Basic chemical peeling: Superficial and medium-depth peels Lee, Kachiu C.; Wambier, Carlos G.; Soon, Seaver L. ...
Journal of the American Academy of Dermatology,
August 2019, 2019-Aug, 2019-08-00, 20190801, Letnik:
81, Številka:
2
Journal Article
Recenzirano
Chemical peeling, or chemexfoliation, has been used for centuries to improve signs of ultraviolet light–induced sun damage. Over the last 30 years, the science behind chemical peeling has evolved, ...increasing our understanding of the role of peeling ingredients and treatment indications. The depth of peels is directly related to improved results and to the number of complications that can occur. Key principles for superficial and medium depth peeling are discussed, as well as appropriate indications for these treatments.
Advanced chemical peels: Phenol-croton oil peel Wambier, Carlos G.; Lee, Kachiu C.; Soon, Seaver L. ...
Journal of the American Academy of Dermatology,
August 2019, 2019-Aug, 2019-08-00, 20190801, Letnik:
81, Številka:
2
Journal Article
Recenzirano
Once considered the standard for deep facial resurfacing, the classical Baker-Gordon phenol-croton oil peel has largely been replaced by formulas with lower concentrations of phenol and croton oil. ...The improved safety profile of deep peels has ushered in a new era in chemical peeling. Wrinkles can be improved and skin can be tightened with more subtle and natural results. No longer does a deep peel denote “alabaster white” facial depigmentation with complete effacement of wrinkles. Gregory Hetter's research showed that the strength and corresponding depth of penetration of the phenol-croton oil peel can be modified by varying the concentration of croton oil. This second article in this continuing medical education series focuses on the main historical, scientific, and procedural considerations in phenol-croton oil peels.
Chemical peels are a mainstay of aesthetic medicine and an increasingly popular cosmetic procedure performed in men.
To review the indications for chemical peels with an emphasis on performing this ...procedure in male patients.
Review of the English PubMed/MEDLINE literature and specialty texts in cosmetic dermatology, oculoplastic, and facial aesthetic surgery regarding sex-specific use of chemical peels in men.
Conditions treated successfully with chemical peels in men include acne vulgaris, acne scarring, rosacea, keratosis pilaris, melasma, actinic keratosis, photodamage, resurfacing of surgical reconstruction scars, and periorbital rejuvenation. Chemical peels are commonly combined with other nonsurgical cosmetic procedures to optimize results. Male patients may require a greater number of treatments or higher concentration of peeling agent due to increased sebaceous quality of skin and hair follicle density.
Chemical peels are a cost-effective and reliable treatment for a variety of aesthetic and medical skin conditions. Given the increasing demand for noninvasive cosmetic procedures among men, dermatologists should have an understanding of chemical peel applications and techniques to address the concerns of male patients.
Constitutional periorbital dark circles (PDC) are common in skin of color and represent a therapeutic challenge.
To summarize the experience of the International Peeling Society on the safety and ...effectiveness of deep chemical peeling in the treatment of constitutional PDC.
Multi-institutional, retrospective case series (1990-2020) of constitutional PDC treated by deep chemical peeling. Descriptive analysis by age, sex, Fitzpatrick phototype, phenol-croton formula, degree and durability of improvement, and complications.
Fifty-five phenol-croton oil peels were performed in 52 patients: 3 patients received a second peel for periorbital rhytids 72 to 84 months after the first peel. 92% (48/52) of patients were women; the median age was 46 years (range, 23-68 years). 89% (46/52) of patients were Fitzpatrick III-IV. Most common formula included phenol 60% to 65% and croton oil 0.6% to 0.7%. 89% (49/55) of peels demonstrated >50% clinical improvement. The median duration of improvement was 24 months (range, 1.5-168 months), and 69% (36/52) of patients demonstrated ongoing improvement at the last follow-up. 4% (2/55) of peels exhibited complications of persistent erythema that resolved without scarring.
Based on its safety and effectiveness, deep chemical peels are a treatment of choice for constitutional PDC.
