106.
4 Skin Analysis
LOOK, TOUCH, ASK
LOOK: Use a magnifying lamp and Woods Lamp, identify pore size, identify
color change in skin, look for areas of redness, dull appearance,
pigmentation, etc. Identify structural changes; look for flakiness, raised
rough areas, wrinkles, etc.
TOUCH: Lift skin to test thickness and elasticity, run fingers over surface
to test texture, use pressure to test sensitivity, feel for unseen lesion.
ASK: Verify client intake form, ask about suspicious lesions or other skin
concerns, ask what they would like improved in their skin, ask about client’s
home care routine, ask about lifestyle factors, ask about response to UV
exposure for Fitzpatrick typing.
SKIN ANALYSIS EQUPTMENT
MAGNIFYING LAMP: or loupe. Provides light and magnification. Diopter
example a 5-diopter is 50x magnification
WOOD’S LAMP-omits Black light in 320-450 nanometers that colorizes
different areas of skin to indicate different conditions. Must be in a dark
room, no light.
Blue-white, fluorescent light: Normal, healthy skin
Purple Fluorescent: Dehydrated skin
White fluorescent: Thick corneum layer, spots of dead buildup
Yellow, pink, green fluorescent: signs of bacteria, fungus
Brown: Pigmentation, dark spots and sun damage; dermal pigmentation
shows up lighter than epidermal pigmentation
Orange fluorescent: Areas of active oil production; shows as small dots in
active sebaceous glands (pores)
SKIN SCOPE: Also called a derma scope or skin scanner. Magnifying
mirror/light that incorporates black light.
SKIN TYPE CHARCTERISTICS- Based on oil production (sebum)
FITZPATRICK SKIN TYPING- Named after Thomas B Fitzpatrick
GLOGAU CLASSIFICATION SYSTEM- Group I-Mild (Age: 28-35, No
wrinkles, early photoaging, mild pigment changes; no keratosis (non-
cancerous growths), no wrinkling) Group II-Moderate (Age: 35-50, wrinkles in
motion, early to moderate photoaging; early brown spots, visible small
wrinkles and smile lines.) Group III-Advanced (Age 50-65, wrinkles at rest,
advanced photoaging; discoloration, visible capillaries, visible keratosis.
Group IV-Severe (Age: 60 and above, only wrinkles, severe photoaging,
yellow/gray skin color, prior skin malignancies, wrinkles throughout, no
normal skin.
SKIN CONDITION CHARCTERISTICS
ACNE TREATMENTS- Topical and oral.
Topicals
Benzoyl Peroxide- dry and exfoliate; release oxygen,
which helps kill bacteria
Topical antibiotics- Prescribed by a physician to dry the
skin and kill the bacteria.
Retin-A- Contains Tretinoin, a powerful derivative of
vitamin A that dries the skin and promotes rapid
exfoliation.
Azelaic Acid- Promotes drying and cel turnover
Salicylic Acid- beta hydroxy acid that mildly dries and
promotes cell turnover by producing a mild keratolytic
action( thinning of skin around lesion)
Glycolic Acid- Alpha hydroxy bonds connecting skin cells
together allowing for cell turnover and exfoliation;
removes stratum corneum and unplugs clogged pores.
Orals
Tetracycline, minocycline, erythromycin can inhibit the
growth of bacteria. Accutane aka isotretinoin prescribed
in sever grade 3 and 4 cases. Controversial because it
inhibits the function of the sebaceous glands and
keratinization.
