Hydra 6 Student Manual

Enhance Me
Hydra 6
Training Manual
Hydra 6 Training Manual
Welcome to Enhance Me Training Academy.

We are so pleased to welcome you into our academy and are looking forward to getting to know you
and share our knowledge and expertise with you.
Our academy courses have been planned and created by Aestheticians, Medics, Beauty Therapist’s
and Skin Care Specialists and are carefully tailored to give you all you need to perform highly skilled
treatments with amazing results. All our courses are CPD accredited, meaning they are fully
recognised by your insurers.
Our team are here to support you throughout your training and are always available to chat at any
point during or after your time with us.
We really hope you enjoy your learning experience,
Abi
Clinical Director,
and the Enhance Me Academy Team.
Verity Farr, Clinic and Academy Manager: 07944 889710 Verity@enhance-me-aesthetics.com
Jake Purcell, Business Development Manager & Training: 07572 237661 Jake@enhance-me-
aesthetics.com
Sarah Roberts, Academy Tutor: 01787 224636 Sarah@enhance-me-aesthetics.com
Tina Byers, Academy Tutor: 01787 224636 tina@enhance-me-aesthetics.com
Enhance Me training Academy 2021

Aims and Objectives
Aim: This course is designed to teach you how to successfully complete treatments using the hydra-
dermabrasion and oxygen therapy machine. You will become familiar with all its attachments, in
order to carrying out singular treatments or combining several, or all, attachments.
Objectives: To achieve the aim we will cover the following:
 What is hydra 6 therapy machine?

 What is Hydro-dermabrasion?
 What is Skin scrubbing?
 What is Radio Frequency?
 What is Ultrasonic?
 What is Cryotherapy?
 What is Oxygen therapy?
 Benefits and effects of each element
 Contra-indications and Contra-actions
 Practical application of each element
 Aftercare
 Maintenance of the machine
 Setting the machine up for a treatment
Things to consider before using electrical therapies….

Which therapies fall under my scope of practice?
 If you currently perform facial treatments on clients then the addition of electrical devices
can further enhance your treatments and keep existing clients interested. If you lack skin
care and facial treatment knowledge, and skills, you may want to build on this first before
adding in advanced facial therapies.
Do I have the right insurance coverage?

 If you have a Level 3 beauty therapy that includes electrical facial therapies then you will
require no additional insurance. Anything else you will have to check with your individual
insurer as they will all vary. If you have a facial qualification then you may need to check and
add electrical facial therapies to your current cover if they are happy to cover with the
accreditation. Electrical therapies have additional contra-indications that may not be a
‘normal’ contra-indication to a standard facial treatment. This creates an additional level of
risk hence the need for extra insurance.
What is the goal of the treatment?

 Often electrical therapies can affect the relaxation element of a facial treatments. This can
be due to additional noise or sensations from the device may produce. Electrical devices are
used to further increase the skincare benefits for the client. If the clients main
goal/treatment expectation is to improve the condition of their skin then electrical devices
will be great. If the clients’ main goal/expectation is to relax then including electrical devices
may reduce the relaxation element of the treatment and affect the clients’ experience.
Which attachment will complement the relevant treatment step?

 Individual treatment plans, and facial routines, can be create to target specific concerns. You
can use the examples, that are suggested, in this training or make up your own.
Does the product I have selected work with

the technology?
 This can seem confusing but there is
specific products needed for specific
electrical therapies. The chemistry
comes down to positive and negatively
ions in products to create a circuit on
the skin. It is always important that
you learn and understand the
technology behind each treatment to
get the best benefits for your clients
without causing harm. Knowledge is
the key in becoming a competent
practitioner.
Attachment 1: Hydro-dermabrasion

What is Hydro-dermabrasion?
Simply broken down…
Hydro = Water
Derma = Layers of the skin
Abrasion= Abrasive rubbing or removing (Desquamation)
Hydro-dermabrasion is an advanced form of exfoliation

using water.
A clinical procedure that uses a water jet, combined with a variety of applicator heads and a vacuum
suction, to remove the outer layers of the epidermis whilst helping to release comedones, every day
dirt and grime whilst helping to reduce the appearance of fine lines and wrinkles and scarring.
It is a treatment can be performed on a variety of areas on the face and body, including the neck,
chest, back and hands.
Hydro-dermabrasion is a deeply effective treatment for renewing a fresh, young-looking glow to

your skin. It is one of the simplest and least disruptive skin treatments to have.
What are the benefits and effects of Hydro-dermabrasion?
There are many benefits of Hydro-dermabrasion. As a non-surgical

method of skin rejuvenation, Hydro-dermabrasion is quick,
convenient, and painless, immediately restoring younger, smoother
looking skin without the need for chemicals, lasers or injectables.
Gentler than Microdermabrasion, yet equally as effective, so more

versatile, and perfect for those with more sensitive skins. Hydro-
dermabrasion encourages cell renewal, which means your skin will
benefit from improved elasticity, a smoother texture and reduced
signs of ageing.
We all have days when our skin looks tired, dull and uneven. Breakouts, blotches and larger pores
can leave anyone feeling self-conscious about their skin, normally skin renews itself approximately
every 28 days. By removing dead skin cells from the top layer of the skin, Hydro-dermabrasion
speeds up the rate at which the skin would normally renew itself – ridding you of tired and dull
patches and revealing new, fresh skin and giving a radiant glow.
It can help with keeping congested skins clear, however, this treatment is not to be done over active
acne as it can spread the bacteria. It helps to keep the pores clear so therefore stopping the bacteria
from activating.

Attachment 2: Skin Scrubber (exfoliation) Treatment.
What is a Skin Scrubber?
A handheld, mechanical exfoliation technique using
vibration technology. Sometimes referred to as
microcurrent or high frequency ultrasonic device or
skin spatula.
This performs a deep exfoliation using a deep and

concentrated vibration technology that can penetrate
deep into the epidermal layers of the skin.
The vibration gently shakes and dislodges the cells, allowing any
trapped or built up dirt, blackheads (comedones) and the dead skin,
to become loose or free. When a little pressure is applied to the skin
as it glides across the skin, it can be swiftly removed with the blade
edge within a single pass.
The blade is held at a 45 degree angle and must be performed over

dampened/wet skin using a substance such as desincrustation gel or
ultrasound gel. This will produce a fine visible moisture mist.
What are the benefits and effects of the Skin Scrubber?
As a non-surgical method of skin clearing and Purifying, using the skin

scrubber is quick, convenient, and painless, without the need for
chemicals or lasers leaving the skin looking brighter and clearer
The skin benefits from the ultrasonic sound waves, which propels
surface moisture from the tip of the blade, rapidly into the follicles and back out again. This helps to
purifying the skin, by removing the superficial dirt and sebum for a targeted deep exfoliation action
It is a completely painless technique, a method that can be used on a variety of different areas on
the body, especially where, blocked pores can form, The shape of the stainless steel head means it
can get into almost any position, causing no redness, swelling or discomfort of any kind making ideal
for those sensitive areas or hard to reach areas.
Can be used quite safely alongside other treatments, all skin types and most skin conditions.
On the machine labels this attachment is described as high frequency. The uses ultrasonic vibrations
and is not the high-frequency that produces ozone (a completely different treatment)

Attachment 3 Radio Frequency (RF) Treatment.
What is Radio Frequency?
Radiofrequency (RF) therapy, also called radiofrequency skin tightening, is a nonsurgical
method of tightening your skin, by stimulating collagen and elastin.
The procedure involves using energy waves to heat the deep layer of your skin known as your
dermis. This heat stimulates the fibroblasts to produce collagen and elastin.
Collagen is the most common protein in your body. It creates the framework of your skin and
gives your skin its firmness. As we age, our cells produce less collagen and are elastin
becomes weaker. This leads to sagging skin and wrinkles as the quantity and quality begins to
decline.
With a radio frequency current the generating machine flows only through the tissue which is
between the electrodes/prongs on the hand piece; these electrodes start and complete the
electrical circuit. No current flows through the rest of the body, so no grounding or return pad is
needed.
It is the resistance to the current flow in the tissue, not the electrode that generates the heating
effect. RF waves heat the deep layer of your skin to between 122 and 167°F (50–75°C). By
maintaining a temperature over 115°F (46°C) for over 3 minutes causes your body to release heat-
shock proteins. These proteins stimulate your body to create new collagen fibres.
Must always be used with a medium i.e. gels suitable for electrotherapy or this could lead to a
potential burning.
What are the benefits and effects of Radio Frequency?
Helps with the fight against sun damage, Exposure to ultraviolet (UV) rays can causes our collagen
fibres in your skin to break down and become disorganized. By stimulating the collagen fibres, this
helps to strengthen those fibres.
Helps with face contouring, its stimulation of collagen fibres helps to improve facial skin laxity whilst
reducing fine lines wrinkles.
The heat generated, stimulates the blood supply, bringing a fresh supply nutrients to the layers of
skin, essentially feeding the skin.
Can be used safely alongside several over treatments and suitable for all skin types. There is no
downtime and completely painless. It is considered one of the most relaxing advanced facial
techniques because of the warming sensation.
Leaves your skin looking fresh, blushed with a more youthful appearance.

Attachment 4 Ultra-Sound (1MHz) Mesotherapy Treatment
What is Ultra-Sound Mesotherapy?
Ultra-Sound - This is a highly effective method of
pushing or penetrating products into the skin. By
using ultrasound waves.
Mesotherapy - A procedure in which a cocktail of

essential nutrients, minerals and vitamins, are
delivered into the mesodermal layer of tissue
under the skin, to promote the skin health.
This should never be used without a wet medium like a serum/gel
What are the benefits and effects of Ultra-sound Mesotherapy?
Mesotherapy has been widely known as the ‘Red Carpet Facial’ although normally done through the
‘Nappage system’, a series of microinjections into the epidermal layer of the skin. However the
microneedle injections can be a little uncomfortable and time consuming. Ultrasound is a much
quicker and painless alternative of delivering nutrition into the skin, which produces a similar result.
Unlike the Nappage system you can have other treatments after this to further and boost the
results.
Ultrasound uses sound waves of 1MHz to

create physiological effects within the skin
tissues. Similar to ripples on water, the
waves create an increase in the
penetration of topically applied serums,
into the epidermal layers to achieve
intensive results for the skin.
One of the effects ultrasound creates is

cavitation – the formation and collapse of
gas bubbles. The intensity of cavitation
causes small holes to appear within the
surface of the skin, in-turn enlarging
intercellular spaces for topically applied
formulations to be deeply absorbed.
Results give a boost to the skin improving the collagen production and levels and reduces
imperfections. Serums will contribute to a youthful glow and radiance to the skin making it appear
more flawless.
Most suppliers will have mesotherapy cocktail pre made, just choose the one that is suitable for you
clients skin type and concern. Skincare serums are also suitable as long as they are contain no
essential oils.
This is a no downtime treatment that is painless and suitable for all skin types and concerns.

Attachment 5 Cryo-Facial Treatment.
What is Cryo?
Cryo simply means: Involving or producing cold, especially extreme cold.
The Cryo attachment cools the skin down to by reducing the normal temperature of the
skin therefore, when using this attachment, a medium must always be used.
This attachments cryo temperature range is -10 degrees C to 10 degrees C.
What are the Benefits and effects of the Cryo?
Applying the cold has many benefits to the skin including the reduction of redness,
swelling and inflammation. This is achieved by triggering vasoconstriction within the
skins blood vessels therefore restricting the amount of fluid within the vessels.
The extreme cold can also help reduce pore sizes, so great for more oily or combination
skin, but also helps to seal in any speciality serums that have been previously applied.
By stimulating the fibroblast cells to produce more collagen and elastin, it helps to tighten skin and
reduces fine lines and wrinkles by plumping the skin slightly leaving it looking more youthful.
Boosts the colour in the skin, giving it a more radiant glow
This is great for all skin types and conditions, can be used after multiple different treatments. It is
painless with no downtime.
In addition to the cryo temperatures this attachment has an addition thermal mode.
What are the Benefits and effects of the thermal temperature?
When heat is applied to the skin it will cause a vasodilation effect on the blood vessels causing an
increase in blood flow to the area. This increase in temperature will increase cell activity and assist
with detoxification.
This attachments thermal temperature range is 40 degrees C to 50 degrees C.

Beware that using heat will cause redness and to monitor this reaction in the client. Radiofrequency
also uses heat so using both during 1 treatment would not be advised.

Attachment 6 Oxygen Treatment “SPRAY”.
What is Oxygen “spray”?
The Oxygen “Spray” is designed nourish your skin and
promote collagen growth, by spraying highly concentrated
oxygen right into the epidermal layer of the skin.
Benefits and effects of Oxygen treatment
Oxygenation leads to skin renewal by increasing the

skin fibres and the removal of cellular toxins. In addition to this it will stimulate collagen production
therefore reducing the appearance of fine lines and wrinkles. Increased oxygen intake leads to a
healthier complexion.
Many celebrities swear by the infusion method provided by an oxygen facial treatment, for
smoother and plumper, more youthful skin.
These benefits give an overall boost to the skins energy levels, this is ideal for post illness, post-
holiday (where there could have been increased sun exposure and a more indulgent diet) and times
of stress.
This procedure is completely painless with no downtime required. Ending a facial treatment with
oxygen therapy boosts results of other treatments and suitable for all skin types and conditions.
Using the small glass vial, an infusion with vitamins, minerals, essential nutrients, and botanical
extracts can be added to further boost the treatment results or used as a stand along treatment.

Attachment 7-The Camera probe
The camera probe takes images through 10 million pixel high-definition micro-range camera
combined with three-spectral imaging technology to detect skin problems.
The Camera attachment allows you to take magnified pictures of the skin. This will generate a report
about the skin and also allows for progress to be saved and tracked.
To access the camera select from the home screen either of these options
Comprehensive is a more in-depth snap shot of the skin. Fix point is a smaller and quicker look at the
skin.

Contra-indications
A contraindication is a condition or factor that serves as a reason to withhold a treatment due to the
harm that it could cause the patient. These are assessed through questioning of the client during
the consultation prior to treatment commencing. It is essential that all contraindications to
treatment are recognised to avid cross infection and contamination.
Cross Infection occurs through the spread of disease from one person to another through poor
hygiene practices. Secondary Infection can occur as a result to injury to the client during treatment
or if the client already has a cut, if bacteria is penetrate the skin and cause infection. Sterilisation and
sanitisation procedures are used in order to minimise or destroy harmful micro-organisms which
could cause infection.
Contra-actions
This describes an adverse reaction to a treatment or product, which occurs during or shortly after a
treatment. Common contra-actions are allergies to products. This can often be identified if the area
becomes red, sore or itchy. All contra-actions should be noted on the clients’ treatment plan or log
sheet and where possible the cause identified. The treatment of a contra-action, caused by an
allergic reaction, is to remove the product immediately and apply a soothing lotion or cold compress
to the area.
Adverse treatable conditions

This describes an adverse condition, which is present at the time of treatment but does not contra
indicate the treatment. These conditions will often benefit from the treatment given but may
require corrective procedures to be undertaken.
Contra-indications
Any or elements of this hydra-facial machine, 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
Some extra area areas for caution:

To avoid any unwanted side effects the patients who are categorised under the following should not
be treated.
 Patients suffering from long term diabetes
 Patients suffering from heart conditions
 Patients with metal implants in the treatment area
 Patients with open wounds
 Patients with pacemakers
 Pregnant patients

 Patients with Autoimmune Disorders
 Patients with phlebitis
 Patients with thrombosis and varicose veins
 Use of Botox®, Juvéderm®, Restylane®, and any other injectable must be disclosed
prior to treatment. Should wait 2 weeks after having injectable treatments
Contra – Description/Characteristics RED AMBER GREEN

indications Never Treat Restrict Treat
Cancer Disease X
Circulatory Coronary artery disease X
Diseases
Heart failure.
Unidentified Always advise a client to seek a X

lumps or medical diagnosis
swelling
Open cuts / Use your judgement X

abrasions
Acne Bacterial Infection, can spread. X

Prescribed Acne These can be topical creams or oral X
drugs like medication. If a client is suffering from
Roaccutane, acne then they will already be contra-
tretinoin indiated. You MUST wait at least 6
months after the client has stopped
any medication
Sebaceous Cysts Round, nodular lesion with smooth X

shiny surface which develops from the
sebaceous gland.
Boils A boil begins as a small inflamed X

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.
Impetigo Superficial contagious inflammatory X

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.
Conjunctivitis A boil begins as a small inflamed X

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.
Herpes Simplex Herpes Simplex is normally found on X- If X- be

the face and around the lips. It begins careful
active
as an itching sensation, followed by working
erythema and a group of small blisters around the
which then weep and form crusts. lip as the
treatment
can trigger
a cold sore
Thrombosis Thrombosis is the formation of a X

blood clot within a blood vessel.
Recent scar Less than 6months old work around X

Tissue
Ringworm Begins as small red papules that X

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.
Infestations A contagious parasitic skin condition X

caused by the female mite who
Scabies burrows into the horny layer of the
Lice 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.
Sunburn Radiation burns from UV exposure X

Pregnancy X
Auto immune An autoimmune disease is a condition X
disease in which your immune system
mistakenly attacks your body e.g
Diabetes
Shingles Herpes zoster X

Viral infection
Psoriasis A chronic inflammatory skin X

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.
Overly Fragile skin will be more prone to X

thin/delicate damage. Some attachments should be
skin avoided like the blade on more
Hypersensitive sensitive skin. Other attachments the
skin dials should be adjusted to reduce the
current
Eczema If on the face and inflamed or infected
High blood It needs to be controlled by X

pressure medication. Clients’ circulation will be

stimulated and can go red easily.

Check with doctor they are suitable
and ensure settings are lower
Dermatitis Dermatitis literally means X

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.
Moles, skin tags Work around any projection from the X

skin
Mild bruising Work around X

Botox/fillers Wait 2 weeks X
Hypertrophic A blue-black nodule which increases X
disorders in size, shape and colour and is most
commonly found on the head, neck
and trunk.
Topical retinoids Avoid 4 before and 7 days after X

and at home treatment
peels

Machine preparation
A- On/off switch
B- Power connection cord
C- Holder for attachments
D- Ports to attach handheld attachments
E- Ports to attach handheld attachments
F- Waste water
G- Water for Ion/oxygen therapy
H- Bottle of solution for therapies
I- Bottle of solution for cleaning machine
J- Section for the screen to sit and interface
K- Water flow control dial
L- Solution selector dial
M- Air flow control dial

Liquids for containers
To remover containers A, B & C you will need to twist them
The best water to use is distilled water as this has been purifies and will prevent the machine
getting clogged with scale.
Container A- can be plain distilled water or additives can be added to help with cleansing but
NOT essential oils or foaming cleansers.
Container B- Plain distilled water
Container C- Plain distilled water with a cleaning solution if you chose

Machine Display Touch Screen Controls-
Container D - plain distilled water.
Waste container leave empty
Adding water inside the machine
Water needs to be added inside the machine so please follow the steps below.
1. Remove the D and waste draw
2. Connect the pipe with the funnel to the water inlet pipe and the other pipe to the overflow
pipe and feed this pipe into a bowl.

3. Pour distilled water into the funnel
until water flows out of the other
pipe into the bowl. This is approx.
500ml
4. Slide draws back in to the slots once

completed
The Screen Interface
Volume
control
To initiate the screen double tap the smart blue icon

Setting up ID
Once selected follow the

instructions to complete
registration and then you can
log in.
To access machine attachments select the nursing mode

Screen display
M1-strongest, constant flow of
current
M2- medium constant flow of current
M3- medium intermittent flow of

current
Time +/- to adjust how long on for
Power +/- to increase or decrease

strength of the current
Air Water
flow Container flow
dial choice dial
M1-strongest, constant flow of

current
M2- medium constant flow of current
M3- medium intermittent flow of

current



Temperature degrees +/- to increase

or decrease strength of the current
The attachment LED lights will glow

blue when cold and glow red for
warm
Help screen is also

available

Treatment procedures
Smart Ice Blue Skin machine including a Bowl for water or access to a sink
selection of different Hydro-dermabrasion
heads
Gloves Spatula/Mask Brush/Small bowl for gels
Products- Consumables-
-Cleanser (suitable for clients’ skin type) tissues

-Ultrasound and/or electrotherapy gels spatula
-Mesotherapy cocktail (suitable for clients’ skin
sponges
type and condition)and plastic syringe for
applying cotton wool
-Serum (suitable for clients’ skin type and
couch roll
condition) SPF 50
-Moisturiser (suitable for clients’ skin type and Head band or hair net
condition)
-Eye cream
-SPF 50
Treatment Preparations
The machine can be adapted into several combinations of facial treatments, using all the
attachments or just a few. In all instances these next few steps should remain the same.
Therapist preparations
o Wash and dry your hands before placing into your gloves!
o Hair tied back
o Wear apron
o Gloves
o Mask and or visor if required
Client Preparations
o Couch roll/towel over the client

o Hair band or net
Treatment routine
Regardless of which attachments are being used a cleanse will be required, a single cleanse if using
the Hydro-dermabrasion attachment a double if not. Followed by a thorough skin analysis. Discuss
with client which attachments will be used and why and gain a signature consent.

Step 1
o Remove All Makeup
Makeup is not only the ultimate barrier between the skin and treatments, but it also tacks on
pollution and dirt throughout the day.
Clean the eyes with separate pieces of cotton wool and the lips separately. Ideally you would ask you
client to come in with little or no make-up.
Step 2
o Cleanse
Damp the skin using sponges.
Using a mild cleanser, work into a foam in the hands, working in circular motions, cleanse the skin,
removing all traces of make up
Remove using warm damp facial sponges.
Blot the skin dry with a tissue.
Step 3
o Skin analysis
Skin analysis is the part of a professional facial when the aesthetician covers your eyes with cool
cotton pads and looks at your skin underneath a brightly lit "magnify lamp" to determine your skin
type, skin conditions, and the best course of treatment.
How to offer a skin analysis

o Cleanse the face with a sensitive cleanser and remove makeup
o Look carefully at the skin, the colour, the shine, the pores, the firmness, pigmentation
o Combination Skin – T-zone mixed oils and dry
o Dry /normal skin - shows neither oil nor flaking skin – smooth
o Sensitive skin – red or sensitive to touch
o Oily Skin – will leave grease on the tissue
Once this has been completed you may then continue to offer, you’re facial with the correct product
for the skin.
Male clients
This treatment is suitable for male clients however, only if they are clean shaven can the
procedure be fully completed. If they have stubble or a beard these areas are avoided.

Treatment Planning
The advantage with this machine is that you can design your own facial treatments and there are
plenty of combinations that can be created.
There are some rules that need to be followed when designing your treatments-
o They have been listed in the order if you wished to include all 6 Elements but bear in mind
that not all skins can tolerate this.
o It is possible to leave out attachments, but always work with the numbers, NEVER work
backwards. Certain attachments must go before others, i.e. attachment 1, 3 and 5 but not 1,
5 and 3
o A mask can be included into some of these attachments (Cryo or ultrasound), however avoid
a peel off mask, instead go for a gentle hyaluronic acid sheet mask or a soothing mask that is
in a non-setting/gel base.
o Masks should be added in before the oxygen attachment.
Some examples of facial treatments can include
A Fire and Ice Facial
Radio frequency (Hot) and cryo (cold) used directly after a

heat treatment (steaming/hot towel) as it creates a
thermo-cryogenic reaction.
This is where the cardiovascular system is stimulated by

the heat, flushing the area with blood and its nutrients, as well as lymphocytes, thinking it needs
healing. When the cold is applied our bodies goes into ‘panic mode’ and produces even more blood
to send to the area, making the cold feel warmer then the hot.
If this is then followed by heat once more (another hot towel or mitts to remove the gel), the heat
feels colder than the hot, in turn this helps to rebalance the skin and create a total healing effect.
A deep cleansing and extraction facial
The deep cleansing action of some of the attachments (No. 1 & 2) also cause
‘saponification’, emulsifying sebum and softening blockages. This softening
action, provided by the attachments, makes the removal of blackheads easier
with minimal trauma to the skin. The treatment can then be completed with
cryotherapy to close the pores and reduces redness from the extraction method.
Oxygen therapy can also be added if you think the client would benefit from this.
A lifting and toning facial
Often clients whose main concern are ageing then

focusing on using the attachments that target are better
used. Attachments No 1, No 3 and No 4 are the best
ones to target the ageing concerns.

Attachment 1
 Hydro-dermabrasion
1. Choose the correct head for the attachment
2. Place tissues beside your client’s ears and have an extra one
to hand, this is to catch any excess water.
3. Select the container A for cleansing (this can be for the first
pass), container B can be selected for the second pass.
4. Starting on the forehead, using the thumb and forefinger to

stretch the skin.
5. Place the attachment onto the skin and wait until you set
water fill the chamber, only then you can move it.
6. Adjust the water and air dial, as necessary.
7. ALWAYS HOLD THE SKIN TAUT WHEN WORKING
8. Start on the neck and glide the pen towards the deep cervical lymph nodes. Make sure you
work either side of the wind pipe. Movement 1&2 on the diagram.
9. Next work on the chin (movement 3) draining towards the submental nodes
10. Turn the clients head a little to the side.
11. Stretch your hand to make an ‘L’ shape and place on the skin on the jawline stretching it
over the jaw area towards the submandibular nodes (movements 4 & 5)
12. Pinch the nose, to help the skin stay taut, work on either side of the nose (movements 6)
draining towards the buccal nodes. You can also drain either side of the lip too.
13. Work over the cheeks, avoiding directly under the eye, draining towards the pre-auricular
and parotid nodes (movements 7 & 8)
14. Move in straight lines in between the brows towards the forehead (movement 9).
15. Complete the procedure on the forehead (movements 10-11) draining towards the pre-
auricular and parotid nodes.

Contra-actions that could occur
 Erythema
 Skin irritation
 Skin bleeding
 Mild flaking of the epidermis, due to triggering of cell renewal.
Possible causes of contra-actions
 Vacuum pressure setting too high

 Movements on the skin too slow
 Placing downward pressure on the hand piece
 Over-treating of an area – too many passes
 Allergic reaction
 Incorrect skin analysis
 Small, faint, red stripes can be left on the skin because the speed of the hand piece
movement was not consistent, or a gap was left between the hand piece movements, or too
much downward pressure was exerted on the hand piece.
If a contra-action is severe, the client should contact the salon for professional advice. They should
be advised to apply a cooling, soothing non-perfumed product, eg calamine lotion, not to touch the
area or apply make-up and to avoid sunlight. Do not re-treat until the skin has healed. If the skin
reaction is very severe, advise alternative treatments.
Record this down in the client records and also make note of the settings that you used. The settings
can then be avoided for the next treatment

Attachment 2
 Skin scrubber
To make the skin scrubber attachment work you will need to make skin contact with the metal
contact pads. So, you will need to remove one or both your gloves.
1. Squeeze an amount of ultrasound or desincrustation gel into your small bowl. NEVER TREAT
WITHOUT GEL
2. Using a spatula apply an even coating to the face.
3. Remove the protective covering from the attachment
4. Remove your glove
5. Set the energy to around 5. This can be increased if the clients skin can tolerate it or reduced
if it is uncomfortable of the skin gets too much erythema. Also an ‘M’ setting can be
selected. M1- strongest force that is continuous. M2- moderate continuous force. M3-
moderate intermittent force.
6. Set timer to 7-10 minutes depending on your treatment plan
7. FIRST place the blade so it is smooth to the skin and glide this over the skin, towards the
lymph nodes. Always keep the attachment moving and don’t let it become stationary.
8. After half the time has elapsed switch the blade over so that you can ‘shovel’ the gel off the
skin. Use a tissue to clean the blade when necessary.
Re apply more gel if needed NEVER let the skin get dry!
9. For extractions- place the blade pointing down at the area of extraction at a 45-degree
angle. Use gentle pressure to push at the side of the follicle, increase pressure slightly and
see the follicular impaction plug raise from the follicle. Wipe blade regularly, with a tissue, to
remove any debris. Continue to perform extractions in this way for 2 minutes maximum
ensuring the skin is always moist

Attachment 3
 Radio Frequency
1. Cover the face in ultrasound gel or another gel suitable for electrical facial therapies. Make
sure that there is sufficient coverage as burns can occur.
2. Select the setting of 5, this is your average setting. Check the temperature on the cheek with
the client, they should feel warmth. If not then the setting can be increased and if it is too
hot then the setting can be reduced. The higher the energy the higher the temperature so
ensure the attachment stays moving and monitor the skin
3. Work over the face using lifting and gliding movements and make sure the attachment is
always moving. Constantly monitor the skin and check the temperature with the client
regularly (8-10 minutes)
4. Remove any excess gel using clean water and your sponges.
Attachment 4
 Ultrasound
1. Choose you cocktail, serum or mask and apply evenly over the face
2. Remove the protective cap
3. Set the energy to level 5 to start and adjust if needed depending on the clients’ skin and
comfort. Also an ‘M’ setting can be selected. M1- strongest force that is continuous. M2-
moderate continuous force. M3- moderate intermittent force.
4. Place on the cheek working in small circles and continue to work around the whole face until
the serum has all absorbed or the time is up (5-10 minutes)

Attachment 5
 Cryotherapy (cold) or thermal therapy (hot)
1. Place some Aloe Vera, electrical gel or mask onto the back of your hand or in a bowl, apply
evenly to the face using a light fingertips
2. Set the timer to 8-10 minutes and ensure you can fell the attachment getting cool/cold.
3. Start working across the face in circular and outward motions. Never allow the skin to get
dry start working across the face
4. Gently wipe over and remove any excess products (if any) with clean damp sponges
5. Blot dry
If you are planning on using heat too, start on the heat setting and move to cool.
Attachment 6
 Oxygen “Spray”
1. Move middle dial round to water container D

2. Adjust the gas/air flow dial to a suitable setting. The correct pressure is when you can see
the skin move from the flow of air.
3. Serums can be applied to the skin if you wish to, alternative liquid can be placed in to the
glass vial to deliver to the face during the spray.
4. Working in small circles, work around the face in an outward motion always going towards
the lymph nodes for 5-10 minutes
5. Always point the nozzle down when around the nose and the top lip for the clients comfort
Finishing off.
o Moisturiser
Using a spatula take a small amount of moisturiser and again patting into the skin, before gently
rubbing in
o Eye cream
Take a small amount and pat between your ring fingers. Place on the brow bone and cheek bone and
pat in.
o SPF 50
Apply a small amount into the hands and pat over the face until completely covered

Post treatment advice
Home care advice (What the client should do within the next 48 hours)
 Do not touch the face, if you have to you must make sure the hands are clean.
 No make up for at least 8 hours
 No other heat treatments such as, facial waxing, sunbeds, saunas hot tubs or Jacuzzis
 Avoid going to the gym or doing anything that will make you perspire.
 Avoid swimming
 For the first few days just cleanse using your hands no flannels, sponges, muslin cloths etc,
these are a form of further exfoliation even if it is gentle form
 Use an SPF 50 daily, or for at least the next 7 days
 Avoid Retinol products (7 days if using a 1% or above)
Aftercare advice (What the client should do over the next 7 days or until next treatment)
 Do not exfoliate for the next 7 days

 Avoid any further facials or masks at home
Product advice (What your client should do or change with their products)
 Try using a cold water splash, rather than a toner.

 Suggest any new products
 Suggest changing how they use their existing products
Treatment advice
 This treatment can be had on a weekly basis.

 Course are always better for boosted results once a week for 4 weeks to begin with.

Cleaning the machine after use
Attachment cleaning
The following attachments can be wiped over with a cleaning agent like barbicide or anti-bacterial
cleaners.
Attachments Skin scrubber, Radio frequency, ultrasound, cryo/cold hammer, the handle of the air
spray attachment
The water-dermabrasion attachment gets cleaned by-
1. Switch the middle dial to container C

2. Move the water and air dials to max
3. Place a gloved finger or thumb over the attachments for 3 second and then release. Repeat
this 6-10 times to flush through the tube.
4. Remove the head used and clean with soap and water and then soak in sterilising fluid for
30-60 minutes or a UV steriliser. These must be sterilised between each client.
Machine unit
Wipe over using an anti-bac wipe
Empty out the waste container and ensure that is washed with soap and water thoroughly and left
to dry.
Plain water in containers can be left if the machine is regularly used or emptied back into the main
water container.
If container A had other products added this will need to tipped down the sink and washed out.
Make sure that the electrical unit itself is regularly checked for damage and signs of ‘wear and tear’.
Yearly PAT tests should be completed by qualified electricians or PAT tested staff members.
Signs of wear and tear include-
 Changes in the sound

 A change in the response time for the unit to respond
 Unexplainable treatment results or contra-actions
 Damage to the cables of the attachments or power cable
If this occurs do not use the machine and arrange for a qualified electrician or technician to repair
the machine.

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Enhance Me

Welcome to Enhance Me Training Academy.

We really hope you enjoy your learning experience,

and the Enhance Me Academy Team.

Verity Farr, Clinic and Academy Manager: 07944 889710 Verity@enhance-me-aesthetics.com

Sarah Roberts, Academy Tutor: 01787 224636 Sarah@enhance-me-aesthetics.com

Tina Byers, Academy Tutor: 01787 224636 tina@enhance-me-aesthetics.com

Enhance Me training Academy 2021

Objectives: To achieve the aim we will cover the following:

 What is hydra 6 therapy machine?

Things to consider before using electrical therapies….

Enhance Me training Academy 2021

Do I have the right insurance coverage?

What is the goal of the treatment?

Which attachment will complement the relevant treatment step?

Does the product I have selected work with

Enhance Me training Academy 2021

Derma = Layers of the skin

Abrasion= Abrasive rubbing or removing (Desquamation)

Hydro-dermabrasion is an advanced form of exfoliation

Hydro-dermabrasion is a deeply effective treatment for renewing a fresh, young-looking glow to

What are the benefits and effects of Hydro-dermabrasion?

There are many benefits of Hydro-dermabrasion. As a non-surgical

Gentler than Microdermabrasion, yet equally as effective, so more

Enhance Me training Academy 2021

This performs a deep exfoliation using a deep and

The blade is held at a 45 degree angle and must be performed over

What are the benefits and effects of the Skin Scrubber?

As a non-surgical method of skin clearing and Purifying, using the skin

Enhance Me training Academy 2021

What are the benefits and effects of Radio Frequency?

Enhance Me training Academy 2021

Mesotherapy - A procedure in which a cocktail of

This should never be used without a wet medium like a serum/gel

What are the benefits and effects of Ultra-sound Mesotherapy?

Ultrasound uses sound waves of 1MHz to

One of the effects ultrasound creates is

Enhance Me training Academy 2021

Boosts the colour in the skin, giving it a more radiant glow

What are the Benefits and effects of the thermal temperature?

This attachments thermal temperature range is 40 degrees C to 50 degrees C.

Enhance Me training Academy 2021

Benefits and effects of Oxygen treatment

Oxygenation leads to skin renewal by increasing the

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Enhance Me training Academy 2021

Adverse treatable conditions

Some extra area areas for caution:

 Patients suffering from long term diabetes

 Patients suffering from heart conditions

 Patients with metal implants in the treatment area

 Patients with open wounds

 Patients with pacemakers

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 Patients with phlebitis

 Patients with thrombosis and varicose veins

Contra – Description/Characteristics RED AMBER GREEN

Unidentified Always advise a client to seek a X

Open cuts / Use your judgement X

Acne Bacterial Infection, can spread. X

Sebaceous Cysts Round, nodular lesion with smooth X

Boils A boil begins as a small inflamed X

Impetigo Superficial contagious inflammatory X

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