Day 1-2

The treated area may feel tight and appear darker.

The day of the peel application is "Day 1."

The peel solution should remain on the treated areas for at least six hours. During this time, do not wash, touch, rub, apply SPF or makeup to the treated areas.

Post Peel Moisturizer with 1% hydrocortisone, which is included in the Patient Home Care Kit, may be used after six hours ONLY IF:

• The skin feels excessively irritated or extremely uncomfortable

• Patient is a Fitzpatrick Skin Type 4-6 and has severe melasma or hyperpigmentation

• The Perfect Derma Clear, Plus or Plus Plus booster was added to the treatment and all of the above apply

The peel self neutralizes after six hours, at which time you may cleanse your skin with The Perfect Cleanser or any gentle cleanser. You may also leave the peel on overnight if desired.

Day 2 (am)

• Gently wash and dry the treated areas

• Vigorously apply the 1st Post Peel Towelette to the treated areas while in its square,folded shape

•Continue to apply the towelette and as it dries out, unfold it completely and continue to apply until all the solution is used

• Allow the skin to dry for 30 minutes before applying Mineral Perfection SPF30

Makeup may be worn if desired. However, it is best to keep the skin free of makeup during the entire peeling process as some foundations and powders can be irritating. Eye/eyebrow makeup and lipstick or gloss is fine.

Day 2 (pm)

• 30-60 minutes before bedtime, gently wash and dry the treated areas

• Vigorously apply the 2nd Post Peel Towelette to the treated areas while in its square, folded shape

•Continue to apply the towelette and as it dries out, unfold it completely and continue to apply until all the solution is used

• Leave the towelette solution on overnight

If you are experiencing irritation, apply a small amount of Post Peel Moisturizer 2-3 times daily. You may also place a cold compress against the irritated area for relief.

If there is no significant irritation, do not use any moisturizing products on the treated areas until peeling begins (usually Day 3).

Avoid excessive sweating, swimming, sauna, heavy exercise or sun exposure during the peel process, as these activities may cause irritation.

Day 3-6 - Peeling generally begins on Day 3

1. Apply a thin layer of Post Peel Moisturizer to the treated areas once peeling begins to control dryness and relieve tightness • Should be used 2-3 times per day

Use Post Peel Moisturizer as follows:

• One week for Caucasian patients

• Two weeks for Asian, Black, and Hispanic patients, or anyone with darker skin

(If Post Peel Moisturizer runs out, an over the counter 1% hydrocortisone cream may be substituted)

Additional Tips:

• Do not rub, pick or pull on the peeling skin, as this may cause scarring

1. Gently wash the treated areas morning and night with The Perfect Cleanser or any gentle cleanser
2. Do not use scrubs, masks or any strong products with actives such as retinoids

• Mineral Perfection SPF 30 should be applied every two hours during sun exposure

Day 7 - The peeling process is generally complete

1. Mild sloughing may still be occurring in some treated areas
2. Continue to protect the skin with Mineral Perfection SPF 30

Contradictions:

• Pregnancy, breastfeeding

• An allergy to any peel ingredient listed above or to aspirin (salicylates)

• Use of Accutane within the past four months

• Open wounds, sunburn, infected skin, lesions, or cold sores

• Recent treatments such as waxing, electrolysis, chemical exfoliants, lasers, or resurfacing treatments

• Current chemotherapy and/or radiation therapy

• A history of an autoimmune disease or any condition that may weaken the immune system (check with

personal physician)

• A history of keloids

• Excessive sun exposure within the past two weeks

• Current skin irritations such as perioral dermatitis, dermatitis, or eczema

Please read and initial the following:

______ Prior to receiving treatment, I informed my medical professional about any medications or health conditions that may contradict this treatment.

______ I understand that there might be some discomfort such as stinging, redness, burning, itchiness, tightness or swelling during and a week after the treatment. I understand that it is important not to pull, pick at or remove peeling skin forcibly.

______ I understand chemical peels may trigger a cold sore outbreak for those with a history of cold sores. I agree to consult my provider about starting an antiviral medication prior to my peel treatment.

______ I understand that there is no specific guarantee as to the final results of the peel, and that I may require more than one treatment for optimal results.

______ I understand that while complications are extremely rare, they may occur. In the event of a reaction or complication, I agree to immediately contact my medical professional for follow up care.

______ I understand that occasionally hyperpigmentation or hypopigmentation may develop, which can persist for weeks or months after the treatment.

______ I understand that post peel care includes use of Mineral Perfection SPF 30 or an SPF 30 or above and minimal sun exposure during the exfoliation process.

______ I understand that extended sun exposure, including use of tanning beds, is prohibited both before and after The Perfect DermaTM Peel treatment. Avoid sweating excessively or use of steam/sauna for five days post peel.

______ I understand that this is a Non Refundable, elective procedure.

______ I understand that no other chemical peels or medical device treatments are to be performed on the treated area until my medical professional releases me to do so.