Abstract
Chemical peels, also known as chemical exfoliation, consist of the application of one or more exfoliating skin agents, leading to the destruction of some layers of the epidermis or dermis, followed by regeneration of the skin. Each patient should be evaluated to decide which exfoliating agent will produce the best outcome with the least morbidity, according to the indication of the chemical peeling, the patient’s lifestyle, the depth of the lesions to be treated, and their skin type. Salicylic acid (SA) is a β-hydroxy acid that is keratolytic in concentrations of 3–5% and facilitates the topical penetration of other agents. In concentrations under 3%, SA has a keratoplastic effect. It is more frequently used in a 20% or 30% concentration alcohol solution and has a low incidence of complications. The mild exfoliation starts 3–5 days after the peel and lasts for up to 10 days. SA is efficient for the treatment of initial photoaging, melasma, acne with or without inflammation, superficial acne scars, and disorders in darker skin phototypes.
Keywords
- Salicylic acid
- Chemical peel
- Exfoliation
- Acne
- Melasma
- Photoaging
This is a preview of subscription content, access via your institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Ayres S. Dermal changes following application of chemical cauterants to aging skin. Arch Dematol. 1960;82:578.
Baker TJ, Gordon HL. The ablation of rhytides by chemical means: a preliminary report. J Fla Med Assoc. 1961;48:541
Brody HJ. Peeling químico e resurfacing. 2a ed. Rio de Janeiro: Reichmann & ffonso; 2000.
Brody HJ, Hailey CW. Medium depth chemical peeling of the skin: a variation of superficial chemosurgery. J Dematol Surg Oncol. 1986;12:1268.
Butler PE, Gonzalez S, Randolph MA, Kim J, Kollias N, Yaremchuk MJ. Quantitative and qualitative effects of chemical peeling on photoaged skin: an experimental study. Plast Reconstr Surg. 2001;107(1):222–8.
Eller JJ, Wolf S. Skin peeling and scarification. JAMA. 1941;116:934–8.
Fischer TC, Perosino E, Poli F, Viera MS, Dreno B. Chemical peels in aesthetic dermatology: an update 2009. J Eur Acad Dermatol Venereol. 2010;24(3):281–92.
Guedes LS. Hidroxiácidos. In: Costa A, editor. Tratado internacional de cosmecêuticos. Rio de Janeiro: Guanabara Koogan; 2012. p. 365–73.
Kede MP. Peelings químicos superficiais e médios. In: MPV K, Sabatovich O, editors. Dermatologia Estética. 3a ed. São Paulo: Ed. Atheneu; 2015. p. 601–34.
Monheit G. The Jessner’s + TCA peel: a medium depth chemical peel. J Dematol Surg Oncol. 1989;15:945.
Tung RC, Bergfeld WF, Vidimos AT, Remzi BK. Alpha-hydroxy acid-based cosmetic procedures. Guidelines for patient management. Am J Clin Dermatol. 2000;1(2):81–8.
Van Scott EJ, Yu RJ. Hyperkeratinization, corneocyte cohesion, and alpha hydroxy acids. J Am Acad Dermatol. 1984;11:867–79.
Van Scott EJ, Ditre CM, Yu RJ. Alpha-hydroxyacids in the treatment of signs of photoaging. Clin Dermatol. 1996;14(2):217–26.
Yokomizo VMF, Benemond TMH, Chisaki C, Benemond PH. Peelings químicos: revisão e aplicação prática. Surg Cosmet Dermatol. 2013;5(1):58–68.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this entry
Cite this entry
Kede, M.P.V., Guedes, L.S. (2018). Salicylic Acid Peel. In: Issa, M., Tamura, B. (eds) Chemical and Physical Procedures. Clinical Approaches and Procedures in Cosmetic Dermatology, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-319-16805-0_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-16805-0_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-16804-3
Online ISBN: 978-3-319-16805-0
eBook Packages: MedicineReference Module Medicine