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.
Caustics/therapeutic use , Chemexfoliation/methods , Skin Aging , Skin Diseases/therapy , Chemexfoliation/adverse effects , Chemexfoliation/classification , Humans , Rejuvenation
Las exfoliaciones químicas (más conocidas como peelings químicos) son tratamientos utilizados frecuentemente en dermatología estética. En concreto el peeling con ácido tricloroacético se ha utilizado desde hace años y una de sus principales limitaciones clásicamente era sus efectos secundarios. Presentamos una revisión práctica de las características, mecanismos de acción, indicaciones y complicaciones de los peelings en general, tanto los superficiales como el peeling con ácido tricloroacético (AU)
Chemical peeling is a common treatment in cosmetic dermatology. A peel that has been used for many years is trichloroacetic acid. Its adverse effects have for a long time been a major limitation. We present a practical review of the characteristics, mechanisms of action, indications, and complications of superficial chemical peels and of peeling with trichloroacetic acid (AU)
Humans , Rejuvenation , Trichloroacetic Acid/therapeutic use , Chemexfoliation/classification , Melanosis/drug therapy , Skin Aging , Chemexfoliation/methods , Hydroxy Acids/therapeutic use
With the growth of cosmetic dermatology worldwide, treatments that are effective against skin diseases and augment beauty without prolonged recovery periods, or exposing patients to the risks of surgery, are increasing in popularity. Chemical peels are a commonly used, fast, safe and effective clinic room treatment that may be used for cosmetic purposes, such as for fine lines and photoageing, but also as primary or adjunct therapies for acne, pigmentary disorders and scarring. Clinicians are faced with specific challenges when using peels on ethnic skin (skin of colour). The higher risk of postinflammatory dyschromias and abnormal scarring makes peels potentially disfiguring. Clinicians should therefore have a sound knowledge of the various peels available and their safety in ethnic skin. This article aims to review the background, classification, various preparations, indications, patient assessment and complications of using chemical peels in ethnic skin.
Chemexfoliation/methods , Keratolytic Agents/therapeutic use , Skin Diseases/therapy , Caustics/therapeutic use , Chemexfoliation/adverse effects , Chemexfoliation/classification , Combined Modality Therapy/methods , Humans , Lactic Acid/therapeutic use , Medical History Taking/methods , Physical Examination/methods , Skin Diseases/ethnology , Treatment Outcome , Trichloroacetic Acid/therapeutic use
The currently available methods for resurfacing will be addressed in this article, which has been divided into three areas of focus: chemical peels, lasers, and dermabrasion. Emphasis will be placed on chemical peels, a technique with a long history that provides a very reliable method of resurfacing and that every facial plastic surgeon should be familiar with.
Chemexfoliation/methods , Dermabrasion/methods , Laser Therapy/methods , Anti-Bacterial Agents/therapeutic use , Antiviral Agents/therapeutic use , Chemexfoliation/classification , Humans , Keratolytic Agents/therapeutic use , Life Style , Low-Level Light Therapy/methods , Patient Selection , Postoperative Care , Preoperative Care , Rejuvenation , Rhytidoplasty/methods , Skin Aging/pathology , Smoking , Sunbathing
Chemical peels are important tools for skin rejuvenation. Their popularity is related to their versatility and relative simplicity. Chemical peels are classified as superficial, medium, and deep according to the depth of penetration of the peeling solution. The results of the procedure depend on the chemical used and its concentration, method of application, contact time, skin condition, preparation, etc. The depth of the peel determines the patient's inconvenience during and after the procedure, healing time, the rate of the potential side effects, and the results. In this article, we discuss the basic methods for skin peeling, the variety of chemicals used, the potential side effects, and how to avoid them.
Chemexfoliation/methods , Skin Aging/drug effects , Chemexfoliation/adverse effects , Chemexfoliation/classification , Esthetics , Humans , Skin/physiopathology , Treatment Outcome
Chemical peels are classified as very superficial (exfoliation), superficial (epidermal), medium (papillary dermal) and deep (reticular dermal). A successful peel depends upon a number of variables, such as choice of the peeling agent, its concentration, and the pressure and frequency of the applications; all must be adjusted to the patient's skin condition. Through standardization of the peeling agents, the level of injury can be determined pre-operatively and complications minimized. Trichloroacetic acid (TCA) is the most popular peeling agent used in different concentrations. It has the broadest spectrum of indications due to its versatility in combination with other peeling agents. Indications for superficial peels include skin resurfacing, wrinkles, actinically damaged skin, actinic keratoses and benign pigmented lesions. Superficial peels have the advantage that they can be used on most regions of the body. The use of different chemical peels, their varying effects and their potential complications are reviewed. There are at present more than 45 chemical peels with different combinations of agents available on the European market.
Chemexfoliation/methods , Esthetics , Chemexfoliation/classification , Female , Humans , Male , Outcome and Process Assessment, Health Care , Patient Selection , Phenol , Trichloroacetic Acid
El peeling o exfoliación química consiste en la destrucción de la epidermis y dermis papilar mediante la aplicación de una sustancia química corrosiva con la finalidad de conseguir una nueva epidermis y dermis superficial de mejores cualidades cosméticas. Entre ellos, el peeling de mediana potencia más utilizado en la práctica es el de ácido tricloracético en concentraciones del 11-35%, y a pesar de tener más de 50 años de historia sigue considerándose hoy como un estándar en este procedimiento. Se puede aplicar tanto en pincelación como en mascarilla y consigue resultados muy satisfactorios en cicatrices moderadas de acné, queratosis solares, manchas y léntigos faciales. Su principal inconveniente en personas de fototipo mediterráneo es la hiperpigmentación residual, que puede evitarse mediante la fotoprotección estricta (AU)
Adult , Female , Humans , Trichloroacetic Acid/administration & dosage , Trichloroacetic Acid/therapeutic use , Skin/surgery , Skin , Phototherapy/methods , Surgery, Plastic/methods , Surgery, Plastic/history , Acne Vulgaris/surgery , Acne Vulgaris/drug therapy , Cicatrix/surgery , Cicatrix/therapy , Rejuvenation/physiology , Trichloroacetic Acid/chemical synthesis , Chemexfoliation/classification , Chemexfoliation/methods , Chemexfoliation/history , Postoperative Care/standards , Xeroderma Pigmentosum/surgery , Xeroderma Pigmentosum/epidemiology
El peeling o quimioexfoliación de la piel es un tratamiento destinado a mejorar los cambios que se producen en la piel fotodañada y/o fotoenvejecida. Se hará referencia a las indicaciones de este procedimiento; los niveles de profundidad, sustancias a emplear, ventajas y desventajas. Se tratará en especial el peeling de profundidad media usando los alfahidroxiácidos (AHA), ampliamente difundidos debido a las seguridades que ofrecen en cuanto a manejo y resultados
Humans , Acne Vulgaris/therapy , Chemexfoliation/methods , Skin Aging/drug effects , Glycocholic Acid/therapeutic use , Acne Vulgaris/drug therapy , Chemexfoliation/classification , Chemexfoliation/standards
El peeling o quimioexfoliación de la piel es un tratamiento destinado a mejorar los cambios que se producen en la piel fotodañada y/o fotoenvejecida. Se hará referencia a las indicaciones de este procedimiento; los niveles de profundidad, sustancias a emplear, ventajas y desventajas. Se tratará en especial el peeling de profundidad media usando los alfahidroxiácidos (AHA), ampliamente difundidos debido a las seguridades que ofrecen en cuanto a manejo y resultados (AU)
Humans , Chemexfoliation/methods , Acne Vulgaris/therapy , Skin Aging/drug effects , Chemexfoliation/classification , Chemexfoliation/standards , Acne Vulgaris/drug therapy , Glycocholic Acid/therapeutic use
Chemical peeling is the most widely used modality for treating photoaged skin. The classification, indications, techniques, complications, and histology of two of the most widely used peeling agents, trichloroacetic acid and phenol, are presented.
Chemexfoliation , Phenols/therapeutic use , Trichloroacetic Acid/therapeutic use , Chemexfoliation/adverse effects , Chemexfoliation/classification , Chemexfoliation/methods , Contraindications , Dermatologic Surgical Procedures , Face/surgery , Humans , Patient Selection , Phenol , Phenols/administration & dosage , Skin/drug effects , Skin/pathology , Skin Aging , Trichloroacetic Acid/administration & dosage
