A contra indication is a condition / or state that restricts the treatment or prevents the treatment from going ahead altogether. Any contra indications should be identified at the consultation stage.
If your client displays signs of a contra indication but is unsure of their condition, you MUST NOT under any circumstance make a diagnosis, you are not qualified to do so.
If you establish that your client has a contra indication that restricts the treatment, please ensure you work carefully and avoid that area completely.
If it is a contra indication that prevents the treatment from going ahead, you can politely request that your client waits until the condition has improved before returning or seeks GP advice in the meantime.
There are various Contra Indications, which need to be checked with the Client before proceeding with the treatment.
Potential reasons that a treatment may not be done – PREVENTS – or require adaptation – RESTRICTS – are outlined in the tables on the following pages. If you are unsure about a client’s condition it is of the utmost importance that you advise them to seek medical approval from their doctor
Prevents – STOPS the treatment from going ahead
Patch Test Reaction – Any client reacting to the patch test would not be suitable for the procedure.
Cuts/sores – Around the treatment area
Cysts – A lump in the brow area caused by obstruction and inflammation of a glad. Also known as Meibormian, tarsal ore granuloma cyst.
Eczema – Through the brow area as that is an open wound.
RESTRICTS – CAN BE WORKED AROUND
Please make Clients aware that any fake tan will be removed during the Brow process.
In addition, below we have listed some of the most common conditions that may impact a treatment, but this is not a complete list. If you are unsure about a client’s condition it is of utmost importance that you advise them to seek medical approval from their doctor.
Psoriasis
Clients with Psoriasis suffer from excessively dry skin characterised by peeling and flaking. Peeling can make the skin of Psoriasis sufferers extremely tender, which would mean that the procedure would be very difficult to complete.
Note – Clients with Psoriasis of the facial area are not suitable candidates for an Henna Brow procedure.
Cold Sores – Most common around the mouth area but some people may be affected around the eye area – proceed with caution.
Alopecia – Assess each client individually, it may be that there will not be enough eyebrows to work with.
Trichotillomania – A condition where people habitually pull out their hair including eyelashes and eyebrow hair. Clients with Trichotillomania are not suitable candidates for a Henna procedure.
Pregnancy – We would advise against carrying out the procedure on pregnant women. If there are any complications such as an allergic reaction the doctor may not be able to prescribe certain medical relief. Many insurance companies prevent treatments being performed on pregnant women. Check with your insurance company first.
Latex allergy – Avoid wearing latex gloves (always use vinyl).
Skin disorders – Request that the client receives a written approval from their doctor before carrying out the procedure.
Recent hair loss – Request that the client receives a written approval from their doctor before carrying out the procedure.
Chemotherapy – If the Client has had chemotherapy at any stage, they should receive written consent from their doctor prior to the treatment.
Once the Client has completed the health screening questionnaire / consultation form, you will be able to assess your client’s suitability for the procedure.
All Contra indications will need to be taken into account before deciding whether to proceed with the treatment.
Contra Actions
A contra action is a reaction to the treatment provided or products used. You should always make your client aware of any contra actions that may occur.
Such reactions may be visible either during, or immediately after the Henna treatment or they may occur in the hours or days following treatment once the client has left your care.
Always make a note on your client’s consultation / record card if any reaction does occur.
Contra Actions may include redness of the skin, allergic reactions or skin sensitivity – if any of these occur the Henna should be removed immediately.
| Contra Action | Cause and Care Advice |
| Allergic Reaction(Histamine reaction) | All or some of the following may be visible if this contra action occurs erythema, inflammation, irritation and if severe, then blisters will be visible. Remove product, apply cold compress, and if severe seek GP advice. |
| Blood spotting | This is due to the bursting of a blood capillary whilst carrying out the treatment. Most common in the under arm, bikini and eyebrow, where coarser hair is removed causing the capillaries to burst. Apply antiseptic and advise the client that it will disappear in a moment. |
| Bruising | This is caused by an over vigorous technique, or more commonly by not pulling the skin taut during removal of product (wax).If there is any bruising on the area prior to Henna, it should be pointed out to avoid any repercussions following treatment.If the contra action occurs, you should apply a soothingproduct and advise it will subside in a few days. |
| Contra Action | Cause and Care Advice |
| Burning | This can happen if wax temperature is too hot. Check wax temperature and ensure you keep checking it regularly. Also check the wax heater to check not faulty.Recommend a cold compress and if severe seek medical advice.Application of pure essential lavender oil immediately may help with the healing process. |
| Skin Removal | This is caused by an over vigorous technique, too much product on the area or strip, product being too hot (wax), build-up of dead skin cells or incorrect removal technique. If it occurs, you need to recommend the application of an antiseptic and advise the Client that it will repair in a few weeks. You must check your technique if this happens. |
| Erythema | Reddening of the skin which occurs around the follicleopenings. It is a normal reaction to hair removal and should be expected as a result of the treatment. After wax lotion will help soothe the area. Client should be advised it will disappear within 24 hours. |
| Ingrown hairs | Hair becomes trapped under the surface of the skin causes inflammation and occasionally infection. Client should exfoliate regularly to remove dead skin cells and moisturise (Enabling new hairs to grow through normally). Specific treatment products are also available. |
| Small whiteheads | Mainly seen on the upper lip, caused by an excessiveamount of sebum being secreted following removal of hair from the follicle. Minor infections may occur whichdisappear after two or three days. Advise Client to apply antiseptic soothing lotion regularly (as long as it is not oil based) and avoidpicking, squeezing or touching the area. |