Contra-Indications

A microneedling facial aims to improve the condition and appearance of the skin. Treatments should NEVER be carried out over areas of skin that appear sore or infected. The skin may react adversely to the treatment and the risk of cross infection is high. If a treatment is carried out over infected skin the infection could spread to other areas of the clients face or to the therapist

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.

Common Contra-indications

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	X
Circulatory Diseases	Coronary artery disease Heart failure.	X
Unidentified lumps or swelling		X
Open cuts / abrasions			X
Acne	Bacterial Infection, can spread. Remove heads from pustules.	X
Sebaceous Cysts	Round, nodular lesion with smooth shiny surface which develops from the sebaceous gland.		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 if active	X
Thrombosis	Thrombosis is the formation of a blood clot within a blood vessel.	X
Recent scar Tissue Hypo trophic scar	Over 6 months old		X- under 6 months	X
Keloid scar	Raised out of the skin	X
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		X
Auto immune disease Addison’s disease Graves Disease Lupus	An autoimmune disease is a condition in which your immune system mistakenly attacks your body.	X
Shingles	Herpes zoster Viral infection	X
Solar Keratosis	Rough scaly patches of skin on sun exposed areas.	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	In the last 12 months	X
Allergy to nickel or steel		X
Overly thin/delicate skin	Modify the treatment plan. Do less passes, adjust the needle type and depth		X
Hypersensitive skin	Do a patch test		X
Eczema	If on the face and inflamed or infected		X
Steroid medication	Patch test		X
High blood pressure	But 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
Moles, skin tags			X
Mild bruising			X
Botox/fillers	After 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 for 4-7 days			X
Anti-coagulants	IF SELF PESCRIBED multi vitamins			X
Chemical peels	If over 1 week ago			X

If ever in doubt don’t do a treatment.