Biopsies obtained 48 h after phenol peeling demonstrate necrosis of the epidermis, extending through the papillary dermis, surrounded by a marked inflammatory reaction . Epidermal regeneration is completed within 7 days, while dermal healing usually lags behind. His-tological changes in human skin induced by deep chemical peeling include newly formed bands of dermis found directly beneath the epidermis consisting of horizontal compact bundles of collagen and dense network of fine elastic fibers, as well as even and uniform shaped keratinocytes in epidermis. Although peeled skin tends to be hypopigmented, melanocytes are present .These changes are evident even as long as 20 years after the peel .
and hair (Fig. 8.4a-d) . As long as a patient is aware and cooperative in using bleaching preparation and potent sunscreens during the post-peel period,the procedure is equally effective and safe on dark skin.
Thick male skin is usually less responsive to deep peel, but men with severe actinic damage or acne scarring benefit significantly from the procedure.
Was this article helpful?