Basic chemical peeling: Superficial and medium-depth peels - 27/07/19

Doi : 10.1016/j.jaad.2018.10.079

Kachiu C. Lee, MD, MPH ^a,^⁎ , Carlos G. Wambier, MD, PhD ^b, Seaver L. Soon, MD ^c, J. Barton Sterling, MD ^d, Marina Landau, MD ^e, Peter Rullan, MD ^f, Harold J. Brody, MD ^g
on behalf of the
International Peeling Society
^a Department of Dermatology, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
^b Department of Dermatology, Yale University School of Medicine, New Haven, Ponta Grossa, Brazil
^c Division of Dermatology, Scripps Clinic, San Diego, California
^d Jersey Shore University Medical Center, Spring Lake, New Jersey
^e Dermatology Unit, Wolfson Medical Center, Holon, Israel
^f Department of Dermatology, University of California San Diego, San Diego, California
^g Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia

^∗Reprint requests: Kachiu C. Lee, MD, MPH, 593 Eddy St, APC 10, Providence, RI 02903.593 Eddy St, APC 10ProvidenceRI02903

Abstract

Chemical peeling, or chemexfoliation, has been used for centuries to improve signs of ultraviolet light–induced sun damage. Over the last 30 years, the science behind chemical peeling has evolved, increasing our understanding of the role of peeling ingredients and treatment indications. The depth of peels is directly related to improved results and to the number of complications that can occur. Key principles for superficial and medium depth peeling are discussed, as well as appropriate indications for these treatments.

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Key words : acne, chemabrasion, chemexfoliation, chemical peeling, glycolic acid, International Peeling Society, Jessner's solution, pyruvic acid, rejuvenation, retinoic acid, salicylic acid, solid CO₂, trichloroacetic acid

Abbreviations used : CO₂, CROSS, GA, HA, JS, LA, MJS, PA, PEG, PIH, SA, TCA