By Antonella Tosti, Pearl E. Grimes, Maria Pia De Padova
Chemical peeling is a widely known process trying to fix a younger visual appeal and bettering dermatologic defects. over the past years this system has been marked through consistent innovation. This booklet is the 1st atlas on chemical peels, representing the cutting-edge during this box. it's a absolutely illustrated textual content, turning into a fantastic reference device for dermatologists facing cosmetology. it's a sensible and easy advisor: within the first half the peeling options are displayed in a step by step demeanour with an exhaustive textual content aiding the illustrations; within the moment half diverse ailments are mentioned of their pathogenesis and remedies. each one writer then offers his/her own event and remedy procedure with diversified peeling suggestions in zits, rosacea, melasma, photoaging, postinflammatory hyperpigmentations and darkish skin.
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Additional resources for Color Atlas of Chemical Peels
1 History Salicylic acid (ortho-hydroxybenzoic acid) is a beta hydroxy acid agent (Fig. 1). It is a lipophilic compound which removes intercellular lipids that are covalently linked to the cornified envelope surrounding cornified epithelioid cells . Due to its antihyperplastic effects on the epidermis, multiple investigators have used salicylic acid as a peeling agent [2, 3, 4]. Recently, histologic assessments using salicylic acid peels in hairless mice reported loss of cornified cells followed by activation of epidermal basal cells and underlying fibroblasts.
Fig. 7a, b. Acne scars before and after 70% glycolic acid peeling 2 a b Glycolic Acid repetitive glycolic acid peels (at least six times) at 70% concentration are necessary to obtain evident improvement. Long-term daily use of low-strength products may also have some useful effects on scars and may be recommended for patients who cannot tolerate the peeling procedure  (Fig. 7a, b). Patients of varying skin types (I–V) having striae distensae alba on the abdomen or thighs can apply topical 20% glycolic acid daily to the entire treatment area.
4 Formulations . . . . . . . 5 Contraindications . . . . . . 7 Peeling Technique (Figs. 8) . 8 Post-peeling Care . . . . . . 9 Side Effects . . . . . . . . 10 Advantages . . . . . . . . 11 Disadvantages . . . . . . . 12 Results . . . . . . . . . 13 Patient’s Informed Consent . . . 38 References . . . . . . . . 3 Indications í Inflammatory acne, especially microcystic acne (Fig. 1 History Pyruvic acid is an alpha-ketoacid, a chemical group that has properties of both acids and ketones [1, 2, 3].