Serious skin care and precautions to take before chemical peels

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Preparing the skin for chemical peels with serious skin care

Chemical peels are meant for serious skin care, they are designed to accelerate the removal of old, dead skin cells on the surface of the skin to promote new cell growth. Chemical peels can also be used for treating a particular area (such as lines around the eyes or mouth), or all over the face, arms, hands and neck.

Chemical peels can take anything from just a few minutes to over thirty minutes, depending on the type of peel that you are having. There are three basic types of peel: superficial hydroxyl acid peels, medium depth peels, or deep phenol peels.

Before going for any type of chemical treatment with peels it is important for you to have clear expectations and have complete skin care information to see whether you are a candidate for the chemical peel. Chemical peels offer to rejuvenate your skin by helping your skin to shed the old cells and grow a new layer of skin cells, but it is not possible to change pore size, tighten loose skin or remove very deep scars.

Of all the chemical peel treatments professional skin care with deep chemical peels offers the most dramatic improvement of your skin because it goes deeper into the lower part of the dermis to combat the damage. However, such deep peels require serious skin care for preparing the skin for the treatment so as to avoid any future complications like the scar formation etc.

Deep peels are performed using phenol (a strong form of TCA) and may require a local anaesthetic and sedative. Since the treatment offered with deep peel is quite aggressive, it requires a great deal of skin preparation and skin care before the surgery and intensive post operative care after the surgery.

Serious skin care before peeling

Here are some of the important components of the serious skin care regimen needed before your skin becomes acclimatized for the professional skin care with deep peels.

Free Radical Avoidance

Cigarette smoking or chronic sun exposure generates free radicals which destroy the texture of the skin. A puff of cigarette smoke contains up to 40 000 free radicals which can penetrate through the mucous membrane of the nose and mouth and enter the subcutaneous tissue to destroy the support collagen and elastic fibers.

The results of the chemical peel treatment program in such people will not be good and they need to change their habits before attempting skin rejuvenation. It is advisable for them to quit smoking couple of weeks before the cosmetic peel is applied.

UV rays are also a cause for free radical damage. Preparing the skin for the peel requires you to avoid direct exposure to sun at least 2 months before the surgery.

Daily Skin Care Program

The second step of the skin rejuvenation program is the use of a daily skin care regimen. As any dentist would suggest daily floss, the cosmetic surgeon suggests daily "flossing" of the skin with buffing grains to peel off the dead skin cells and provide cleansing to the skin.

With all types of peel, your cosmetic surgeon may tell you to use specified homecare products before you arrive at the out patient center for chemical peel treatment.

Prophylactic acyclovir, valacyclovir, or famciclovir is given to patients with a history of recurrent herpes simplex virus, especially so when work is required to be done around the mouth.

If patients are using systemic isotretinoin (Acutane®), it should be stopped at least 6 months before the procedure. Standard photography and consent forms are obtained before the procedure.

This procedure of daily deep pore cleansing is followed by the application of normalizing tonic containing a-hydroxy acids for facial skin care to strip off the upper layer of the epidermis, forcing the skin into rapid proliferation.

Or the deep cleansing can also be combined with the application of topical retinoid treatment a common form of beauty skin care to send a message to the nuclear replication system to make new DNA and new cells.

This combination of buffing grains, the a-hydroxy acid toners, and vitamin A conditioning lotions is a potent treatment in that it accelerates the rate of skin turnover reducing if from the normal 28 days to 10-12 days. The treatment also imparts the skin rosy-red hue which serves as an index for the skin preparation.

Weekly Skin Care Regimen

The patient is often advised to have a slight skin peeling once a week to document that they are at the right therapeutic level of skin care. This skin care program should be used for several weeks or months before a deep chemical peeling or aggressive skin rejuvenation program with dermabrastion.

The more the pigment and the darker the skin complexion, or the more photo damage, the longer this home skin care program needs to be continued.

Application of these skin care products and sticking strictly to the specified skin regiment is essential to prevent skin from hardening after an aggressive chemical peel treatment.

Monthly Skin Care program

A combination of facial skin care with glycolic acid peels(20-30%) with microdermabrasion is also recommended to strip off any build up of skin cells while preparing your skin for the treatment with deep phenol peels.

The microdermabrasions may be done every month. The patients are given glycolic acid pads (5%, 10%, or 20%) to use weekly at home, and instructed to increase the time of exposure to the glycolic acid and the frequency of application so that the skin would be able to tolerate the aggression of the procedure.

Photoactivation of the skin

A photoactivation of the skin with the simple procedure of photofacials is generally recommended as a monthly procedure for removing any pigmentation problems. The activation also helps to prepare the skin for the deep peels.

Preparation Just Before the surgery

The patient is required to avoid using all cosmetics and one day prior to the procedure. Meticulous degreasing of the skin is also performed before the peeling, using oil-free acetone-soaked gauze sponges.

Most cosmetic surgeons now recommend a complete skin rejuvenation program and help yourself to look younger.

The best skin care treatment is now within your reach. Give your face the best skin the treatment it deserves.

References

James E. Fulton Jr and Serban Porumb, "Chemical Peels Their Place within the Range of Resurfacing Techniques", Am J Clin Dermatol 2004; 5 (3): 179-187

Deboshri Roy, 'Ablative Facial Resurfacing', Ophthalmol Clin N Am 18 (2005) 259 - 270

Marina Landau, "Advances in Deep Chemical Peels", Dermatology Nursing, December 2005/Vol. 17/No. 6




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