Thursday 23 August 2012

Waxing 101.1: Consultation & Contraindications

Image from  conflictedfeminist.blogspot.com



Waxing is a popular, convenient, and somewhat economical option for de-fuzzing and many people do it...without knowing much about it.

The first thing that comes to mind for many is pain. One's pain threshold is higher later in the day, so if it's your first time, and you're scared, make your appointment for 3PM or later. You could also take painkillers about an hour before your appointment. You really don't need the prescription medication, unless Myprodol requires a prescription? I don't remember, haven't taken it in YEARS! Panado, Grandpa, Ponstel and Neurofen should be okay. The first time is the worst, I promise. Unless something bad (burns, skin pulling/ripping, bad reaction) happens after that. I've had all of the above, and I don't wish it upon ANYONE.

Making the appointment:

PLEASE go to a qualified professional therapist/salon for this service. Especially if it is your first time. If not, I have no problems with student salons (where health and skin care professionals in-the-making get some experience and mainly "practise" for their exams, etc) but don't expect a five star, perfect waxing session in record time. They're still learning, and need the practise and hours, so they may be a bit slow, and sometimes make mistakes. They need to, that's how/where they learn. Also know that you have the right to ask to see a therapists qualification. If the salon/therapist can't provide it, then you are NOT obligated to make use of the salon's/therapist's services.

If it is not possible to go in before the time for a consultation to discuss the procedure and your concerns, ask for 15 minutes extra when booking your appointment, to do this. In this time, make sure you understand everything BEFORE the treatment starts. If you need the therapist to tell you step by step, for reassurance, ask him/her to do so. It's your right. 

If your salon of choice doesn't require you to fill out a consultation/indemnity form before ANY treatment, walk out immediately. Just go. These forms are highly important and protect you and the salon/spa/therapist. Also, it contains emergency information in case something unforeseen happens., accidents which require medical attention and so on. It also communicates your medical history and contraindications which prohibits you from going through with the treatment. I cannot stress this enough.

Here is an example of a waxing specific client consultation card:


www.itecworld.co.uk


Contraindications explained:

Haemophilia: Blood disorder where one's body can't control blood coagulation and clotting. When waxed, the hair is pulled out from the root. The root is attached to a dermal papilla, which supplies the hair with nourishment and oxygen via the blood. That's why some people get "blood spots" after waxing, as the blood is "rising up" the follicle when the hair is yanked from it. People with haemophilia may not stop bleeding (in this case) without medical help. Also, haemophiliacs tend to bruise very easily. Waxing is not ideal. Medical consent needed.

Medical Oedema: excessive accumulation of fluid in cells/tissues/cavities. This is usually caused by an underlying issue. Strictly medical. Waxing may cause discomfort, and/or exacerbate the condition. Medical consent needed. Also applies to general swelling and undiagnosed lumps and bumps.

Osteoporosis: Also medical. Bones are porous, brittle and fragile. This affects all structures above it. Pressure is often applied in waxing as "support" when removing the wax, also afterwards to soothe the skin. This may cause discomfort. Medical consent is essential.

Recent operations and/or scar tissue: Clients should wait at least 6 months before a treatment on the area (2 years for major operations). Waxing could interfere with the natural healing process, be very uncomfortable and painful.  Also applies to fractures, sprains, broken bones. Medical consent needed, especially since healing process times may differ from person to person, and you may need longer than 6 months.

Diabetes: Diabetics often have defective circulation, so their healing process is slower than the average person, and their blood sugar levels need to be monitored. Also, nerves that sense temperature, pressure and pain on the skin become damaged, so diabetics are less able to let the therapist know when the wax is too hot, or when too much pressure is being applied. This can result in burns and bruises, and general discomfort later on.  Medical consent required.

Loss of sensation: Client would not be able to detect heat/cold or pain from treatment.  Applies to diabetes, too. Medical consent is needed.
Severe varicose veins: Client often experiences tenderness and general discomfort. Waxing would exacerbate this. Also, in many severe cases, the vein being so close to the surface could rupture and cause internal bleeding. Must have medical consent.

Fever (all types): is usually symptomatic of an underlying issue/something else going on in your body. Seek medical attention. You may only wax once your fever has broken, and the cause of it was not serious/another contraindication.

BACTERIAL INFECTIONS: CONTAGIOUS! Includes:

Impetigo: reddening of skin, but soon become pus-filled blisters. Highly contagious, waxing would cause cross infection.  Avoid waxing until treated by medical professional.

Stye: inflammation of eyelid, often-upper lid. It is an infection of the sebaceous gland of the eyelid. Scratching or rubbing infected area could cause infection to spread. Avoid waxing until treated and healed.

Boil/Furuncles: Infection of a hair follicle caused by staphylococci bacteria. Acute inflammation with pus formation.  Cross infection risk. 

VIRAL INFECTIONS

Herpes Simplex (Cold sore): Highly contagious. Cross infection risk. A temporary infection. Avoid waxing in this area. So no upper lip waxes.

Conjunctivitis: inflammation of the conjunctiva of the eye. Itchy and sore. Highly contagious. Cross infection risk.

Warts: Firm lesion with a rough horny surface. Medical consent required if open and weeping. Cross infection risk. If closed and not weeping, immediate areas should be avoided. Can be covered with vaseline, and waxed around

Shingles: painful inflammation of nerve ganglia. Caused by the chicken pox virus. Often causes a skin eruption of erythema, vesicles and papules. Therefore, there is a risk of cross-infection and may leave scar tissue. 

FUNGAL INFECTIONS:

Ringworm: Cross infection.  

Scabies: Caused by infestation with the parasitic “Itch mite”. Highly contagious.

Lice: Infestation of the hair and clothes. Contagious as they can easily be spread by close contact. Lice causes an intense irritation and one may have possible scratch marks and rash, sensitizing the skin, making it a contraindication to waxing. Medical consent is required due to possibility of cross infection and contamination.

Bruising, cuts and abrasions: A temporary disorder. It could be painful for the client and disrupt natural healing process. If open/fresh/weeping, it would be a risk for cross-infection as well as skin damage, because skin could be pulled/torn further.  Depending on severity, cuts and abrasions could be covered with vaseline and worked around.

Allergies to ingredients: If you have known allergies to the ingredients in a specific brand/variant of wax, let your salon/therapist know before-hand, and ask if there are any alternative products available. If not, avoid waxing for the time being, or until you find a product you don't have a negative reaction to. Sensitive and reactive skins should also be a aware of this. Medical consent may be required. Test patch is necessary.

Recent haemorrhage: Waxing would stimulate the skin and could cause more problems. Medical consent required

SKIN DISORDERS:

Psoriasis: Autoimmune disease where the skin cells are mistaken for pathogens, or are seen as such. Skin is thick, red and  flaky,  covered in silvery scales. It can become infected, therefore, if it is open or weeping - no treatment can be carried out as there is a risk of cross infection. It may be a temporary condition.

Eczema (Atopic dermatitis): It is a chronic disorder and varies greatly from one person to another. Certain products may irritate condition. Scaly, itchy rashes are most common. Avoid waxing if open and weeping and/or infected as it could cause cross infection, although this condition is not contagious. Medical consent required, to be safe.

Raised and hairy moles: Only a contraindication if inflamed, swollen, weeping  or open as cross infection could occur . Medical consent needed. Otherwise it could be covered with petroleum jelly and waxed around.

Medication and Vitamin A treatments: Medical consent is required for treatment of the skin via oral and/or topical medication e.g. Roaccutane for acne treatment, as well as Retin A and Accutane. These treatments may thin and sensitize the skin, and waxing could tear and/or break the skin, causing bleeding and scarring. Even if you are not on a medical vitamin A treatment, but use products containing vitamin A, note it on your client card, and mention this to your therapist. The specific product's name would help, too.

Sunbed, sunburns, sauna, steam treatments and/or heat rash: Not specifically a contraindication to the treatment, but it is advisable that you wait at least 48 hours after heat treatments such as sauna/steam room and 4 days after a sunbed session or a lot of sun exposure, as it would be over-stimulation for the skin, and could sensitize the skin. As for sunburn and heat rash, waxing can only be performed on the affected areas once the skin has healed or condition has subsided, as it can be very painful, and can do more harm than good, for example, skin could be pulled/lifted.

Self tan: Self-tan contains dihydroxyacetone (DHA) which reacts with keratin in the skin and "stains" the skin. Waxing can cause self-tan to look patchy and streaky as it often removes the top (dead) layer of skin cells.

Fragile, crepey skin: Can be done with the right amount of support, but not advisable, as skin may tear easily.

Menstruation: Not a contraindication as such, but a woman’s pain threshold is at its lowest immediately before and during her period. Also, the hormones which stimulate hair regrowth are most active during this period.  It is up to the individual at this time. Bikini waxes are strictly prohibited during menstrual period due to hygiene reasons.

I didn't cover all the contraindications as some of them are self-explanatory, but you're welcome to ask me if you're unsure of anything.



Miss B

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