Unideep

Deep Sandpaper abrasion + Easy TCA Unideep Only Touch (AHA + TCA > 40% m/m - localized deep)... 

There are cosmetic products that have been specially created for application very soon after a peel. They can be used the morning after the first AHA peel, Easy Phytic or Easy TCA . With TCA-SAS, Only Touch or phenol peels, cosmetics usually are not applied until the 8th day after the peel. With Unideep , an anti-oxidant cream (Renutriv ACE Lipoic Complex ) can be applied two days after the peel. 

Patients often ask about make-up. The general principle is that it is possible to wear make-up, even when the skin is flaking, after an epidermal peel or a peel to the basal layer, but it is unlikely to look good. After a peel to the papillary or reticular dermis, make-up is usually allowed, and even recommended, on the 8th day. Patients who do not like wearing make-up should be warned of the likelihood of post-peel erythema, depending on the depth of the treatment. Some patients are thus ruled out, as their professional lives do not allow any visible erythema or they cannot stand the idea of wearing make-up. In these cases, it is recommended to repeat an Easy TCA peel four times rather than use Unideep . ... 

Unideep (Skin Tech) TCA peel to the papfllary dermis, with a qualitative formulation based on Easy TCA , hut with a more concentrated solution and post-peel cream. 

Lip Eyelid formula was originally developed to treat only the lips and eyelids before its indications were extended to the full face. It can be applied locally without nerve blocks or any kind of anesthetic (see Chapter 36). A TCA Unideep peel (to the papillary dermis) is applied to the rest of the face immediately after the phenol peel has been applied locally (Figure 5.11). The Unideep must not come into contact with the skin that has been treated with phenol. 

Either four Easy TCA peels to the basal layer or a Unideep peel to the papillary dermis. 

Awareness of this problem led to the rapid development of new TCA peel formulas between 1990 and 2000. One of the first solutions put forward was the New Peel combination of TCA and Mikuda complex. The soft Peel formulation used asiaticosides and ginsenoids, glycerol, urea (carbamide), sorbitan monolaurate and methyldibromo-glutaronitrile, among other ingredients. Easy TCA , Unideep and Only Touch Peel (OTP) provided another answer to the problem these stabilized solutions consist of a base solution to which a determined quantity of 50% m/m TCA is added. There are no complicated calculations to be performed, the directions for use state precisely what volume of 50% m/m TCA solution should be added to the base solution to make up the Easy TCA , Unideep and OTP solutions, which provide peels to the basal layer, the papillary dermis and the reticular dermis, respectively. 

Easy TCA is a stabilized, homogeneous and adjuvanted solution with a final TCA concentration of 15% m/m, combined with alpha hydroxy acids (AHAs), antioxidants, vitamins and saponins. Unideep is a TCA peel based on the same principles as Easy TCA and reaches the papillary dermis readily and evenly it has a TCA concentration of 23% m/m. The application protocols for these two peels allow all depths to be reached. There is no point using higher concentrations that could cause complications (see Chapter 37). 

Easy TCA and Unideep consist of peel solutions as weU as a post-peel cream whose ingredients help achieve better results and avoid complications. Only Touch consists of a solution alone, but has to be combined with Easy TCA or Unideep , and thus benefits from the application of the post-peel cream of these peels as weU. 

Photoaging, actinic keratoses and lentigines. (a) Before and (b) after a peel to the papillary dermis with TCA (Unideep ) and phenol (Lip Eyelid formula) around the mouth and on the large lentigo on the left temple only, (c) Before and (d) on the 6th day after the peel. For more details, see Chapter 23. 

Freckles before (a) and after (b) a peel to the papillary dermis (Unideep ). A peel to the papillary dermis improves the quality of the skin, removes the freckles and improves the fine lines, but does not treat wrinkles. 

Easy TCA , Unideep (TCA) and Lip Eyelid (phenol) can all be used as treatments for freckles, although phenol will generally not be used as the TCA can get rid of them by itself. Other treatments have been suggested. As freckles grow darker on exposure to UV rays, using a sunscreen helps to lighten them. Tyrosinase inhibitors, antioxidants, and tretinoin and its precursors can be used in conjunction with the peels to improve or prolong results. 

In short, post-peel care is extremely important and depends on the skin type, the depth of the peel and the dermatological problem being treated. It is more important than preparation when using Easy TCA or Unideep . Any peeler very soon learns that applying a... 

Unideep (pure white frosting) could be applied locally on the melasma. 

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. 

In some cases, careful application of a peel to the papillary dermis (e.g. Unideep ) maybe necessary. 

ETCA (pinpoint or cloudy-white frosting) can be repeated every 2 weeks on the decolletage. Unideep can be repeated after approximately 4 weeks. For Only Touch , see Figure 15.18 in Chapter 15. 

Unideep results after 12 days. Sun protection SPF 50-h and daily care are essential to maintain the results in the long term. 

Unideep was designed to make pre-peel preparation as easy as possible, at the same time as maintaining rapid re-epithelialization and limiting the risks of post-peel complications. Unideep is a by-product of Easy TCA (ETCA) technology and is a medium-depth peel that reaches the papillary dermis. 

The Unideep kit contains a bottle of base solution (which has to be activated by mixing it with 50% m/m TCA), two tubes of post-peel mask cream, two applicators, a glass bowl and an instruction leaflet (Figure 23.1). 

Unideep is a saponified and stabilized TCA peel that contains 23% m/m TCA. It is a good peel for patients who... 

Unideep kit for two patients a bottle of base solution, two tubs of post-peel mask and two applicators. 

The main indications for a TCA to the papillary dermis are the following photoaging, non-active acne, hyperpigmentation, melasma, chloasma, keratoses and fine lines. Unideep can also get rid of most freckles (Figure 23.2). A single peel is usually enough to achieve deep regeneration of the skin, but it may sometimes be necessary to repeat the peel for perfect results. 

Vocal anesthesia or medical hypnosis is enough in many cases to alleviate the burning sensation of the acid in Unideep . 

The first coat of Unideep often produces uneven frosting that will even out with the second coat. 

Unideep is a peel to the papillary dermis it is essential to follow the indications and method of application. Misuse of Unideep could produce the classic side-effects of medium-depth peels. 

The skin of a 78-year-old patient 10 years after a full-face phenol peel (Exoderm ) and 1 year after a medium-depth trichloroacetic acid maintenance peel (Unideep ). 

Ten days after a Lip Eyelid peel around the mouth on a tanned patient the phenol has taken away the tan. Easy TCA (four sessions) or Unideep (one session) will even out the skin tone. 

It is nevertheless possible for these patients to have a local phenol peel combined with a full peel to the papillary dermis. Combining Lip Eyelid with Unideep provides a phenol peel and a peel to even out skin with lentigines, keratoses or freckles. The two peels should be done in the same session the phenol first, followed immediately afterwards by Unideep on the rest of the face, around the area treated with phenol. 

TCA, for example one session of Unideep (a peel to the papillary dermis) or four sessions of Easy TCA (less aggressive). These peels should be combined with a depigmenting cream such as Blending Bleaching. ... 

---