[Chemical peels and management of skin aging]

Ann Chir Plast Esthet. 2017 Oct;62(5):520-531. doi: 10.1016/j.anplas.2017.07.001. Epub 2017 Aug 30.
[Article in French]

Abstract

Chemical peels are an alternative and/or a complementary treatment to the surgical procedures for skin aging. The purpose of this article is to specify the procedures and the indications of the three principal types of chemical peels: alpha-hydroxy acids, trichloracetic acid, phenol-croton oil peel. The clinical examination will determine the depth of the lesions to treat and will take into consideration counter-indications and specific limits to each patient. Chemical peel is a four step procedure: pre-peel preparation, peeling itself, recovery phase and maintenance phase. The preparation is a very important phase which requires a thorough knowledge of cosmetics. This preparation can extend to any medical or surgical treatment for aging skin. Various techniques of peelings: superficial, medium, deep, combined and mosaïc peel will be detailed. These procedures require a rigorous training and a distinct learning curve. The follow up will be specified as well as the management of the possible complications.

Keywords: Acide trichloracétique; Alpha hydroxy acids; Alpha-hydroxyacides; Chemical peels; Cosmétologie; Peeling; Phenol-croton oil peel; Phénol+huile de croton.

MeSH terms

  • Chemexfoliation / methods*
  • Humans
  • Skin Aging*