![]() Finally, we present the results of a survey of the chemical peeling practices of 30 Australian dermatologists. Furthermore, we examine recent advances and future directions in this field. 1, 6 In this article we review the history, classification, mechanism of action, indications, contraindications, complications and general principles of chemical peels. Synonyms for chemical peels include chemabrasion, chemexfoliation, chemical exfoliation, chemical face lifting, chemosurgery, dermapeeling, facial rejuvenation and surface surgery. ![]() Glycolic acid 70% + TCA 35% for medium-depth peeling 27 ![]() Jessner's solution + TCA 35% for medium-depth peeling 25 TCA 35% + solid CO 2 for medium-depth peeling 24 Phenol-based formula containing Septisol, distilled water & croton oil for facial rejuvenation 19- 22Īlpha hydroxy acids for hyperkeratinisation disorders 23 Phenol, glycerin, distilled water & croton oil solution for facial rejuvenation 18 Histological changes, technique & complications of phenol peeling 17 Salicylic acid, resorcinol, lactic acid and ethyl alcohol solution under tape occlusion for superficial peeling deep exfoliation with cantharides tincture & phenol 15Īlcohol-based solution of lactic acid, salicylic acid & resorcinol for superficial peeling 8ĭiluted TCA superior to pure phenol for extensive superficial peeling 16 Salicylic acid, resorcinol, acetone, formaldehyde solution, beta naphthol, phenol, glacial acetic acid, sulphur, mercurial salts, & solid CO 2 for pitted scars & pigmentation 13ĭiluted TCA to treat acne scars, molluscum contagiosum, xanthelasma palpebrarum, tinea versicolor & lichenified eczema 14 Histological changes with phenol peeling 12 Iodine tinctures, croton oil, mustard seed, cantharides, sulphuric acid, acetic acid, nitric acid, hydrochloric acid, borax, alkalis & corrosive sublimate for disorders of increased pigment 8, 11ĭescribed properties of phenol, resorcinol, salicylic acid & TCA 10 Note: Scar reduction products should only be applied after wounds have fully closed.Ancient Egyptians used alabaster, animal oils, salt, honey & sour milk for cutaneous aesthetic enhancement 7- 9 Other Uses In addition to scar management, gel pads are effective for pressure point relief anywhere friction or pressure is a concern - particularly under splints, braces, or shoes. This is not because the product breaks down, but because bodily oils and fabric fibers attach to the tacky side of the silicone and affect adhesiveness. Product Life Gel sheeting usually lasts 25-90 days (depending on manufacturer/brand). These options either come with fabric backing or without backing to allow the gel to be attached to a splint or a brace with adhesive or hook-and-loop fastener. Gel Options Most gel options are available in sheets, strips, discs, and even body wraps. The gentle cushioning of the gel helps to ease the painful itching and burning sensations common with scarring, and the added lubrication protects against friction and shearing. Newer-Generation Scar Care Sheets Silipos® Gel-Care® gel sheeting is made of non-silicone gel and natural botanical oils, antioxidants, vitamins, and emollients that moisturize and condition the skin and scar tissue. Silicone gel sheeting is also effective in helping to reduce the appearance of all types of scars, including new or old scars, keloids, hypertrophic scars, and other scars caused by surgery, injury, trauma, and burns. When applied over scars daily, elastomers soften, smooth, and flatten scars to restore skin to a more natural surface and skin color. Scar management Elastomers and Gels For decades doctors have recognized silicone elastomers as an effective scar management therapy.
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