Tretinoin salicylic acid peels

Glycolic acid Jessner s solution Pyruvic acid Resorcinol Salicylic acid Trichloroacetic acid Tretinoin Malic acid Deep chemical peels... 

In case of hyperpigmented spots due to inadequate sun avoidance (Fig. 23.4), prescribe bleaching agents, topical tretinoin, and topical steroids. A soft peeling with 25% salicylic acid or 40% pyruvic acid can reduce the pigmentation. 

These include 10-15% trichloroacetic acid (TCA), alpha-hydroxy acid (AHA), beta-hydroxy acids such as salicylic acid, topical tretinoin, and one to two coats of Jessner s solution [14% resorcinol, 14% salicylic acid, 14% lactic acid, and ethanol). These peels penetrate the stratum corneum and possibly the upper layers of the stratum spinosum. Because of the very superficial depth of pene-... 

Light peels which do not create as much inflammation, i.e., salicylic acid 30% solution or tretinoin peel, may be used to treat PIH if needed. 

Chemical peels can be classified by the depth of penetration into the skin (Table 9.2). Superficial peelings (epidermis to upper papillary dermis) are the most commonly used peels in all phototypes. These agents include tretinoin 1-5%, TCA 10-35%, glycolic acid solution 30-50% or glycolic gel 70%, salicylic acid 20-30% in ethanol and Jessner s solution (Combes formula). 

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