Contra-indications to Mesotherapy treatments

Contra-indications

Prior to performing a treatment you must always do a skin analysis. There are two main reasons-

To check for contra-indications that may prevent or restrict your treatment.
To work out the best treatment plan for the client to meet their expectations.

Contra-indications are broken down into two categories-

Prevent- this means they are often contagious and a treatment cannot be performed.
Restricts- this means that you can still do a treatment but adjustments will need to be made to the ‘standard’ treatment routine.

Contra – indications	Description/Characteristics	RED Never Treat	AMBER Restrict	GREEN Treat
Aids/HIV	HIV is a virus that attacks the immune system			X
Cancer	Disease (6 months after treatment has finished)	X
Circulatory Diseases	Coronary artery disease Heart failure.	X
Unidentified lumps or swelling	Lumps must be identified by a medical exam prior to be worked on	X
Open cuts / abrasions	Broken skin. Use your judgement, can it be worked around?		X
Acne	Bacterial Infection, can spread.	X
Sebaceous Cysts	Round, nodular lesion with smooth shiny surface which develops from the sebaceous gland. Work around		X
Boils	A boil begins as a small inflamed nodule which forms a pocket of bacteria around the base of a hair follicle or a break in the skin. Local injury or lowered constitutional resistance may encourage their development.	X
Impetigo	Superficial contagious inflammatory disease caused by streptococcal and staphylococcal bacteria. It is commonly seen on the face and around the ears and shows as weeping blisters which dry to form honey coloured crusts. Bacteria is easily transmitted by dirty fingernails and towels.	X
Conjunctivitis	A boil begins as a small inflamed nodule which forms a pocket of bacteria around the base of the eye. In this condition the inner eyelid and eyeball appear red and sore and there may be a pus like discharge from the eye. The infection spreads by contact with the secretions from the eye of the infected person.	X
Herpes Simplex	Herpes Simplex is normally found on the face and around the lips. It begins as an itching sensation, followed by erythema and a group of small blisters which then weep and form crusts.	X While active	X Avoid working near to the lip line if possible
Thrombosis	Thrombosis is the formation of a blood clot within a blood vessel.	X
Recent scar Tissue	Avoid anything under 6 months old NEVER work clients prone to keloid scars	X Keloids or under 6 months
Ringworm	Begins as small red papules that gradually increase in size to form a ring. Affected areas on the body vary in severity from mild scaling to inflamed itchy area. Fungal infection.	X
Infestations Scabies Lice	A contagious parasitic skin condition caused by the female mite who burrows into the horny layer of the skin where she lays eggs. The first noticeable symptoms of this is severe itching which worsens at night. Papules, pustules and crusted lesions by develop.	X
Sunburn		X
Pregnancy Breast feeding		X
Auto immune disease	An autoimmune disease is a condition in which your immune system mistakenly attacks your body.	X
Shingles	Herpes zoster Viral infection	X
Haemophiliacs	Haemophilia is a mostly inherited genetic disorder that impairs the body’s ability to make blood clots, a process needed to stop bleeding.	X
Psoriasis	A chronic inflammatory skin condition. Psoriasis may be recognised as the development of well-defined red plaques, varying in size and shaped, covered by white or silvery scales Any area of the body may be affected but the most common site are face, elbows, knees, nails, chest and abdomen. It can also affect the scalp. Psoriasis is aggravated by stress and trauma but is improved by exposure to sunlight.		X
Acne drugs Roaccutane	6 – 12 months post G.P referral	X
Overly thin/delicate skin Hypersensitive skin	Patch test serums		X X
Eczema	Skin condition/disorder	X If infected	X Work around
High/low blood pressure	If controlled by medication			X
Dermatitis	Dermatitis literally means inflammation of the skin. Contact dermatitis is caused by a primary irritant which causes the skin to become red, dry and inflamed. Substances which are likely to cause this reaction include acids, alkalis, perfumes, solvent, lanolin, detergent and nickels. There may be skin infection too.		X Work around areas
Moles, skin tags	Work around		X
Mild bruising	Work around		X
Botox/fillers	Wait 2 weeks	X
Hypertrophic disorders	A blue-black nodule which increases in size, shape and colour and is most commonly found on the head, neck and trunk.	X
Topical retinoids	avoid using 2-3 before the treatment and 2-3 days after the treatment			X
Chemical peels	Wait 7 days after treatment	X
Body mass index greater than 30 (GP referral)	Cellulite treatment only	X

This list includes some of the common contra-indications that can occur but is not exhaustive. Clients may have unique health conditions and if in doubt ALWAYS consult with the doctor who is looking after the clients health.

Here is an example of a form that you can complete and get the client to ask their doctor to complete. Then the client can return it to you, and you then retain it in your records of doctor’s consent.

GP Consent to Treatment Form

Dear Doctor,

I write in regards to – (Name of client) …………………….……………………………………….

DOB ……/ ……. / …………..

I have been asked by the above client to perform ………………………………………………… treatment on

him/her in my clinic on …… / …… / …………

Clinic address ………………………………………………………………………………………………………………………………

Please confirm that you are happy for the treatment to go ahead by signing below.

GP name (print) …………………………………………………

GP signature …………………………………………………….. Date …… / …… / ………….

Information about the treatment:

(List any products or ingredients used in the above treatment in the space provided below. This

information will assist the doctor in making an informed decision regarding the above client’s

suitability for treatment) –