WHAT IS CHEMICAL PEELING?
Chemical peeling is a common office procedure where with the help of chemical we invoke controlled skin injury.
This helps to remove the outer damaged layer, thus accelerating the normal process of exfoliation.
The underlying new regenerated skin is smoother, shinier, even toned and less wrinkly.
HOW DOES IT WORK?
The chemical applied to the skin penetrates in the layers of skin and stimulates the deeper layers of skin to produce new cells and provokes collagen remodelling.
TYPES OF PEELS
1. Very superficial peel
(limited to stratum corneum only)
2. Superficial peel
(limited to whole epidermis)
3. Medium depth peel
(limited to papillary dermis)
4. Deep peel
(limited to reticular dermis)
WHAT ALL PEELING AGENTS ARE USED?
Salicylic acid 20-30%
Retinoic acid/ Tretinoin/ Yellow peel 1-5%
TCA 10-20%
Glycolic acid 30-50%
Jessner’s solution
Mandelic acid
Azelic acid
Lactic acid
Malic acid
Citric acid
Lactic acid
Kojic acid
Ferrulic acid
TCA 30-50%
Glycolic acid peel 50-70%
TCA 50-100%
Phenol 88%
WHAT ARE THE INDICATIONS?
Pigmentary disorders
Melasma
Post inflammatory hyperpigmentation
Tanning
Riehl’s melanosis (post cosmetic use skin darkening)
Acne / Acne scars
Skin rejuvenation
Aged skin
Sun damaged skin
Wrinkles/ dull patchy skin
WHO CAN UNDERGO PEEL PROCEDURE?
Fair skinned with light haired patient are the best candidate for the chemical peel.
In Darker patients careful selection of peel as well proper pre peel preparation and post peel care is necessary.
If tretinoin acid or any other exfoliating cream is being used, should be discontinued 3 to 4 days prior to the application of chemical peel.
Patch test of peel is to be done behind the ear or on forearm to see if any allergy to the product or untoward side effect develops in patient, 1 week before peel procedure
HOW IS CHEMICAL PEEL DONE?
Treatment part (face, back, chest, hands, legs) is degreased with acetone (soap & water if acetone not available)
Pat drying of the degreased area with a napkin/cotton is done
With help of a cotton ear bud Vaseline jelly to the corners of eyes, corners of nose in nasolabial fold & corners of mouth is applied.
With the help of brush the chemical peel is applied to the face and other treatment area in a systematic pattern.
Time for which the chemical peel has to be applied is carefully calculated and depends on what is the condition for which peel is used, patients tolerability and type of peel used.
As soon as the required time for the peel to work is finished treatment area is cleansed.
With help of ice cubes or ice packs treated area is massaged for a minute to decrease if any burning or stinging sensation present
Any redness, scaling, crusting and swelling is observed.
Immediate application of the sunscreen on the treated area is done
If tretinoin acid or any other exfoliating cream is being used patient is asked to discontinue for 3 to 4 days post application of chemical peel
Smoking and direct sun exposure without sunscreen should be avoided
WHAT ARE AFTER EFFECTS OF PEEL?
Mild redness, mild burning for few minutes to hours
Mild scaling, temporary change in colour or mild darkening of skin for few days
New rejuvenated skin starts appearing.
IT IS A SAFE OFFICE PROCEDURE WHICH CAN BE DONE AT REGULAR INTERVALS TO KEEP SKIN YOUNG AND RADIANT!