How chemical peeling is done and types of chemical peels
Chemical peeling is a dermo-cosmetic technique consisting of the application of one or more chemical exfoliating and/or irritating agents on the skin for long enough to react with increasingly deep cellular skin layers and then with the demis, causing selective and predictable skin damage.
In other words, it is the application of one or more exfoliating agents to the skin resulting in the destruction of parts of the epidermis and dermis and the subsequent regeneration of new tissue. Generally, aesthetic medicine includes plastic surgery, reconstructive surgery and dermatology. If you would like to know brief information about aesthetic medical device, you could choose here.
Chemical peels are recommended for:
- Actinic keratosis and skin aging
- Post-acne scarring
- Acne vulgaris and rosacea
- Stretch marks
- Seborrhoeic dermatitis
Types of chemical peels:
– Very superficial chemical peel:
This type of peel only removes the outermost stratum corneum
– Superficial chemical peel:
This type of peel creates necrosis of a part or the entire epidermal layer down to the junction with the dermal layer
– Medium deep chemical peel:
This type of peel creates necrosis of the epidermis and part of the papillary derma
– Deep chemical peel:
This type of peel creates necrosis of the epidermis, papillary derma and may reach the reticular derma.
Chemical peeling can be used to treat photoaging, including actinic keratosis, solar elastosis, freckles and wrinkles caused by the sun; pigmentation problems, including melasma, post-inflammatory changes in pigmentation, and other pigmentation discoloration, superficial scars, acne vulgaris, rosacea and milia.
In the event that both facial surgery and chemical peeling are planned, the surgery must be performed first and the chemical peel 2 –3 months later. If the peel is performed first, it will be necessary to wait much longer before the surgery can be safely carried out due to the very slow healing following a peel.
The peel cannot be applied to areas treated with a surgical procedure to eliminate wrinkles.
Dermabrasion, on the other hand, is a surgical process in which the skin is exfoliated by the rapid rotation of an abrasive instrument such as a diamond peeling head. This process removes the epidermis and superficial derma and is used to treat a wide range of dermatological conditions.
Dermabrasion can be used to treat a variety of scars, including those caused by trauma, acne and surgery, as well as superficial freckles, actinic keratosis, decorative and traumatic skin tattoos and, much more frequently, facial wrinkles, particularly around the mouth.
Since dermabrasion is a mechanical process, the depth of peeling is more controllable than with chemical substances, and healing is therefore quicker and simpler. The irritation following dermabrasion clears up more quickly than in the case of a chemical peel.
What results can be achieved?
It improves the appearance of the facial skin by removing the upper layers of the epidermis.
How long does healing take?
Healing time varies from 4 to 12 days according to the extent of the peel.
What unpleasant effects can be expected after a peel?
Redness and darkening of the skin for a few days after treatment and flaking for 8-10 days.
What are the risks of the procedure?
In very rare cases, infections or scarring.
How deep should the peel be?
There are many factors that must be taken into consideration when determining how deep a chemical peel treatment should be: the type of problem being treated, the substance used and the concentration, the area treated, the application technique, the type and thickness of the patient’s skin and the duration of the peel, or in other words how long the chemical agent remains on the skin. An expert aesthetic doctor will carefully evaluate the patient’s skin and decide what kind of peel will be most appropriate.
Post Peeling Procedure
Always follow all the instructions given to you by the surgeon that carried out the treatment. It is essential to protect yourself completely from the sun, solar rays and UVA – UVB lamps for at least two months following a peel (even at home) with products containing protective screens and filters to prevent any post-inflammatory hyperpigmentation.
Wash your skin with a delicate face wash, dry it gently, avoiding any kind of rubbing or irritation, and keep the skin continually protected with emollient products.
Healing time varies from 4 to 12 days depending on the concentration used in the peel.
Warnings, risks and complications of chemical peeling:
If the peel is performed by a skilled aesthetic doctor, it can be considered a safe and risk-free procedure; however, it must be accepted that penetration into the skin may not take place uniformly and thus in rare cases complications such as infections or scarring may occur.
GLYCOLIC ACID (AHA)
Glycolic acid speeds up the renewal process and revitalizes the skin. In addition to being virtually complication-free, in clinical tests glycolic acid has been shown to have the ability to directly stimulate the fibroblasts to produce collagen, which helps restore the skin’s elasticity.
Treatment with glycolic acid achieves a progressive rejuvenation of the skin, which appears softer, more luminous and virtually free from fine lines. It is completely painless and ends with the application of a post-peeling hydrating cream.
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