Chemical Peeling
For Pigmentation, Pimples & Cosmetic needs
Chemical peeling is the application of a chemical agent of a defined strength to the skin that causes destruction at the required depth, followed by remodelling without scarring.
- It is a simple office procedure, and does not require any elaborate OT setup.
- The procedure is easy to learn and practice, with a short learning curve, particularly for beginners.
- It is safe and effective with minimal complications.
- Superficial peels are noninvasive and can be used as lunchtime procedures.
- No significant postoperative care is required, except for deep peels.
- There is no risk of systemic toxicity except for phenol peels.
- Chemical agents are easy to procure and are stable
- There is a wide array of chemical agents that can be used for peeling, hence treatment can be individualized , according to skin type.
- Procedure and chemicals are inexpensive and easily affordable to most patients.
- Chemical peeling has been well studied and there is vast long-term experience with peeling agents.
Based on Skin Conditions
All purpose – Glycolic acid Oily and pigmented – Mandelic acid Dry and sensitive – Lactic acid Antibacterial – Salicylic acid
Based on Skin Conditions
Acne – Mesopeel Azelan (Salicylic acid 20%, Azelaic acid 20%)
Post acne pigmentation – Mesopeel Jessner (Salicylic acid14%, Lactic acid 14%, Citric acid 8%)
Melasma / Hyperpigmentation – Melanostop peel (Azelaic acid 20%, Resorcinol 20%, Phytic acid 6%)
Photaging / Antiaging – Pyruvex peel (Pyruvic acid 40%, Lactic acid10%)
- Herpes simplex
- Viral warts
- Molluscum contagiosum
- Open wounds
- Contact lenses should be removed before the peel.
- The customer is asked to wash the face with soap and water, to remove makeup, dirt and grime.
- The hair is pulled back with a hair band or cap.
- The customer lies down with head elevated to 45 degree and eyes closed.
- Inspect the skin to see that there are no abrasions or inflammations.
- Remove the make up with mesoesthetic hydramilk clenser.
- Apply mesoesthetic hydratonic lotion.
- Remove excess oil in the skin with mesoesthetic professional degreasing lotion.
- Remove excess oil in the skin with mesoesthetic professional degreasing lotion.
- Sensitive areas like inner canthus of the eye and naso-labial folds are protected with Vaseline.
- Apply the chosen peel over the surface of the skin with brush or two ear buds as per cosmetic units of the face.
- Keep the peel for adequate time of exposure.
- Remove the peel with abundant water and spray the surface with neutralizer.
- Apply post peel collagen / arbutin mask & keep for 20 minutes. Remove the mask & apply Momentasone cream.
- Apply sunscreen lotion.
A. CLASSIFICATION OF MESOESTHETIC PEELS
Alpha & Beta Hydroxyacids
- Glycolic
- Mandelic
- Lactic
- Salicylic
Combination Peels
- Mesopeel Azelan – Contains Salicylic acid 20% & Acelaic acid 20%.
- Mesopeel Jessner – Contains Salicylic acid 14%, Lactic acid 14% & Citric acid 8%.
- Melanostop peel – Contains Azelaic acid 20%,Resorcinol 20% & Phytic acid 6%.
- Pyruvex peel – Contains Pyruvic acid 40% & Lactic acid 10%.
Trichloroacetic acid peels
- Mesopeel TCA soft
- Mesopeel TCA
B. FACTORS MODIFYING DEPTH OF PEELS
Peeling agent
The peeling agent and its concentration is the most important factor in determining the peel depth. However, peeling agents can be combined at lower concentrations, to achieve greater depths, reducing side effects associated with higher concentrations.
Availability of free Acid
It is important to check the pH of the peeling agent before doing the procedure. If a product eg. Glycolic acid 50% of a company with lower pH will have greater depth than Glycolic acid 50% with higher pH of another company.
Duration of Contact
For AHA peels such as glycolic acid, prolonging the duration of the contact increases the depth of the peel. Hence the timing of the peel is as important as the concentration. This is not required for agents such as TCA and salicylic acid, where concentration is important.
The application of low concentrations of glycolic acid, tretinoin or salicylic acid during the period pre-peel priming thins stratum corneum, causing a uniform, even and greater penetration of the chemical agent.
Need for priming
In thick oily skin, penetration is less as compared to thin dry skin. The level of photodamage, actinic damage and presence of irregular superficial lesions such as seborrheic keratosis, dermatoses papulosa nigra, lentigo, etc can cause irregular penetration of peeling agent.
Characteristics of patient's skin
A facial peel will show greater depth as compared to a nonfacial peel, where skin is thicker.
Combination Peels
Chemical Peels
Combination peeling is having two or more ingredients combined together to give better result without much side effects. They are used based on aesthetic needs.
Combination Peels @ DAC
MESOPEEL MELANOSTOP PEEL
Contains Azelaic acid 20%, Resorcinol 10% and Phytic acid 6%.
Azelaic Peel
Antibacterial, antiproliferatory agent with anti inflammatory and oil-regulating action. Normalises the keratinisation process of follicles. It stimulates melanogenetic inhibition, acting on hyperactive melonocytes (anti-proliferative effect) – Causes progressive fading of the colour of hyperpigmentation spots, reducing them in size.
Resorcinol Peel
Phenolic derivative with keratlytic and regerating properties. It addresses melanic hyperpigmentation and has a whitening effect.
Phytic Acid Peel
Powerful chelator of copper that encourages thyrosinase enzyme inhibition and has a depigmenting effect.
MODIFIED JESSNER PEEL
Contains Salicylic acid 14%, Lactic acid 14% and Citric acid 8%.
Salicylic Acid Peel
Beta-hydroxy acid (BHA) which has a powerful keratolytic and comedolytuic effect. It has anti-inflammatory, antimicrobial, astringent and antiaging properties.
Lactic Acid Peel
Alpha-hydroxy acid (AHA) stimulates thickening of the epidermis and the dermis, while favoring the increase in the concentration of hyaluronic acid in the extracellular matrix, enhancing firming and moisturising the skin.
Citric Acid Peel
Alpha-hydroxy acid (AHA) with chemoexfoliating, antioxidant and antiaging properties.
MESOPEEL AZELAN PEEL
Contains Azelaic acid 20% and Salicylic acid 20%.
Azelaic Acid Peel
Antibacterial, antiproliferatory agent with anti inflammatory and oil-regulating action. Normalises the keratinisation process of follicles.
Salicylic Acid Peel
Beta-hydroxy acid (BHA) which has a powerful keratolytic and comedolytuic effect. It has anti-inflammatory, antimicrobial, astringent and antiaging properties.
MESOPEEL PIRUVEX PEEL
Contains Pyruvic acid 40% and Lactic acid 10%.
Pyruvic Acid Peel
alpha-keto acid with keratolytic, antimicrobial and seboststic properties. Its high acidity and small molecular size gives it great transdermal penetration capacity. Pyruvic acid is able to transform physiologically into lactic acid (AHA) thus leading to progressive chemoexfoliation without excessively drying the skin. This increases homogenization of papillary dermis and stimulates collagen, elastin and dermal glycoprotein synthesis.
Lactic Acid Peel
Keratolytic alpha-hydroxy acid (AHA) which reduces the thickness of the hyperkeratotic stratum corneum and stimulates thickening of the epidermis and dermis. It increases the concentration of hyaluronic acid in the extracellular matrix, firming and moisturising the skin.
Oxy Peels
Chemical Peels
Oxypeel is done using a machine which compresses oxygen from atmosphere and combines with normal saline attached to the machine. The compressed oxygen along with the water (normal saline) is forcibly pumped into the skin surface. It is a new technique which is done prior to chemical peels which is more effective than chemical peel alone.
