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Advanced Fibroblast: 

Pain Management


In our Scalpa main fibroblast course we learned about important principals and fundamentals in the Fibroblast Plasma Lift Skin Tightening procedure. We learned how to create basic lifting patterns, how to incorporate darts in first objective sites, and how to properly outline wrinkles and treat second objective areas for additional tightening and lifting. We came to understand the science behind plasma arcs and the plasma in our blood. We basically learned all the essentials when it comes to Fibroblast and how to incorporate this knowledge and skill into a profitable business. 


In the Advance Fibroblast Mini Courses, we will go beyond the basics of plasma lifts and come to discover new possibilities and techniques in treating shallow wrinkles, how to close acne scars and stretch marks. We will learn to create detailed pattern work that allows us to treat multiple objectives at the same time. We will discover new ways to better manage pain that is associated with this procedure. We will learn new ways to treat and lift areas of the body and we will understand how to properly use the Fibroblast kit’s secondary tip for hyperpigmentation, moles, skin tags and wart removal. 


We at Scalpa decided that it was best to offer these Advance Fibroblast Courses in both theory and advance application as individual mini courses focusing on one or two areas at a time, so that we can truly come to understand what each area has in common as well as their differences that require a different approach altogether. 


  


Objective: 

To better manage pain associated with Fibroblast procedures. 


The sentence above is a huge undertaking and if you are taking this course, then you know precisely what we mean. The first thing we want to say is this, there is no topical numbing cream available without a prescription that will completely numb the area for fibroblasting, especially on individuals with low pain tolerance. Let’s face the facts here! The pain associated with this procedure is in a class of it’s own. So, how can we better manage the pain associated with this procedure? Below are a few tips that we can now share with all of you after much research, trials and error and steps towards our improvement in alleviating pain.  

  • Lidocaine vs. BLT creams 
  • Time management
  • Incorporating cryotherapy 
  • The use of Aloe Vera 
  • How to create a calming environment 
  • Engaging in distracting one way conversation with the client 
  • Mind over matter 
  • Building up a tolerance to pain 


Lidocaine vs. BLT Creams:

When it comes to topical pain numbing creams, there are many practitioners that believe they have discovered the best numbing agent on the market to numb the pain associated with this procedure, that is until they try it on the next client that walks in the door. We know from personal experience, you think you've found the miracle numbing cream because it worked great on yourself and for your first two clients, then the third comes in and can't take the pain even with your "miracle" numbing cream.


The point here is for you to understand that one cream that works for one client may not work as well on the next client. Some clients respond better to straight lidocaine creams, from 5%-14%, while others respond better to creams that contain Benzocaine, Lidocaine and Tetracaine; otherwise known as BLT cream. We have tried over 15 numbing creams to try to get as close to the best as we can without it being prescription. 


The time frame that offers the most numbing for Scalpa Numb is after about 20-30 minutes. At about 40 minutes you will need to reapply as the numbing begins to wear off.  Another important note on numbing creams is to really make sure to put a lot on the area and to cover it with your Scalpa Patch or cellophane wrap. For large areas like stomach, neck etc, it’s best to use the cellophane wrap. This will help to lock in heat for better penetration.  


Managing Your Time

Another technique we've picked up along the way is managing your time. It is best to move as quickly as possible through the procedure to help minimize the pain. The client seems to be more disturb with the many stops (breaks) in between each dot we place. Clients seem to respond better when it’s more of a constant pain rather than a pain, no pain, pain, no pain and so on. There are a few ways to help ensure your procedure moves along quickly:  


1. Fresh needles ready to go on your table set up:

As our needles begin to build up carbon dust on the tip, it’s harder to achieve a quick arc. This results in us having to arc for a longer period of time in order to achieve our dot. Change the needle as soon as you notice that it’s becoming hard to arc and taking more time to fire up your pen. 


2. Remove the numbing cream only from a 2”-4” area at a time:

This allows you to keep the surrounding areas numbing and prevents you from having to re numb areas that you uncovered to soon.

 

3. Having a second pen on hand in case your pen dies:

There is nothing worse than having your fibroblast pen die in the middle of a procedure. Not only will you have to re numb, but now your client is given more time to reflect on the pain associated with the procedure. Always, always have two pens fully charged and ready to go. 

 

4. Incorporating Cryotherapy:

This is something you will absolutely love and see what a difference it makes in managing pain. It may cost you a little bit of time, but the comfort of your client will result for a few reasons; number one, it aids in numbing from cold application, it gives your client something to do to help assist you and to keep their mind of the pain. In our video module you will better understand how this works.

 

5. The Use of Aloe Vera:

Applying Aloe Vera gel directly after you complete each section will greatly improve your client’s comfort level. That burning sensation will dissipate within 10-20 minutes by applying this healing and cooling gel. After the entire procedure is when you would apply your Rehab healing ointment to all areas. Remember, moist healing is always the best approach to fibroblast.

 

6. How to create a calming environment:

Silence is not always the best atmosphere for procedures that will cause any level of pain. We can help alleviate the client’s focus on pain by playing calming music, incorporating calming essential oils such as lavender in a diffuser placed next to the client. Keeping the client warm and comfortable with the use of sheets in hot weather and a warm blanket in the cooler weather. Placing a pillow underneath their legs to help alleviate back pain.

 

7. Engaging in distracting one-way conversation with the client:

The key word here is “one-way”. From my experience, a client does not want to talk during this procedure. It’s quite possible that asking them questions might irritate them. Talking to some clients helps them to keep their mind busy and not focused on the pain they are feeling. Your words should take them to happy places; their happy place if possible. Keep the conversation light, but most importantly follow their lead. If they do not seem to respond well to conversation then refrain from talking. Pay attention to their body language. Pay attention to their responses or lack thereof. Your face to face consultation right before the procedure is the best time to ask these questions about their preferences. Also let them know that at anytime if the pain becomes too much to simply let you know and you will not continue with the treatment.

 

8. Mind over matter:

Did you know the pain we feel in our body can be blocked from registering to our brain? One way to help do that is through meditation and hypnotherapy. If you happen to have an Alexa or Google at your place of business you can ask them to play meditation music or hypnotherapy sessions to help calm the mind. You can even download free hypnotherapy sessions from the app store and have them ready to play while you work.

 

9. Building up a tolerance to pain:

Earlier you read how my brother did not respond well to the BLT cream I used in his session. You also read that I thought it was the best cream I’ve tried to date, as did many of my clients that I tested it on against other numbing creams I’ve used in the past. Well there is one common denominator here in this equation and that is the fact that I and my other clients had all undergone previous fibroblasting treatments, and my brother was trying it for the very first time. What I have discovered is that we will actually build up a tolerance to this pain with each treatment we receive, just as we did when we continued to pluck our eyebrows. When we see the amazing results that come from this procedure, we can’t wait to go in for our next session, and with each session our mind knows what to expect and understand that we made it through it so we can make it through it again. It usually takes about three sessions to see understand the truth in what I say, but trust me you will see that it becomes easier and easier with less pain for many of those returning clients. I think it is important to convey this to them in their very first consultation as they will begin to believe this statement and their mind will accept it as truth.

 

Summary:

In summary, there is no one way to alleviate all pain associated with Fibroblast skin lifting but there are many ways to help alleviate pain and make it a more relaxing experience for your clients.




Disclaimer of Medical and Legal Liability: Scalpa training courses are intended to provide the general knowledge to perform procedures but is not intended to be a substitute for medical advice, diagnosis or treatment. Reliance on the information in this training course for procedural purposes is to be used at your own risk. If you have questions or concerns, contact a medical professional prior to treatment. Scalpa is not held responsible or liable for risks involved with this procedure. 

 

Scalpa strongly advises each member or student to research their local legislation. It is your sole responsibility to check and clarify all rules and regulations pertaining to your country, state, city and county if you are planning on performing our training program procedures as a professional. Because Scalpa is offered worldwide, we cannot guarantee this information. Please check with your local health department, governing boards and FDA regulations regarding performance of any Scalpa course procedure. Scalpa is not held responsible or liable for legal encounters regarding licensing, regulations, or other legal aspects pertaining to procedural operation.