Masking creams

Masking creams (camouflaging preparations) for obscuring unpleasant blemishes from view are greatly valued by the victims. They may consist of titanium oxide in an ointment base with colouring appropriate to the site and the patient. 

The post-peel mask cream, which is highly antioxidant, contains vitamins, trace elements, growth factor, fatty acids and tyrosinase inhibitors. The doctor applies it only once, immediately after the required level of frosting has been achieved. 

The post-peel mask cream contains retinol microencapsulated in a cyclodextrin. Vitamin A is involved in the processes of cell division and differentiation that help the epidermis regenerate after the peel from the cells of the basal layer. 

The post-peel mask cream should be applied as soon as pinpoint frosting occurs (Figure 15.12). After the appearance of pinpoint frosting, applying another coat of ETCA solution produces cloudy-white frosting (Figure 15.13). 

The post-peel mask cream is not a neutralizing cream, and should be used in specific quantities according to the indications on the dosage card provided in the kit (Figure 15.14). The kit for 12 peels contains three 10 g tubes of post-... 

The ETCA post-peel mask cream is applied to the whole face, starting from the melasma. A little more of the postpeel mask is applied to the melasma itself. The components of the ETCA post-peel mask cream work directly and specifically on pigmentation. If possible, the face should not be washed until the following morning. 

A strong corticosteroid can be applied to the melasma immediately after the post-peel mask cream, after every peel, to reduce any inflammation. 

The quantities of post-peel mask cream have been overestimated to allow for more cream to be applied in certain areas each small tube contains 10 g of post-peel mask, and 8 g is enough to do four basic facial protocols. 

ETCA helps combat acne lesions by exfoliating the skin chemically and through use of the post-peel mask cream. Daily care helps maintain the results of dermatological or systemic acne treatments. No peel can change the genetic... 

When the last coat of solution has dried, the post-peel mask cream is applied using the quantities indicated on the dosage card, and is left to work until the following morning. 

If photoaging is widespread, the ETCA abrasive protocol (see Chapter 21) can be used the decolletage is abraded with sandpaper abrasion up to the very first bleeding pinpoints. The area is covered with post-peel mask cream and left under occlusion for 24 hours. No acid is applied in this... 

Occlusion of the post-peel mask cream, on the other hand, causes severe inflammation of the dermis at the atrophic base of the stretch marks. 

Sequenced photographs of the treatment show that the post-peel mask cream penetrates more readily through the atrophic base of the stretch marks after abrasion and application of the ETCA acid solution. Here, it causes inflammation, which triggers regeneration, and it appears to be limited to this area. The large majority of signs of active inflammation disappear very quickly, in around 2-3 days, but a non-irritative edema can persist for around 15 days at the base of the stretch marks. 

After abrasion and application of the ETCA solution, the post-peel mask cream is applied without occlusion. This method is used for acne scars on the face or back. 

Application of the post-peel mask cream on the first quadrant to be treated. 

In short, abrasion and the application of acid appear to stimulate the regeneration of normal keratinocytes on the edge of the stretch marks, and occlusion of the post-peel mask cream strongly stimulates the fibroblasts. 

The treatment of body scars is more complex than that of facial scars. The same technique described for stretch marks is used abrasion plus ETCA peel plus post-peel mask cream plus occlusion. The results, although not exceptional, are quite good, as can be seen in Figures 21.34 and 21.35. 

An intraepidermal abrasion is performed with positive keratinocyte touch . Applying an acid solution immediately after abrasion would be very painful, and a surface anesthetic must be applied with gauze pads soaked in 2% lidocaine with adrenaline (epinephrine) (with 10-15 minutes under plastic film to prevent evaporation). The anesthetic can be seen to be working as the adrenaline penetrates and causes vasoconstriction. The ETCA solution is applied carefully, and cloudy-white frosting may appear with the first coat of acid solution. As soon as cloudy-white frosting occurs, 0.5 g of post-peel mask cream should be applied per 10 cm x 10 cm of surface area treated " and the skin massaged. 

The Unideep kit contains a bottle of base solution (which has to be activated by mixing it with 50% m/m TCA), two tubes of post-peel mask cream, two applicators, a glass bowl and an instruction leaflet (Figure 23.1). 

The post-peel mask cream should be applied twice 50% immediately after the peel and the remaining 50% the morning of the first day after the peel. It stimulates the skin and breaks the vicious oxidative circle inflammation free radicals , and accelerates healing time. It also helps to limit the vicious inflammatory circle that follows any medium-depth peel and coimters post-peel pigmentary changes. 

The solution is applied to the whole face and left to dry. Additional coats are applied to achieve an even pink-white frosting and signs of epidermal sliding. The post-peel mask cream after the peel, is applied to the whole face. 

With nerve blocks, application is painless and quicker. After nerve blocks have been applied to the area under treatment, the peel solution is applied to the face it is applied on the forehead and temples first, until an even pink-white frosting is obtained the post-peel mask cream... 

This more aggressive protocol involves sandpaper abrasion prior to the application of Easy TCA solution and 12-24 hours occlusion of the post-peel mask cream. It causes severe erythema within the first few hours of occlusion. After the occlusion has been removed, the skin looks... 

The Easy TCA (to the basal layer or Grenz zone) and Unideep (to the papillary dermis) post-peel mask cream has the major advantage of relieving the burning sensation caused by the acids almost immediately. 

Uses Humectant used in cosmetic masks, creams and lotions, antiperspirants, and wavesetting iotions aiuminum iubricant and brightener pigment dispersant fiber antistat in aq. iubricants aq. drying compds. depilatories adds sheen to vinyl and tire dressing Features Low to mod. foam... 

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