Chemical Peels [9

Chemical peels can be performed both in fair and dark skin types, but in the latter case a ten

Patients should undergo a superficial peeling every 2 weeks or a medium peeling every month. With a medium chemical peel, the application of the solution must be reduced in time in order to avoid overpeel.

It is important that, 3 weeks before starting peeling treatment and 10 days after each treatment, the patient does the following routine:

- Wash skin with an alpha-hydroxy acid containing cleanser

- Apply a UVA/UVB sunscreen

- Wear a hat and avoid sun exposure

- Wash with an alpha-hydroxy acid containing cleanser

- Apply a product with a combination of hydroquinone and kojic acid once every 2 days

- Apply a topical retinoid once every 2 days

In case of burning and stinging, the patient should stop the application of bleaching creams for few days and then start again.

It is very difficult to treat melasma. Better results are obtained if between chemical peeling treatments, patients apply topical depigment-ing agents. The synergic action of the two treatments bleaches the skin and reduces melanin formation.

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