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Sun damaged skin|Benifits of chemical peel

Benifits of chemical peel

Sun damaged skin and chemical peels been used in Finance since the late nineteenth century to combat skin aging. 

They have been used in North America since the 1920s, and are now accepted and well recognized procedures, particularly for treatment of sun damaged and aged skin.

A variety of chemical agents are used to cause inflammation and irritation to the superficial layers of the skin.

Three of the most commonly used peeling agents are phenol and its derivatives, trichloro-acetic acid, and alpha hydroxyl acids. 

The subsequent realignment of the skin’s collagen building blocks after the chemical peel leads to a smoother, younger look.

What benefits can a chemical peel yield?

Sun damaged skin characterized by fine to moderately coarse wrinkles, irregular pigmentation.

Dilated blood vessels, and scaling would all benefit from a chemical peel in Body care treatments.

  Light skinned patients are better candidates than those with darker skin because they tend to have fewer pigmentation problems, such as a blotchy color, after the procedure. 

Individuals with sagging and excessive skin are not candidates for this procedure, since chemical peeling improves skin quality but does not reduce excess skin. 

An eyelid lift, for example, removes redundant skin, but chemical peeling may be necessary to remove the fine wrinkles inj Body care treatments.

What is involved in a chemical peel?

Body care treatments and Chemical peels can be categorized as mild, moderate and aggressive. 

The extent of skin damage determines the type of peel which is used and the depth of peeling necessary.

Mild chemical peels:  A solution of 30 to 70% glycolic acid or 1o to 15% trichloroacetic acid may be used in Body care treatments.

Moderate chemical peels:  20 to 45% trichloroacetic acid is used.

Aggressive peels:  45 to 60% trichloroacetic acid, phenol, or Baker’s solution (a modified phenol preparation) may be used.

Many dermatologists, plastic surgeons, and other esthetic surgeons are now using milder agents I a series of applications rather than using more aggressive agents on a single occasion to obtain the best results with the least amount of risk.

The glycolic acid peels are particularly popular because they offer the least risk or pigment changes and scar, as well as the shortest period o cosmetic disability after the procedure.  In contrast, with the phenol peels there is a greater risk of scar and pigment changes, a longer recovery timer, and the risk of damage to the heart, liver and kidneys.

The steps involved with each type of peel are similar, with some differences:

  • If phenol is used for the peeling procedure, a pre-operative assessment of the heart, liver, and kidneys is necessary.  This is not necessary with glycolic acid and trichloroacetic cid peels.
  • With all types of peels, the skin is cleaned with decreasing agents, such as acetone, alcohol, or povidone-iodine (Betadine), as these encourage better penetration to deeper levels and greater uniformity of the peel.
  • The chemical agent of choice is usually applied with Q-Tips or gauze over the designated areas.  Feathering, using less or lower concentrations of the agent, is performed as the physician moves from the face into the neck or hairline regions.  This avoids any obvious demarcation between peeled and untreated skin.
  • Different techniques may be sued.  For example, with the Jessner technique a mild peeling solution may be applied prior to a stronger solution in order to remove the epidermis.  This allows the second solution (either glycolic or trichloroacetic acid) to reach the dermis immediately minimizing the amount of time it has to be left on the skin.  With the Obaji and other techniques the patient is required to use a variety of creams containing tretinoin and other agents prior to the chemical peel in order to prepare the skin to be chemically resurfaced.  

Phenol preparations, such as Baker’s formula, penetrate deeper than do other   agents and can be absorbed into the body, causing internal damage.  Strict time         parameters must, therefore, be observed.  This controlled absorption minimizes          the risk of damage to the heart, liver, of kidneys.  The heart must be monitored for         irregularities throughout the procedure when phenol solutions re used.

  • The skin may blanch when an agent is applied.  This is commonly called ‘frosting’ and means that chemical coagulation of the deeper layers of the skin has occurred.  Not all areas of the face blanch at the same rate; thin and sensitive areas blanch faster then others.  For this reason, the surgeon may apply stronger concentrations of the agent to areas of thicker skin, such as the forehead while minimizing the amount of agent applied to thin, sensitive areas, such as the eyelids, by using a lower concentration.
  • The time needed to apply an agent to the entire face may range from a matter of minutes to 2 hours depending on which agents are used.  More aggressive peels take longer.
  • The chemical is neutralized with cold water once the required effect has been achieved.
  • Post-operative care is similar to that for other resurfacing techniques.

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