Contraindications

It is important to obtain details regarding isotretinoin (Accutane, Roacutane) treatment and history of keloid or hypertrophic scar formation. Isotretinoin use necessitates a delay period of 6-12 months (depending on the skin thickness and oiliness) until chemical peel is performed. Active acne is not a contraindication for chemical peel. In these cases the peel is combined with systemic antibiotics for 2-3 weeks. It is always advisable to consider isotret-inoin treatment after the peel to...

How to Perform the Best Peeling for the Treatment of Rosacea

Salicylic acid peelings performed at 3- to 4-week intervals are a good choice for patients with rosacea. Salicylic acid peeling has antimicrobial activity, reduces erythrosis and prevents relapses. In erythrosis 15 to 25 to 30 salicylic acid peeling should be performed at 3-week intervals for a total of three to four peelings (Fig. 17.14a, b). Suggested topical treatment between peeling includes 0,75 metronidazole cream once a day or 1-2 salicylic acid cream once a day and sunblock creams In...

References

Halder RM, Grimes PE, McLaurin CI, Kreiss MA, Kenney JA 1983 Incidence of common dermatoses in a predominantly black dermatologic practice. Cutis 32 4 1388,390 2. Pandya AG, Guevara IL 2000 Disorders of hyperpigmentation. Dermatol Clin 18 1 191-98, ix. Review 3. Epstein JH 1989 Postinflammatory hyperpigmentation. Clin Dermatol 7 2 55-65 4. McBurney EI 2002 Side effects and complications of laser therapy. Dermatol Clin 20 1 165-176 5. Nordlund JJ,Abdel-Malek ZA 1988 Mechanisms of...

Peeling Technique

Chemical Peel Frosting

As with any other chemical peeling procedure, the art and science of TCA chemical peels is dependent on the proper peeling technique. TCA is a versatile peeling agent and depending on its concentration, can be used for superficial, medium, or deep chemical peels. However, the cleaning and peeling technique is essentially the same for each depth. In general for the superficial peels patients do not require any sedation however, for medium-depth peels, a mild sedative such as diazepam 5-10 mg...

Indications

The use of TCA as a peeling agent has a wide variety of applications depending on the concentration used Fig. 7.2 . The most important principal in determining response to a peeling agent is accurately assessing the depth of the condition for which treatment is intended. This principal applies to the depth of skin growths, pigmentation and degree of wrinkling. Superficial conditions such as epidermal melasma and actinic keratoses are readily treated with chem- Epidermal growths including...

Glycolic Acid

Glycolic acid, an alpha-hydroxy acid AHA , has become the most widely used organic car-boxylic acid for skin peeling. Glycolic acid formulations include buffered, partially neutralized, and esterified products. Concentrations for peeling range from 20 to 70 . Several published studies have assessed the efficacy of gly-colic acid peels in darker-skinned racial-ethnic groups. A series of ten Asian women with me-lasma and fine wrinkles were treated with 2 hydroquinone and 10 glycolic acid applied...

Tretinoin Peeling

Glycolic Acid Peel And Hyperpigmentation

Tretinoin 1 has also been used as a chemical peeling agent 22,23 . The efficacy of tretinoin peels was compared with glycolic acid peels in the treatment of melasma in dark skinned patients 23 . In a split face study of ten Indian women, 1 tretinoin was applied to one half of the face, while 70 glycolic acid was applied to the opposite side. Peels were performed weekly. Significant improvement occurred on both sides as assessed by photographs and a Modi- Fig. 13.3. a Forehead post-inflammatory...

Contents

Types of Chemical Peels Advantages Disadvantages -an Illustrated Algorithm 1 Types of Chemical Peels 3 Antonella Tosti, Maria Pia De Padova, Matilde Iorizzo 1.1 Advantages Disadvantages 4 1.1.1 Glycolic Acid 4 1.1.1.1 Advantages 4 1.1.1.2 Disadvantages 4 1.1.2 Jessner's Solution 4 1.1.2.1 Advantages 4 1.1.2.2 Disadvantages 4 1.1.3 Pyruvic Acid 5 1.1.3.1 Advantages 5 1.1.3.2 Disadvantages 5 1.1.4 Resorcinol 5 1.1.4.1 Advantages 5 1.1.4.2 Disadvantages 5 1.1.5 Salicylic Acid 5 1.1.5.1 Advantages...