Antonella Tosti (editor) - Color Atlas of Chemical Peels
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- Book:Color Atlas of Chemical Peels
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- Publisher:Springer Nature
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- Year:2012
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Color Atlas of Chemical Peels: summary, description and annotation
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First atlas to cover latest advances in chemical peel techniques
Fully illustrated to support step-by-step procedures
Ideal reference tool for dermatologists focusing on cosmetology
Antonella Tosti (editor): author's other books
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Types of chemical peels
- Glycolic acid
- Jessners solution
- Pyruvic acid
- Resorcinol
- Salicylic acid
- Trichloroacetic acid
- Tretinoin
- Malic acid
- Deep chemical peels
- Combinations peels: Salicylic acid + trichloroacetic acid
- Very mild erythema
- Mild desquamation
- Short postoperative period
- Useful in photodamage
- Penetration often not uniform
- Neutralization is mandatory
- High risk of overpeel if time of application is too long or the skin is inflamed
- Cautious application in patients with active acne
- Excellent safety profile
- Can be used in all skin types
- Substantial efficacy with minimal down time
- Utilized for combination peels as it enhances the penetration of other agents
- Can be used in active acnes
- Can be used in postinflammatory hyperpigmentation and melasma
- Concerns regarding resorcinol toxicity, including thyroid dysfunction
- Manufacturing variations
- Instability with exposure to light and air
- Excessive exfoliation in some patients
- Homogeneous penetration with uniform erythema (Fig. )
Fig. 1.1Homogeneous erythema following peeling with pyruvic acid 50% - Mild desquamation
- Short postoperative period
- Can be used in all skin types
- Can be used in active acnes
- Can be used in postinflammatory hyperpigmentation and melasma
- Intense stinging and burning sensation during the application
- Neutralization is mandatory
- Pungent and irritating vapors for the upper respiratory mucosa
- Easy to perform
- Not painful (the burning sensation during the peeling is usually mild)
- Homogeneous penetration
- Can be used in active acnes
- Can be used in postinflammatory hyperpigmentation and melasma
- Intense dark desquamation in the postpeel period
- Not recommended for dark-skinned individuals
- Resorcinol may be a sensitizer and cause thyroid dysfunction, cardiac arrhythmia, and methemoglobinemia
- Established safety profile in all skin types
- Formation of white precipitate allows to verify if application is homogeneous (Fig. )
Fig. 1.2Formation of white precipitate after peeling with salicylic acid 25% - Salicylic acid has an anesthetic effect that is useful in combination peelings
- Can be used in active acnes
- Can be used in postinflammatory hyperpigmentation and melasma
- Intense stinging and burning sensation during the application
- Minimal efficacy in patients with significant photodamage
- Low cost
- Uniformity of application
- Penetration can be easily evaluated by the color of frost (Fig. )
Fig. 1.3Peeling with TCA 25%: Development of white frosting indicates penetration in the papillary dermis
- Stinging and burning sensation during the application
- High concentrations are not recommended in skin types VVI
- Can cause hypo/hyperpigmentation
- Painless
- Easy to perform
- Short postoperative period
- Can cause intense erythema
- Short postoperative period
- Can be used in all skin types
- Minimal efficacy
- Improves severe photodamage
- Improves perioral wrinkles
- Improves atrophic acne scars
- Requires sedation and cardiovascular monitoring
- Not recommended in skin types IV to VI
- Cardiotoxicity
- Can cause hypo/hyperpigmentation
- Can be used in all skin types
- Most beneficial in treating melasma and postinflammatory hyperpigmentation
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