Medium-depth peels scarring

Medium-depth peels for actinic damage and acne scars... 

As a superficial depth peel, it is used to treat dyschromias and, as a medium-depth peel for actinic damage, wrinkles, and acne scars. 

Medium-depth chemical peels include combinatian peels such as solid CO2 plus TCA or Jessner s solution plus TCA. Some authors also include 88% phenol as a medium-depth peeling agent, but others classily it as a deep peel. Historically, 50% TCA was used as a medium-depth peel, but the development of many complications such as scarring and PIH limited its use, although the use of 50% TCA is quite effective in the treatment of isolated lesions such as xanthelasma. 

While medium-depth peels on the face can be considered one-stage procedures, this is often not the case on the body. Due to increased potential for adverse events such as scarring off the face, similar peels are done in a series and at lower concentrations. Results are seen after a few sessions and should be accompanied by a regular topical maintenance program to prolong the benefits. Additionally, for specific indications, body peels can be combined with other minimally invasive procedures including lasers, light sources, electrodessication, cryosur-... 

Al-Waiz MM, Al- Sharqi AI (2002) Medium-depth chemical peels in the treatment of acne scars in dark-skinned individuals. Dermatol Surg 28 383-387... 

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