CHEMICAL PEEL OR CHEMICAL PEELING
The concept of peeling the skin to improve the skin texture has been used since ancient times.
WHAT IS CHEMICAL PEELING?
In ancient Egypt, Cleopatra used sour milk known to contain lactic acid and French women used old wine containing tartaric acid to enhance the appearance of the skin.
Chemical peeling is a common, simple, skin resurfacing procedure that has stood the test of time despite the popularity of newer techniques and lasers.
Chemical peeling is the application of a chemical agent to the skin, which causes controlled destruction of a part or the entire epidermis, with or without dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues.
WHAT IS THE PROCEDURE TO BE FOLLOWED BEFORE CHEMICAL PEELING?
At our chemical peel clinic, patient is usually given sunscreens along with de-pigmenting creams 2 to 4 weeks prior to chemical peeling. This is called PRIMING.
WHAT ARE THE ADVANTAGES OF ''PRE PEEL PRIMING''?
Priming helps to reduce wound healing time. It facilitates uniform penetration of the peel. It ensures patient compliance. Priming also reduces the risk of complications.
WHAT ARE THE MOST COMMONLY USED PEELING AGENTS?
The most commonly used peeling agents are
Classification of Chemical Peels:
- Alpha-hydroxy acids - e.g. Glycolic acid, Lactic acid
- Beta-hydroxy acids - e.g. Salicylic acid
- Trichloroacetic acid
- Retinoic acid etc.
There are four types of chemical peels:
Skin Preparation before Peeling:
- Very Superficial peels
- Superficial peels
- Medium chemical peels
- Deep chemical peels
Face is washed with soap and water. Head is elevated and eyes are closed. Skin is cleaned with an alcohol swab and degreased.
WHAT IS THE PROCEDURE FOR CHEMICAL PEELING [METHOD OF CHEMICAL PEELING]?
Sensitive areas of the face are protected with Vaseline. Peeling agent is applied with a brush or cotton- tipped applicator. Peel is applied on the entire face [e.g. fore head, cheeks, nose, and chin].
Then the peeling agent is neutralized with a neutralizing solution or water depending on the type of peeling agent used. Mild stinging or mild burning sensation is common. Then face is washed with water. Rubbing should be avoided.
HOW OFTEN CAN PEELS BE PERFORMED?
Very superficial chemical peels treatment can be repeated every 1 to 2 weeks and superficial peels can be performed every 2 to 4 weeks.
WHAT IS THE POST PEEL CARE?
Post peel care is very important to achieve good cosmetic improvement. Peeling the skin or scratching must be avoided. Mild soap or non-soapy cleanser may be used and an anti-inflammatory cream may be used as advised by the dermatologist.
Cold compresses may be used to soothe the skin. Sunscreens should be used. Bland moisturizers must be used until peeling is complete.
WHAT ARE THE INDICATIONS FOR CHEMICAL PEELING [CONDITIONS IN WHICH CHEMICAL PEELING IS HELPFUL]
Chemical peel services are indicated for:
- Acne - mild to moderately severe acne, superficial acne scars, post acne pigmentation, comedonal acne [black and white heads] and acne excoriee.
- Pigmentary Disorders
- Post-inflammatory hyper pigmentation, freckles, lentigines, facial melanoses and melasma
- Aesthetic Conditions
Chemical peeling is also useful in Photoaging, fine superficial wrinkling, dilated pores, and superficial scars.
WHAT ARE THE ADVANTAGES OF CHEMICAL PEELING?
Chemical peeling is a simple, office procedure used for the treatment of various cutaneous and aesthetic conditions. It is so easy that sometimes it is called lunchtime peel, which means it can be done in less than thirty minutes at any chemical peel clinics. Chemical peels procedure can lead to excellent cosmetic improvement, when repeatedly performed. There is minimal or no downtime. Chemical peels proecdure is easily available.