Cancer
It is an absolute contra-indication for the period of activity.
Some steroids that are administered during cancer treatment can incur high levels of photosensitivity and radiotherapy can cause painful and sore blisters on the skin.
Chemotherapy can instigate a loss of tactile sensation as well as interference with the bone marrow leading to poor wound healing, blood thinning and anaemia.
Active cancer is an absolute contra-indication.
Complete Cancer Remission
An individual who is in complete remission from cancer and is no longer taking medication, undergoing radiotherapy or chemotherapy can normally be treated; required sign off from oncologist. Vascular treatment can clean up telangiectasia caused by radiation therapy, subject to approval being obtained.
Those in complete remission from skin cancer are still an absolute contraindication.
Contraindications
Active Cancer
History of Skin Cancer
Xeroderma Pigmentosium
phyria
Vitiligo
Absolute Contraindications
Radiotherapy can cause blistering of the skin and internal tissue.
Unlikely insurance provider will cover.
Some medications are highly photosensitive, e.g. methotrexate.
Unlikely insurance provider will cover.
There is an impairment of the skin's ability to repair damage from ultraviolet.
(UV) light, leading to early skin changes, early sunburn, dry skin, and a vastly increased tendency to develop skin tumors and eye damage from UV light.
Blood disorder which is exacerbated by UV and visible exposure.
Vitiligo is a depigmentation of the skin. The exact causes unknown, however, UV exposure has been linked as a contributing factor.
Specific Considerations
Although not specifically contraindicated, patients who are pregnant or who have a heart pacemaker fitted are normally not treated.
Hair treatment of pregnant patients is most successfully recommenced 3 months after birth, as the growth of body hair may be synchronized at this time.
Pregnant or breast-feeding patients ARE specifically contraindicated in Acne treatment because of the medication used.
Transsexuals can be treated successfully with the Ellipse IPL, however, please be aware results can vary. Hormone therapy is recommended 6 months before treatment begins as this will assist results.
Conditions that effect hormonal levels such as HRT, Polycystic Ovarian Syndrome, and thyroid disorders etc. Can all be treated; however, client's results may vary.
Relative Contraindications
Light Sensitive Epilepsy
Non-Light Sensitive
Epilepsy
Type 1 Diabetes (Insulin
Dep)
Type 2 Diabetes
Action
Ellipse IPL does not pulse quick enough to induce a seizure.
Suggest GP confirmation that the epilepsy is not induced by light.
Suggest GP confirmation that they are happy for them to receive a treatment.
Consideration
Diabetics experience a loss in tactile sensation and have impaired healing.
Gold Injections (doxorubicin)
Avoid/ Visually assess area.
Diabetics experience a loss in tactile sensation and have impaired healing.
Patients who have received gold injections where there has been some leakage / spillage into the epidermis. This presents as an area of dark grey tissue which will absorb the light energy.
Haemophiliacs
Anticoagulant Medication High or low blood pressure
Liver & Kidney Disease
Photosensitive Medications
Anti-wrinkle injections and fillers
Retinol
Roaccutane/ Isotretinoin
St John’s Wort
Serums and Correctors
Skin Infections
Skin Diseases and Disorders
Deep Peels and Laser Resurfacing (Physician level)
Skin Resurfaces/Enzyme/ BHA/ AHA Peels
Metal Implants
Microdermabrasion
Semi-permanent make-up and Tattoos
Avoid treatment due to the risk of bruising.
Consider the aim of the treatment.
Check medication side-effects.
Check medication and assess the condition.
Wait 2 weeks pre and post-treatment.
Consider the type of retinol and percentage. Wait 1-week pre and post-treatment.
6 months post medication
2 weeks post remedy
Consider the level of the activity of the product and what the active ingredient is.
Avoid the area and check medication side effects.
Assess the disease/ disorder/ check medications / avoid area.
Wait 6-12 months.
40% = wait 3 months
39%- = wait 4 weeks
Consider location.
Consider the level of peeling, wait 1-3 weeks.
Avoid the area, leave a 1cm circumference and cover.