In which scenario should anaphoresis not be used?

Anaphoresis is a galvanic treatment that involves the use of a negative electrical current to drive negatively charged ions into the skin. This method is beneficial for certain conditions, but it may not be advisable for all skin types, especially those that are pigmented. This is because anaphoresis can cause irritation or exacerbate hyperpigmentation in areas of the skin that are already sensitive or have increased melanin production. The introduction of electrical currents may stimulate the area excessively, leading to adverse reactions.

When considering the other scenarios, sensitive skin can be impacted by various modalities, and care must be taken. Normal skin may tolerate the procedure well, while dry skin can benefit from hydration but should be approached cautiously to avoid further dehydration. However, the unique response of pigmented skin to various treatments, including electrical currents, is a critical factor in determining when anaphoresis should be avoided. This understanding is crucial for safe and effective esthetic practice.