|A peeling is a treatment of certain cutaneous diseases or
for aesthetic improvement.
consists of the application of one or more chemical exfoliating
agents to the skin for the purpose of causing a superficial
destruction of the epidermis and upper layers of the dermis.
After healing, the treated area has new epithelium.
It is a treatment available to people of all ages and it can
begin very early for Acne or when the first
effects of Photoaging (damaging effects of
sunlight on skin) begin to be visible on facial skin.
Superficial chemical peeling offers a way to peel off the
appearance of age by removing skin roughness caused by photoaging.
Also removed by superficial chemical peeling are the early
patches of scaly skin that become actinic keratoses, lesions
that can be an early beginning of skin cancer, sunspots and
It is safe and most effective either on face and body.
Aesthetic doctors are the most qualified
by training and experience to perform a chemical peel, so
a consultation with an aesthetic doctor is the first step.
The patient should be in good general health as determined
by the physician from the patient's medical history and physical
Medical criteria are less rigorous for superficial chemical
peeling than for moderate or deep peeling. Nevertheless, there
are some conditions that might delay superficial peeling by
the need for further diagnosis or treatment.
While all colors of skin are acceptable for superficial chemical
peeling, it is pale white to white skin that is most likely
to have the early photo damage best treated by superficial
peeling. Some darker skin may have a temporary loss of pigmentation
after superficial peeling.
What is the procedure?
The skin may have had preparation at home with Vitamin A,
Alpha Hydroxy Acid or other substances indicated by the doctor.
In the clinic, first the skin is thoroughly cleansed, then
the acid is painted onto the face, monitored and removed.
Usually the treatment is carried out in sections.
The skin will go red and swollen over the next 24 hours. Once
the initial burning has worn off it is not painful, but feels
tight. Over the next few days the skin dries and looks like
a brownish leather (in the medium-deep peelings).
Post-procedure medications and ointments
are prescribed as necessary for discomfort and moisturization
of the new skin.
A very important post-procedure precaution
is avoidance of sun exposure during healing and the use of
broad-spectrum sunscreen of SPF 15 or higher on healed skin
to prevent new photo damage.
Chemical peeling is not a substitute for a facelift. It does
not tighten sagging skin, stimulate collagen production or
remove broken capillaries. Chemical peeling is not appropriate
for people who will continue to have excessive sun exposure.
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