30April 2014 Cosmetic Interventions for Dyschromia Chemical Peels Dr Neelam A VashiMD Department of Dermatology Boston University School of Medicine Boston Medical CenterBoston INTRODUCTION C ID: 953350
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Cosmetic Interventions for Dyschromia: Chemical Peels 30April 2014 Cosmetic Interventions for Dyschromia: Chemical Peels Dr. Neelam A. Vashi,MD, Department of Dermatology, Boston University School of Medicine, Boston Medical Center,Boston INTRODUCTION Cosmetic Interventions for Dyschromia: Chemical Peels 31April 2014 the acid will continue keratolysis with can be formulated in many types of post-inflammatory hyperpigmentation.9 At lower concentrations (3-5%), it functions as a keratolytic agent allowing the penetration of other peeling agents. produce desquamation of the upper lipophilic layers of the stratum corneum. is self-neutralizing and can create a synthetic vitamin A analogue which has used combination peel is Jessner’s and lactic acid (85%) in ethanol (95%). three keratolytic agents, as well as the lightening
agent (resorcinol). Jessner’s as the phenolic compound, resorcinol, Newer peels not previously discussed 10, 12 Ferulic acid is a hydroxycinnamic acid. found in plant cell wall components. The been used for antioxidant and peeling prior to performing chemical peels. 1)Obtain a medical history with patients with history of HSV infection. 5-7 days prior to the procedure. Identify photosensitizing medications 5)Photograph full face and specific sunscreen SPF 30 or greater), gentle 1)Choose your peel wisely. When type and ethnicity while determining during the peel, and the duration of the skin. Any of these key factors can be manipulated to achieve a lighter or heavier peel. Minor fluctuations can be isopropyl alcohol in triplicate, acetone, the lips, placing cotton balls to bilateral bicarbonate if needed, and extra ga
uze. Cosmetic Interventions for Dyschromia: Chemical Peels 32April 2014 4)Apply the peel meticulously and increase comfort. The typical patient cool water. If increased erythema or frost was noted at the time of the peel, cleansing activities can be resumed. agents are now available and new agents are being investigated. Moving Although chemical peeling has the only performed by qualified, trained,and 3.Fink B, Matts PJ, D’Emiliano D, homogeneity and visual perception of attention to variation in female facial skin skin of color: a comparative practice The Papyrus Ebers [translation]. ethnic/dark skin.Dermatologic Therapy. 10.Salam A, Dadzie OE, Galadari skin: an update. Brit Jour Derm. 12. Pathak, MA, Fitzpatrick TB, Kraus the treatment of melasma. J Am 13.Sarkar R, Bansal S, Garg VK. Melasma After Melasma Befor