Chemical_peel by ashrafp


									Chemical peel
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Skin changes with age. It loses its elasticity, color, and becomes wrinkled. People can either accept
it and live with the changes or try to improve something. There are several ways to do this. A
person can either choose facelift, botox, or chemical peel. Unlike both other methods, chemical
peel is not a complicated one and therefore favored by most.

                           What is it?
                           Chemical peel is a cosmetic, dermatological procedure, during which
                           certain chemical solutions are applied on the skin to correct its
                           appearance. During this procedure spoiled outer layers of the skin are
                           removed with the help of solutions. These solutions include phenol,
                           trichloroacetic acid (TCA) and alphahydroxy acids (AHAs).
                           Chemical peel is performed in order to remove facial flaws, birthmarks,
lines, and unequal skin pigmentation. It may also be used for removal of pre-cancerous skin
growths, although it is mostly applied for beauty reasons.
In addition, chemical peel also may be useful for those who want to remove acne facial scars or
even to treat acne.

How it works?
As mentioned above, there are several solutions used in skin peel performance. It is very
individual which one should be used each time. Therefore, a doctor chooses one of them according
to your individual characteristics of the skin, your needs, and expectations.
The mildest type of peel is chemical peel using alphahydroxy acids (AHAs), such as glycolic, lactic,
or fruit acids. These substances make the skin smoother and younger-looking for people, who
have lines, dry skin regions, acne and unequal pigmentation. This form of peels is very convenient
to people, who do not wish or cannot undergo other types of chemical peels, which require a
certain recovery period.
You may need a series of AHA applications to achieve the best results. Alphahydroxy acids may be
used weekly or at longer intervals, depending on the state of your skin problems and your wishes.
These acids may also be mixed with your facial wash or cream, so that you could apply it daily to
change the appearance of your skin.

Medium-depth peeling is performed using trichloroacetic acid (TCA). Although concentration of this
substance may be changed, providing different types of chemical peel. This acid is applied to
remove thin wrinkles, small facial flaws, birthmarks and improve skin pigmentation. Results can be
achieved by several sessions of chemical peel but they are not long-lasting and very noticeable as
    compared to phenol chemical peel.
    Almost no recovery time is needed, although sunblock is required after treatment. In addition,
    certain creams should be used before undergoing chemical peel. And finally, this type of chemical
    peel is most suitable for darker-skinned patients.
    The deepest form of chemical peel is performed with the help of phenol. It is the most powerful of
    all the above mentioned solutions. When applied on the skin, it may treat thick facial lines, remove
    skin blots caused by sun and other factors, eliminate pre-cancerous growths, and birthmarks.
    Phenol should not be used on other body areas than face, since scarring may occur.
    This type of chemical peel is most suitable for light-skinned subjects. Deep chemical peel provides
    long-lasting, visible results, although lightening areas may occur. It needs to be used only once
    and recovery period is rather long - up to two months.

    Chemical peel procedure
                            During your initial consultation the doctor will decide which type of
                            chemical peel suits you best depending on your skin type, problems, age,
                            general physical state and expectations.
                            Light chemical peel, when AHA is applied, usually lasts no longer than 10
                            minutes. During this type of treatment, the doctor will apply AHA solution
                            to you facial skin. You will need several applications in order to obtain the
    best results. There is no recovery period after this type of chemical peel and you will not need to
    apply certain „after-peel“ creams. Some patients may be suitable for the mixtures of AHA solution
    and face wash or cream, so that they can use the creams daily and come to visiti their doctor for
    examination of the results.
    Your doctor will cleanse your skin properly before medium-depth or deep chemical peeling. Then
    the phenol or TCA solution is applied to your facial skin and you may experience a burning
    sensation at the beginning, which should pass quickly.

    Chemical peel with TCA solution usually takes no longer than 15 minutes. You will need two or
    more applications in order to achieve the best results.
    Deep chemical peel with phenol solution usually lasts one or two hours, and a recovery period that
    may be up to two months is needed. Your doctor will probably cover the treated region with
    petroleum jelly or waterproof adhesive tape in order to prevent infection and allow the skin to
    recover properly. Single application of phenol solution should be enough to achieve good long-
    lasting results.

Alphahydroxy acids (AHAs)- mild chemical peel:
       Makes your dry skin smoother
       Improves your skin impaired by the sun
       Controls acne
     If combined with bleaching agent it can eliminate pigment problems
      Can be used as TCA pre-treatment
     Convenient for people who do not have time for long recovery period

AHA peels. The process of applying an AHA solution should take no more than 10
minutes. Periodic treatments may be needed to achieve the desired result. Some
people may be able to achieve the desired result by twice-daily applications of a face
wash or cream containing an AHA.

TCA peels. A full-face TCA peel should take no more than 15 minutes. The solution
may sting when it is first applied, but the feeling will pass quickly. Two or more TCA
peels may be needed to obtain the desired result. The treatments may be spaced out
over several months.

Phenol peels. After a phenol peel, the physician may coat the treated area with
petroleum jelly or waterproof adhesive tape. A full-face phenol peel takes one or two
hours. If the peel is concentrated to a region such as the upper lip, it may take only 10
or 15 minutes. A single treatment usually achieves the desired result.

Chemical peels are usually done as an outpatient procedure. In most cases, an
anesthetic is not required because the chemical itself acts as an anesthetic. A relaxing
sedative may be used. Pain medication may be needed before or during a deep peel.

After The Treatment
It is customary to return home with supervision after a chemical peel, but in some cases
a day or two in an outpatient care facility may be required. The skin is not bandaged in
most cases.

After a TCA or phenol peel, the doctor may prescribe a pain medication to relieve
tingling and throbbing. If tape was used to cover the face, it will be removed within two

It is important to avoid the sun during the heeling process after a chemical peel.
A commitment must be made to the continued aggressive use of sun block.
Overexposure to the sun hastens the aging process and can reverse the effects of the
AHA peel. An AHA peel affects the skin like sunburn. The skin will probably become
red and dry, then begin to flake and peel. The flaking should end within five days. Most
people can return immediately to their normal activities.

TCA peel. A crust or scab may form on the treated area and there may be significant
swelling. The swelling will subside within the first week. After about 10 days, the new
skin should be apparent and healing should have progressed enough to allow a return
to normal activities.

Phenol peel. After a phenol peel, the face will become quite swollen. The eyes may
even swell shut temporarily. Talking should be avoided if possible, and a liquid diet may
be required. New skin will begin to form within ten days. The skin will be very red and
several weeks may be required for the red color to subside. During this time, exposure
to the sun without skin block can cause blotches and irregular pigmentation. After about
two weeks, the skin should be healed sufficiently to allow a return to work and to some
normal activities. Cosmetics can be worn at this time.

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