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Superficial Chemical Peels

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Abstract

Facial rejuvenation through chemical peeling is a frequently requested skin rejuvenation treatment. Chemical peels are classified as superficial, medium, or deep and their effect depends upon the depth of penetration and degree of injury to the skin. Superficial chemical peels are popular treatments commonly used to address rough skin texture, fine lines, melasma, and photodamage. Superficial chemical peels penetrate to the epidermis and dermal–epidermal junction and provide temporary improvement to skin texture and hyperpigmentation. These chemical peeling agents carry less risk of complications than the medium and deep chemical peeling agents.

Medium and deep chemical peeling agents exert their effects beneath the epidermis and into the deeper layers of skin. Medium-depth peels penetrate to or through the papillary dermis and result in longer healing times. Deep chemical peels penetrate to the reticular dermis and address deeper lines and wrinkles. Both medium and deep peels require longer healing times and carry an increased risk for complications such as hyperpigmentation and scarring.

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References

  • Abdel Hay R, Hegazy R, Abdel Hady M, Saleh N. Clinical and dermoscopic evaluation of combined (salicylic acid 20% and azelaic acid 20%) versus trichloroacetic acid 25% chemical peel in acne: an RCT. J Dermatolog Treat. 2019:1–6. https://doi.org/10.1080/09546634.2018.1484876.

    Article  CAS  PubMed  Google Scholar 

  • Abdel-Motaleb AA, Abu-Dief EE, Hussein MR. Dermal morphological changes following salicylic acid peeling and microdermabrasion. J Cosmet Dermatol. 2017;16(4):e9–e14.

    Article  PubMed  Google Scholar 

  • Alam M, Omura NE, Dover JS, Arndt KA. Glycolic acid peels compared to microdermabrasion: a right-left controlled trial of efficacy and patient satisfaction. Dermatol Surg. 2002;28(6):475–9.

    PubMed  Google Scholar 

  • American Society of Plastic Surgeons (ASPS). 2017 top five cosmetic plastic surgery procedures. 2017. Available from: https://www.plasticsurgery.org/.

  • Arif T. Salicylic acid as a peeling agent: a comprehensive review. Clin Cosmet Investig Dermatol. 2015;8:455–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ball Arefiev KL, Hantash BM. Advances in the treatment of melasma: a review of the recent literature. Dermatol Surg. 2012;38(7 Pt 1):971–84.

    Article  CAS  PubMed  Google Scholar 

  • Coleman WP 3rd, Brody HJ. Advances in chemical peeling. Dermatol Clin. 1997;15(1):19–26.

    Article  PubMed  Google Scholar 

  • Dayal S, Amrani A, Sahu P, Jain VK. Jessner’s solution vs. 30% salicylic acid peels: a comparative study of the efficacy and safety in mild-to-moderate acne vulgaris. J Cosmet Dermatol. 2017;16(1):43–51.

    Article  PubMed  Google Scholar 

  • Draelos Z, Lewis J, McHugh L, Pellegrino A, Popescu L. Novel retinoid ester in combination with salicylic acid for the treatment of acne. J Cosmet Dermatol. 2016;15(1):36–42.

    Article  PubMed  Google Scholar 

  • Fabbrocini G, De Padova MP, Tosti A. Chemical peels: what’s new and what isn’t new but still works well. Facial Plast Surg. 2009;25(5):329–36.

    Article  CAS  PubMed  Google Scholar 

  • Fulton JE Jr, Farzad-Bakshandeh A, Bradley S. Studies on the mechanism of action to topical benzoyl peroxide and vitamin A acid in acne vulgaris. J Cutan Pathol. 1974;1(5):191–200.

    Article  PubMed  Google Scholar 

  • Green BA, Yu RJ, Van Scott EJ. Clinical and cosmeceutical uses of hydroxyacids. Clin Dermatol. 2009;27(5):495–501.

    Article  PubMed  Google Scholar 

  • Grimes PE, Padova MPD, Tosti A. Color atlas of chemical peels. Berlin: Springer; 2005.

    Google Scholar 

  • Habif TP. Clinical dermatology: a color guide to diagnosis and therapy. 6th ed. St Louis: Elsevier; 2016.

    Google Scholar 

  • Karimipour DJ, Karimipour G, Orringer JS. Microdermabrasion: an evidence-based review. Plast Reconstr Surg. 2010;125(1):372–7.

    Article  CAS  PubMed  Google Scholar 

  • Kligman AM, Grove GL, Hirose R, Leyden JJ. Topical tretinoin for photoaged skin. J Am Acad Dermatol. 1986;15(4 Pt 2):836–59.

    Article  CAS  PubMed  Google Scholar 

  • Kligman D, Kligman AM. Salicylic acid peels for the treatment of photoaging. Dermatol Surg. 1998;24(3):325–8.

    Article  CAS  PubMed  Google Scholar 

  • Lee KC, Wambier CG, Soon SL, Sterling JB, Landau M, Rullan P, et al. Basic chemical peeling-superficial and medium-depth peels. J Am Acad Dermatol. 2018. https://doi.org/10.1016/j.jaad.2018.10.079.

    Article  PubMed  Google Scholar 

  • Manaloto RM, Alster TS. Periorbital rejuvenation: a review of dermatologic treatments. Dermatol Surg. 1999;25(1):1–9.

    Article  CAS  PubMed  Google Scholar 

  • Monheit GD. The Jessner’s + TCA peel: a medium-depth chemical peel. J Dermatol Surg Oncol. 1989;15(9):945–50.

    Article  CAS  PubMed  Google Scholar 

  • Puri N. Efficacy of modified Jessner’s peel and 20% TCA versus 20% TCA peel alone for the treatment of acne scars. J Cutan Aesthet Surg. 2015;8(1):42–5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthet Dermatol. 2010;3(7):32–43.

    PubMed  PubMed Central  Google Scholar 

  • Sachdeva S. Lactic acid peeling in superficial acne scarring in Indian skin. J Cosmet Dermatol. 2010;9(3):246–8.

    Article  PubMed  Google Scholar 

  • Saleh F, Moftah NH, Abdel-Azim E, Gharieb MG. Q-switched Nd: YAG laser alone or with modified Jessner chemical peeling for treatment of mixed melasma in dark skin types: a comparative clinical, histopathological, and immunohistochemical study. J Cosmet Dermatol. 2018;17(3):319–27.

    Article  PubMed  Google Scholar 

  • Stegman SJ. A comparative histologic study of the effects of three peeling agents and dermabrasion on normal and sundamaged skin. Aesthet Plast Surg. 1982;6(3):123–35.

    Article  CAS  Google Scholar 

  • Thielitz A, Abdel-Naser MB, Fluhr JW, Zouboulis CC, Gollnick H. Topical retinoids in acne--an evidence-based overview. J Dtsch Dermatol Ges. 2008;6(12):1023–31.

    Article  PubMed  Google Scholar 

  • Thielitz A, Gollnick H. Topical retinoids in acne vulgaris: update on efficacy and safety. Am J Clin Dermatol. 2008;9(6):369–81.

    Article  PubMed  Google Scholar 

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Haney, B. (2020). Superficial Chemical Peels. In: Aesthetic Procedures: Nurse Practitioner's Guide to Cosmetic Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-19948-7_8

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  • DOI: https://doi.org/10.1007/978-3-030-19948-7_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-19947-0

  • Online ISBN: 978-3-030-19948-7

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