Chemical Peels: A Must Have Armamentarium (original) (raw)

Chemical peels: A review of current practice

The Australasian journal of dermatology, 2017

Chemical peels belong to a group of cutaneous resurfacing procedures that are used in the treatment of photoageing, inflammatory dermatoses, epidermal proliferations, pigmentary disorders and scarring. This review describes best current practice, highlights recent advances in chemical peel technology and discusses the recommended uses for different peel types. It also presents the results of a survey of the chemical peeling practices of 30 Australian dermatologists.

Chemical peels

Skin therapy letter, 2004

With so many new peel preparations on the market today, the dermatologist must ask himself basic questions concerning the products. The most important question is directed to the medical literature rather than the advertising or marketing campaign so common among market-driven cosmetic products. Since all peeling agents--superficial, medium depth and deep--are derived from basic chemicals known to cause exfoliation, destruction and/or inflammation of skin in a controlled manner, the clinician must ask what is new and better about the product. Peeling agents, regardless of their proprietary new name, fall into chemical families. The clinical evaluation of these generic agents is well documented in our literature as to efficacy, technical care and safety. In addition, combinations of peeling agents have been presented in the dermatologic cosmetic literature with scientific clinical trials and histology. These include: 1) The Gordon-Baker phenol peel; 2) Combination medium depth peelin...

Standard guidelines of care for chemical peels

Indian journal of dermatology, venereology and leprology, 2008

Chemical peeling is the application of a chemical agent to the skin, which causes controlled destruction of a part of or the entire epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues. Indications for chemical peeling include pigmentary disorders, superficial acne scars, ageing skin changes, and benign epidermal growths. Contraindications include patients with active bacterial, viral or fungal infection, tendency to keloid formation, facial dermatitis, taking photosensitizing medications and unrealistic expectations. PHYSICIANS' QUALIFICATIONS: The physician performing chemical peeling should have completed postgraduate training in dermatology. The training for chemical peeling may be acquired during post graduation or later at a center that provides education and training in cutaneous surgery or in focused workshops providing such training. The physician should have adequa...

Chemical peels: what’s old is new

Expert Review of Dermatology, 2006

Chemical peels: what's old is new 'T he expl osi on of i nterest in chem ica l peeling and laser resurfacing on the part of dermatologists has paralleled the general public's interest in acquiring a youthful appearance'

A Practical Approach to Chemical Peels: A Review of Fundamentals and Step-by-step Algorithmic Protocol for Treatment

The Journal of clinical and aesthetic dermatology, 2018

Chemoexfoliation, also known as chemical peeling, is a method of targeted cutaneous ablation using specific caustic agents that allow for rapid, predictable, and uniform thickness of chemoablation to a desired cutaneous depth, ultimately resulting in an improved appearance of skin. In this review, we provide an up-to-date analysis of all currently available chemical peels for dermatologic use, as well as a step-by-step instructional protocol for an algorithmic approach to treatment. A comprehensive search of the Cochrane Library, MEDLINE, and PUBMED databases was performed to identify relevant literature investigating chemical peeling agents. In addition, a search of all commercially available, prescription-based peeling agents was performed to identify all products currently available in the United States market. Chemical peels are the third most commonly performed noninvasive cosmetic procedure in the United States, with over 1,300,000 procedures performed in 2016 alone. There has...

Recent advances in chemical peeling in Japan

The Journal of dermatology, 2006

Chemical peeling is one of the dermatological treatments available for certain cutaneous diseases and conditions or aesthetic improvement. This treatment consists of the application of one or more chemical agents to the skin. Recently in Japan, chemical peeling has been very popular for medical as well as aesthetic treatment. Because the scientific background and an adequate approach have not been completely established, medical and social problems have been reported. To address these issues, the Japanese Dermatological Association has established standard guidelines for chemical peeling, and the scientific background and validity of chemical peeling has been assessed. In this review, a set of guidelines for chemical peeling is introduced, and we will discuss several clinical and histological studies including the effects of glycolic acid, and the application of deer peeling to skin tumors in our department.

Chemical Peeling in Ethnic Skin

2009

Chemical peeling agents are varied. Superficial agents are many and varied. Superficial agents include Alpha Hydroxy Acids (AHAs), salicylic acid, resorcinol, and Jessner's solution and trichloroacetic acid (TCA) at 10-35% concentrations. The most feared complication is scarring. Those at risk are patients with histories of poor healing and keloid formation, patients undergoing deep peels patient recently on Accutane therapy and those who develop infection during the peel. 2 In ethnic or dark skin our efforts are focused on superficial and medium depth peeling agents and techniques. Objective: To determine the effect of chemical peeling on ethnic (dark) skin in terms of safety and tolerance Methods: 25 women of Fitzpatrick Type V-VI between 16 and 45years. Of the 25 women, twelve had acne, five had acne scarring, six had melasma and two had acne and post inflammatory hyperpigmented scarring. All information regarding the treatment and the complication which may occur as a result...