| The New Peels |
| To revitalise the skin
and always keep it fresh and radiant has always been the goal of medical
professionals and the cosmetic industry. Retinoic Acid was the first
chemical substance that obtained successful results in skin
revitalisation, although its use was limited, because of its
irritability on the more sensitive skins. Glycolic Acid is currently the
most popular chemical agent used by Dermatologists and Plastic Surgeons,
because of its ease of use, and the normality of the skin during the
treatment. These two substances have been shown to be very efficient in
the treatment of skin that has been damaged to a lower degree, and can
improve the more severely damaged photoaged skin. Generally, the more
severe skin lesions are deep in the epidermis and because of this,
require a more aggressive, and severe treatment, so that they can be
effectively eliminated. Different chemical peeling systems (Jessner
Solution, Resorcine, and Liquid TCA), Mechanical Peeling (Dermoabrasion)
and Physical Peelings (CO2 and Erbium YAG Lasers) were all developed to
work deeply in the skin and remove more complex epidermal lesions.
Because of the complexity of these more aggressive treatments, only a
few medical professionals have been trained to work with these peelings
that cause large exfoliation. In an attempt to simplify the peelings,
which have the capacity to promote efficient epidermolysis, we are using
formulations containing Trichloroacetic Acid 30% (TCA) in the form of a
chelated lotion (a process that limits the penetration of the TCA into
the dermal layer, avoiding unnecessary necroses in this layer of the
skin) The resulting peeling is efficient and causes less localised
inflammation. This peeling requires that the medical professionals be
properly trained. (Fig:1, 2, 3 & 4) |
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Fig:
1 76 y.o
Severe age spots and wrinkles. |
Fig:
2 IE 76 y.o
Frost soon after the application of TCA Chelated lotion 30% |
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Fig:
3 IE 76 y.o
30 minutes after the beginning of the peeling, the skin is
moisturised with Vaseline® ointment. |
Fig:
4 IE 76 y.o
Three weeks after the peeling with TCA Chelated Lotion 30% |
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| Yellow Peel is the
latest, and weaker chemical peeling, which can promote the elimination
of the epiderm, at different depths, and it can also be tailored to the
type of lesion. This peeling uses the exfoliant action of the Retinoic
Acid (in high concentrations) together with the action of three
substances, (Phytic Acid, Kojic Acid and Azelaic Acid) which block the
synthesis of Melanin. This peeling can be used for the treatment of
Epidermal Melasma, Benign Hyperchromic Lesions of the Epidermis,
Superficial Wrinkles and Acne Sequels. This peeling is easy to apply,
and when repeated, can provide the same benefits as the more aggressive
peelings. Yellow Peel should be used in a thin and continuos layer all
over the face, or only in the area that needs treating. After a
superficial peeling using Alpha Beta Complex Peel; (the objective of
which is to prepare the stratum corneum for a perfect and uniform
penetration of the Yellow Peel). Yellow Peel should be left on the skin
for a continuos period of 2 hours and then removed with a neutral soap.
Normally this treatment can be repeated for other periods of 2 hours,
depending on the type of skin being treated or as recommended by the
physician. During the treatment of Epidermal Melasma, this should only
be repeated only 2 – 3 times, this is enough to provoke a superficial
epidermal peeling, offering the minimum inflammatory process, which is
the ideal for Epidermal Melasma therapy. (Fig 5,6 & 7) |
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Fig:
5 RS 30 y.o
(Pre-treatment - Mixed Melasma ). |
Fig:
6 RS 30 y.o
Photo taken under the Wood (Ultra Violet) lamp where the
Melasma is highlighted. |
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Fig:
5 RS 30 y.o
(Pre-treatment - Mixed Melasma ). |
Fig: 7
RS 30 y.o
Flaking after the 4th day of YELLOW PEEL Phytic / Retinoic Acid
Peel. |
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| For the treatment of
wrinkles, acne sequels and photoaged skin, it is possible to re-apply
the Yellow Peel for 5 or 6 applications of 4 hours, causing a large
irritation of the skin, promoting an epidermal peeling (renewal of the
epidermis at different depths according to the irritation), also, with
this stimulation of the derme, superior benefits can obtained in the
treatment of acne sequels and medium wrinkles. The post peel period
which occurs after the application of the Yellow Peel should be treated
with Vaseline® or Hydrocortizone ointment, applied various time
during the day, until the skin looses the epidermal layer (3 to 5 days).
After the skin looses the epidermal layer the skin should be kept
moisturised for at least 5 more days. At the end of this period, skin
lighteners can be used without Retinoic or Glycolic Acids (eg: Stand By
C Cream or Facial C Lotion / Mene Moy System which does not contain
Hydroquinone). (Fig 8,9 & 10) The use of an efficient chemical free
sunblock is required to avoid recidive of the lesions. |
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Fig:8
HB 59 y.o
Pre-treatment, Mixed Melasma. |
Fig:9
HB 59 y.o
Showing crusts on the 4th dayafter the application of YELLOW
PEEL (Phytic / Retinoic Acid Peel). |
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Fig:8
HB 59 y.o
Pre-treatment, Mixed Melasma |
Fig:10
HB 59 y.o
After 30 days of peeling with YELLOW PEEL (Phytic/ Retinoic
Acid Peel). |
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