Hyperpigmentation skin preparation

The foundation of an effective chemical peel is skin preparation. This begins in the weeks leading up to the peel, and also includes the actual preoperative steps before the peel. With adequate priming, the skin will frost rapidly and more uniformly than unprimed skin. TCA in particular is usually applied expeditiously to rninirnize discomfort a more rapid and complete frost will enhance the patient s experience. Although relatively uncommon, adverse effects such as hypo- or hyperpigmentation, delayed reepitheUaUzation and prolonged erythema may also be minimized because skip areas are usually minimized as well. Finally, the postoperative phase can be shortened as a result of more rapid healing in primed skin. 

In cases of patients with olive skin (Fitzpatrick skin type 3 or 4), the application of Kligman preparation is recommended to prevent reactive hyperpigmentation. 

After the procedure, the patient is advised to use water-based lotion creams and potent sunscreens. The erythema gradually resolves over about a 2-month period. During this time, makeup foundation is encouraged. In patients with dark skin (Fitzpatrick skin type 3 or 4), the application of Kligman preparation is recommended to prevent reactive hyperpigmentation. Systemic Isotretinoin is required in some patients and can be prescribed as soon as 2-3 weeks after the procedure, if no other surgical intervention is planned in the near future. 

In cases of patients with olive skin (Fitzpatrick Results of phenol-based peels for various inskin type 3 or 4), the application of Kligman dications are shown in Figs. 8.11,8.12,8.13, 8.14 preparation is recommended to prevent reac- and 8.15. tive hyperpigmentation. 

Post-inflammatory hyperpigmentation PIH may occur with abrasive treatments. The abrasive protocol includes preparing the skin with Blending Bleaching cream... 

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