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Advanced Microdermabrasion and PCA SKIN® Professional Treatment Protocol: Hyperpigmentation

Treatment Protocol

This advanced microdermabrasion treatment protocol will provide immediate smoothing, brightening and hydrating benefits to your patients’ skin post-treatment. This protocol is most appropriate for Fitzpatrick skin types I – VI with normal to dry skin, concerned with fine lines and wrinkles and hyperpigmentation.


  1. Facial Wash Oily/Problem – Cleanse the area of treatment thoroughly, remove with warm water and pat dry.


  1. Smoothing Toner – Apply with a cotton pad to prep the skin. Allow the skin to dry. This product may sting or tingle on some individuals. Assess sensitivity by asking the patient, “On a scale of one to ten, ten being extremely active, how do you rate this sensation?”


  1. Microdermabrasion – Administer one pass in one direction over the entire area of treatment. One pass is recommended when combining with a chemical peel. Brush off crystals with a dry cotton cosmetic pad or soft, clean powder or blush brush.
  2. Nutrient Toner – Apply with a cotton pad to remove any remaining skin debris or crystals. Fan the skin or allow it to dry.


  1. Revitalize: Therapeutic Papaya Mask – Apply a quarter-sized amount to the area of treatment using a mask brush and gently massage into the skin.  Allow the mask to remain on the skin for up to 5 minutes. Remove completely with cotton pads moistened with warm water.


  1. Sensi Peel®
  • Apply the first layer with a cotton pad.
  • Use the scale of 1 to 10 to gauge sensitivity. Fan the skin to keep the patient cool. If the patient responds 6 or higher, do not proceed with another layer. If the patient’s response is between 1 and 5, proceed with another layer.
  • Wait until the patient’s sensitivity begins to subside before applying the next layer. The patient will begin to rate lower on the scale of 1 to 10 approximately one to five minutes after each layer is applied.
  • The maximum number of layers of Sensi Peel® is two when incorporating with microdermabrasion.


  1. Pigment Gel® HQ Free – Apply one to two pumps to areas of hyperpigmentation.
  2. Vitamin B3 Brightening Serum (2 pumps) and C&E Advanced (pea-sized) – Apply the mixture to the entire treatment area to inhibit melanogenesis, improve barrier function, reduce inflammation and provide powerful antioxidant protection.

Retinoid Booster (Optional)

    1. Advanced Treatment Booster – Dispense two pumps into gloved hands. Gently spread the product over the area of treatment, keeping application even and thin.

Hydrate and Protect

    1. ReBalance and Daily Defense Broad Spectrum SPF 50+ – Complete the treatment with this combination to calm, hydrate and protect the skin from UVA and UVB exposure.