Chemical skin peeling superficial/medium-depth

Brody HJ, Hailey CW (1986) Medium-depth chemical peeling of the skin a variation of superficial chemosuigery. J Dermatol Surg Oncol 12 1268-1275... 

Very superficial and superficial depth peels are useful in Asian patients as they have lower postpeel complications. Medium-depth peels are done only in selected patients by experienced dermatologists as they can potentially cause postinflammatory hyperpigmentation. However, in dark-skinned individuals, deep chemical... 

Rubin MG (1995) What are skin peels In Winters SR, James M, Caputo GR (eds) Manual of chemical peels superficial and medium depth, 1st edn. JB Lippincott Co, Philadelphia, pp 17-25... 

The usual classification of chemical peels comprises superficial, medium and deep peels. For superficial peels, AHA, Jessner s solution, tretinoin, TCA in concentrations of 10-30% and most recently hpo-hydroxy add are used to induce an exfoliation of the epidermis. Medium-depth agents such as TCA (30-50%) cause an epidermal to papillary dermal peel with subsequent regeneration. Deep peels using TCA (>50%) or phenol-based formulations penetrate the reticular dermis to induce dermal regeneration. The success of peeling in darker skin is crudally dependent on the physician s understanding of the chemical and biological processes, as well as of indications, clinical effectiveness and side effects of the procedure (see Box 9.1). 

While all superficial peels are virtually pain-free, a few patients may opt for a sedative (like diazepam) prior to a medium-depth body peel. Overall, the skin on the body is much less sensitive than the face. Even our most anxious patients find the nonfacial medium-depth chemical peeling experience to be easy and quick and prefer to avoid an anxiolytic so that they can drive themselves to and from the procedure. 

---