peeling agent to assess the patient's sensitivity and reactivity. The author's standard protocol involves initial pretreatment for 2—4 weeks with 4% hydroquinone formulations. Higher strength formulations (5-10%) can be compounded for recalcitrant hyperpigmentation. Azelaic acid or kojic acid formulations are used if patients are experiencing irritation or hypersensitivity to hydroquinone. Tretinoin, tazarotene and retin-ol are often used to treat acne, hyperpigmenta-tion or photodamage in darker skin types. However, these agents should be discontinued 1-2 weeks prior to peeling to avoid post-peel complications in dark skin. Retinoids increase epidermal turnover and they increase the depth of the peeling agent. This may be a desired effect in skin types I—III; however, in dark skin increasing the depth of the peel may result in excessive erythema, crusting, desquamation, and post-inflammatory hyperpigmentation. Topical bleaching agents, which do not contain retinoids, lower strength alpha hydroxy acids, polyhydroxy acids, and beta-hydroxy acids can be continued up to 1 or 2 days prior to peeling. These are less aggressive agents compared with retinoids. Superficial peels are performed at 2-to 4-week intervals and a series of three to six are routinely performed.
Was this article helpful?
It's true, & deep down we all know it, there is no way to stop the natural aging process, not really. But you can take action to slow this process right down. And when done right you can even start to roll back the years as far as facial appearance goes that is! You know, Anyone can look younger when they know how. Skin rejuvenation is very real & It doesn't have to cost the earth!