Issue link: https://www.ascpskindeepdigital.com/i/1174214
36 ascp skin deep november/december 2019 expertadvice ADVANCED MODALITIES CONTRAINDICATIONS IPL is not for everyone. Those with darker skin tones or recent sun exposure may not be ideal candidates. Since the device seeks out pigment, it could lead to unwanted changes in skin pigmentation. Contraindications include: • active viruses like herpes and open lesions in the area to be treated • currently taking or has been on Accutane within the last year • extended sun exposure • history of keloid scarring • history of seizures or other medical contraindications • pregnancy • use of photosensitizing medications This list is not all-inclusive, and you may be working in a medical esthetic facility with varying contraindications and protocols. Always follow the directions of your medical director. THE LEGALITIES The use of laser/light energy procedures is considered a medical practice in most states, and the use of these devices is limited to licensed physicians. Each state has its own rules and regulations as to whether an esthetician can perform these treatments—either under the delegation of a physician or at all. However, with the demand for advanced modalities like IPL growing, some states like Oregon have created new legislation for the "safe practice of advanced nonablative esthetics." Other states are less clear, with no laws addressing IPL or laser, making the use of these devices a gray area.2 Check with your state board before performing this procedure, and be sure you have the proper training and medical director oversight. If IPL is within your scope of practice, additional training is not hard to find. Be sure your training program provides a minimum of 30 hours, includes theory and hands- on training, and results in a certificate of completion. Notes 1. American Society for Aesthetic Plastic Surgery, 2018 Cosmetic (Aesthetic) Surgery National Data Bank Statistics, accessed October 2019, www.surgery.org/sites/default/files/ASAPS-Stats2018.pdf. 2. Estheticianedu.org, "What You Need to Know About Offering Intense Pulsed Light (IPL) Photofacial Services in Your Esthetics Practice," accessed October 2019, www.estheticianedu.org/ ipl-photofacial. Each state has its own rules and regulations as to whether an esthetician can perform these treatments—either under the delegation of a physician or at all. Liability Insurance Professional liability insurance for IPL Photo Rejuvenation protects you in case a client sues. ASCP members have access to optional Advanced Modality Insurance coverage that protects you and your esthetics practice if you perform IPL and other advanced modalities, like laser hair removal and cryotherapy. More information about advanced modality coverage, including the steps for applying, is available at www.ascpskincare.com/ami. Pricing for IPL services ranges from $1,161 to $1,403 for the year, and you can bundle that coverage with other advanced modalities to save more. If you can answer yes to the following three questions, you may be eligible for this advanced modality coverage: • Do I have proof of advanced training with hands-on experience? • Am I practicing these modalities within the scope of practice authorized by the state in which I work? • Am I an ASCP member, or do I plan to be? Learn more about ASCP's Advanced Modality Insurance program for members at www.ascpskincare.com/ami.