Presence of discoloration of face skin & wrinkles on face can affect individual’s body image & self esteem. Desire to have better look is universal phenomena. Skin is the most dynamic growing organ upper most layer ofskin daily falls off due to growing new cells on deeper layer chemical peeling increases this process replacing upper skin layers by new layers and give more fresh and gloving appearance. Chemical agents are used for destruction of superficial layers of skin in well defined way. This can be superficial, medium depth or deep layer peel. Depth of peeling is decided by doctor & patient together depending on (1) Color – Complexion of skin (2) Condition e.g.Melasma, Wrinkles etc for which peeling is done (3) Duration for which patientcan abstain her / him self from sun rays & remain with hypo pigmented face. Normally repeatedly done superficial peeling is preferred. Chemical agents used depend upon surgeon’s choice according to patient’s condition.Superficial peeling can be done as often as once a week & medium depth peel every 3 to 6 months. Duration of redness of area will be 2 to 3 days. In medium depth peeling, duration of redness will be 5 to 7 days & in deep peel 10 to 12 days.
Skin to be peeled (may be face, hand, neck – back) is prepared (Primed)by cream [of retinoic acid, AHA product hydroquinone etc] to reduce healing time & reduce complications. [allow more uniform penetration of chemical agent & decrease risk & post inflammatory hyper pigmentation] for few days before, 2 to 6 weeks, Test patchis done behind the ear to know response of skin to chemical agent. Anesthesia is not necessary in superficial peel but brisk duration of discomfort will be there. In medium depth peeling, analgesic – sedation & some time nerve block is given what patient should knowing.
Patients should avoid facial waxing ordepilatory in recent pass. Patients shall have benefit of tight skin with more glow with reduced wrinkles. This effect will last from 3 months to 2 years depending upon depth of peel & Sun exposure. There will be small unpleasant post operative period with redness of area. Patients should be peaceful stress free. Post peel care includes. · Immediate Ice pack application. · Application of Neosporin Ointment till complete healing. · Avoid sunexposure. · Application of prescribed creams & Sun screen agents. · Antibiotics, Vit. etc. Patients should come for peeling without any make up & loose comfortable clothing & Contact lens removed. Fair skin people do better with this procedure. Complications if properly carried out here rare and includes –hyperor hypo pigmentation, prolonged recovery time scarring or infection.
Always tell Doctor about 1, any medicines if you are taking. 2, any viral infection or Herpes zoster in past. 3, any surgery of head – neck done. 4,Electrolysis or Laser surgery is done. 5, any medical disease. 6, Allergy to any drug
Dermatologic surgeons have been using peeling agents for the last 50 years. Light peels to correct mild defects, medium-depth peels to correct moderate defects, and deep peels to correct severe defects can be used over the entire face and neck area uniformly or in combining light, medium-depth, and deep peels on the same face to correct different skin problems. Today with rejuvenation of the skin and reversal of the aging process paramount in the minds of many, chemical peeling has emerged as an exciting supplement to a total skin care program. Most chemical peels today are supplemented by the peeling effects of creams such as retinoic acid (Retin-A or RENOVA) on a daily basis, which give a constant turn over of the top layers of the skin, further improving the integrity. 5-Fluorouracil cream can also be used in a limited fashion to eradicate superficial sun damage.
1 Correct Sun Damaged (Actinic Degeneration) 2 Flatten Mild Scarring 3 Remove Rhytides (Wrinkles) 4 Improve Irregular Hyper 5 Chloasma Following Pregnancy 6 Freckle The mild and moderate peels are called freshening peels because they improve the quality of the skin without altering its normal architecture. The ability of the skin to tan again and return to the same color after peeling or sunlight exposure is unchanged. With deeper peels usually involving phenol, the color of the skin is lighter after peeling and may not ever tan again; instead it may freckle.
1 Chemical peels can not change pore size, if anything, they might increase pore size temporarily. 2 Chemical peels can not improve lax skin; removal of fine wrinkling and cross-hatching may not make any difference if there is profound lax skin that needs a face-lift. 3 Chemical peels can not improve deep scarring. Dermabrasion, the laser, punch grafting, punch elevation, or excision of scarring is much more effective. 4 Chemical peels can not always totally remove hyper pigmentation in dark-skinned whites, Asians, or blacks and may not be indicated. 5 Chemical peels can not remove broken blood vessels on the face.