Preparation resorcinol peels

With TCA-SAS, resorcinol, salicylic acid, azelaic acid or phenol peels, the skin needs to be thoroughly cleansed of make-up, degreased and disinfected. Easy TCA solution, on the other hand, contains saponins that make pre-peel make-up removal and degreasing unnecessary the skin s natural defenses are only very slightly diminished by this peel, and therefore there is no need for any particular prepeel preparation against infections. 

According to Unna, the resorcinol paste can be applied again as soon as flaking has finished. We are rarely called upon to repeat an application of resorcinol paste nowadays. The results of an Unna s paste peel remain modest in relation to the complexity of the treatment and the downtime involved, and patients are not prepared to accept these conditions. 

In an attempt to speed the penetration and depth of TCA peels, two modified peels were created which incorporate the use of a keratolytic agent. Monheit described a Jessner s-TCA peel utilizing a keratolytic acid preparation, Jessner s solution, applied prior to the application of TCA. Jessner s solution is comprised of 14% each of resorcinol, salicylic add, and lactic acid mixed in ethanol. Application of the Jessner s solution allows for faster and deeper penetration of the subsequently applied 35% TCA. A similar mechanism is employed with Coleman s glycolic acid-TCA peel, which uses 70% glycolic acid, also acting as a keratolytic, prior to application of 35% TCA. 

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