A thorough consultation must be carried out prior to undertaking any work. A patch test will be carried out at least 24/48 hours prior to treatment.
This is where we place a small sample of the product used are placed on the surface of the skin just behind the ear or inside the wrist to check for any severe allergic reaction; this process is much like when you have a patch test done at the hairdressers for example, the area to be tested is wiped clean with an alcoholic cleansing swab and a small scratch is made using a sterile lancet.
If am abnormal reaction such as excessive redness, swelling, itchiness, or rash develops then the product used should be adjusted accordingly or the treatment not performed. Should an allergic reaction happen after the treatment then the client may need to take anti-histamines, (they should consult with their GP first).
The consultation sheet should partly be completed with the client at the initial consultation and parts impacting the treatment immediately before the treatment (I.e they have had any aspirin or alcohol within the last 24 hours), and kept for future reference and records.
Many aspects of this form are standard requirements of health and safety policies, and to assist in gauging if a client is suitable for treatment.
If a client is known to suffer from keloid or hypertrophic scarring it is not advisable to embark on a treatment.
If a client is pregnant or breast feeding the treatment will not impact this, however in the event of an infection occurring then it may make suitable treatment or medication very difficult. We will also ask for a doctors note before proceeding if you are pregnant or breast feeding.
It is also worth noting that Smoking or using nicotine replacement products has a very detrimental effect on the healing process and scar formation. Nicotine is a vasoconstrictor that reduces normal blood flow to the skin, resulting in impaired healing. Nicotine also increases platelet adhesiveness, raising the risk of thrombotic micro vascular occlusion and tissue ischemia.
In addition, proliferation of red blood cells, fibroblasts and macrophages is reduced by nicotine. Slow healing has been observed clinically in smokers with wounds resulting from trauma, disease or surgical procedures.