Facial Therapies
Chemical Peeling
All about Chemical Peeling
By the term of chemical peeling, we refer to the controlled trauma induction through applying one or more chemical factors on the skin, resulting in the replacement of a part or whole skin surface and collagen  restructure.

There are three types of chemical peeling, which are distinguished, depending on the solution potency and the depth of the burn induced on the skin, in:
    • Surface peeling reaching up to the granular layer and the papillary dermis. Application of the solution is short and simple. No anesthesia is required and the patient feels a slight twitch. Leave the solution for about 15 minutes and then clean the area.
    • Medium depth peeling that reaches up to the upper mesh. Application of the solution is short and simple. No anesthesia is required because the mixture only anesthesizes the skin, and the patient feels a pinch, while a soothing cream can be preventively used. Leave the solution for about 15 minutes and then clean the area.
    • Deep peeling that reaches up to the average reticular dermis. It is performed only at a proper clinic by a dermatologist or plastic surgeon and local anesthesia is used to relax the patient. Unlike the two previous methods, this treatment is done only once, recovery is slow, and healing can take several months.
    How Is Chemical Peeling Performed? 
    The fundamental substances used in chemical peeling are the following:  
    • Trichloroacetic acid (TCA) used in many concentrations but mainly for medium depth peeling. Thin surface wrinkles, surface blemishes and discoloration problems are often treated with TCA. The effects of peeling with TCA are usually less impressive and not so long-lasting, so maybe more than one application is needed to achieve the desired result. Recovery from peeling with TCA is usually short-term.
    • A-hydroxy acids (AHA) or more commonly fruit acids. It is a peeling treatment of the skin that is both painless and safe, since it is non-toxic and non-invasive. It is recommended for defects that reach the granular layer of the skin, since it is very light. It is very important to choose the A-hydroxy according to the type and the need of the skin, because otherwise it is in danger of becoming irritant.
    • Glycolic acid is a sugar-derived ingredient but can also be synthesized. It has strong exfoliating action and, in chemical peeling, it is ideal for mature and dry skins or skin types with pigmentation. It is fairly soft and safe to use, provided that it is applied by a specialist.
    • Jessner Solution is another type of surface peeling, used to treat mainly inflammatory and eczema acne, hyperkeratotic skin lesions, melasma and cases of photoaging.
    • Phenol is the strongest of solutions and what is widely used in deep peeling. It is mainly used to treat patients with intense facial wrinkles, spots or damaged skin from sun exposure or precancerous tumors. As phenol sometimes lightens the color of the areas where placed, the color of the skin is a critical factor as to whether this is the proper treatment for each patient. Phenol is mainly used on the face and healing is slow, it may last several months and sun protection must always be used. 
    Where Is Chemical Peeling Applied? 
    Chemical peeling is recommended for skin regeneration, photoaging, chloasma, acne, acne scars and oily skin with open pores. This process is not recommended to people with infections, active skin disease injured skin, sun burns or active herpes with wounds.
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