12/28/2022 0 Comments Chemical peeling side effect![]() ![]() Monheit's combination (Jessner's + 35% TCA)Ĭoleman's combination (70% glycolic acid + 35% TCA) CHEMICAL PEELING SIDE EFFECT SKINSafe in all SPT may do series of peels PIH is rare erythema/scaling may last 1–3 days salicylic acid particularly suits SPT IV–VIĪctinic keratoses, solar lentigines, acne, photoageing, melasma, PIHĬaution advised in darker skin types higher risk of dyschromiaīrady's combination (solid CO 2 + 35% TCA) Melasma, solar lentigines, acne, PIH, photoageing, fine lines/wrinkles However, newer ways of peeling are frequently emerging either as novel peeling agents, novel combinations of peels or varying strengths of peels. Peels can be broadly classified according to their target skin depth (Table 1 9). It is primarily this risk that makes chemical peels potentially disfiguring.Ī broad range of chemical peels exist and a familiarity with the various agents is essential. Although darker skin confers the advantage of added photoprotection, it is the often unpredictable response of melanocytes to injury that can cause disfiguring postinflammatory pigmentary changes. 8Ĭlinicians are faced with specific challenges when using peels on ethnic skin. ![]() Unlike SPT I and II skin, where peels are mostly used to treat skin changes associated with photoageing, SPT IV–VI peels are used mostly for mottled dyschromia, acne vulgaris, postinflammatory hyperpigmentation (PIH), melasma and pseudofolliculitis barbae. The indications for chemical peels can be broadly classified under pigmentary abnormalities, photodamage and textural concerns. The mechanism of action lies in the elimination of the damaged skin, with subsequent regeneration of a new epidermal layer, and remodelling of the dermal layer. 7 Today, chemical peels are a fast, safe and effective clinic room treatment. The Egyptians would bathe in sour milk, which contains lactic acid, to smooth their skin. BackgroundĬhemical peels were first reported on records describing ancient Egyptian medicine. For the purposes of this review we shall discuss patients with ‘ethnic skin’ or ‘skin of colour’ or ‘noncaucasian skin’, which traditionally includes SPT IV–VI. ![]() The classification of skin types using the internationally recognized Fitzpatrick skin phototype (SPT) classification 6 is widely accepted but criticized as it does not define race, culture or reaction to various treatments. It is this unspoken consensus that has led to the increasing popularity of chemical peels. These include having smooth skin, an even distribution of pigmentation and a lack of wrinkles. 5 It is through exploring the patient's desired outcomes, and having an appreciation for the cross-cultural definitions of beauty, that allows the dermatologist to set realistic objectives for treatment.Įven through the diverse cross-cultural definitions of beauty, some factors remain universal. On top of this, dermatologists must also appreciate the facial anatomy, ageing patterns and cultural definitions of beauty when approaching the cosmetic treatment of ethnic skin. Given the simultaneous growth of people with skin of colour and the demand for cosmetic procedures, dermatologists must appreciate the challenges of cosmetic procedures in those with darker skin types. Minimally invasive procedures, such as chemical peels, have increased by 123% since 2000, in comparison to surgical procedures, which have increased by only 17%. 3ĭespite turbulent economic climates, cosmetic procedures are at an all-time high with over 13 million procedures performed in the U.S.A. has seen the proportion of Black Africans double between 20. is predicted to have close to 50% of its population comprising people with skin of colour by 2050 (U.S. Of the 1♵ billion people the world is predicted to have gained by 2020, the majority will be from Asia (56%) and Africa (16%). The ethnic makeup of the world is rapidly changing. ![]()
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