Peeling is a cosmetic procedure that employs chemicals to produce exfoliation of the upper layers of the skin. The depth of the treatment depends on the substance and concentration. The treatment itself stimulates the skin to regenerate, improving tightness and elasticity.

 

Indications

 

The indications of peeling are the following:

  • Skin laxity
  • Fine wrinkles
  • Photoaging
  • Cutaneous signs of smoke
  • Acne scars

 

Treatment modalities

 

I usually use two substances. The choice depends on the kind of peeling that I want to perform:

  • Glycolic acid. It belongs to hydroxy acids and provides for a superficial peeling. Before the treatment the skin is accurately cleansed. The substance is applied at the desired concentration in order to make the treatment more or less strong (this depends on the type of skin and the type of effect to be obtained). The treatment lasts about 15 minutes. At the end of the session, soothing substances are applied. The treatment should be repeated weekly for a month.
  • Trichloroacetic acid. It is usually employed for more intense peelings and should be reserved to selected cases. The treatment lasts about 20 minutes. After treatment the skin may be erythematous and slightly swollen. The symptoms generally regress spontaneously in 10 days

 

After the treatment

 

Photo-exposure is not allowed for 14 to 21 days after treatment, depending of the peeling substance and concentration. This indication avoids discolorations and patches.

Daily activities are allowed as soon as one day after treatment. When an intense peeling is performed, the skin may display a moderate erythema for a week.