Happy Monday! I hope everyone had a great weekend! For today’s post, I wanted to share what a typical day in the clinic looks like for me. Later in the week I will answer your questions about the field of Medical Aesthetics!
*please note, in order to comply with HIPPA and to protect my patients’ privacy and confidentiality, no names will be used and treatment examples will not be detailed as to reveal any patients’ identity.
A Typical Day
An average shift is about 6 hours (I work longer on the weekend) and this allows me to accommodate 5-7 patients per day. I arrive at least 30 minutes prior to my first appointment to set up my treatment room and to pull up my patients’ charts and review them before the day starts. In looking at their chart I will see what they are here for today, what treatments they have had in the past, what products they have purchased, and what their main skin concerns are. If the patient is new to the clinic, I take a full medical history (more on that coming up!)
9am My first patient arrives for a standalone Dermaplaning treatment. This treatment takes 30 minutes and involves simply cleansing the skin, de-greasing the skin with acetone and dermaplaning the full face and chin. My client comes to see me for this every four weeks as a maintenance treatment. I ask how their skin is tolerating the regimen that we have them on, and we make adjustments and changes as needed, as well as plan for a Micropeel in the colder months which is a dermaplaning combined with a chemical peel. (Very effective!)
9:30am The treatment ends and I finish my notes in the patients’ chart and prepare for my next patient.
9:45am My next patient is a teen with severe acne. Today’s treatment will focus on a deep exfoliation and really thorough extractions (removing dirt and debris from the pores manually- this is what Dr. Pimple Popper does all day on her YouTube videos!). I will also treat them with a High Frequency machine as well as an LED Blue Light. With the High Frequency- a Neon Gas passes through the glass electrode that I hold. When the electrode makes contact with the skin it creates Ozone. Ozone is antimicrobial, antibacterial and anti-inflammatory. Blue LED light kills p.acnes bacteria- a bacteria very commonly responsible for breakouts in young people. While the treatment mask is on, I will also go to the back and create a CO2Ball from our CO2 tank to be used therapeutically on the skin as the last step in the treatment. CryoTherapy is truly effective for acne and bringing the inflammation down. (Please note- the girl in the video is not me! lol- also she should be wearing safety goggles!)
I will check in with their regimen to make sure nothing needs to be adjusted and make sure they are being consistent at home. They will return in 4 weeks for the next treatment, and I finish my notes in their chart on today’s treatment and any changes we made to their regimen.
11:00 My next patient is in for microneedling. This is the 3rd in their series of 4- I have their full medical history in their chart so we can get started fairly quickly. I apply a topical lidocaine to their entire face and they sit in the “numbing nook” for 30 minutes- a lounge area in the spa for patients awaiting micro needling and injections. While they are numbing, I have someone in for a brow and lip wax. I clean up from that and prepare for my micro needling patient.
11:30 We get started- a micro needling treatment lasts for about 30 minutes. I take detailed notes of my needle depths along the face as we go along so that I can make sure we are getting our desired results. I also indicate whether I roll the pen over the skin or do a stamping technique- stamping can be very effective for breaking up scar tissue and large pores on the face. When the treatment is complete I finish my notes and plan to see this patient in another 4 weeks for their last treatment in this series.
12:00pm I have a patient booked for an Advanced Clinical Facial- a 55 minute treatment that entails cleansing, analyzing, exfoliation, extraction, Oxygen therapy, a treatment mask and an upper body massage. This patient has never been in before so I take a detailed medical history and make notes in their chart- I ask for current medications, current topical medications (such as Retin A), if they have a history of cold sores, a history of skin cancer, eczema, psoriasis or dermatitis, if they are undergoing hormone replacement therapy or if they are receiving any facial waxing currently. I ask about their at home regimen and write it down in detail, and then I ask about their skin concerns and what they would like to address in the treatment today. When the treatment is finished I write a complete regimen for them based on their skin type, skin’s needs as well as their lifestyle (I will NEVER write a 10 step regimen for someone who tells me they like to be very low maintenance!) As I walk them to the front I tell them I would love to see them for their next treatment in 5 weeks and I hand them their new products. They rebook and check out at the front desk while I prepare for my next treatment.
1:00pm I have a tiny gap in my schedule, so I check in with some of my favorite nurse injectors that I work with. We talk about facial anatomy, discuss our mutual treatment plans for patients that we share (for example- someone sees me for facials and peels and sees the RN for BBL treatments or for injectables) We compare notes as well as compare regimen recommendations to make sure we are on the same page for the patient. With plastic surgery questions, I always defer to our fantastic plastic surgeon Dr. Stewart Collins. With skincare, if something stumps me, I turn to my network of dermatologists that I have built from this blog- just the other day Dr. Whitney Bowe really helped me out with a melasma patient! Thank you Dr. Bowe! <3 If a patient needs to see a Dermatologist for a skin lesion that looks suspicious, I will send them to my local network for Dermatologists and PA-C’s.
1:30pm My last treatment of the day, another Advanced Clinical Facial. This patient also wants to add a Level 1 Peel (10% Salicylic Acid for example) to the treatment as part of their exfoliation, so we do that as well! I have seen them before so I check in with their regimen and treatment plan and make notes on today’s treatment, adjustments as well as the plan for treatments in the future.
2:30pm I clean up, finish any notes on any charts that need to be completed and prepare the room for the next medical aesthetician going in for the evening. I drive home and look forward to seeing my girls (and my husband if he isn’t working!)
Being a Medical Aesthetician is a very rewarding career!
Thanks for stopping by! XO, Ashli