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Peeling: from a frog

Winter has come, and in any esthetic medicine clinic that respects itself, or even in a beauty salon, cosmetologists offer clients to do peeling. Why in the winter? Yes, because in the summer such procedures are contraindicated due to strong solar radiation.

The thing is that the principle of any peeling is that the upper keratinized (sometimes not only it) skin layer is removed along with old problems – dryness, excessive keratinization, pigmentation, and, of course, wrinkles. Whether it is chemical strong peels, or home-made peeling creams with microabrasive particles, they are all designed to bring forth fresh, youthful skin of God without flaws, causing cells of the surface layers to divide. Therefore, until such a skin reaches a certain “maturity”, it cannot be exposed to ultraviolet radiation. So with the onset of winter – welcome to peelings.

According to experts, there are no clear age restrictions for peeling, except, perhaps, for the patient to reach the lower age limit – the onset of puberty. Peelings containing salicylic and glycolic acids, as well as Jessner peeling, can be used at a young age if the skin is quite problematic. A peeling program with ANA acids is recommended at 23-30 to prevent wrinkles. For age 35-45 years, retinoid peeling is ideal. TCA peeling can be used at the age of 25-30 to narrow large pores, but without exacerbating acne, and at 35-45 years old – for rejuvenation (again with porous thick skin). After 45 years, experts recommend the use of phenol peeling, which has a pronounced anti-aging effect.

The process of regeneration, skin rejuvenation does not end immediately after the peeling procedure. Updated, thin, delicate skin takes time to recover. Until the epidermis is completely restored, it is very sensitive to UV rays. In order not to provoke the appearance of age spots on the skin, it must be protected from sun exposure, which is almost impossible in the summer. Therefore, the most favorable time for peelings is autumn and winter.

The patient’s sensations during peeling depend on which active substance is used. With chemical peels using glycolic acid, the procedure is painless. The patient may experience a slight burning sensation, which usually decreases when there is cold air in the stream. After neutralizing the acid, the burning goes away. With sensitive skin, a burning sensation can last for several hours. When peeling with trichloroacetic acid, burning can last 10-20 minutes after neutralization.

Indications for peeling and possible complications
Indications
Possible complications
1. Wrinkles, skin microrelief disorders (signs of aging)
2. Acne, rosacea, seborrheic and actinic keratomas, ichthyosis, xeroderma (signs of problem skin)
3. Scars of post-acne and other etiology (atrophic, normotrophic and hypertrophic).
4. Hyperpigmentation of various etiologies. Formations and defects on the skin, which use chemical peeling, depending on the depth, are localized:

at the level of the epidermis: freckles, chloasma, keratic neoplasms, flat warts;

at the level of the epidermis and papillary dermis: chloasma, hyperpigmentation, fine surface wrinkles and scars.

Thus, the depth of the peeling effect is selected depending on the indications.

5. Not more than 1 time per week.

6. Peeling perfectly prepares the skin for laser resurfacing, plastic surgery, laser correction of scars and striae.

In the post-peeling period, the following complications may occur:

soreness (rarely)

prolonged erythema

pigment changes

infection (exacerbation of herpes, rarely a bacterial infection)

exacerbation of acne

prolonged itching

contact dermatitis

hypersensitivity to cold

increased photosensitivity of the skin

scars (mainly after deep peeling)

Contraindications
Contraindications to the peeling procedure are divided into absolute and relative. Absolute – those under which it is impossible to carry out the procedure under any conditions, and relative – those under which everything depends on the specific situation.

Absolute:
Relative:
1. Individual intolerance to the ingredients of the peeling composition.

2. Violation of the integrity of the skin.

3. Active infectious process on the skin (more than 5-7 pustular inflammatory elements in the zone of the intended effect).

4. Active manifestations of viral infections (herpes, molluscum contagiosum, warts).

5. Allergic dermatoses (eczema, atopic dermatitis, atopic dermatitis, etc.)

6. A long stay in the sun, in a solarium (within 2 weeks before peeling).

7. Collagenoses.

8. The tendency to form keloid scars.

9. Pregnancy, lactation.

10. Severe somatic diseases.

1. The patient’s expectation of overestimated results.

2. The term is less than 6 months after surgery (mechanical and laser dermabrasion)

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