Lip Blush on a Client with a History of Cold Sores
A 28-year-old client requests lip blush. She reports a history of cold sores, with her last outbreak 2 years ago. She is not currently taking antiviral medication. She has a fair complexion and wants a natural pink shade. She mentions that she is prone to cold sores when she is stressed or exposed to sunlight. The appointment is scheduled for next week. The clinic has a protocol for clients with a history of herpes simplex.
1. What pre-procedure advice should you give regarding cold sore prevention?
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Advise the client to consult her doctor about antiviral prophylaxis (e.g., valacyclovir or acyclovir) starting 24–48 hours before the procedure and continuing for 5–7 days after, as per medical advice. This can reduce the risk of an outbreak triggered by the trauma of the procedure. Also, recommend avoiding triggers such as sun exposure and stress before and after the procedure. She should reschedule if she feels a tingling sensation or has an active outbreak. Document the advice and obtain informed consent.
2. During the procedure, what signs would indicate an impending cold sore outbreak, and what should you do if you notice them?
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Signs include tingling, itching, or burning sensation around the lips, redness, or small bumps. If these occur during the procedure, stop immediately. Do not continue working on the area. Clean the area gently, apply a cold compress if appropriate, and advise the client to see a doctor for antiviral treatment. Reschedule the procedure after the outbreak has resolved. Document the incident.