microdermabrasion - ImageMicroDerm.com

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medical grade
microdermabrasion
U.S.A
PP1000
Medical Grade Microdermabrasion Machines
Lifetime
Warranty
PORTAPEEL
PP1000
Owners
Manual
Imagederm
Inc.
U.S.A
microdermabrasion
Lifetime Warranty
medical grade
Imagederm Inc.
Lifetime Warranty
U.S.A
Model
Imagederm Inc.
U.S.A
Imagederm Inc.
Imagederm Inc.
medical grade
Lifetime Warranty
microdermabrasion
Lifetime Warranty
U.S.A
U.S.A
medical grade
Lifetime Warranty
Imagederm Inc.
Imagederm Inc.
1
™
Table of Contents
Operating Your Machine
3–4
Introduction
5
The Historyof Microdermabrasion
6
Skin Conditions
7
Is the treatment safe?
8
The Use of AluminumOxide Crystals
9 – 11
Skin Anatomy and Function
12 –15
Benefitsof Regular Treatment
15
Environmental and Age Factors
16 – 18
Uses of The Imagederm Microdermabrasion
19
Pre Treatment Consultation
20
Complete Client Medical Card
21
Treatment Procedures
21 – 23
LightTherapy
23
Suggested Protocolfor Post ImagedermTreatments
24
Self-Maintenance and Troubleshooting
25 – 26
Sterilization of Tips
26
Using the strap for transportation
26
OVERVIEW OF THE PORTAPEEL
27
Instructions for using the hand piece
28
Importantinformation
29
Terms and Conditions
30
2
Step One: Be sure you have plugged in your machine to a wall outlet. Leaving the
machine off, go to the back where your crystals and filter are kept.
Remove the top on the
right and fill the crystal
container 3/4 of the
way.
Step Two: Be sure your filter is empty.
To empty filter , lift the cap on the left connected to the filter. Tug at the filter and remove it from the top.
Empty used crystals into a safe disposal and replace filter to the top, pushing it into the nipple. Place the filter back into the
container. If you wish, you can dispose of the filter each time and replace it with a new one. Filters should be emptied after
every two to three treatments.
IMPORTANT: YOU MUST EMPTY YOUR FILTER AFTER EVERY TWO TO THREE CLIENTS. IF FILTER OVERFLOWS IT
CAN RESULT IN DAMAGE TO THE MOTOR.
3
Step Three: Check Your Hose
For all microdermabrasion
treatments, your hose should
be inserted in Crystal #1.
When using the diamond tip,
your hose should be inserted in
Vacuum.
To release the small hose
underneath the main suction,
turn the knob to the right and pull
out hose.
To release large hose, press
down on tab and pull out hose.
When changing hose position,
place small hose in correct slot
and turn knob to the left.
Step Four: Check your handset
Your handset is resting in its
holder at the side of the machine.
Be sure to have a sterile tip on the
handset.
Once you have given a treatment,
place your tip in a satisfactory
cleansing solution for sterilization.
DO NOT SOAK IN BLEACH
Step Five: Turn on your machine
1. Press the On/Off Button to turn the machine on.
You will hear the soft purring of the motor.
3. Check the Pressure Gauge by putting your finger over the tip, you will
see the gauge reading. For normal treatments it should be between 9 and 10
4. Adjust the Flow and Speed Regulator. Turn to the left for less pressure
and to the right for more pressure.
5. Remove the handset and test the pressure on the inside of your client’s
forearm.
IMPORTANT: Do not force the knob to turn any further; overturning will
result in severe damage to the flow pressure knob.
Step Seven: Begin your treatment.
4
INTRODUCTION
Congratulations on the purchase of your new Imagederm Microdermabrasion machine. You have
the finest medical-grade machine to use in the art of peeling the skin in a safe, hygienic atmosphere.
This machine is registered with the Food and Drug Administration, and is FDA approved.
Your crystals are stored within the machine, keeping them free from environmental debris and
moisture. Your hose holds a patent, and is especially made to keep the crystals from clogging your hand
set. These are only some of the important features of this miraculous new machine.
The information contained in this folder is based on information gathered from the general
marketplace. Physicians and clinicians must use their own clinical judgment and professionalism in
determining all aspects of treatment, including pre and post treatment care, operative technique, power
settings and treatment intervals.
Our experience tells us that it is wise to keep treatments at least five to seven days from one to
the next. Any more frequent than that may create problems with the skin of your client.
A normal setting for the Imagederm Microdermabrasion machine is between eight and fifteen.
Certain areas of the face will require lower settings, such as around the eyes; and in other places, can
take higher settings, such as the cheeks, around the forehead and the vermilion of the lip line (which
should only have one pass.)
IMPORTANT! Empty your used crystal container after every two to three treatments to
give yourself the maximum benefits of the Microd
ermabrasion treatment. Each treatment should
take approximately one ounce of cr ystals. If filter runs over it
can back-up into the machine and
cause damage to the motor.
5
THE HISTORY OF MICRODERMABRASION
Microdermabrasion has been seen on television, published in feature and newspaper articles,
and is gathering widespread popularity in medical offices. In December 1996, the Food and Drug
Administration issued the first clearance letter for a Microdermabrasion machine, introducing a new
modality for skin rejuvenation in the United States.
There are many manufacturers of this revolutionary new machine throughout the world. Your
Imagederm Microdermabrasion machine is the latest state-of-the-art machine, which has been tested in a
safe laboratory environment to assure complete performance. It is made completely in the United States.
What is Microdermabrasion?
Microdermabrasion is a non-surgical, non-chemical, non-invasive method of skin resurfacing. Our unit
uses a tubular hand piece through which air is circulated to produce a fine stream of fine aluminum oxide
micro particles that along with suction ‘sand’ the surface of the skin. This gentle skin blasting causes the
top dead skin layers to be removed along with the skin’s impurities. Microdermabrasion is an intense
exfoliation process that rejuvenates the skin by utilizing ultra-fine aluminum oxide crystals to remove the
upper layer of the Stratum corneum. From the hand piece, crystals are blasted onto the skin as a
vacuum tube from within sweeps up both the crystals and the skin's cellular debris. The skin is exfoliated,
resulting in firmer, more youthful looking skin.
Over time, this repeated process stimulates the production of a new layer of skin cells, bringing
with it an increased level of collagen and elastin, improving the skin's appearance.
Microdermabrasion buffs the skin of fine lines and discoloration while refining the texture and hue.
Repeated treatments yield excellent results for scar revision (whether from acne, chicken pox, or even
surgery scars) as well as deep discoloration, malanosis, and tattoo reduction. Although there are
immediate results the first time, after about the third or fourth treatment, there is a real visible change in
the appearance of the skin.
The technique of Micro-Dermabrasion is the m
ost effective procedure for any kind of skin
problem as well as the symptoms of aging skin.
The Micro-Dermabrasion treatment
removes damaged and unbalanced skin as
well as activates new cell growth.
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What conditions can be treated with the Microdermabrasion Machine?
Dull and yellow skin
Fine lines
Acne scars and skin
Enlarged or oily pores
Superficial lines & wrinkles
Brown spots & pigmentation
Superficial hyper pigmentation
Blemished skin
Sun damaged skin
Blackheads, whiteheads
Scar tissue
Stretch marks
Skin texture & vitality
Chicken pox scars
General exfoliation/rejuvenation
Hypertrophic scars
The Microdermabrasion is ideal for:
People who cannot afford to take time off for healing as you would with chemical or laser treatments
Active people who don’t want to interfere with social or outdoor activities such as golf, tennis or skiing
Sensitive skin that reacts to make-up or chemicals
Oily, acne-prone skin that is not improved by acne remedies
Younger people with early skin changes that wish for beautiful skin
How does this compare to other chemical Peels?
Microdermabrasion is a safe and effective alternative to the use of chemical acids; the results are more
predictable and can be accomplished in gradual stages with no down time or redness. In most cases you
will see an immediate result with a quicker recovery.
What areas of the skin does Microdermabrasion most commonly treat?
Face & neck, elbows & knees, hands & feet, shoulders, stretch marks on abdomen and hips.
What types of skin and color can be treated?
All types of skin and colors of skin have been treated.
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ls the treatment safe?
Yes. The entire treatment is performed in sterile environment and there are almost no side effects and
little trauma to the skin. All tools that contact the treatment area are either disposable or sterilized.
This process stimulates circulation beneath the surface of the skin, leaving the skin rejuvenated. Unlike
lasers, there is no generation of heat so the procedure can be administered on all different skin types.
No anesthesia is required. The process requires no healing time and can be done on your lunch break.
Results are immediate with smooth, glowing skin and overall tone and texture improvements.
The treatment feels like a mild biting sensation, similar to the feeling of stinging raindrops. There is no
down time. It feels similar to having mild sunburn and feel tightening of the skin. Makeup or moisturizer
can be applied to the treated area and daily activities are resumed.
Microdermabrasion is highly recommended as a pre and post-op to laser surgery. It helps to prepare the
face for these procedures and helps to reduce the scarring of laser surgery.
Is Microdermabrasion covered by insurance?
Yes. This depends upon your specific skin condition and
the reimbursable conditions of your particular insurance plan.
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THE USE OF ALUMINUM OXIDE CRYSTALS
Imagederm Microdermabrasion machine uses the finest Norwegian Aluminum Oxide Crystals.
We provide you with 120 and 100 size crystals. The 120 crystals are for use on the normal female skin.
The 100 size crystals can be used on tougher skin, when working to remove scar tissue, and for use on
the body.
At a recent physicians’ meeting in Southern California, concerns were expressed regarding the
use of aluminum oxide as part of the treatment of Microdermabrasion and specifically, statements were
made relating this material to the onset of Alzheimer’s disease and/or pulmonary fibrosis. Reports cited
as correlating exposure to aluminum oxide with the onset of Alzheimer’s disease or pulmonary fibrosis
have frequently been misquoted or taken completely out of context. To be precise, these reports deal
specifically with aluminum mine workers. In a report entitled “Pulmonary Fibrosis in Aluminum Oxide
Workers” 1 the writers specifically indicate that the nine subjects in question had an average duration of
working place exposure to aluminum oxide of 25 years and all had smoked or continued to smoke
cigarettes. What the study also indicates is that these workers had excessive and prolonged exposure to
dust in work environments without use of OSHA-recommended respirators. Other published studies
indicate similar results and all study subjects were mine workers.
Additionally, according to the Journal of American Dentistry Association (“JADA”) 2 a study
indicates that aluminum oxide crystals have been in use since the 1940s as the medium for air-abrasion
systems. Another study conducted by Enviroair Consultants, Roseville, MI 3 found that the levels of
aluminum oxide dust (“respirable fraction”) were below the detectable limits of the instrument (.03
mg/m_).
What does this mean to us? Simply put, the OSHA standard for aluminum oxide, as a nuisance
dust is 5 mg/m_, which is virtually the same, allowed for substances such as starch, rouge, sucrose and
vegetable oil mist. The daily airborne exposure limit for aluminum oxide is 15 mg/m_ as total dust.
Therefore, the exposure of aestheticians and patients to aluminum oxide during the Microdermabrasion
treatments would be significantly less than the permissible levels allowed in the workplace.
United States government publications provide a statement by the Occupational Safety and
Health Administration (OSHA) that aluminum metal dust had been shown to “present a minimal health
Pulmonary Fibrosis in Aluminum Oxide Workers, Jederlinic, Abraham, Churg, et al., Am
Rev Respir Dis 1990 Nov; 142(5): 1179-84.
2
Using Air-Abrasive Technology to Diagnose and Restore Pit and Fissure Carier, by
Ronald E. Goldstein, DDS, Frederick M. Parkins, DDS, MSD, PhD, JADA, Vol. 126,
June 1995.
3
Results of the Phase I Study for American Dental Laser, Dan Meser, CIH, ROH, CSP,
Bert Schiller, CIH, ROH, PE, Enviroair Consultants, Inc., May 20, 1992.
1
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hazard based on studies and company reports. 4 Additionally, the Federal Register also provides the
information that the Environment Protection Agency (EPA) stated that it was proposing to de-list
aluminum oxide from the list of toxic substances. The EPA indicated, “There is no clear evidence that
aluminum has a role in the observed pathological changes, signs and symptoms of Alzheimer’s disease
or other neurological diseases in which it has been implicated.” 5 In information provided by The
Aluminum Association, it claims that the EPA also states that aluminum has not been found to be a risk
factor for Alzheimer’s disease in several case-control studies. Other government agencies in the U.S.
and Canada, along with the World Health Organization, have reached similar conclusions.
Material Safety Data Sheets (MSDS) are documents that contain information about the potential
health effects of exposure to a substance and how to work safely with a chemical product. The MSDS
contains information that is prepared by the supplier of the product, and may well be written with a
significant slant with regard to the description of health effects of exposure to a particular chemical.
MSDS prepared in accordance and compliance with the OSHA Hazard Communication Standard indicate
that the material aluminum oxide is non-toxic for ingestion, with no adverse skin contact reactions, and is
not a know carcinogen. It is insoluble in water and organic solvents, with a melting point of 2000 degrees
centigrade, making it difficult to be molecularly broken down.
In the laboratory, OSHA recommendations for protective equipment include safety glasses and
laboratory coats ONLY; no respiratory protection is required where adequate ventilation conditions exist.
Aluminum oxide is considered a low health risk by inhalation, and industry standards treat any
inhalation of this nature as a “nuisance dust.” The inhalation of any fine particulate, including artificial nail
dust, on a long-term basis, may cause irritation, coughing, and shortness of breath. While it is extremely
important to minimize exposure to ambient dust, the problem is not necessarily the type of particulate, but
rather the quantity and the amount of exposure time. These concerns can be addressed by choosing a
machine that reduces the amount of exposure to this type of “nuisance dust.” Your Imagederm
Microdermabrasion machine does just that.
In a study by Miller and Sayers (1941/Ex 1-595), it was found that aluminum particles with
diameters of less than 40 microns produced no reaction in exposed laboratory animals. Another study by
Stacy, Kind, Harrison, et al. (1959/Ex 1-761) confirmed these findings, and added that alpha aluminum
was found to be nearly inert even when injected directly into the lungs of rats. The particle size of 40
microns is about three times smaller than the standard size of 100-120 microns used for
Microdermabrasion. It should also be noted that the larger the micron size, the more difficult it is for the
particle to become or stay airborne.
In addition to the general operation of the Microdermabrasion unit and contact with aluminum
oxide, there exists the challenge of refilling and disposal of the abrasive material. This is the time when
Federal Register, January 19, 1989.
Federal Register, April 24, 1989.
4
5
10
there is the greatest opportunity for the inhalation of dust particles. Most Microdermabrasion units
operate on the principle of a closed vacuum system, delivering particulate only when there is a vacuum
seal against the skin. Particulate flow should cease when the vacuum seal is broken, so that minimal
aluminum oxide escapes the system. Systems that leave large amounts of particulate residue increase
not only the risk of inhalation, but also the potential for damage to counter tops and floors. In addition,
Microdermabrasion systems that do not control the volume of used crystal dispersed into the ambient
environment also pose a threat to the health of the user, since the used material is, at that time, a
combination of used material and tissue debris.
We are convinced that minimizing this exposure can be accomplished by choosing a system in
which the technician rarely has to touch or breathe ambient dust. Your Imagederm Microdermabrasion
machine does not have this problem because the crystals cannot be released unless the vacuum is on.
This single-operation unit is especially designed to prevent any excess flow of crystals into the
environment.
As to client exposure, the possible minimal exposure of your client to the crystal is negligible, as
indicated by the study done for the dental industry 6 and instructions prior to the treatment asking the
client to keep eyes and mouth closed are always strongly advised for safety reasons.
Before succumbing to possible scare tactics, be sure to research any claims made by
manufacturers, distributors or sales representatives of equipment or supplies, so that you will be educated
about the truth and validity of any statements being made. The purchase of a Microdermabrasion
machine should be accomplished because it and the supplies relating to it work for you within your
practice, not because one manufacturer or sales representative has bad-mouthed another company or
used scare tactics. It goes without saying that this should be held true as to any aspect of product claims
and efficacy in all parts of the medical and esthetic fields.
Results of the Phase I Study for American Dental Laser, ibid.
6
11
SKIN ANATOMY AND FUNCTION
As a sensory organ, the skin regulates body temperature and transmits sensations such as pain
and pressure every minute of the day. The skin is the body’s largest organ, comprising of 15% of the total
body weight. Multi-layered and multi-purposed, it varies in thickness throughout the body; however, this
paper-thin protective mantle supplies a tough suit of armor.
The skin is composed of three primary layers: epidermis; dermis; and the subcutaneous tissue.
The epidermis is a self-renewing barrier to water loss and is resistant to chemical, physical and
microbiological insult. It is approximately 0.1 mm thick or only half as thick as paper. The epidermis is
not uniform and can be divided into two basic layers: the outermost Stratum corneum (dead skin cells),
and the viable Stratum Malpighian (cellular active part of the epidermis). Below the Stratum corneum is
the Stratum lucidum and the Stratum granulosum. Below that is the Stratum Malpighii.
Stratum Lucidum.
Two to three rows of dead translucent cells, which have an indistinct outline,
butno nuclei. This layer is seen in the thick skin of the palms of the hands and soles of the feet. As these
cells successively approach the surface by the development of their fluid contents, and consist of many
layers of horny epithelial scales in which no nucleus is discernible, forming the stratum corneum. These
cells are unaffected by acetic acid, the protoplasm having become changed into horny material or keratin.
They contain granules of a material, which has the characters of beeswax.
Stratum Granulosum.
Superficial to the Stratum Germinativum, two or three layers of flattened,
spindle-shaped cells. They are cells in a transitional stage between the protoplasmic cells of the stratum
Malpighii and the horny cells of the superficial layers.
Stratum Malpighii.
Composed of several layers of epithelial cells, of which the deepest layer is
columnar in shape and placed perpendicularly on the surface of the corium, their lower ends being
denticulate, to fit into corresponding denticulations of the true skin.
Stratum Spinosum
(Also known as stratum germinativum.) Prickle cells, eight to ten rows of
rounded cells, which fit together by short prickles, projecting from each cell. Each is compact with its
neighbors. The cells in this layer are capable of mitosis, although the rate is slowing down. They contain
numerous epidermic fibrils, which are stained violet with hæmatoxylin and red by carmine, intercellular
clefts, which serve for the passage of lymph and in which l8umph-corpuscles or pigment-granules may be
found.
The major cell of the epidermis is the Keratinocyte , which produces the highly resistant insoluble
protein called Keratin. Keratin provides the protective barrier of the epidermis. Basal Keratinocytes
constantly divide through Mitosis to form identical replacement every few days. Replaced Basal
Keratinocytes migrate upwards and outward to form layers of cells interconnected by Desmosomes,
(prickles or spines) comprising the Stratum Spinosum. Hence the name Prickle cell layer.
Keratinocytes continually become transformed and lose their nuclei in the Stratum Granulosum or
12
Granular layer. Keratin becomes more evident in the Granular layer. Hence the name Granular cells. As
Keratinocytes mature in different layers of the epidermis and transfer from the Stratum Basal to the
Stratum corneum, they change their structure and chemistry. The entire physicochemical process of
cellular proliferation represents the maturing of Keratinization. As a result, the Stratum corneum is
constantly regenerated.
Melanocytes comprise the other 5% of the Stratum Basal. These cells synthesize melanin, which
is transferred via melanosomes, e.g. arm-like extensions, to surrounding Keratinocytes.
There is approximately one melanocyte to every 36 Keratinocytes. Keratinocytes are responsible
for the distribution of melanin throughout the skin for sun protection. The combination of melanocytes
with the neighboring Keratinocytes with which it supplies melanin is termed ‘the epidermal melanin unit’ .
Variations in genetically determined skin pigment are related to the difference in the Melanosome
structure produced by the melanocytes and not to larger melanocytes in darker skinned races. Melanin
offers minimal photo protection. Melanocytes reduce in number and function in old age.
The Dermis. The dermis or corium, or cutis vera consists of two layers–the upper Papillary and
the Reticular layers. The dermis is comprised of connective tissue fibers, collagen fibers, elastin fibers
and reticular fibers. It also contains many dermal structures, hair follicles and appendages, nerve fibers
and endings, blood capillaries, fibroblasts, mast cells and lymphocyte. This layer is tough, flexible, and
highly elastic, in order to defend the parts beneath. It varies in thickness, from a quarter of a line to a line
and a half, in different parts of the body. It is very thin in the eyelids and exceedingly delicate.
The Papillary dermis is the thinner upper layer of the dermis situated beneath the Stratum Basal
of the epidermis. It is composed of interwoven collagen and elastic fibers.
The Reticular Dermis.
The deepest layer is composed of coarse collagen bundles; it lies
beneath the bulk of the dermis. It contains most of the dermal protein fibers, structures and cells. The
dermal protein fibre gives the skin its strength and flexibility, forming a support for the epidermis.
Collagen fibers amount to 70% of the dry weight of the dermis.
Subcutaneous Layer.
The layer of tissue beneath the Reticular Dermis is known as the
subcutaneous tissue, composed mainly of adipose tissue (fatty tissue). It functions as a heat insulator
show absorber and as a source of fuel that is mobilized during starvation and exercise. Subcutaneous
tissue varies in thickness.
Importance of the skin.
The blood that circulates in the skin delivers nutrients to the tissue and
dissipates or conserves body heat. Other primary functions are to protect the body from harmful outside
elements and to balance the body fluids by releasing perspiration. Skin is a vital sensory perceiver,
sensing heat and cold at the touch.
The skin is also a mirror of one’s health. Tell-tale signs of eating disorders, such as anorexia or
bulimia, often include thinning of the skin, fine lines and drying and dehydration due to lack of nutrients.
Vitamin C deficiency may result in broken blood vessels; lack of Vitamin D can inhibit wound healing and
13
reduce skin elasticity.
Epidermal renewal.
One of the unique features of the epidermis is its ability to regenerate itself.
The process of continuously regenerating and shedding epidermal keratinocyte is known as cellular
turnover and desquamation. On average in normal skin, a new coat is developed every four to six weeks.
However, with age and poor general health, the rate is considerably slower. It can take up to 19 days for
Basal Keratinocytes to reproduce in the Stratum Basal. The time required for replicated Keratinocytes to
travel from the Basal to the Granulosum is between 26 to 42 days, with an additional 15 days until
corneocytes are shed from the Stratum corneum. Therefore, from Basal Keratinocytes replication to
complete cell turnover would represent a total epidermal renew time of 60 to 76 days. Generating
approximately 50 pounds in a lifetime, we renew our skin more often than most reptiles.
Maturing skin.
One aspect of aging is its effect on the skin. The components of aging can be
seen in two categories:
1. Intrinsic or genetic
2. Extrinsic or environmental
In order to understand the changes involved in aging skin, we must first understand the skin’s normal
anatomy. The skin has three layers. The lowest layer is composed of subcutaneous fat. Next, the
dermis, which is composed mainly of the ground substance (fibroblasts, collagen, elastin, nerves and
vessels). The epidermis is the most superficial layer and is composed of a living portion made up of basal
cells, Keratinocytes, Melanocytes, Langerhans cells, (cells vital to the skin’s immune function) and finally
the Corneocyte or dead layer on the top.
The anatomy of aging would be as follows:
Grossly. The skin becomes dryer, rougher, thinner, and the appearance of pigmentation marks
in sun-exposed areas.
Microscopically.
There is no decrease in the number of Corneocytes; however, the individual
cells begin to look large and irregular.
The Keratinocytes show a decrease in the number of layers of these cells and each cell tends to
be shorter and broader.
The Melanocytes decrease in their density from 10% to 20% per decade. During exposure to
sunlight, they produce melanin, however, in a blotchy pattern. This answers the question why old skin
tans unevenly.
The Fibroblasts, which are responsible for the production of collagen and elastin, increase in size
with aging, and the functional activity decreases.
The content of dermal collagen, the most important component, decreases by 1% per year after
the age of 20. The collagen fibers also become thicker and more brittle with age, due to an increase in
14
the cross linkage.
Elastin fibers decrease and fragment with age.
There is a definite decrease in the blood vessels and blood supply.
The number of pressure and touch sensors decrease, making older skin more susceptible to
thermal and mechanical injury.
The amount of fat decreases.
Overall, the skin is thinner and more susceptible to various conditions such as dryness, infection,
and skin cancer. In addition to the intrinsic or natural aging process, the effects of the extrinsic factors
such as sunlight are responsible for many of the cosmetic problems associated with aging such as age
spots, pigmentation and wrinkles.
BENEFITS OF REGULAR TREATMENT WITH IMAGEDERM
Regular treatment will prevent the thickening of the Stratum corneum, eliminating congestion. A
course of treatment carried out weekly corrects surface irregularities allowing a more radiant glowing
complexion.
Imagederm Microdermabrasion allows two functions to be performed:
•
Correction–the abrasive action and the speed of the crystal flow gently erodes the surface layers
of the skin, allowing a smoother fresher skin to emerge thus correcting surface irregularities.
•
Stimulation–This is achieved through the vacuum action assisting in the stimulation of the
microcirculation. Increasing the blood supply thus providing nutrients necessary for skin
regeneration repair and increased cellular turnover.
Theory of Action.
The epidermis is the stratified pavement of the skin. The dermis is the
connective tissue component. Cutaneous aging produces changes in the epidermal and dermal layers.
A decrease in the collagen fibril and the buildup of compacted epithial tissue can be seen. By
mechanically disrupting the epidermis, it is possible to improve many skin conditions and skin
imperfections. Removal of pan of the Epithelial Stratum corneum, stimulates the Basal Stratum which
initiates increased cellular turnover in turn stimulating a reaction at the dermis level as evidenced by
vasodilation. This produces improved skin elasticity, texture, evens pigment and reduces scar tissue.
Skin resurfacing and rejuvenation.
Many factors influence cellular regeneration and
desquamation. Dermal growth factors, hormones and vitamins A and D, can influence epidermal cellular
turnover. In addition, age, general health, and genetics influence cellular proliferation, i.e. repeated and
rapid reproduction of new cell division. Generally, young skin regenerates more rapidly.
15
ENVIRONMENTAL FACTORS AND AGE
Environmental factors also play a strong role. When skin is exposed to excessive sunlight, a
natural response of the Stratum corneum is to become thicker to protect the sub layers of the skin. This
may result in slower shedding, producing thickened, dry, and rough skin.
Abnormal cell division is also seen in hyper-keratopic disorders such as overgrowth of the
Stratum corneum. Excessively dry rough skin is a condition that affects many people. It appears to be
the result of abnormal desquamation. Acne sufferers have a condition called Retention Hyperkeratosis
(skin cells are retained) causing further congestion and thickening of the Stratum corneum.
Ultra violet light.
Over-exposure of ultra violet rays can seriously damage the skin. It has been
fashionable over the last fifty years to acquire a tan. In addition, there appear to have been vast changes
in the ozone layer, this has added to the problems caused by sun within the younger generation. It is
easy to recognize the additional signs of sun damage added to the normal process of aging. Darker skin
races manage to look younger at the age of 50 than their paler-skinned equivalents, due to the increased
amount of melanin produced offering more protection.
UV light affects the epidermal cells, which are constantly dividing and replacing themselves.
Eventually, this process breaks down and rough areas develop (keratoses) which can develop into skin
cancer. The same UV light causes changes in the melanocytes, which produce the pigment, and
irregular brown patches like large freckles appear. They are sometimes called liver spots, but have
nothing to do with liver disease. These brown marks may develop in relatively dark skins not particularly
prone to the development of skin cancer.
The UV light can penetrate into the dermis where the collagen and elastic tissue give the skin its
strength and flexibility. Damage to these structures causes increased wrinkling and the thickened yellow
appearance known as elastosis; often see in people who work outdoors on the nape of the neck. Often
small blood vessels become conspicuous, especially on the cheeks, a problem known as telangiectasia.
The loss of elasticity also exaggerates the bruising effect that may occur after prolonged sun
exposure. This condition was once called senile purpura, but may be seen in sun-damaged skin at the
age of 40. In severely damaged skin with marked elastosis, senile comedones (blackheads) may
develop. They have no connection whatsoever with acne, but are extremely unattractive. UVB can also
penetrate the underlying dermis allowing considerable deterioration to the collagen and elastin. This
causes wrinkling and a leathery appearance of the skin.
Sun Block. It is impossible to anticipate exactly when one will be exposed to the sun, therefore
sun block should be applied daily, the use of a 25-30 SPF is required Furthermore, because it is cloudy in
the morning, there is no guarantee that the sun will not be strong by midday, indirect sun exposure can
be even more damaging, because you don’t realize how long you have been exposed. On holiday or
when playing sports, sunscreens are most effective when applied to cool, dry skin. It is therefore sensible
16
to apply sunscreen 20 to 30 minutes before going into the sun.
Regular treatment for sun-damaged skin.
Regular treatment with Imagederm Microdermabrasion machine will reduce the thickness of the Stratum
corneum, regulating abnormal cell division, helping to produce normal cell turnover in the epidermis. The
rather thin sun damaged skin becomes better organized and thicker, while the horny layer on the surface
is produced in a more regular way, allowing a smoother surface of the skin.
While the epidermis is functioning incorrectly the melanin pigment cannot be shed in its usual
organized way, leading to sluggish pigment and the appearance of brown pigmentation marks on the skin.
Regular treatment with microdermabrasion will help the pigment move through the epidermis and be shed
normally.
Exfoliation is derived from the Latin term exfoliates, which means to strip leaves. Cosmetic
exfoliation encourages normal shedding of the Stratum corneum. It is considered non-invasive as no
viable tissue is involved. Regular controlled exfoliation can provide a significant improvement in the
appearance of the Stratum corneum, allowing older dead cells to be removed, leaving fresh vibrant skin.
Many skin concerns are associated with an excessive buildup of dead cells on the surface. When the
Stratum corneum becomes thickened with Corneocytes, the skin appears dull, rough and dry. Regular
removal of the dead cells will provide excellent cosmetic results.
The melanin unit.
Melanin helps protest the skin from ultra violet light. From the medical point
of view, all skins produce the same number of pigment-producing cells (melanocytes) per square
centimeter. However, darker skin produces a different or increased amount of melanin (pigment) than
light skin, hence the reason darker skin will survive sun damage better than fair skin, which has a higher
risk of skin cancer.
The color of the skin depends not on the amount of pigment cells, but the type of pigment, which
is inherently genetic.
Melanin is produced in the deepest part of the epidermis. Melanocytes make pigment, which
remains in the epidermis and is gradually shed, being replaced by new pigment from deeper in the
epidermis. Injury to the skin can disrupt the normal pattern, e.g. dark marks that remain on the skin after
acne has cleared. The resulting dark marks are known as post-inflammatory hyper-pigmentation. Some
rashes, such as eczema, will have the opposite affect, causing paler skin (hype-pigmentation). Any rash
or trauma to the skin allows the melanin to drop to the dermis, the natural clearing mechanism is
disturbed in the affected area, and the skins own natural scavengers will slowly remove the unwanted
pigment.
Vitilego. This is a specific disease involving the melanocytes, which simply stop producing pigment in
certain areas. It can remain localized or spread relentlessly. It affects about 1% of the population
17
irrespective of skin color. It presents itself as pure white patches. The melanocytes in the affected area
stop producing pigment. The pigment color of the skin is formed in the Stratum Malpighii. It is too deep
for microdermabrasion treatment. TREATMENT WITH IMAGE|DERM MICRODERMABRASION
CANNOT HELP THIS CONDITION.
Malanosis. Chloasma is a darkening of the skin, which is usually symmetrical, and like a mask.
Often occurring in women who are pregnant or as a result of the contraceptive pill, it is made worse by
sun exposure, and will normally remain on the skin for many months after delivery or stopping the pill.
The melanin has dropped to the dermal layer. Treatment with the ImageDerm Microdermabrasion
machine will help the trapped pigment move up through the epidermal layers and be shed in its normal
organized way, however, many treatments may be needed to improve the area affected.
Pityriasis Versicolor (Tinea Versicolor).
This is a condition common in hot countries. It
presents areas of increased or decreased discoloration. The most common areas affected are the front
and back of the upper trunk and may spread to the back and upper arms in some cases. It is caused by
a small yeast infection, which grows on the skin more often in hot climates. It presents itself as small,
slightly scaly patches; the color is variable, ranging from white to pink to an orange. When conditions are
favorable, it changes its form of growth and a rash appears. A prime condition for this is sweating, most
common cases occur in people who live in a sunny climate and is often noticed after a vacation in a
sunny climate partly because the infected areas are exposed and do not produce a suntan. A
Dermatologist can successfully treat the infection. The yeast clears quickly after the application of
selenium shampoo. Normal pigmentation does not return for many months due to the problem being
caused by a yeast infection. TREATMENT WITH IMAGE|DERM MICRODERMABRASION CANNOT
HELP THIS CONDITION.
Pigmentation Marks.
Imagederm Microdermabrasion can achieve beneficial results in the
treatment of pigmentation marks occurring from repeated sun exposure, trauma to the skin, aging of the
skin. The treatment is an ideal choice as it allows a gentle approach in treating all skin colors. Regular
treatment can help correct the ill-functioning epidermis to become better organized, thicker, and the horny
layer on the surface to be produced in a more regular way. Regular treatment using the
microdermabrasion will help the pigment move through the epidermis and be shed normally.
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BENEFITS OF REGULAR TR EATMENT WITH IMAGEDERM
Regular treatment will prevent the thickening of the Stratum corneum, eliminating congestion. A
course of treatment carried out weekly corrects surface irregularities allowing a more radiant glowing
complexion.
Imagederm Microdermabrasion allows two functions to be performed
• Correction–the abrasive action and the speed of the crystal flow gently erodes the surface layers
of the skin, allowing a smoother fresher skin to emerge thus correcting surface irregularities.
• Stimulation–This is achieved through the vacuum action assisting in the stimulation of the
microcirculation. Increasing the blood supply thus providing nutrients necessary for skin
regeneration repair and increased cellular turnover.
• Theory of Action.
The epidermis is the stratified pavement of the skin. The dermis is the
connective tissue component. Cutaneous aging produces changes in the epidermal and dermal layers.
A decrease in the collagen fibril and the buildup of compacted epithial tissue can be seen. By
mechanically disrupting the epidermis, it is possible to improve many skin conditions and skin
imperfections. Removal of pan of the Epithelial Stratum corneum, stimulates the Basal Stratum which
initiates increased cellular turnover in turn stimulating a reaction at the dermis level as evidenced by
vasodilation. This produces improved skin elasticity, texture, evens pigment and reduces scar tissue.
Skin resurfacing and rejuvenation.
Many factors influence cellular regeneration and
desquamation. Dermal growth factors, hormones and vitamins A and D, can influence epidermal cellular
turnover. In addition, age, general health, and genetics influence cellular proliferation, i.e. repeated and
rapid reproduction of new cell division. Generally, young skin regenerates more rapidly.
•
USES OF THE IMAGE DERM MICRODERMABRASION
•
Gentle Skin Exfoliation
•
Congested Skin with Open Pores and Comedones Deeper
•
•
•
•
•
•
•
•
Exfoliationfor Thickened Blemished Skin
Sun Damaged Skin
Pigmentationand Age Spots
Scar Blending and Improvement
Acne Scar Improvement
StretchMark Improvement
Cutaneous Aging
Total Body Exfoliation
CelluliteImprovement
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DO NOT USE IN CASES OF:
•
Fine Thin Skin
•
Diabetic Patient
•
Asthma or other allergies
•
Active Acne
•
Eczema, Dermatitis, Psoriasis
•
Hepatitis
•
Skin Cancer
•
Herpes Simplex
•
Keloid Scars
PRE-TREATMENT CONSULTATION
It is important to explain the method of treatment in detail to the client. An important factor to
consider is the client’s age and skin condition. Clients who have neglected their skin may require a longer
treatment program.
Ascertain what the client’s expectations are. Most clients will see and feel a difference after the
first treatment, however, for maximum results a treatment course of at least ten treatments should be
recommended.
It is important to perform a skin test prior to treatment to rule out sensitivity to the crystals
employed. Advise the client to adopt a regular skin care routine incorporating cleansing, toning, and
moisturizing. Most importantly, regular application of a sun block is recommended. Explain to the client
that the aim of the treatment is to produce a clearer fresher more even-toned skin.
After the second treatment, avoid any sensitive areas of the skin, especially around the nose to
avoid couperose.
NOTE: Clients, who are undergoing treatment for pigmentation especially darker skins, must be informed
of the importance of using a total sun block during the course of the treatment and thereafter to prevent
further pigmentation marks.
Explain to your client that a tingling sensation may be experienced during and immediately after
treatment. The area treated may initially look red. This is due to increased blood flow at the site of the
treated area. During more intensive treatment the client may experience a warm, tingly sensation similar
to the effect from prolonged sun exposure. The use of other peeling products should be avoided during
the treatment course.
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COMPLETE CLIENT MEDICAL RECORD CARD
Include client details on the record card and record areas of concern. This will ensure special attention is
drawn to their specific needs. Their progress made should be visible at each treatment and results evaluated and
documented on the client record card.
It is most unusual for a client to be sensitive to the crystals employed, however a skin test should be
performed on the back of the forearm. If the area becomes irritable or swollen, do not proceed with treatment. If the
client develops red marks on the skin after treatment, it is normally due to the therapist asserting too much pressure.
Spend time with your client on the first consultation, taking time to understand your client’s needs. On the
first treatment, explain to your client the importance of performing a very light gentle facial exfoliation in order to
assess how the client’s skin responds.
On completion of the treatment course, establish appointment times for follow-up on monthly maintenance
treatment. Advise your client of a skin care program to follow at home.
TREATMENT PROCEDURES
The best results for patients are found with complete facial treatments. This includes a thorough cleansing
with a generous massage, ampules (either hydrating or soothing), a calm, nourishing mask, toner-rinse, moisturizer,
and sun protection.
One of the reasons that a complete facial treatment is important is that this exfoliating procedure will result in
an increase in trans-epidermal water loss (TEWL) and is thus dehydrating. Because we are removing many layers of
the Stratum corneum, replenishing and nourishing the freshly exposed skin with an ampule or serum and a mask will
help alleviate the tight, dry effect and potential flaking condition. Antioxidants and topical nutritional ingredients are
essential for the health of the patient’s skin, both immediately post-exfoliation and in-home maintenance.
1.
Drape the patient and cover hair with a turban wrap as to avoid getting crystal in the hair.
2.
Make sure your patient has removed all jewelry and contacts.
3.
Remove cosmetics with a gentle makeup cleanser.
4.
Cleanse the face with a surfactant cleanser to remove makeup and pollutants. Pat dry completely. Gloves
should be worn throughout the treatment. Perform a “test strip” (where you make several test passes with
the equipment running) on the patient’s inner forearm to indicate what it feels like and to observe how
reactive the skin is. Adjust gauges accordingly.
5.
Normal treatment settings are as follows: Highest setting tolerable to the patient for the forehead, top of
nose, cheeks and chin; medium settings for the eye area, neck, sides of nose and décolleté. Settings
should be a balance of patient’s tolerance, skin reactivity, and desired results.
6.
Section the face in your mind as follows:
–Hairline to Brows
–Brows to Upper Lip
–Upper Lip to Mandible
–Mandible to Décolleté
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Move in a direction opposite to the hair growth for more complete exfoliation.
7.
Avoid pressure, since the suction will hold the hand piece in place as you guide it along. It is suggested that
you proceed with a regular routine as outlined below for each treatment, so as to avoid over-exfoliating
some areas, and missing others.
8.
Beginning between the brows, hold the skin taut and draw the hand piece up vertically to the hairline.
Continue across the forehead from the hairline to the brows, being careful not to overlap strokes. Perform
this on one side and then the other. Going up the forehead with these passes avoids the chance
of accidentally depositing crystal around the patient’s eyes when lifting the hand piece up at the
end of the stroke.
9.
Continuing to hold the skin taut, proceed with horizontal passes across the forehead, from the
center to the temple, on one side and then the other. This strategy creates a grid effect to avoid
streaking and insure even exfoliation.
10.
Treat the area between the brows with upward strokes.
11.
Position the hand piece to one at the jaw line and complete the first passes going up, respecting
the lymphatic system. Proceed with the horizontal passes next, moving medially to laterally in the
grid pattern on this area from the bottom up. Transition to the other side and complete the midface section.
12.
Work the upper lip area in a horizontal fashion, making sure that the skin is held taut at all times.
Avoid the lip vermilion if the patient is prone to Herpes outbreaks.
13.
Lower jaw (mandible and chin areas should be completed in vertical, and then horizontal passes,
working down then in.
14.
Reduce your vacuum settings when working on the neck to avoid streaking and blood bruising.
Draw the hand piece upwards from the clavicle, again respecting the lymphatic system, being
cautious not to take the hand piece over the larynx. Most patients need only one pass on the
neck area, unless you are blending skin. A second pass on the neck area would be performed
from the center outward, ensuring the skin is held taut throughout.
15.
The décolleté should be performed in the same fashion.
16.
Does the delicate eye area last? When working around the eyes continue with reduced vacuum
and take additional steps to pull the skin taut and work only on the orbital bone. Passes should
be performed from the temple to the center of the face, and on the upper lid only down just to the
crease (where blepharoplasty scar would be located) to avoid accidentally getting crystal in the
eyes. Do not treat directly on the eyelid. When the eyes are complete, immediately brush the
crystals away from the eye area. If crystals should get into the eye, immediately flush with saline
solution.
17.
Return for particular hyperactive pigmentation areas and/or fine lines or scars after fully
exfoliating entire face, neck and/or décolleté.
18.
Remove any excess crystal with fine, soft brush, and then rinse thoroughly with cool water. As an
alternative, use a cool misting spray, infused with a soothing ampule.
19.
Penetrate an appropriate ampule to treatment area with light effleurage.
22
20.
Apply an appropriate mask; allow patient to relax for ten minutes. Additional areas such as hands
or arms can be treated at this time. Remove mask, rinsing thoroughly.
21.
A brief cool misting spray with soothing toner is appropriate.
22.
Skin bleaching agents, antioxidants, and topical nutritional ingredients can be applied at this time,
followed by moisturizer and sun block, eye and lip cream as required.
Also keep in mind that the more sun induced elastosis, the more difficult to perform microdermabrasion.
Very lax skin tends to pull up into the hand piece due to the suction created by the vacuum. Patients will
be at greater risk for blood bruising or streaking. Inform them that this could be a temporary side effect
and could take three to five days and possibly longer to subside.
Light Therapy Package
Blue – 490nm – kills acne bacteria: P.
Acnes, the bacterial responsible for
causing inflammation
Red- 645nm – Stimulates circulation
and repairs the elastin fibers within
tissue to help keep skin firm. Red light
aids in healing
23
SUGGESTED PROTOCOL FOR POST IMAGE|DERM TREATMENTS
Your treated skin may be sensitive to any alpha hydroxyl products (AHAs), retinol products and
the sun for a number of days–therefore, please read the following home care recommendations carefully.
•
NO TANNING can be done while you are undergoing these treatments.
•
Retinol/AHA usage should be discontinued for three days before and after treatments.
•
Refrain from collagen injections, waxing, electrolysis, or depilatories for at least seven days.
Day 1-3
AM & PM – cleanse with a gentle, non-AHA cleanser and pat dry.
AM – use antioxidant serum, hydrating moisturizer, eye cream and SPF 30.
PM – use nutritive serum, hydrating moisturizer and eye cream.
NOTE: If treating hyper pigmentation, use of HQ product is recommended.
Day 1-5
AM & PM – cleanse with a gentle, non-AHA cleanser and pat dry.
AM – use antioxidant serum, hydrating moisturizer, eye cream and SPF 30.
PM – use nutritive serum, hydrating moisturizer and eye cream.
NOTE: If treating hyper pigmentation, use of HQ product is recommended.
Day 7+
Retinol and AHA usage may be resumed as tolerated. Before your next
microdermabrasion treatment, remember to discontinue AHA and Retinol use (RetinA, Micro-Encapsulated Retinol) at least 3 days prior to your appointment.
24
Self-Maintenance and Troubleshooting
You have two features at the bottom of your Imagederm microdermabrasion machine. The backup filter or secondary filter is located at the back of the machine. If crystal gets into the canister where the
primary filter is, it will be pulled through into the secondary filter. If this happens, your machine will have
no pressure. Remove the filter as shown above and empty it. Do not forget to empty your filter! And
never put crystal into the canister where the primary filter is!!
You have a Muffler, which reduces the sound of your machine. In the event that a large piece of
debris is clogged in your hose (this has happened once in three years with a large piece of crystal),
remove the muffler and attach the large portion of your hose to it. Press the on button and place your
finger over the Delrin® tip. The piece of debris should be blown from the smaller hose.
Remove silencer
located underneath
the machine
Plug in hose where
silencer was
Turn machine on, hold finger over tip,
remove finger from tip and repeat
WARNING: Be sure to point your small THIN HOSE away from your face. Debris in hose will blow
through.
25
Should you have any other kind of problem with your machine, first check the following:
1. Is it plugged in?
2. Is it turned on?
3. Is your filter empty?
4. Do you have crystals in the container?
5. Are all hoses inserted tight and secure? Lose hoses can cause low pressure.
After you have checked these, should you still have a problem, call us at; 818.500.9034 or toll free,
866.462.4334. ImageDerm offers excellent customer service, we stand-by our commitment to you.
Sterilization of tips
NYLON TIP
1) Submerse your nylon tips for 15 minutes after each use, into Barbacide or any other sterilization
solution. It is important to make sure it can destroy hepatitis and HIV viruses.
2) Make sure when you apply your tips to the end of hand piece, that they are completely
dry.
DIAMOND TIP
1)
You may use Barbacide, liquid sterilization for minimum of 15 minutes.
Before you sanitize, use a small brush with warm soap and water and scrub the end of
The tip, this will loosen skin residue and also will prevent any bacteria between the groves.
2) Make sure the end of your tips, Diamond or Delrin, are completely dry.
Using the strap for transportation
When you purchase the PP1000, you will receive a strap for transportation purposes. Please follow the
instructions below for applying the strap.
26
OVERVIEW OF THE PORTAPEEL PP1000
VACUUM CONTROL & ON/OFF BUTTON
Screw on the Delrin white tip to the end of the hand
piece. Hold your finger over the tip while machine
is ON.
This is how your hand piece
should look when the Delrin tip
is screwed on. The tip that is
shown to the left is the Turbo
tip; the basic tip is shorter in
length
Look at the gauge while your finger is
over the tip. This is how you will
Know the pressure. The BLACK
numbers is your PSI reading,
(pressure per inch)
This is how you measure your power
setting. In most cases we suggest
you start the client at a 15 PSI. When
you start at 15 which is directly in the
middle of the gauge, it makes it
easier to adjust the strength.
We calibrate the crystal output at the factory, most
people are happy with the amount of crystal that is
projected, however there are people that like more
crystal or less crystal. The small plastic knob on the
SIDE of the machine can regulate the crystal
projection.
If you turn the knob to the LEFT you will feel it tighten,
that will give you less crystal, if any. When turned to
the RIGHT you will release more crystal. We calibrate
the control of crystal at the factory. We don’t suggest
on adjusting the crystal control unless it is absolutely
necessary.
27
INSTRUCTIONS FOR USING THE HANDSET
1.
When not in use, the handset is placed, nozzle down, in the handset retaining bracket shown
positioned at the side of the machine.
2.
The handset pipe should be pushed fully home into its connection point at the side of the
machine.
3.
Ensure that the filter jar to the back of the machine is empty and located properly up against its
seal.
4.
Turn the machine on and set the vacuum abrasion control to eight. The abrasion level may be
raised through clockwise rotation and decreased through counter-clockwise rotation of the
vacuum abrasion control from this initial setting.
5.
Prepare a crystal bottle for use taking care that the seals are tightly locked into place.
6.
Remove the handset from its shoe and attach a sterile Delrin® tip to it.
7.
Test the strength of the vacuum with your clean finger on the nozzle, making adjustments
accordingly.
8.
Apply the tip to the skin.
9.
The abrasion may now be started. Keep the tip in motion at all times. DO NOT LET THE TIP
REST IN ONE SPOT FOR ANY PERIOD OF TIME!!
10.
Continue the abrasion on the skin in the same motion as you were trained, and as shown on the
back pages of this instruction manual. Remember for best results go in the opposite direction of
the hair growth.
11.
After you have finished two or three treatments, remember to empty the used crystals and
replace the sponge.
12.
Before replacing the used crystal container, place a new sponge at the bottom of the jar.
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IMPORTANT INFORMATION
YOUR FILTER MUST BE EMPTIED AFTER EVERY 3 CLIENTS.
If you do not empty your filter, you will not receive crystal flow or vacuum pressure.
DO NOT RUN THE MACHINE WITHOUT THE FILTER, IT WILL BACK UP
AND DESTROY THE MOTOR
•
• When screwing on a tip to the end of the hand piece, it must be screwed on firmly.
This will prevent air escaping, which can slow down the performance of the machine.
• Avoid spilling crystal onto the ON/OFF BLUE button, located at the front
of the machine. If the crystal collects around the button, it can affect the
mechanism and the machine will not turn ON.
• After you clean your re-useable tips, it is important that you dry them
Thoroughly. If the tip is still damp, the machine will pick up the condensation
and pull it through, this will cause the machine to clog.
• The back-up filter that is located underneath the machine does not need
To be emptied. The backup filter will collect overflow from the filter. That is
why we stress you empty your “EVERYDAY FILTER” after every three
treatments. The back-up filter will protect any crystal from getting into the motor.
• On a low setting you will receive more crystal flow. This is to be expected
when the machine is on a LOW setting.
When transporting the machine, you do not need to empty the crystals from the canister, AS LONG
AS YOU USE THE STRAP provided. For shipping purposes, you must empty all NEW crystal from
the canister by tilting the machine “ON IT’S SIDE”. If you are SURE that the machine will stay upright
while transporting, then you will not have to empty out the crystal. Also make sure you empty the
USED CRYSTAL FILTER. Please see picture below
29
Terms and Conditions
Product warranty
All Equipment by Imagederm comes with a lifetime warranty on internal components Machinery and motor. Tubes, hoses and
tips, are covered for 6 months. All equipment purchased from Imagederm, is to be used and operated by a qualified, trained
professional only. The warranty does not cover the damage caused in transit, misuse, improper installation, excessive use, or
alteration. Opening the machine will void warranty. All warranties are limited to repair or replacement, to the original
purchaser, and remain at our discretion. Accessories and replacement parts may be available for purchase. Use of
replacement parts by other manufacture or not authorized by Imagederm may affect equipment performance and voids all
warranties. Warranty service is provided by Imagederm and requires that the machine be shipped and delivered to our
authorized service agent for repair. The warranty does not cover shipping to and from our repair centers. Customers must
receive an Authorization for Repair (AR), number before shipping machine to our service center. All repaired machines will be
returned by UPS or DHL. Allow a 24-48 hours turn around for all repairs, this is not including shipping time.
Manufacturer Defects
In the event of defect in materials or workmanship our obligation shall be to offer free
Labor and parts for repair or replacement, solely at our option. Our trained service
Department will determine if there is a defect.
Damages
All damages must be reported within 48 hours of receipt. Original packing must be kept
In order to be replaced. Failure to do so will result in replacement solely at our discretion
Deposits
On all purchases, a 30% deposit is required. Balance may be paid upon delivery.
Credit card, money order and cashiers check are accepted, no personal checks!
All international orders must be paid in full, by credit card, wire transfer, money order
Or cashiers check. Delivery will not be made until monies have cleared.
Returns
All new equipment must be returned within 10 days from the date the customer takes
Delivery. A 30% restocking fee and shipping costs will be charged for returns. Returned
Equipment are subject to a 30% cancellation fee after 24 hours of order placement and
any shipping costs. All returns must be called in for a Return Authorization Number (RAN)
Without one we can not accept any returns.
Payment
American Express, Discover, Visa and MasterCard are accepted. After purchase customer
waives the right to “Chargeback” their credit card.
All international orders must pay in full and monies cleared by our bank before delivery.
NOTE: DO NOT THROW AWAY THE ORIGINAL BOX FOR THE MACHINE
IF YOU ARE TRANSPORTING YOUR MACHINE, AND ARE NOT SURE IF THE
MACHINE IS GOING TO TIP OVER, YOU MUST TURN THE MACHINE UP SIDE DOWN
AND EMPTY THE REMAINING CRYSTALS. YOU CAN ALSO PUT YOUR MACHINE
ON VACCUM ONLY, AND USE OUR HAND PIECE TO VACCUM THE REMAINING CRYSTAL
THAT IS LEFT IN THE CANISTER. BE CAREFUL BECAUSE YOUR“USED CRYSTAL ” FILTER WILL
FILL UP RAPIDLLY, YOU MUST KEEP EMPTYIING IT AS YOU ARE EXTRACTINGTHE CRYSTAL
FROM THE“NEW CRYSTAL ” CANISTER.
Warranty Authorization Code 144355FMGS12G Serial #_________________
30
632 W. Elk Ave.
Glendale, CA 91204
Tel: 818-500-9034 Fax: 818-507-7506
Toll Free: (866) 462-4334
Email: [email protected]
www.imagederm.com
www.imagemicroderm.com
PP1000 Portapeel
Date of Purchase
Blue Light Therapy
Serial Number
Red Light Therapy
Hydramist Sprayer
QC Tested
31
Treatment Techniques