pain.

ecchymosis

bruising of the skin, common following surgical procedures

candida

yeast infection

erythema, common after chemical peels and surgical procedures

redness of the skin

conjunctivtis

pink eye

herpetic infections

cold sores.

dermatological disorders

estheticians cannot diagnose these conditions, but procedures can help relieve the discomfort of a skin condition such as acne

infections

develop when microbes invade an injured, open or wounded part of the body; locial infections are common after surgery if area is not kept clean and dry.

out-of-scope services refer to procedures identified by medical law as the practice of medicine and can be preformed without supervision

false

dermal fillers come in permanent and semi- permanent forms.

true