Treating multiple keratoses on the scalp

A balding scalp often shows signs of accelerated photoaging, with scattered lentigines and/or keratoses. Easy TCA (ETCA) can help treat these problems using the following protocol. 

Thirty minutes before the peel, the patient is given a paracetamol (acetaminophen) plus codeine tablet or any other relatively strong analgesic. The skin is cleaned (Skin Tech Pre-peel cleanser ), rinsed and dried. It is then disinfected with alcohol and degreased with acetone, which are left to evaporate.  

Other peels can be used, depending on the case being treated. Unideep is also indicated for the treatment of keratoses on the scalp the Unideep solution produces even frosting more rapidly. Only Touch can be used in combination with a more superficial ETCA peel (cloudy-white frosting instead of even white frosting) on isolated keratoses on the scalp. 

The whole area should be treated, and not only the local lesions. A first coat of ETCA solution is applied to the 

Frosting - considered to be even because of the large number of keratoses. 

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