Postpeeling Care and Complications

Bland cleansers and moisturizers are continued for 48 h or until all post-peel irritation subsides. Patients are then able to resume the use of their topical skin care regimen including topical bleaching agents, acne medications, and/or retinoids. Post-peel adverse reactions such as excessive desquamation and irritation are treated with low to high potency topical steroids. Topical steroids are extremely effective in resolving post-peel inflammation and mitigating the complication of post-inflammatory hy-perpigmentation. In the author's experience, any residual post-inflammatory hyperpigmen-tation resolves with use of topical hydro qui-none formulations following salicylic acid peeling.

6.9 Advantages

The key benefits of salicylic acid peeling include:

■ An established safety profile in patients with skin types I-VI

■ An excellent peeling agent in patients with acne vulgaris

■ Given the appearance of the white precipitate, uniformity of application is easily achieved

■ After several minutes the peel can induce an anesthetic effect whereby increasing patient tolerance

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