this case study based on everything below ..I would like you to go through your other 2 Microdermabrasion case studies yourself and make amendments based on the feedback from this one so I am not repeating myself. Please forward all 3 back to me by Friday for final check.
Centre Name, Centre Number and Learner Number needs to be input (Remove mobile number)
Surname to be included
NONE OF THE ABOVE under both contraindication boxes
You need to input information into the following (Overall skin condition, skin texture, and pigmentation)
Treatment details.. you say that you applied a mask after the Microdermabrasion treatment not before.
Remove “tailor the treatment intensity accordingly”
Remove “This technique aimed to target any tension or lines in that region” ( We are exfoliating the skin not targeting tension)
Remove “swapped the electrode” change to diamond tip head (the electrode is the handpiece)
Date of treatment for second treatment should be at least 7-10 days after the first treatment
Third and final treatment should be 7-10 days after second treatment
I would also add in that you recommended a course of between 10-12 treatments in a course.
Client Consultation Form
iUBT392 – Microdermabrasion treatments
Centre name:
Tallaght Training Centre
Centre number:
Learner name:
Michelle Tighe
Learner number:
Date:
19/9/22
Client name:
Sarah Frawley
Address:
47 Royal Meadows
Kilcock
Co.Kildare
Profession:
Beauty Therapist/Business Owner
Telephone number:
Day:
085 7520221
Evening:
085 7520221
Personal details:
Age group:
Under 20 ☐
20 – 30 ☐
Active ☒
Lifestyle:
Last visit to the
doctor:
About 6 months ago
GP address:
Dr Arthur Courtney
Kilcock Medical Centre
Kilcock
Co.Kildare
Number of children:
(If applicable)
1
Date of last period:
(If applicable)
About 3 weeks ago
iUBT392 Client Consultation Form_v1
30 – 40 ☒
40 – 50 ☐
50 – 60 ☐
60+ ☐
Sedentary ☐
Page 1 of 11
Contra-indications requiring medical permission – in circumstances where medical permission cannot be
obtained clients must give their informed consent in writing prior to treatment (Select if/where
appropriate):
Pregnancy
☐
Cardiovascular conditions
(thrombosis, phlebitis,
hypertension, hypotension,
heart conditions)
Any condition already being
treated by a GP or
dermatologist
☐
Medical oedema
☐
Osteoporosis
☐
Nervous/psychotic conditions
☐
Epilepsy
☐
Recent operations
☐
Diabetes
☐
Asthma
☐
Bell’s palsy
☐
Trapped/pinched nerve
☐
Inflamed nerve
☐
Cancer
☐
Conditions causing muscular
spasticity (i.e cerebral palsy)
☐
Undiagnosed pain
☐
When taking prescribed
medication
☐
Inflamed, infected or
contagious skin condition or
disorders
☐
Active herpes simplex
☐
Malignant melanoma
☐
Skin thinning medication i.e.
steroids
☐
Anti-coagulant medications
☐
Keloid scars
☐
Scleroderma
☐
Recent cosmetic or other
surgery
☐
Injections for personal
enhancement
☐
HIV
☐
☐
Haemophilia
☐
None Of The Above
Contra-indications that restrict treatment (Select if/where appropriate):
Fever
☐
Skin diseases
☐
Bruises
☐
Contagious or infectious
diseases
☐
Undiagnosed lumps and
bumps
☐
Abrasions
☐
☐
Under the influence of
recreational drugs or alcohol
☐
Hypersensitive skin
☐
Scar tissues (2 years for major
operation and 6 months for a
small scar)
Diarrhoea and/or vomiting
☐
Broken capillaries
☐
Sunburn
☐
Any known allergies
☐
Localised swelling
☐
Haematoma
☐
Skin cancer
☐
Inflammation
☐
Recent fractures (minimum 3
months)
☐
Hepatitis
☐
Cuts
☐
Any metal pins or plates
☐
Tattoos in the treatment area
☐
Microblading/micropigmentati
on in the treatment area
☐
Pigmented naevi
☐
Loss of skin sensation (tactile
test)
☐
Recent Botox/dermal fillers
☐
Recent dermabrasion or
chemical peels
☐
None Of The Above
iUBT392 Client Consultation Form_v1
Page 2 of 11
Skin test (Select if/where appropriate):
Moisture content:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Muscle tone:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Elasticity:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Sensitivity:
High
Skins healing
ability:
Excellent
☐
☐
Medium
☒
Good
☒
Fair
☐
Low
☐
☐
Poor
Skin tone:
Fair
☐
Medium
☒
Dark
☐
Circulation
Good
☒
Normal
☐
Poor
☐
Pores:
Fine
☐
Dilated
☒
Comodones
☐
Milia
☐
White
☒
Black
☐
Asian
☐
Mixed
☐
Dry
☐
Oily
☐
Combination
☒
Mature
☐
Young
☐
Overall skin type:
Overall skin
condition:
Combination Skin type-small congestion visible on the chin and nose
Pigmentation visual on forehead and cheeks and slight sensitivity on the cheeks and open
pores
Skin texture:
Good
Pigmentation:
Visible on the forehead and cheeks
Reasons for
treatment (select
where appropriate):
Removal of:
Fine lines
☒
Wrinkles
☐
Scars
☐
Lip lines
☐
Frown lines
☐
Congested skin
☐
Skin texture
☐
Pigmentation
☒
Congested skin
☒
Comodones
☐
Milia
☐
Mainly sebaceous filaments on nose/chin
iUBT392 Client Consultation Form_v1
Page 3 of 11
Skin Analysis:
Forehead: Pigmentation visible
Nose: Some congestion visible mainly in the form of sebaceous filaments
Eyes: Fine lines
Cheeks: Some pigmentation visible with signs of sensitivity and open pores
Neck: Normal
Overall: Combination Skin
iUBT392 Client Consultation Form_v1
Page 4 of 11
Treatment details (To include products used):
•
•
•
•
•
•
•
•
•
•
•
•
•
•
I prepared the client for the treatment
I performed a double cleanse and tone of the skin using a Dermalogica Pre Cleanse and Special Cleansing
gel/toner.
I carried out a skin analysis of Sarah’s skin and determined that she had a combination skin type.
I made sure to carry out a thermal and tactile test for safety.
I ensured that the skin was fully dry and placed some goggles on her eyes.
I sanitised the Microdermabrasion machine and tested it on myself first before using it on Sarah’s skin.
Using a sterilised tweezers I removed a new filter and placed it into the hand electrode of the machine.
I set the machine to an intensity of 10 Level 1 and began by working on half of the face…working my way
out from the inner face out towards the ears ensuring I was stretching the skin as I done so.
I moved onto the forehead and again worked outwards towards the temples.
I moved onto the middle of the chin and worked slightly outwards and down the naso-labial folds.
I turned off the machine and changed the electrode to a smaller size so that I could treat the nose, under
the chin and upwards between the brows.
I then treated the other side of the face using the same sequence.
I applied some Dermalogica Plankton Mask to the t-zone and Dermalogica Multi-Vitamin Mask to the rest
of the face and left for 10 mins before removing.
I applied a toner to the whole face and then applied some Dermalogica Circular Hydration Serum followed
by Dermalogica Prism Protect SPF 30.
Client feedback:
Sarah was delighted with her treatment especially when I gave her the mirror to show her how her skin felt. She
said that Microdermabrasion was one of her favourite skin treatments.
iUBT392 Client Consultation Form_v1
Page 5 of 11
Aftercare feedback:
I advised Sarah of the following:
• To avoid touching her skin and applying make up for at least 24 hours.
• To wear a min SPF 30 daily and to try and avoid any UV light exposure especially after microdermabrasion
as her skin will be light sensitive.
• Not to use any active skin care ie AHA’s, Retinols for at least 3 days post treatment.
• Not to have any heat treatments ie sauna, swimming and to avoid strenuous exercise for at least 48 hours.
• To use a post treatment recovery cream to hydrate and help repair the skins barrier.
• To drink plenty of water to help hydrate the skin.
• I made the client aware that the skin can tingle post treatment and that erythema and dryness can occur
which is normal within the first 24-48 hours but to seek medical advice if symptoms persist.
• I recommended the client to come back in about 7-10 days for another treatment.
• I recommended other treatments such as IPL light therapy to help lift pigmentation and also peels which I
felt would also be of benefit to her skin.
Therapist/learner signature: _______________________________________________________________________
Client signature: _________________________________________________________________________________
Microdermabrasion treatment follow up sheet 1
Feedback from last treatments:
Sarah said that her skin felt amazing after her first treatment. She also mentioned how her make up seemed to sit
on her skin better and last longer throughout the day.
Treatment details – (To include products used):
iUBT392 Client Consultation Form_v1
Page 6 of 11
•
•
•
•
•
•
•
I prepared the client for the treatment
I performed a double cleanse and tone of the skin using a Dermalogica cleansing gel/toner.
I analysed Sarah’s skin under the mag lamp to see how her skin was in comparison to the first treatment. I
also checked that there were no changes in relation to contraindications.
I made sure to carry out a thermal and tactile test for safety.
I ensured that the skin was fully dry and placed some goggles on her eyes.
I carried out the treatment in exactly the same sequence and manner as the first session.
I applied the same Dermalogica Masques and ensured to apply the same SPF30.
Client feedback:
Sarah said that her skin looked and felt better after having her second treatment. She also said that she was
looking forward to her third treatment.
Aftercare feedback:
I advised Sarah of the same aftercare below:
• To avoid touching her skin and applying make up for at least 24 hours.
• To wear a min SPF 30 daily and to try and avoid any UV light exposure especially after microdermabrasion
as her skin will be light sensitive.
• Not to use any active skin care ie AHA’s, Retinols for at least 3 days post treatment.
• Not to have any heat treatments ie sauna, swimming and to avoid strenuous exercise for at least 48 hours.
• To use a post treatment recovery cream to hydrate and help repair the skins barrier.
• To drink plenty of water to help hydrate the skin.
• I made the client aware that the skin can tingle post treatment and that erythema and dryness can occur
which is normal within the first 24-48 hours but to seek medical advice if symptoms persist.
• I recommended the client to come back in about 7-10 days for another treatment.
iUBT392 Client Consultation Form_v1
Page 7 of 11
Date of treatment: _______________________________________________________________________________
Therapist/learner signature: _______________________________________________________________________
Client signature: _________________________________________________________________________________
iUBT392 Client Consultation Form_v1
Page 8 of 11
Microdermabrasion treatment follow up sheet 2
Feedback from last treatments:
Sarah said that her skin felt great after her second treatment. She also said how her family and friends had
remarked on how well she skin looked.
Treatment details – (To include products used):
•
•
•
•
•
•
•
I prepared the client for the treatment
I performed a double cleanse and tone of the skin using a Dermalogica cleansing gel/toner.
I analysed Sarah’s skin under the mag lamp to see how her skin was in comparison to previous treatment. I
also checked that there were no changes in relation to contraindications.
I made sure to carry out a thermal and tactile test for safety.
I ensured that the skin was fully dry and placed some goggles on her eyes.
I carried out the treatment in exactly the same sequence and manner as the previous sessions.
I applied the same Dermalogica Masques and ensured to apply the same SPF30.
iUBT392 Client Consultation Form_v1
Page 9 of 11
Client feedback:
Again, Sarah said that her skin looked great. She said it felt really clean, smooth and hydrated.
Aftercare feedback:
I advised Sarah of the same aftercare below:
• To avoid touching her skin and applying make up for at least 24 hours.
• To wear a min SPF 30 daily and to try and avoid any UV light exposure especially after microdermabrasion
as her skin will be light sensitive.
• Not to use any active skin care ie AHA’s, Retinols for at least 3 days post treatment.
• Not to have any heat treatments ie sauna, swimming and to avoid strenuous exercise for at least 48 hours.
• To use a post treatment recovery cream to hydrate and help repair the skins barrier.
• To drink plenty of water to help hydrate the skin.
• I made the client aware that the skin can tingle post treatment and that erythema and dryness can occur
which is normal within the first 24-48 hours but to seek medical advice if symptoms persist.
• I recommended to come back for regular Microdermabrasion treatments to help maintain results.
Date of treatment: _______________________________________________________________________________
Therapist/learner signature: _______________________________________________________________________
Client signature: _________________________________________________________________________________
iUBT392 Client Consultation Form_v1
Page 10 of 11
Document History
Version
Issue Date
Changes
Role
V0.4
5/8/19
Table formatting/review
Temp
v1
29/10/2019
First published
Qualifications Administrator
iUBT392 Client Consultation Form_v1
Page 11 of 11
Client Consultation Form
iUBT392 – Microdermabrasion treatments
Centre name:
Centre number:
Learner name:
Learner number:
Date:
Client name:
Address:
Profession:
Telephone number:
Day:
Evening:
Personal details:
Age group:
Under 20 ☐
Lifestyle:
20 – 30 ☐
Active ☐
30 – 40 ☐
40 – 50 ☐
50 – 60 ☐
60+ ☐
Sedentary ☐
Last visit to the
doctor:
GP address:
Number of children:
(If applicable)
Date of last period:
(If applicable)
iUBT392 Client Consultation Form_v1
Page 1 of 11
Contra-indications requiring medical permission – in circumstances where medical permission cannot be
obtained clients must give their informed consent in writing prior to treatment (Select if/where
appropriate):
Pregnancy
☐
Cardiovascular conditions
(thrombosis, phlebitis,
hypertension, hypotension,
heart conditions)
Any condition already being
treated by a GP or
dermatologist
☐
Medical oedema
☐
Osteoporosis
☐
Nervous/psychotic conditions
☐
Epilepsy
☐
Recent operations
☐
Diabetes
☐
Asthma
☐
Bell’s palsy
☐
Trapped/pinched nerve
☐
Inflamed nerve
☐
Cancer
☐
Conditions causing muscular
spasticity (i.e cerebral palsy)
☐
Undiagnosed pain
☐
When taking prescribed
medication
☐
Inflamed, infected or
contagious skin condition or
disorders
☐
Active herpes simplex
☐
Malignant melanoma
☐
Skin thinning medication i.e.
steroids
☐
Anti-coagulant medications
☐
Keloid scars
☐
Scleroderma
☐
Recent cosmetic or other
surgery
☐
Injections for personal
enhancement
☐
HIV
☐
☐
Haemophilia
☐
None Of The Above
Contra-indications that restrict treatment (Select if/where appropriate):
Fever
☐
Skin diseases
☐
Bruises
☐
Contagious or infectious
diseases
☐
Undiagnosed lumps and
bumps
☐
Abrasions
☐
Under the influence of
recreational drugs or alcohol
☐
Hypersensitive skin
☐
Scar tissues (2 years for major
operation and 6 months for a
small scar)
☐
Diarrhoea and/or vomiting
☐
Broken capillaries
☐
Sunburn
☐
Any known allergies
☐
Localised swelling
☐
Haematoma
☐
Skin cancer
☐
Inflammation
☐
Recent fractures (minimum 3
months)
☐
Hepatitis
☐
Cuts
☐
Any metal pins or plates
☐
Tattoos in the treatment area
☐
Microblading/micropigmentati
on in the treatment area
☐
Pigmented naevi
☐
Loss of skin sensation (tactile
test)
☐
Recent Botox/dermal fillers
☐
Recent dermabrasion or
chemical peels
☐
None Of The Above
iUBT392 Client Consultation Form_v1
Page 2 of 11
Skin test (Select if/where appropriate):
Moisture content:
Excellent
☐
Good
☐
Fair
☐
Poor
☐
Muscle tone:
Excellent
☐
Good
☐
Fair
☐
Poor
☐
Elasticity:
Excellent
☐
Good
☐
Fair
☐
Poor
☐
Sensitivity:
High
Skins healing
ability:
Excellent
☐
☐
Medium
☐
Good
☐
Fair
☐
Low
☐
☐
Poor
Skin tone:
Fair
☐
Medium
☐
Dark
☐
Circulation
Good
☒
Normal
☐
Poor
☐
Pores:
Fine
☐
Dilated
☐
Comodones
☐
Milia
☐
White
☐
Black
☐
Asian
☐
Mixed
☐
Dry
☐
Oily
☐
Combination
☐
Mature
☐
Young
☐
Overall skin type:
Overall skin
condition:
Combination Skin type-small congestion visible on the chin and nose
Pigmentation visual on forehead and cheeks and slight sensitivity on the cheeks and open
pores
Skin texture:
Good
Pigmentation:
Visible on the forehead and cheeks
Reasons for
treatment (select
where appropriate):
Removal of:
Fine lines
☐
Wrinkles
☐
Scars
☐
Lip lines
☐
Frown lines
☐
Congested skin
☐
Skin texture
☐
Pigmentation
☐
Congested skin
☐
Comodones
☐
Milia
☐
Mainly sebaceous filaments on nose/chin
iUBT392 Client Consultation Form_v1
Page 3 of 11
iUBT392 Client Consultation Form_v1
Page 4 of 11
Treatment details (To include products used):
Client feedback:
Aftercare feedback:
iUBT392 Client Consultation Form_v1
Page 5 of 11
Therapist/learner signature: _______________________________________________________________________
Client signature: _________________________________________________________________________________
Microdermabrasion treatment follow up sheet 1
Feedback from last treatments:
Treatment details – (To include products used):
iUBT392 Client Consultation Form_v1
Page 6 of 11
Client feedback:
Aftercare feedback:
iUBT392 Client Consultation Form_v1
Page 7 of 11
Date of treatment: _______________________________________________________________________________
Therapist/learner signature: _______________________________________________________________________
Client signature: _________________________________________________________________________________
iUBT392 Client Consultation Form_v1
Page 8 of 11
Microdermabrasion treatment follow up sheet 2
Feedback from last treatments:
Treatment details – (To include products used):
iUBT392 Client Consultation Form_v1
Page 9 of 11
Client feedback:
Aftercare feedback:
Date of treatment: _______________________________________________________________________________
Therapist/learner signature: _______________________________________________________________________
Client signature: _________________________________________________________________________________
iUBT392 Client Consultation Form_v1
Page 10 of 11
Document History
Version
Issue Date
Changes
Role
V0.4
5/8/19
Table formatting/review
Temp
v1
29/10/2019
First published
Qualifications Administrator
iUBT392 Client Consultation Form_v1
Page 11 of 11
Client Consultation Form
iUBT392 – Microdermabrasion treatments
Centre name:
Centre number:
Learner name:
Nermin Sido
Learner number:
083 087 3960
Date:
23rd of July 23
Client name:
Shahnaz
Address:
55 DUNVILLE AVENUE ATHLUMNEY NAVAN
Co. Meath
Profession:
nurses
Telephone number:
Day:
083 786 3564
Evening:
Personal details:
Age group:
Under 20 ☐
20 – 30 ☒
Active ☒
Lifestyle:
Last visit to the
doctor:
3 Months
GP address:
14 Watergate St, Dillonsland,
Navan, Co. Meath,
C15 XR29
Number of children:
(If applicable)
1
Date of last period:
(If applicable)
18th of July 23
iUBT392 Client Consultation Form_v1
30 – 40 ☐
40 – 50 ☐
50 – 60 ☐
60+ ☐
Sedentary ☐
Page 1 of 11
Contra-indications requiring medical permission – in circumstances where medical permission cannot be
obtained clients must give their informed consent in writing prior to treatment (Select if/where
appropriate):
Pregnancy
☐
Cardiovascular conditions
(thrombosis, phlebitis,
hypertension, hypotension,
heart conditions)
Any condition already being
treated by a GP or
dermatologist
☐
Medical oedema
☐
Osteoporosis
☐
Nervous/psychotic conditions
☐
Epilepsy
☐
Recent operations
☐
Diabetes
☐
Asthma
☐
Bell’s palsy
☐
Trapped/pinched nerve
☐
Inflamed nerve
☐
Cancer
☐
Conditions causing muscular
spasticity (i.e cerebral palsy)
☐
Undiagnosed pain
☐
When taking prescribed
medication
☐
Inflamed, infected or
contagious skin condition or
disorders
☐
Active herpes simplex
☐
Malignant melanoma
☐
Skin thinning medication i.e.
steroids
☐
Anti-coagulant medications
☐
Keloid scars
☐
Scleroderma
☐
Recent cosmetic or other
surgery
☐
Injections for personal
enhancement
☐
HIV
☐
☐
Haemophilia
☐
Contra-indications that restrict treatment (Select if/where appropriate):
Fever
☐
Skin diseases
☐
Bruises
☐
Contagious or infectious
diseases
☐
Undiagnosed lumps and
bumps
☐
Abrasions
☐
Under the influence of
recreational drugs or alcohol
☐
Hypersensitive skin
☐
Scar tissues (2 years for major
operation and 6 months for a
small scar)
☐
Diarrhoea and/or vomiting
☐
Broken capillaries
☐
Sunburn
☐
Any known allergies
☐
Localised swelling
☐
Haematoma
☐
Skin cancer
☐
Inflammation
☐
Recent fractures (minimum 3
months)
☐
Hepatitis
☐
Cuts
☐
Any metal pins or plates
☐
Tattoos in the treatment area
☐
Microblading/micropigmentati
on in the treatment area
☐
Pigmented naevi
☐
Loss of skin sensation (tactile
test)
☐
Recent Botox/dermal fillers
☐
Recent dermabrasion or
chemical peels
☐
iUBT392 Client Consultation Form_v1
Page 2 of 11
Skin test (Select if/where appropriate):
Moisture content:
Excellent
☒
Good
☐
Fair
☐
Poor
☐
Muscle tone:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Elasticity:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Sensitivity:
High
Skins healing
ability:
Excellent
☐
☐
Medium
☒
Good
☒
Fair
☐
Low
☐
☐
Poor
Skin tone:
Fair
☐
Medium
☒
Dark
☐
Circulation
Good
☐
Normal
☒
Poor
☐
Pores:
Fine
☒
Dilated
☐
Comodones
☐
Milia
☐
White
☐
Black
☐
Asian
☐
Mixed
☒
Dry
☐
Oily
☐
Combination
☒
Mature
☐
Young
☒
Fine lines
☒
Wrinkles
☐
Scars
☐
Lip lines
☐
Frown lines
☒
Congested skin
☒
Skin texture
☐
Pigmentation
☐
Congested skin
☒
Comodones
☒
Milia
☐
Overall skin type:
Overall skin
condition:
Skin texture:
Pigmentation:
Reasons for
treatment (select
where appropriate):
Removal of:
iUBT392 Client Consultation Form_v1
Page 3 of 11
Skin Analysis:
Forehead: Pigmentation visible
Nose: Congestion (sebaceous filaments)
Eyes: Fine lines
Cheeks: Pigmentation, sensitivity, open pores
Neck: Normal
Overall: Combination Skin
Treatment details (To include products used):
•
To start the treatment, I introduced myself, sanitized my hands, and placed a mop cap and hairband onto
the client.
• Prior to beginning the treatment, I prepared the client by ensuring their comfort and addressing any concerns or
questions they may have had.
• To start the facial treatment, I performed a meticulous double cleanse using Demagogical Pre Cleanse, followed
by Special Cleansing Gel/toner. This thorough cleansing process ensured the removal of any impurities, makeup,
and excess oil from the client’s skin, creating a clean canvas for the subsequent steps.
• As part of the treatment, I conducted a comprehensive skin analysis of Shahnaz’s skin. Through this assessment,
I determined that she had a combination skin type, which guided my approach and product selection to address
her specific needs effectively.
To further enhance the benefits of the treatment, I applied Demagogical Plankton Mask to the t-zone, focusing
on areas prone to oiliness, and Demagogical Multi-Vitamin Mask to the rest of the face. I left the masks on for
approximately 10 minutes before gently removing them, creating a refreshed and revitalized complexion.
• After removing the masks, I applied a toner to the entire face, promoting balance and preparing the skin for the
next steps of the skincare routine.
• Prioritizing safety, I performed a thermal and tactile test to assess the client’s skin sensitivity and tolerance. This
precautionary measure allowed me to tailor the treatment intensity accordingly, ensuring a comfortable and safe
experience for Shahnaz.
• Before proceeding further, I made sure the client’s skin was completely dry and took the necessary precaution
of placing goggles to protect her eyes during the treatment.
• Maintaining strict hygiene standards, I thoroughly sanitized the Microdermabrasion machine, prioritizing the
client’s well-being. As an additional safety measure, I tested the machine on myself first, ensuring its proper
functionality and optimal settings.
• Utilizing sterilized tweezers, I carefully removed a new filter and inserted it into the hand electrode of the
machine. This step ensured a hygienic and efficient treatment process.
• Setting the machine to an intensity of 10 Level 1, I commenced the treatment by working on half of the face.
Starting from the inner face and moving outwards towards the ears, I employed gentle stretching motions to
maximize the efficacy of the procedure while ensuring the skin’s comfort.
• After completing the previous steps, I proceeded to work on the forehead, starting from the centre and
gradually moving outwards towards the temples. This motion helped to stimulate circulation and relax the muscles
in that area.
• Next, I focused on the middle of the chin, working my way slightly outwards and downward along the nalo-labial
folds. This technique aimed to target any tension or lines in that region, promoting a smoother appearance.
• To cater to specific areas such as the nose, under the chin, and the space between the brows, I turned off the
machine and swapped the electrode for a smaller size. This adjustment allowed me to precisely treat those
delicate areas, ensuring thorough care.
• Similarly, I followed the same sequence and treated the other side of the face, ensuring symmetry and
comprehensive coverage.
• Following the toner, I applied Demagogical Circular Hydration Serum, which provided deep hydration and
nourishment to the skin. This step helped to replenish moisture and restore the skin’s natural vitality.
• Finally, I applied Demagogical Prism Protect SPF 30, ensuring that the skin was adequately protected from
harmful UV rays. This step was essential in maintaining the skin’s health and preventing future damage caused by
sun exposure.
iUBT392 Client Consultation Form_v1
Page 4 of 11
Client feedback:
Shahnaz was overjoyed with her treatment, particularly when I handed her the mirror to witness the remarkable
transformation in her skin. The results were truly impressive, and she expressed her satisfaction with the
Microdermabrasion treatment, emphasizing that it ranked among her favorited skincare procedures.
Aftercare feedback:
I provided Shahnaz with the following recommendations and advice:
• I advised her to refrain from touching her skin and applying makeup for at least 24 hours following the
Microdermabrasion treatment. This would allow the skin to heal and prevent any potential irritation.
• I stressed the importance of daily sun protection by wearing a minimum SPF 30, especially since her skin would
be more light-sensitive after the treatment. I also advised her to minimize UV light exposure to further protect her
skin.
• I cautioned Shahnaz against using any active skincare products such as AHA’s and retinols for at least 3 days
post-treatment. This would prevent any potential interactions or sensitivities that could arise from combining
these products with the Microdermabrasion treatment.
• I recommended avoiding heat treatments like saunas, swimming, and strenuous exercise for at least 48 hours.
Heat and excessive sweating could potentially irritate the skin and hinder the healing process.
• I suggested using a post-treatment recovery cream to provide hydration and aid in repairing the skin’s barrier.
This would help soothe any potential dryness or sensitivity.
• I emphasized the importance of staying well-hydrated by drinking plenty of water, as it would contribute to skin
hydration and overall well-being.
• I informed Shahnaz that it is normal to experience mild tingling, erythema (redness), and dryness in the first 2448 hours following the treatment. However, I advised her to seek medical advice if these symptoms persisted or
worsened.
• I recommended that she consider scheduling her next Microdermabrasion treatment in approximately 7-10 days
to maintain the desired results and promote ongoing skin improvement.
• Additionally, I suggested exploring other treatments such as IPL light therapy to address pigmentation concerns
and peels to further enhance her skincare regimen.
Therapist/learner signature: Nermin
Client signature: Shahnaz
iUBT392 Client Consultation Form_v1
Page 5 of 11
Microdermabrasion treatment follow up sheet 1
Feedback from last treatments:
Shahnaz exclaimed with delight that her skin felt absolutely incredible following her inaugural treatment. In
addition, she joyfully noted that her makeup appeared to effortlessly grace her skin, boasting improved longevity
that endured throughout the entirety of her day.
Treatment details – (To include products used):
•
•
•
•
•
I diligently prepared Shahnaz for her treatment, ensuring that every step was executed with precision and
care. To begin, I embarked on a thorough double cleanse and toning of her skin, utilizing the trusted
Demagogical cleansing gel/toner to achieve optimal cleanliness and a refreshed canvas.
Next, I meticulously examined Shahnaz skin under the magnifying lamp, attentively assessing its condition
in comparison to her initial treatment. This comprehensive analysis allowed me to identify any potential
changes or contraindications that may have arisen. Satisfied that her skin remained stable, I proceeded to
perform a meticulous thermal and tactile test, prioritizing her safety above all else.
Once assured of her comfort and well-being, I ensured that her skin was impeccably dry before gently
placing protective goggles over her eyes. With careful adherence to the established treatment protocol, I
recreated the exact same sequence and technique as the initial session, leaving no room for deviation.
To nourish and pamper her skin, I expertly applied the same Demagogical Masques, allowing their
rejuvenating properties to work their magic. Lastly, I took great care to apply the essential SPF30, shielding
her skin from harmful UV rays and ensuring its continued protection.
Through unwavering attention to detail and consistency, I endeavoured to provide Shahnaz with a truly
exceptional treatment experience, leaving no stone unturned in the pursuit of her skin’s ultimate wellbeing.
Client feedback:
iUBT392 Client Consultation Form_v1
Page 6 of 11
Shahnaz’s face lit up with pure delight as she couldn’t contain her excitement. Her skin felt absolutely incredible
after the inaugural treatment. She couldn’t help but notice the remarkable difference as her makeup effortlessly
adorned her skin, enhancing its natural beauty. What amazed her even more was the improved longevity, as her
makeup stayed flawless throughout the entirety of her day. It was a truly joyful experience for Shahnaz.
Aftercare feedback:
• I advised her to refrain from touching her skin and applying any makeup for a minimum of 24 hours to allow for
optimal healing and recovery.
• Emphasizing the importance of sun protection, I urged her to diligently wear a minimum of SPF 30 daily.
Specifically, I highlighted the significance of avoiding UV light exposure, especially considering the increased light
sensitivity of her skin following the microdermabrasion treatment.
• To avoid any potential skin irritation or adverse reactions, I advised Shahnaz to abstain from using any active
skincare products containing ingredients such as AHA’s or retinols for at least 3 days after the treatment.
• Heat treatments, including saunas and swimming, as well as intense physical exercise, were strongly discouraged
for a minimum of 48 hours to allow the skin to recuperate fully.
• To aid in the recovery process and promote skin hydration and repair, I recommended the use of a posttreatment recovery cream. This would help replenish moisture and support the restoration of the skin’s natural
barrier.
• Recognizing the importance of internal hydration, I encouraged Shahnaz to drink plenty of water to keep her skin
adequately hydrated from within.
• I made Shahnaz aware that it is normal to experience post-treatment tingling and that erythema (redness) and
dryness may occur within the first 24-48 hours. However, I advised her to seek medical advice if these symptoms
persist or worsen.
• Lastly, I suggested that Shahnaz schedule her next treatment session in approximately 7-10 days to maintain the
desired results and continue her skincare journey effectively.
Date of treatment: 23/ 07/2023
Therapist/learner signature: Nermin
Client signature: Shahnaz
iUBT392 Client Consultation Form_v1
Page 7 of 11
Microdermabrasion treatment follow up sheet 2
Feedback from last treatments:
Shahnaz expressed immense satisfaction as she shared her experience following her second treatment, exclaiming
that her skin felt absolutely phenomenal. Notably, she joyfully recounted how her family and friends had taken
notice of the remarkable transformation, showering her with compliments on the newfound radiance and overall
improved appearance of her skin. The positive feedback from her loved ones further reinforced the remarkable
results she had achieved through her ongoing skincare journey.
Treatment details – (To include products used):
•
•
•
•
•
I followed same steps again.
I diligently prepared Shahnaz for her treatment, ensuring that every step was executed with precision and
care. To begin, I embarked on a thorough double cleanse and toning of her skin, utilizing the trusted
Demagogical cleansing gel/toner to achieve optimal cleanliness and a refreshed canvas.
Next, I meticulously examined Shahnaz’s skin under the magnifying lamp, attentively assessing its
condition in comparison to her initial treatment. This comprehensive analysis allowed me to identify any
potential changes or contraindications that may have arisen. Satisfied that her skin remained stable, I
proceeded to perform a meticulous thermal and tactile test, prioritizing her safety above all else.
Once assured of her comfort and well-being, I ensured that her skin was impeccably dry before gently
placing protective goggles over her eyes. With careful adherence to the established treatment protocol, I
recreated the exact same sequence and technique as the initial session, leaving no room for deviation.
To nourish and pamper her skin, I expertly applied the same Demagogical Masques, allowing their
rejuvenating properties to work their magic. Lastly, I took great care to apply the essential SPF30, shielding
her skin from harmful UV rays and ensuring its continued protection.
Through unwavering attention to detail and consistency, I endeavoured to provide Shahnaz with a truly
exceptional treatment experience, leaving no stone unturned in the pursuit of her skin’s ultimate wellbeing.
iUBT392 Client Consultation Form_v1
Page 8 of 11
Client feedback:
Once again, Shahnaz expressed her delight as she marvelled at her reflection, acknowledging the remarkable
improvement in her skin’s appearance. With a beaming smile, she shared how her complexion now exuded a
sense of pristine cleanliness, boasting a newfound smoothness and an undeniable feeling of hydration. Her
satisfaction with the treatment was palpable, and her glowing praise served as a testament to the remarkable
transformation she had experienced.
iUBT392 Client Consultation Form_v1
Page 9 of 11
Aftercare feedback:
I reiterated the essential aftercare instructions to Shahnaz, ensuring she understood the necessary steps for
maintaining the optimal results achieved from her treatment. The following aftercare advice was provided:
• I emphasized the importance of refraining from touching her skin and applying makeup for a minimum of 24
hours to allow the skin to heal effectively.
• Shahnaz was strongly advised to wear a minimum of SPF 30 daily and to be cautious of UV light exposure,
particularly following microdermabrasion, as her skin would be more sensitive to sunlight.
• To avoid any potential skin irritation or adverse reactions, I reminded her not to use any active skincare products
containing ingredients such as AHA’s or retinols for at least 3 days after the treatment.
• Heat treatments, including saunas, swimming, and strenuous exercise, were to be avoided for a minimum of 48
hours to allow the skin to recover fully.
• I recommended the continued use of a post-treatment recovery cream to provide hydration and support the
repair of the skin’s barrier.
• In order to maintain optimal skin hydration, I encouraged Shahnaz to drink plenty of water, as it plays a vital role
in keeping the skin moisturized from within.
• Shahnaz was informed that it is normal to experience a tingling sensation, as well as erythema (redness) and
dryness within the first 24-48 hours post-treatment. However, I advised her to seek medical advice if these
symptoms persisted or worsened.
• Lastly, I recommended that Shahnaz scheduled regular microdermabrasion treatments in order to consistently
maintain the achieved results and support her ongoing skincare journey.
Date of treatment: 30/07/2023
Therapist/learner signature: Nermin
Client signature: Shahnaz
iUBT392 Client Consultation Form_v1
Page 10 of 11
Document History
Version
Issue Date
Changes
Role
V0.4
5/8/19
Table formatting/review
Temp
v1
29/10/2019
First published
Qualifications Administrator
iUBT392 Client Consultation Form_v1
Page 11 of 11
Treatment Evidence Form
iUBT427 – Skincare and eye treatments
Centre name:
Tallaght Training Centre
Centre number:
Learner name:
Demi Brennan
Learner number:
Date:
22/10/2020
Client name:
Jane Stobie
Address:
Tallaght D.24
Profession:
Student
Telephone number:
Day:
0860811916
Evening:
0860811916
Personal details:
Age group:
Under 20 ☐
20 – 30 ☐
Active ☒
Lifestyle:
Last visit to the
doctor:
Today
GP Address:
Tallaght D.24
Number of children:
(If applicable)
1
Date of last period:
(If applicable)
20/10/20
iUBT427_Treatment Evidence Form_v2
30 – 40 ☐
40 – 50 ☒
50 – 60 ☐
60+ ☐
Sedentary ☐
Page 1 of 4
Contra-indications requiring medical permission – in circumstances where medical permission cannot be
obtained clients must give their informed consent in writing prior to treatment (Select if/where
appropriate):
Medical oedema
☐
Diabetes
☐
When taking prescribed
medication
☐
Nervous/psychotic conditions
☐
Skin cancer
☐
Whiplash
☐
Epilepsy
☐
Slipped disc
☐
Undiagnosed pain
☐
Recent facial operations
affecting the area
☐
None of the above
Contra-indications that restrict treatment – (Select if/where appropriate):
Fever
☐
Bruises
☐
Sunburn
☐
Contagious or infectious
diseases
☐
Abrasions
☐
Migraine/headache
☐
Under the influence of
recreational drugs or alcohol
☐
Scar tissues (2 years for major
operation and 6 months for a
small scar)
☐
Hypersensitive skin
☐
Diarrhoea and vomiting
☐
Sunburn
☐
Botox/dermal fillers (1 week
following treatment)
☐
Any known allergies
☐
Conjunctivitis
☐
Hyper-keratosis
☐
Eczema
☐
Hormonal implants
☐
Skin allergies
☐
Recent fractures (minimum 3
months)
☐
Styes
☐
Undiagnosed lumps and bumps ☐
Localised swelling
☐
Sinusitis
☐
Watery eyes
☐
Inflammation
☐
Bruises
☐
Trapped/pinched nerve
affecting the treatment area
☐
Cuts
☐
Neuralgia
☐
Inflamed nerve
☐
Eye infection
☐
None of the above
Skin test – (Select if/where appropriate):
Moisture content:
Excellent
☐
Good
X
Fair
☐
Poor
☐
Muscle tone:
Excellent
☐
Good
X
Fair
☐
Poor
☐
Elasticity:
Excellent
☐
Good
X
Fair
☐
Poor
☐
Sensitivity:
☐
High
X
Medium
Low
☐
Skins healing
ability:
Excellent
☐
Good
X
Fair
☐
Poor
☐
Skin tone:
Fair
☐
Medium
X
Dark
☐
Olive
☐
Circulation:
Pores:
☐
Good
Fine
iUBT427_Treatment Evidence Form_v2
☐
Dilated
Normal
☐
X
Comedones
Poor
X
Milia
☐
X
Page 2 of 4
Combination of dry and oily with sensitivity.
(Dry all over with oily cheeks and chin)
Overall skin type:
Superficial cleanse
X
Skin analysis
X
Eyebrow tweezing
X
Deep cleanse
☐
Lash tinting
X
Massage
X
Pre-heat treatment
☐
Brow tinting
X
Mask
X
Treatment to
include (select
where appropriate):
S = Senstivity
E = Ephelides
S= Scar
P = Pigmentation
BC=Broken Capiliiaires
C = Comedones
M = Milia
Cheeks and neck
Forehead and cheeks
Forehead
Eyes
Nose and cheeks
Nose
Cheeks and forehead
Client Profile/Lifestyle:
Jane has an active lifestyle. Jane has a young child at home, and she is also a student. Jane cleanses, tones and
moisturizers twice every day.
Jane drinks 2L of water every day but drinks a lot of coffee.
She also does not smoke and gets a good amount of sleep.
She uses an SPF sometimes but not all the time.
Jane never really exfoliates her skin or uses a mask either.
iUBT427_Treatment Evidence Form_v2
Page 3 of 4
Treatment details – (To include products used):
-I first cleansed and toned my clients’ skin.
-Then I did a skin analysis on my clients’ skin. Jane has ephelides on her forehead with fine pores/ melia under the
eyes/ fine pores on nose/ commadones and papules on chin/ dry skin with some ephelides on her neck and dry
skin with some redness on her cheeks. I conclude that she has combination skin with an oily t-zone and slight
dryness on the cheeks.
-Next I tinted my clients lashes with black dye and tinted my client’s eyebrows with dark brown tint.
(Both colours where my client’s choice)
-I then measured my client’s brows and tweezed her eyebrows. My client only wanted a tidy up.
-Next I did a face, neck and shoulder massage on my client.
-I then did put a face mask on my client. For my client I used kaolin and witch hazel for her chin because that is
where she is oily but the rest of her face including her cheeks, I used Colloidal.
-To remove the mask, I used my sponges and once I removed the mask, I toned my client’s skin and applied some
moisturizer.
Client feedback:
My client was happy with the overall treatment.
Aftercare feedback:
My aftercare advice for Jane would be;
1.
Cleanse /Tone and moisturise (x2 am/pm)
2.
Exfoliate once a week to refine skin texture and improve the skins ability to absorb products
3.
Using a facemask for oily to combination skin once a week
4.
Use an SPF 30
5.
Use an eye cream twice a day
6.
Increase water intake to 2 litres a day
7.
Try and reduce stress levels
8.
Try to get 8 hours sleep
9.
Try to get a facial every 4-6 weeks.
Therapist/Learner signature:_____Jane Doe
Client signature:____Jane Doe
iUBT427_Treatment Evidence Form_v2
Page 4 of 4
Client Consultation Form
iUBT392 – Microdermabrasion treatments
Centre name:
Bronwyn Conroy
Centre number:
Learner name:
Hannah Cronin
Learner number:
Date:
19/6/23
Client name:
Shauna Elisabeth
Address:
1 elm Drive
Navan
Co. Meath
Profession:
Student/ Office job
Telephone
number:
Day:
086 334 1678
Evening:
086 334 1678
Personal details:
Age group:
Lifestyle:
Last visit to the
doctor:
Under 20
☐
20 – 30 X
Active
About 6 months ago
☒
30 – 40
40 – 50
☐
50 – 60
☐
Sedentary
60+ ☐
☐
GP address:
Dr Marie Scully
Navan Medical Centre
Navan
Co. Meath
Number of
children:
(If applicable)
0
Date of last
period:
(If applicable)
About 1 weeks ago
Contra-indications requiring medical permission – in circumstances where medical
permission cannot be obtained clients must give their informed consent in writing prior
to treatment (Select if/where appropriate):
Pregnancy
☐
Cardiovascular
conditions (thrombosis,
phlebitis, hypertension,
hypotension, heart
conditions)
☐
Haemophilia
☐
Any condition already
being treated by a GP or
dermatologist
☐
Medical oedema
☐
Osteoporosis
☐
Nervous/psychotic
conditions
☐
Epilepsy
☐
Recent operations
☐
Diabetes
☐
Asthma
☐
Bell’s palsy
☐
Trapped/pinched nerve
☐
Inflamed nerve
☐
Cancer
☐
Conditions causing
muscular spasticity (i.e
cerebral palsy)
☐
Undiagnosed pain
☐
When taking prescribed
medication
☐
Inflamed, infected or
contagious skin condition
or disorders
☐
Active herpes simplex
☐
Malignant melanoma
☐
Skin thinning medication
i.e. steroids
☐
Anti-coagulant
medications
☐
Keloid scars
☐
Scleroderma
☐
Recent cosmetic or
other surgery
☐
Injections for personal
enhancement
☐
HIV
☐
None Of The Above
Contra-indications that restrict treatment (Select if/where appropriate):
Fever
☐
Skin diseases
☐
Bruises
☐
Contagious or
infectious diseases
☐
Undiagnosed lumps and
bumps
☐
Abrasions
☐
Under the influence of ☐
recreational drugs or
alcohol
Hypersensitive skin
☐
Scar tissues (2 years
for major operation
and 6 months for a
small scar)
☐
Diarrhoea and/or
vomiting
☐
Broken capillaries
☐
Sunburn
☐
Any known allergies
☐
Localised swelling
☐
Haematoma
☐
Skin cancer
☐
Inflammation
☐
Recent fractures
(minimum 3 months)
☐
Hepatitis
☐
Cuts
☐
Any metal pins or
plates
☐
Tattoos in the
treatment area
☐
Microblading/micropigmentat
ion in the treatment area
☐
Pigmented naevi
☐
Loss of skin sensation ☐
(tactile test)
Recent Botox/dermal fillers
☐
Recent dermabrasion
or chemical peels
☐
None Of The Above
Skin test (Select if/where appropriate):
Moisture
content:
Excelle
nt
☐
Good
☒
Fair
☐
Poor
☐
Muscle
tone:
Excelle
nt
☐
Good
☒
Fair
☐
Poor
☐
Elasticity:
Excelle
nt
☐
Good
☒
Fair
☐
Poor
☐
Sensitivity
:
High
Medium
☒
Skins
healing
ability:
☐
Low
☐
Excelle
nt
Skin tone:
☐
Good
X
Fair
☒
Fair
☐
Medium
Poor
☐
Dark
☐
Circulatio
n
☒
Good
Normal
☐
Poor
☐
Pores:
Fine
☐
Dilated
☒
Comodon
es
Overall
skin type:
White
X
Black
☐
Dry
X
Oily
☐
Young
☐
☐
Milia
☐
Asian
Mixed
☐
Combinati
on
Mature
☐
Overall
skin
condition:
Dry Skin type with condition of sensitivity- Visible dryness around the nose
and cheeks. Shauna has some erythema on nose and cheeks and also
dehydration on forehead,chin and cheeks. She has slight congestion on
cheeks and forehead.
Skin
texture:
good
Pigmentat
ion:
none
Reasons
for
treatment
Fine
lines
X
Wrinkles
☐
Scars
Frown
lines
☐
Congest
ed skin
☐
Skin
texture
Congest
ed skin
☒
(select
where
appropriate
):
☐
Lip lines
☐
Pigmenta
tion
X
Removal
of:
Comod
ones
☐
Milia
☐
Mainly congestion on nose/chin
Skin Analysis:
Forehead: dehydration
Nose: Small amount of congestion visible mainly in the form of comedones
Eyes: Fine lines
Cheeks: Some dryness visible with signs of sensitivity and fine pores
Neck: Normal
Overall: Dry skin with the condition of sensitivity and dehydration
Treatment details (To include products used):
·
·
·
·
·
·
·
·
·
·
·
·
·
I prepared the Shauna for her treatment
I performed a double cleanse and tone of the skin using Strictly
professional cream cleanser for dry dehydrated skin.
I carried out a skin analysis of Shauna’s skin and determined that she
had a dry skin type.
I made sure to carry out a thermal and tactile test for safety using hot
and cold water bottles, a sharp wooden stick and a soft cotton bud.
I ensured that the skin was fully dry and placed some sanitised goggles
on her eyes.
I sanitised the Microdermabrasion machine with surgical spirits and
tested it on myself first before using it on Shauna’s skin.
Using sterilised tweezers I removed a new filter and placed it into the
hand electrode of the machine.
I set the machine to an intensity of 10 Level 1 and started by working
on half of the face, working my way from the inner part of the face out
towards the ears to help with lymphatic drainage ensuring I was
stretching the skin taught.
I moved onto the forehead and again worked outwards towards the
temples.
I moved onto the middle of the chin and worked slightly outwards and
down the naso-labial folds.
I turned off the machine and changed the electrode to a smaller size so
that I could treat the nose, under the chin and upwards between the
brows. I also changed the filter for a new one.
I then treated the other side of the face using the same sequence.
I applied a toner with glycerin and rose water to the whole face and
then applied some hydrating moisturiser and Dermalogica Protect SPF
30.
Client feedback:
Shauna was delighted with her treatment. She said that she loves the Microdermabrasion
skin treatment because it has no down time and made her skin glow instantly.She loved how
her congestion was reduced around her chin.
Aftercare feedback:
I advised Shauna of the following:
· To avoid touching her skin and applying makeup for at least 24 hours.
. When using makeup opt for mineral foundation makeup.
· To wear a min SPF 30 daily and to try and avoid any UV light exposure especially
after microdermabrasion as her skin will be UV sensitive.
· Not to use any active skin care such as AHA’s, BHA’s and Retinols for at least 3
days post treatment.
· Not to have any heat treatments ie sauna, swimming and to avoid exercise for at
least 48 hours.
· To use a post treatment recovery cream to hydrate and help repair the skin’s
barrier.
· To drink plenty of water to help hydrate the skin.
. I told Shauna to introduce omega 3 fatty acids into her diet to help with dryness.
·
·
I made the client aware that the skin can tingle post treatment and that erythema
and dryness can occur which is normal within the first 24-48 hours but to seek
medical advice if symptoms persist after 48 hours.
I recommended the client to come back in about 7-10 days for another treatment.
Therapist/learner signature: Hannah Cronin
_______________________________________________________________________
Client signature: Shauna Elisabeth
____________________________________________________________________________
_____
Microdermabrasion treatment follow up sheet 1
Feedback from last treatments:
Shauna said that her skin felt really soft after her first treatment. She also mentioned how her
makeup sat on her skin better and last longer throughout the day. She thought her skin tone
looks more even and less congested aswell
Treatment details – (To include products used):
·
·
·
·
·
·
·
I prepared the client for her treatment
I performed a double cleanse and tone of the skin using strictly professional cream
cleanser
I analysed Shauna’s skin under the mag lamp to see how her skin was in
comparison to the first treatment. I also checked that there were no changes in
relation to contraindications.
I made sure to carry out a thermal and tactile test again for safety.
I ensured that the skin was fully dry and placed some sanitised goggles on her
eyes.
I carried out the treatment in exactly the same sequence and manner as the first
session.
I applied the same hydrating moisturiser and ensured to apply the same SPF30.
Client feedback:
Shauna said that her skin looked and felt even better after having her second treatment. She
also said that she was looking forward to her third treatment as she loves the results so far.
Aftercare feedback:
I advised Shauna of the same aftercare below:
· To avoid touching her skin and applying makeup for at least 24 hours.
. When wearing makeup, I advised Leona to wear mineral foundation makeup
· To wear a min SPF 30 daily and to try and avoid any UV light exposure especially
after microdermabrasion as her skin will be light sensitive.
· Not to use any active skin care ie AHA’s, BHA’s or Retinols for at least 3 days post
treatment and do not use any physical exfoliators.
· Not to have any heat treatments ie sauna, swimming and to avoid excessive
exercise for at least 48 hours.
· To use a post treatment recovery cream to hydrate and help repair the skin’s
barrier.
. To use a hydrating serum day and night
· To drink plenty of water to help hydrate the skin.
· I made the client aware that the skin can tingle post treatment and that erythema
and dryness can occur which is normal within the first 24-48 hours but to seek
medical advice if symptoms persist.
· I recommended the client to come back in about 7-10 days for another treatment.
Date of treatment:
26/6/23______________________________________________________________________
_________
Therapist/learner signature:
Hannah Cronin
_______________________________________________________________________
Client signature:
Shauna Cronin
____________________________________________________________________________
_____
Microdermabrasion treatment follow up sheet 2
Feedback from last treatments:
Shauna said that her skin felt very smooth after her second treatment. She also said how her
family and friends had remarked on how smooth her skin looked
Treatment details – (To include products used):
·
·
·
·
·
·
I prepared Shauna for the treatment
I performed a double cleanse and tone of the skin using strictly professional cream
cleanser· I analysed Shauna ’s skin under the mag lamp to see how her skin was
in comparison to previous treatment. I also checked that there were no changes in
relation to contraindications.
I made sure to carry out a thermal and tactile test for safety.
I ensured that the skin was fully dry and placed some goggles on her eyes.
I carried out the treatment in exactly the same sequence as the previous sessions.
I applied the same hydrating moisturiser and ensured to apply the same SPF30.
Client feedback:
Again, Shauna said that her skin looked great. She said it felt really clean, smooth and
hydrated.
Aftercare feedback:
I advised Shauna of the same aftercare below:
· To avoid touching her skin and applying makeup for at least 24 hours.
· To wear a min SPF 30 daily and to try and avoid any UV light exposure especially
after microdermabrasion as her skin will be light sensitive.
· Not to use any active skin care ie AHA’s, BHA and Retinoids or retinol for at least 3
days post treatment.
· Not to have any heat treatments ie sauna, swimming and to avoid strenuous
exercise for at least 48 hours.
· To use a post treatment recovery cream to hydrate and help repair the skin’s
barrier.
· To drink plenty of water to help hydrate the skin.
· I made the client aware that the skin can tingle post treatment and that erythema
and dryness can occur which is normal within the first 24-48 hours but to seek
medical advice if symptoms persist.
· I recommended coming back for regular Microdermabrasion treatments in a course
to help maintain results.
Date of treatment:
5/7/23_______________________________________________________________________
________
Therapist/learner signature: Hannah Cronin
______________________________________________________________________
Client signature: Shauna Elisabeth
____________________________________________________________________________
_____
Document History
Versio
n
Issue
Date
Changes
Role
V0.4
5/8/19
Table formatting/review
Temp
v1
29/10/20
19
First published
Qualifications Administrator
Client Consultation Form
iUBT392 – Microdermabrasion treatments
Centre name:
Centre number:
Learner name:
Nermin Sido
Learner number:
083 087 3960
Date:
23rd of July 23
Client name:
Shahnaz
Address:
55 DUNVILLE AVENUE ATHLUMNEY NAVAN
Co. Meath
Profession:
nurses
Telephone number:
Day:
083 786 3564
Evening:
Personal details:
Age group:
Under 20 ☐
20 – 30 ☒
Active ☒
Lifestyle:
Last visit to the
doctor:
3 Months
GP address:
14 Watergate St, Dillonsland,
Navan, Co. Meath,
C15 XR29
Number of children:
(If applicable)
1
Date of last period:
(If applicable)
18th of July 23
iUBT392 Client Consultation Form_v1
30 – 40 ☐
40 – 50 ☐
50 – 60 ☐
60+ ☐
Sedentary ☐
Page 1 of 11
Contra-indications requiring medical permission – in circumstances where medical permission cannot be
obtained clients must give their informed consent in writing prior to treatment (Select if/where
appropriate):
Pregnancy
☐
Cardiovascular conditions
(thrombosis, phlebitis,
hypertension, hypotension,
heart conditions)
Any condition already being
treated by a GP or
dermatologist
☐
Medical oedema
☐
Osteoporosis
☐
Nervous/psychotic conditions
☐
Epilepsy
☐
Recent operations
☐
Diabetes
☐
Asthma
☐
Bell’s palsy
☐
Trapped/pinched nerve
☐
Inflamed nerve
☐
Cancer
☐
Conditions causing muscular
spasticity (i.e cerebral palsy)
☐
Undiagnosed pain
☐
When taking prescribed
medication
☐
Inflamed, infected or
contagious skin condition or
disorders
☐
Active herpes simplex
☐
Malignant melanoma
☐
Skin thinning medication i.e.
steroids
☐
Anti-coagulant medications
☐
Keloid scars
☐
Scleroderma
☐
Recent cosmetic or other
surgery
☐
Injections for personal
enhancement
☐
HIV
☐
☐
Haemophilia
☐
Contra-indications that restrict treatment (Select if/where appropriate):
Fever
☐
Skin diseases
☐
Bruises
☐
Contagious or infectious
diseases
☐
Undiagnosed lumps and
bumps
☐
Abrasions
☐
Under the influence of
recreational drugs or alcohol
☐
Hypersensitive skin
☐
Scar tissues (2 years for major
operation and 6 months for a
small scar)
☐
Diarrhoea and/or vomiting
☐
Broken capillaries
☐
Sunburn
☐
Any known allergies
☐
Localised swelling
☐
Haematoma
☐
Skin cancer
☐
Inflammation
☐
Recent fractures (minimum 3
months)
☐
Hepatitis
☐
Cuts
☐
Any metal pins or plates
☐
Tattoos in the treatment area
☐
Microblading/micropigmentati
on in the treatment area
☐
Pigmented naevi
☐
Loss of skin sensation (tactile
test)
☐
Recent Botox/dermal fillers
☐
Recent dermabrasion or
chemical peels
☐
iUBT392 Client Consultation Form_v1
Page 2 of 11
Skin test (Select if/where appropriate):
Moisture content:
Excellent
☒
Good
☐
Fair
☐
Poor
☐
Muscle tone:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Elasticity:
Excellent
☐
Good
☒
Fair
☐
Poor
☐
Sensitivity:
High
Skins healing
ability:
Excellent
☐
☐
Medium
☒
Good
☒
Fair
☐
Low
☐
☐
Poor
Skin tone:
Fair
☐
Medium
☒
Dark
☐
Circulation
Good
☐
Normal
☒
Poor
☐
Pores:
Fine
☒
Dilated
☐
Comodones
☐
Milia
☐
White
☐
Black
☐
Asian
☐
Mixed
☒
Dry
☐
Oily
☐
Combination
☒
Mature
☐
Young
☒
Fine lines
☒
Wrinkles
☐
Scars
☐
Lip lines
☐
Frown lines
☒
Congested skin
☒
Skin texture
☐
Pigmentation
☐
Congested skin
☒
Comodones
☒
Milia
☐
Overall skin type:
Overall skin
condition:
Skin texture:
Pigmentation:
Reasons for
treatment (select
where appropriate):
Removal of:
iUBT392 Client Consultation Form_v1
Page 3 of 11
Skin Analysis:
Forehead: Pigmentation visible
Nose: Congestion (sebaceous filaments)
Eyes: Fine lines
Cheeks: Pigmentation, sensitivity, open pores
Neck: Normal
Overall: Combination Skin
Treatment details (To include products used):
•
To start the treatment, I introduced myself, sanitized my hands, and placed a mop cap and hairband onto
the client.
• Prior to beginning the treatment, I prepared the client by ensuring their comfort and addressing any concerns or
questions they may have had.
• To start the facial treatment, I performed a meticulous double cleanse using Demagogical Pre Cleanse, followed
by Special Cleansing Gel/toner. This thorough cleansing process ensured the removal of any impurities, makeup,
and excess oil from the client’s skin, creating a clean canvas for the subsequent steps.
• As part of the treatment, I conducted a comprehensive skin analysis of Shahnaz’s skin. Through this assessment,
I determined that she had a combination skin type, which guided my approach and product selection to address
her specific needs effectively.
To further enhance the benefits of the treatment, I applied Demagogical Plankton Mask to the t-zone, focusing
on areas prone to oiliness, and Demagogical Multi-Vitamin Mask to the rest of the face. I left the masks on for
approximately 10 minutes before gently removing them, creating a refreshed and revitalized complexion.
• After removing the masks, I applied a toner to the entire face, promoting balance and preparing the skin for the
next steps of the skincare routine.
• Prioritizing safety, I performed a thermal and tactile test to assess the client’s skin sensitivity and tolerance. This
precautionary measure allowed me to tailor the treatment intensity accordingly, ensuring a comfortable and safe
experience for Shahnaz.
• Before proceeding further, I made sure the client’s skin was completely dry and took the necessary precaution
of placing goggles to protect her eyes during the treatment.
• Maintaining strict hygiene standards, I thoroughly sanitized the Microdermabrasion machine, prioritizing the
client’s well-being. As an additional safety measure, I tested the machine on myself first, ensuring its proper
functionality and optimal settings.
• Utilizing sterilized tweezers, I carefully removed a new filter and inserted it into the hand electrode of the
machine. This step ensured a hygienic and efficient treatment process.
• Setting the machine to an intensity of 10 Level 1, I commenced the treatment by working on half of the face.
Starting from the inner face and moving outwards towards the ears, I employed gentle stretching motions to
maximize the efficacy of the procedure while ensuring the skin’s comfort.
• After completing the previous steps, I proceeded to work on the forehead, starting from the centre and
gradually moving outwards towards the temples. This motion helped to stimulate circulation and relax the muscles
in that area.
• Next, I focused on the middle of the chin, working my way slightly outwards and downward along the nalo-labial
folds. This technique aimed to target any tension or lines in that region, promoting a smoother appearance.
• To cater to specific areas such as the nose, under the chin, and the space between the brows, I turned off the
machine and swapped the electrode for a smaller size. This adjustment allowed me to precisely treat those
delicate areas, ensuring thorough care.
• Similarly, I followed the same sequence and treated the other side of the face, ensuring symmetry and
comprehensive coverage.
• Following the toner, I applied Demagogical Circular Hydration Serum, which provided deep hydration and
nourishment to the skin. This step helped to replenish moisture and restore the skin’s natural vitality.
• Finally, I applied Demagogical Prism Protect SPF 30, ensuring that the skin was adequately protected from
harmful UV rays. This step was essential in maintaining the skin’s health and preventing future damage caused by
sun exposure.
iUBT392 Client Consultation Form_v1
Page 4 of 11
Client feedback:
Shahnaz was overjoyed with her treatment, particularly when I handed her the mirror to witness the remarkable
transformation in her skin. The results were truly impressive, and she expressed her satisfaction with the
Microdermabrasion treatment, emphasizing that it ranked among her favorited skincare procedures.
Aftercare feedback:
I provided Shahnaz with the following recommendations and advice:
• I advised her to refrain from touching her skin and applying makeup for at least 24 hours following the
Microdermabrasion treatment. This would allow the skin to heal and prevent any potential irritation.
• I stressed the importance of daily sun protection by wearing a minimum SPF 30, especially since her skin would
be more light-sensitive after the treatment. I also advised her to minimize UV light exposure to further protect her
skin.
• I cautioned Shahnaz against using any active skincare products such as AHA’s and retinols for at least 3 days
post-treatment. This would prevent any potential interactions or sensitivities that could arise from combining
these products with the Microdermabrasion treatment.
• I recommended avoiding heat treatments like saunas, swimming, and strenuous exercise for at least 48 hours.
Heat and excessive sweating could potentially irritate the skin and hinder the healing process.
• I suggested using a post-treatment recovery cream to provide hydration and aid in repairing the skin’s barrier.
This would help soothe any potential dryness or sensitivity.
• I emphasized the importance of staying well-hydrated by drinking plenty of water, as it would contribute to skin
hydration and overall well-being.
• I informed Shahnaz that it is normal to experience mild tingling, erythema (redness), and dryness in the first 2448 hours following the treatment. However, I advised her to seek medical advice if these symptoms persisted or
worsened.
• I recommended that she consider scheduling her next Microdermabrasion treatment in approximately 7-10 days
to maintain the desired results and promote ongoing skin improvement.
• Additionally, I suggested exploring other treatments such as IPL light therapy to address pigmentation concerns
and peels to further enhance her skincare regimen.
Therapist/learner signature: Nermin
Client signature: Shahnaz
iUBT392 Client Consultation Form_v1
Page 5 of 11
Microdermabrasion treatment follow up sheet 1
Feedback from last treatments:
Shahnaz exclaimed with delight that her skin felt absolutely incredible following her inaugural treatment. In
addition, she joyfully noted that her makeup appeared to effortlessly grace her skin, boasting improved longevity
that endured throughout the entirety of her day.
Treatment details – (To include products used):
•
•
•
•
•
I diligently prepared Shahnaz for her treatment, ensuring that every step was executed with precision and
care. To begin, I embarked on a thorough double cleanse and toning of her skin, utilizing the trusted
Demagogical cleansing gel/toner to achieve optimal cleanliness and a refreshed canvas.
Next, I meticulously examined Shahnaz skin under the magnifying lamp, attentively assessing its condition
in comparison to her initial treatment. This comprehensive analysis allowed me to identify any potential
changes or contraindications that may have arisen. Satisfied that her skin remained stable, I proceeded to
perform a meticulous thermal and tactile test, prioritizing her safety above all else.
Once assured of her comfort and well-being, I ensured that her skin was impeccably dry before gently
placing protective goggles over her eyes. With careful adherence to the established treatment protocol, I
recreated the exact same sequence and technique as the initial session, leaving no room for deviation.
To nourish and pamper her skin, I expertly applied the same Demagogical Masques, allowing their
rejuvenating properties to work their magic. Lastly, I took great care to apply the essential SPF30, shielding
her skin from harmful UV rays and ensuring its continued protection.
Through unwavering attention to detail and consistency, I endeavoured to provide Shahnaz with a truly
exceptional treatment experience, leaving no stone unturned in the pursuit of her skin’s ultimate wellbeing.
Client feedback:
iUBT392 Client Consultation Form_v1
Page 6 of 11
Shahnaz’s face lit up with pure delight as she couldn’t contain her excitement. Her skin felt absolutely incredible
after the inaugural treatment. She couldn’t help but notice the remarkable difference as her makeup effortlessly
adorned her skin, enhancing its natural beauty. What amazed her even more was the improved longevity, as her
makeup stayed flawless throughout the entirety of her day. It was a truly joyful experience for Shahnaz.
Aftercare feedback:
• I advised her to refrain from touching her skin and applying any makeup for a minimum of 24 hours to allow for
optimal healing and recovery.
• Emphasizing the importance of sun protection, I urged her to diligently wear a minimum of SPF 30 daily.
Specifically, I highlighted the significance of avoiding UV light exposure, especially considering the increased light
sensitivity of her skin following the microdermabrasion treatment.
• To avoid any potential skin irritation or adverse reactions, I advised Shahnaz to abstain from using any active
skincare products containing ingredients such as AHA’s or retinols for at least 3 days after the treatment.
• Heat treatments, including saunas and swimming, as well as intense physical exercise, were strongly discouraged
for a minimum of 48 hours to allow the skin to recuperate fully.
• To aid in the recovery process and promote skin hydration and repair, I recommended the use of a posttreatment recovery cream. This would help replenish moisture and support the restoration of the skin’s natural
barrier.
• Recognizing the importance of internal hydration, I encouraged Shahnaz to drink plenty of water to keep her skin
adequately hydrated from within.
• I made Shahnaz aware that it is normal to experience post-treatment tingling and that erythema (redness) and
dryness may occur within the first 24-48 hours. However, I advised her to seek medical advice if these symptoms
persist or worsen.
• Lastly, I suggested that Shahnaz schedule her next treatment session in approximately 7-10 days to maintain the
desired results and continue her skincare journey effectively.
Date of treatment: 23/ 07/2023
Therapist/learner signature: Nermin
Client signature: Shahnaz
iUBT392 Client Consultation Form_v1
Page 7 of 11
Microdermabrasion treatment follow up sheet 2
Feedback from last treatments:
Shahnaz expressed immense satisfaction as she shared her experience following her second treatment, exclaiming
that her skin felt absolutely phenomenal. Notably, she joyfully recounted how her family and friends had taken
notice of the remarkable transformation, showering her with compliments on the newfound radiance and overall
improved appearance of her skin. The positive feedback from her loved ones further reinforced the remarkable
results she had achieved through her ongoing skincare journey.
Treatment details – (To include products used):
•
•
•
•
•
I followed same steps again.
I diligently prepared Shahnaz for her treatment, ensuring that every step was executed with precision and
care. To begin, I embarked on a thorough double cleanse and toning of her skin, utilizing the trusted
Demagogical cleansing gel/toner to achieve optimal cleanliness and a refreshed canvas.
Next, I meticulously examined Shahnaz’s skin under the magnifying lamp, attentively assessing its
condition in comparison to her initial treatment. This comprehensive analysis allowed me to identify any
potential changes or contraindications that may have arisen. Satisfied that her skin remained stable, I
proceeded to perform a meticulous thermal and tactile test, prioritizing her safety above all else.
Once assured of her comfort and well-being, I ensured that her skin was impeccably dry before gently
placing protective goggles over her eyes. With careful adherence to the established treatment protocol, I
recreated the exact same sequence and technique as the initial session, leaving no room for deviation.
To nourish and pamper her skin, I expertly applied the same Demagogical Masques, allowing their
rejuvenating properties to work their magic. Lastly, I took great care to apply the essential SPF30, shielding
her skin from harmful UV rays and ensuring its continued protection.
Through unwavering attention to detail and consistency, I endeavoured to provide Shahnaz with a truly
exceptional treatment experience, leaving no stone unturned in the pursuit of her skin’s ultimate wellbeing.
iUBT392 Client Consultation Form_v1
Page 8 of 11
Client feedback:
Once again, Shahnaz expressed her delight as she marvelled at her reflection, acknowledging the remarkable
improvement in her skin’s appearance. With a beaming smile, she shared how her complexion now exuded a
sense of pristine cleanliness, boasting a newfound smoothness and an undeniable feeling of hydration. Her
satisfaction with the treatment was palpable, and her glowing praise served as a testament to the remarkable
transformation she had experienced.
iUBT392 Client Consultation Form_v1
Page 9 of 11
Aftercare feedback:
I reiterated the essential aftercare instructions to Shahnaz, ensuring she understood the necessary steps for
maintaining the optimal results achieved from her treatment. The following aftercare advice was provided:
• I emphasized the importance of refraining from touching her skin and applying makeup for a minimum of 24
hours to allow the skin to heal effectively.
• Shahnaz was strongly advised to wear a minimum of SPF 30 daily and to be cautious of UV light exposure,
particularly following microdermabrasion, as her skin would be more sensitive to sunlight.
• To avoid any potential skin irritation or adverse reactions, I reminded her not to use any active skincare products
containing ingredients such as AHA’s or retinols for at least 3 days after the treatment.
• Heat treatments, including saunas, swimming, and strenuous exercise, were to be avoided for a minimum of 48
hours to allow the skin to recover fully.
• I recommended the continued use of a post-treatment recovery cream to provide hydration and support the
repair of the skin’s barrier.
• In order to maintain optimal skin hydration, I encouraged Shahnaz to drink plenty of water, as it plays a vital role
in keeping the skin moisturized from within.
• Shahnaz was informed that it is normal to experience a tingling sensation, as well as erythema (redness) and
dryness within the first 24-48 hours post-treatment. However, I advised her to seek medical advice if these
symptoms persisted or worsened.
• Lastly, I recommended that Shahnaz scheduled regular microdermabrasion treatments in order to consistently
maintain the achieved results and support her ongoing skincare journey.
Date of treatment: 30/07/2023
Therapist/learner signature: Nermin
Client signature: Shahnaz
iUBT392 Client Consultation Form_v1
Page 10 of 11
Document History
Version
Issue Date
Changes
Role
V0.4
5/8/19
Table formatting/review
Temp
v1
29/10/2019
First published
Qualifications Administrator
iUBT392 Client Consultation Form_v1
Page 11 of 11
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