42 ASCP Skin Deep September/October 2021
This treatment is suited for clients who are within
25 percent of their ideal body weight and are exercising
and eating healthily.
5
Most will experience a reduction
in inches, not a reduction in weight.
THERMAL SHOCK
Thermal shock takes cryolipolysis one step further by using
an alternating application of heat and cold to break down
fat cells and eliminate them from the body. Thermal shock
has also been shown to reduce cellulite, tone and tighten
the skin, target fine lines, and relieve muscle strain.
6
During thermal shock treatment, an application
of heat relaxes fat cells and causes vasodilation. Once
the temperature cools for an extended period, apoptosis
(or cell death)
occurs.
7
For the following few weeks after
treatment, the client's lymphatic system will naturally
flush the destroyed fat cells.
TRAINING REQUIREMENTS
Although skin tightening and body contouring are
considered noninvasive—with little to no downtime—
they are still out of scope for many estheticians (check
with your state board). In most states, the use of body
contouring and skin tightening devices is unclear and may
require medical director oversight. In states where master
estheticians are licensed, such as Washington, Oregon, and
Utah, procedures like radio frequency, microneedling, and
ultrasound can only be performed by master estheticians.
8
Before adding skin tightening and body contouring
to your menu of services, it's important you have the
appropriate training. Currently, the following are the
only FDA-approved devices:
• Ultherapy: Approved for lifting, toning, and improving
lines and wrinkles.
9
• UltraShape: Approved for body shaping used to selectively
destroy fat cells.
10
• CoolSculpting: Approved to eliminate stubborn fat in
nine different areas.
11
Device manufacturers may provide on-site training in the
use of their machines. Alternatively, local advanced esthetic
schools may also provide training coupled with other
advanced esthetic procedures.
Notes
1. Emily Taylor, "4 Doctor-Approved Ways to Tighten and Tone Loose Skin," New
Beauty, April 28, 2020, www.newbeauty.com/how-to-tone-and-tighten-loose-skin.
2. Emily Taylor, "4 Doctor-Approved Ways to Tighten and Tone Loose Skin."
3. Sabrina Guillen Fabi, "Noninvasive Skin Tightening: Focus on New Ultrasound
Techniques," Clinical, Cosmetic and Investigational Dermatology 8 (February 2015):
47–52, https://doi.org/10.2147/CCID.S69118.
4. Candela, "UltraShape," accessed June 2021, www.candelamedical.com/na/patient/
product/ultrashape.
5. American Society for Dermatologic Surgery, "Cryolipolysis," accessed June 2021,
www.asds.net/skin-experts/skin-treatments/cryolipolysis.
6. Erica Gorza, "The Top 5 Benefits of Thermal Shock/Cryo Generation," accessed
June 2021, https://skinsciencesolutions.com/white-papers/the-top-5-benefits-
of-thermal-shock-cryo-generation.
7. Erica Gorza, "The Top 5 Benefits of Thermal Shock/Cryo Generation."
8. EstheticianEDU.org, "Everything You Need to Know About Offering Ultrasonic Skin
Therapy in Your Esthetics Practice," accessed June 2021, www.estheticianedu.org/
ultrasonic-skin-therapy.
9. Ultherapy, accessed June 2021, www.ultherapy.com.
10. Candela, "UltraShape."
11. CoolSculpting, accessed June 2021, www.coolsculpting.com.
Liability Insurance
Professional liability insurance for skin tightening and body contouring protects you in case a client sues.
ASCP members have access to optional Advanced Esthetics Insurance coverage that protects you and your
esthetics practice if you perform radio frequency, cellulite reduction, ultrasound, CoolSculpting, and other
advanced modalities like permanent makeup and laser services. More information about advanced modality
coverage, including the steps for applying, is available at ascpskincare.com/body-contouring-insurance.
Pricing for cryolipolysis services ranges from $752 to $892 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 Advanced Esthetics
Insurance 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 Esthetics Insurance program for members at ascpskincare.com/ami.
ADVANCED MODALITIES
check out this
Contouring video
1. Open your camera
2. Scan the code
3. Tap on notification
4. Enjoy!
