Easy Phytic® solution

Alpha-hydroxy add (AHA) peels produce the best results if they are preceded by careful preparation and followed by long-term daily cosmetic care. Easy Phytic solution, on the other hand, does not allow any pre-peel preparation that is likely to accelerate penetration of the acids, as the stratum corneum must be intact for the peel to be safe. 

Either the applicator provided with the product or the point of a 30G1/2 needle should be used to limit the action precisely to the head of the comedone. In 95% of cases, comedolysis is achieved. Very large macrocomedones (>2 mm in diameter) can benefit from careful infiltration of Easy TCA or Easy Phytic solution into the center of the comedone. Post-peel care, which is very important, consists in avoiding comedogenic cosmetics, having the skin cleansed professionally once a month, and applying an antiacne cream containing AHAs, tretinoin or precursors, disinfectants, anti-inflammatories, tea-tree oil, etc." once or twice a day. For details of this treatment, see Chapter 15. 

Apart from Easy Phytic Solution, whose acids can penetrate to the papillary dermis. 

The histological effects of AHAs also reach the dermis. Moy showed that fibroblast cultures in a glycolic environment produced up to 10 times as much hydroxyproKne (a precursor of collagen) than when cultivated in a normal saline environment. A practical problem is that AHAs do not normally reach the dermis (because, apart from Easy Phytic solution, they are neutralized before they can penetrate that far) and therefore cannot directly stimulate fibroblasts as well as they did in this in vitro study. 

The use of AHAs (especially glycolic or lactic acid) in treating acne has often given good or even excellent results. Easy Phytic solution (see Chapter 11) is especially safe, effective and comfortable for this indication. Keratinocyte cohesion... 

Treatment of photoaging is the second preferred indication for Easy Phytic solution, and results (tightening effect) appear rapidly, after the first few sessions. 

Easy Phytic solution, in spite of its pH of 0.5, causes almost no flaking and penetrates more evenly than other AHAs, because of its formulation and application procedure. 

Treatment of other areas of the body with AHAs is not often described, because of the poor penetration of these acids through the skin of the body. A technique combining abrasion and an application of Easy Phytic solution (see Chapter 11) is more successful on the legs, arms and torso. 

The results produced by buffered AHA peels can, in a way, be compared to those produced by unbuffered peels, but only when applied over a longer period of time and more frequently. From a histological point of view, all peels produce comparable results depending on the strength of the peel. The action of an AHA peel with a pH higher than its pK and close to the skin s physiological pH (4.5-6) is very slow. A buffered solution will often only be applied for the first reconnaissance peels or on sensitive skins. Thereafter, the peels will be performed with 70% unbuffered glycolic acid solution in a gel or Easy Phytic solution. 

Contact time should end as soon as erythema begins. The problem is that it is not long before erythema turns to frosting, and the doctor is often faced with the following dilemma neutralize too soon and have limited results, or try to neutralize a bit later and risk complications. It was to avoid this dilemma that the author developed Easy Phytic solution. 

Each patient has their own particular level of sensitivity and contact time. It is therefore important to take precise notes on the treatment given the type of solution, the concentration used, the contact time (except in the case of Easy Phytic solution, which does not need neutralizing), the places where erythema first appears, the number of coats. 

The trial protocol currently being used is the following apply a single layer of Easy Phytic solution in the morning and leave it to act during the time it takes to brush the teeth. Take a shower. Repeat the application every day for 3 consecutive days. 

Black patients can be treated with correctly neutralized glycolic acid or with Easy Phytic solution. Easy TCA can also be used (pinpoint or cloudy-white frosting) TCA should never be allowed to penetrate reticulary dermis (see Chapter 16). Phenol should not be applied on patients with a skin phototype above IV. 

Easy Phytic solution (see Chapter 11) is a slow-release and self-neutralizing mixture of fruit acids and phytic acid (pH <1). The peel solution can only be applied on an intact stratum corneum, where it will concentrate and gradually be released. The gradual penetration of the acids does not overwhelm the skin s buffer capacity. Any prior treatment likely to accelerate or increase penetration of the acids could overwhelm the skin s buffer capacity and cause problems. There have been no reports of scarring to date, and... 

Preparation is usually unnecessary before Easy TCA and not advised before Easy Phytic solution. 

Easy Phytic solution is a slow-release and self-neutralizing mixture of AHAs that work gradually and is not therefore compatible with any preparation technique that might increase the permeability of the stratum corneum. 

This is partly what Easy TCA post-peel cream is for it penetrates more easEy when it is applied immediately after the peel solution and scavenges the free radicals as soon as they are produced. In Easy Phytic solution, phytic acid, with its 12 free-electron-binding sites, plays this role. 

Even and rapid application, neutralization before the first pinpoint frosting, except for Easy Phytic solution, which is neutralized naturally by the buffer potential of the skin itself... 

This might happen, for example, when Easy Phytic solution is applied to thin and dry skin. The mixture of AHAs reaches... 

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