Patient deep chemical peel

Originally, the ideal patient for deep chemical peel was a blond, blue-eyed woman of fair complexion. Our experience shows that phenol-based peels can be safely performed on olive- and dark-skinned patients with dark eyes... 

It is still debatable whether preparation of the skin is required for deep chemical peeling. We feel that topical retin A preparations used daily for 3-6 weeks prior to the procedure may create better and more even penetration of the peeling solution in sebaceous and hyperkeratotic skins. We did not find any benefit of this regimen in thin-skinned patients. 

Fig. 9.9. A 52-year-old patient with boxcar acne scars before (a) and 1 month after (b) deep chemical peel and skin abrasion...

Originally, the ideal patient for deep chemical peel is blond, blue-eyed, fair complexion woman. Our... 

Fig. 18.10 A 48-year-old patient with acne scars and wrinkles, (a) Before, (b) Six months after deep chemical peel with skin abrasion...

Prophylactic antiviral medication should be started in patients who undergo medium to deep chemical peels to prevent reactivation of herpes simplex. These are typically started the day prior to peeling and continued until reepithelialization. 

A number of small studies have indicated that the amelioration of more severe acne scars, moderately deep rhytides, and the effects of photoaging, which are often recalcitrant to standard treatment regimens, can be improved by combining microdermabrasion and super-hcial chemical peels in one treatment session. While more published data to support the use of this combined technique would be welcome, the data that are available indicate that it is highly effective, well tolerated, and more convenient for patients. 

Phenol (unoccluded 1(X)% pure phenol) (Figs. 20.1-20.4) Phenol is commonly used to treat ingrown toenails. Furthermore, deep peels using phenol are one of the most effective chemical peeling methods for elderly skin tumor patients [10-13]. Phenol injures tissues from the papillary dermis to the upper reticular dermis [10]. Our previous results suggest that phenol quickly penetrates into the skin, and induces... 

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... 

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