Hydroquinone use: Cycle every three months, continue Vivant products for maintenance.
Case Study
Patient: 46-year-old female, Fitzpatrick 5, with melasma.
Initial steps: Skincare consultation and melasma facial.
Treatment Process
At-Home Regimen
Mandelic Acid 3-in-1 Wash: AM/PM
Daily Repair Pads: PM
8% Mandelic Acid Serum: AM
Hydroquinone + Derma Renew: PM (interchangeably)
Elantuan: AM
Day Treatment Lotion SPF 15: AM/PM
Customize using Vivant Guide if needed.
In-Office Treatments
Propeels: Recommended monthly, 6-8 sessions.
Microdermabrasion/Dermaplaning: For resistant skin (Fitzpatrick 1-3) with glycolic acid peel; for sensitive skin (Fitzpatrick 4-6) with mandelic acid peel.
Product Line Details
Cleansers
Cleansing Milk: For melasma and dry skin.
Mandelic Acid Wash: For consistent results, antioxidant, and antibacterial.
Toners
Prepare skin for deeper absorption.
3% Mandelic Acid Toner: For all skin types, especially Fitzpatrick 4-6.
Skin Nourishing Toner: For dry skin with melasma.
Daily Repair Pads: For combination skin.
Correctors
8% Mandelic Acid Serum: Anti-inflammatory, antioxidant, for maintenance.
15% Mandelic Acid Serum: Alcohol-based, for oily skin.
Retinopropionate: Exfoliates deeper skin layers, used at night.
DermaRenew: For inflammation and rosacea, combines retinoid and peptides.
DermaGel: For acne, combines retinoid and lactic acid.
Hydrators
Non-comedogenic, safe for all skin types.
Total O: Contains aloe vera and hyaluronic acid.
Elantuan: Soothing for dry, sensitive skin.
Peels
20% Glycolic Acid: For Fitzpatrick 1-3, requires neutralization.