Trichloroacetic acid classic semiology

Pre-peel care is discussed in Chapter 2. Further information can be found in Chapter 12. The safety of peels employing trichloroacetic acid in simple aqueous solution (TCA-SAS) has been greatly improved by systematic preparation of the skin before peeling. Preparing the skin helps improve microcirculation, increase glycosaminogly-can synthesis, increase the number of mitoses in the basal layer keratinocytes, stimulate production of epidermal growth factors, deactivate melanocytes and even out and deepen the effect of the TCA. 

For the record, it is interesting to note that the first time I presented Easy TCA at a congress of the Belgian Society of Cosmetic Medicine in Brussels in 1997, there was an outcry. The peel was shouted down, demonized and criticized even before it was presented, as it flew in the face of the all too recent dogma of aggressive skin preparation that then held sway. Anyone tempted to use it was told that their worst nightmares would come true if they did not prepare the skin beforehand. It was soon proved that the Easy TCA technique is perfectly valid and that, apart 

Treatment with oral isotretinoin is sometimes essential in cases of severe acne, but is contraindicated before a peel to the papillary dermis. An Easy TCA peel to the basal layeron the other hand, can be performed without any risk of complications, and can produce excellent results for severe acne that has been treated beforehand with oral isotretinoin. 

Pre-peel preparation (see also Chapter 2) involves the following  

This involves the taking of photographs, settling in, disinfection and degreasing. The patient is photographed from five angles, with and without fiash (see Chapter 34). The patient is placed in the dorsal supine position good 

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