Superficial and medium-depth chemical peels

Abstract

We are currently in an era of rapid development of new techniques for skin enhancement and rehabilitation, some of which offer the possibilities of dramatic results, with minimized discomfort and diminished downtime. The goal of chemical peeling is to remove a controlled uniform thickness of damaged skin to improve and smooth the texture of the facial skin by removing the superficial layers and stimulate a wound healing response. In response to the chemical injury, fibroblasts in the papillary dermis increase production of collagen and growth factors. The collagen increase in turns thickens the dermis, which enhances the tensile strength of the skin and yields the clinical appearance of rejuvenation. Skin anatomy, technique of superficial and medium-depth peeling, postoperative care, and possible complications are discussed. Expertly performed chemical peels with healthy wound healing can achieve a significant reduction in facial rhytids, dyschromias, solar changes, acne, and superficial scarring.