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Vol. 4, Medical Grade Peels provides step-by-step instruction on how to apply and remove medium-depth TCA (Trichloroacetic acid) and physician-strength Glycolic Acid Peels in a medical spa environment. Malinda McHenry helps you properly assess your client's peel requests and choose the appropriate peel, based on the client's Fitzpatrick type (skin's ability to produce pigment), Glogau classification (skin elasticity), and desired results. Malinda also walks aestheticians through basic chemistry regarding pH and percentages of the peeling agents, products and supplies, benefits and contraindications, skin analysis, timing based on erythema and client feedback, neutralizing, recommended treatment series, expected results, and post-treatment care.