Chemical peeling, a facial dermatologic treatment

The chemical peeling represents a dermal cosmetic procedure consisting in inducing an accelerate skin regeneration in a controlled manner. This is carried out by applying exfoliating chemical agents working at the level of various skin layers. 

The chemical peeling action consists in removing the external layers of the tegument and in stimulating the collagen, elastin and glycosaminoglycan production, thus intensifying its psychological and mechanical features.

The objectives of the chemical peeling:

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Why is it important that the chemical peeling to be carried out in a medical facility and not in a beauty salon? 

Because the medical staff (physicians and nurses) can adapt the peeling composition and the treatment duration depending on your needs, they can immediately observe any side-effects and they can remedy it.

Depending on the depth of the chemical peelings they can be divided in 4 categories:

1.

Very superficial (the superficial corneum stratum): it makes even the skin nuance, adding luminosity;

2.

Superficial (epidermis up to the bazal layer): it stimulates the epidermis growth by removing the stratum corneum; it causes the skin desquamation in a manner similar to the one occurring after an intense sunbath. It works on the epidermis and it can reach the limit between the epidermis and dermis; it determines skin rejuvenation.

3.

Average (papillary dermis): it affects the papillary dermis, determining a significant desquamation by inducing a superficial dermal inflammation. 

It completely removes the epidermis, which afterwards renews itself up to a complete regeneration. It penetrates the papillary dermis up to the superior part of the reticular dermis; it “restores” the collagen; basically, it affects the social life only for 2-3 days, when the home rest is recommended.

It is efficient for wrinkles correction, acne, uneven pigmentation (at the epidermis and superior dermis level).

4.

Deep (reticular dermis): deep chemical peeling determining an inflammatory reaction at the level of the reticular dermis, thus inducing the rehabilitation of the collagen and elastin fibers.
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The peeling substances are in a large variety and are adapted to the problems to be corrected, such as mandelic acid for hyperpigmentation correction, salicylic acid for its anti-seborrheic/anti-acne effect, lactic acid for the sensitive skin, glycolic acid and tricloracetic acid with multiple indications in the process of skin rehabilitation.

Combined solutions have been found for results optimization. This is a highly valuable procedure, both therapeutically, and aesthetically, as an integrant part of antiaging therapies.

FAQ 

Chemical peeling is an aesthetic dermatology procedure used to improve the appearance of the skin both on the face and on the area of the neck and hands. Substances are applied on the skin, causing a controlled injury that results in skin peeling and scaling. The regenerated skin is finer, with aesthetically improved appearance.

 There are three types

  • Superficial – light acids are used in low concentrations, which only affect the superficial layer of the skin. It is used for hyperpigmentation and for “refreshing” the skin (more hydrated, lighter)
  • Medium – more concentrated acids are used, which affect several layers of skin. It is used for actinic keratoses, fine wrinkles, photo aging, and scars.
  • Profound – acids in high concentrations are used, penetrating the dermis. It is used in the treatment of scars, but due to the long recovery period and the risk of side effects it is rarely used.

They are used in the treatment of: wrinkles and fine lines, photoaging, non-uniform pigmentation of the face (melasma, ephelides), post acne/post pox scars.

Usually 4 to 6 sessions are required for optimal results; during the initial medical exam with the dermatologist, he/she will determine the treatment protocol according to the problem being treated and its severity.

The session takes 30 minutes. Before peeling, careful cleaning and degreasing with alcohol or acetone solutions is required. The chemical peeling is applied. Depending on the agent used and the desired results, the exposure time varies. Until the peeling is neutralized, patients may experience a burning or a slight stinging sensation, but this is normal and is not a complication of the procedure. At the end, an emollient, healing cream is applied.

Superficial-depth peelings have a healing period of 1-5 days, usually do not require medical leave. The skin is usually red and descuamates and requires proper hydration, photoprotection, and makeup can be used after 48 hours.

 Medium-depth peelings require between 7-14 days of healing, usually a few medical leave days are needed. The skin is very red, swollen. It requires a very careful care regime; makeup is used after 5-7 days.

Your dermatologist will recommend you to use a combination of healing creams and photoprotection.

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