Issue link: https://www.ascpskindeepdigital.com/i/1278890
36 ascp skin deep september/october 2020 IPL is similar to laser therapy in its treatment for spider veins. The lesion will darken and disappear over time. One of the advantages of IPL is that thermal damage is confi ned to the targeted lesion. This is known as selective photothermolysis. The surrounding tissue is spared from widespread thermal injury. The negative side eff ects of IPL include the potential for burns, blisters, and crust formation, as well as hypo- and hyperpigmentation, and can occur if the parameters of the device are not properly set based on the client's Fitzpatrick.6 TRAINING REQUIREMENTS Each state has its own rules and regulations as to whether an esthetician can perform laser/light energy treatments. Since the use of these devices is considered the practice of medicine in most states, this procedure may be limited to licensed physicians, performed under the delegation of a physician, or not at all. However, with the demand for advanced modalities growing, some states like Oregon have created new legislation for the "safe practice of advanced non-ablative esthetics."7 Other states are less clear, with no laws addressing the use of IPL or laser, making the use of these devices a gray area. Check with your state board before performing this procedure, and be sure you have the proper training and medical director oversight. If laser or IPL is within your scope of practice, additional training is not hard to fi nd. Be sure your training program provides a minimum of 30 hours, includes theory and hands-on training, and results in a certifi cate of completion. Notes 1. Liz Ritter, "Why Some People Get Spider Veins and Others Don't," NewBeauty, February 26, 2016, accessed August 2020, www.newbeauty.com/preventing-spider-veins. 2. Danielle Fontana Dooley, "4 Expert-Approved Ways to Handle Visible Leg Veins," NewBeauty, August 21, 2018, accessed August 2020, www.newbeauty.com/ expert-approved-treatments-for-visible-leg-veins. 3. Liz Ritter, "Why Some People Get Spider Veins and Others Don't." 4. Danielle Fontana Dooley, "4 Expert-Approved Ways to Handle Visible Leg Veins." 5. Luis C. U. Nakano et al., "Treatment for Telangiectasias and Reticular Veins," Cochrane Database System Review 2017, no. 7 (July 2017): CD012723, www.ncbi. nlm.nih.gov/pmc/articles/PMC6483333. 6. Luis C. U. Nakano et al., "Treatment for Telangiectasias and Reticular Veins." 7. EstheticianEDU.org, "What You Need to Know About Off ering Intense Pulsed Light (IPL) Photofacial Services in Your Esthetics Practice," accessed August 2020, www.estheticianedu.org/ipl-photofacial. There are many ways to treat and cover up the look of spider veins, from DIY cosmetic camouflage products to outpatient surgeries, depending on the severity of the bulging veins. expertadvice ADVANCED MODALITIES Liability Insurance Professional liability insurance for laser therapy protects you in case a client sues. ASCP members have access to optional Advanced Modality Insurance coverage for spider vein removal and other advanced modalities like body contouring and radio frequency services. More information about advanced modality coverage that protects you and your esthetics practice, including the steps for applying, is available at www.ascpskincare.com/ami. Pricing for spider vein removal 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.