Tuesday, May 25, 2010

Chemical Peels

Peeling - one of the most common procedures in dermatocosmetology. Scope peelings constantly expanding. Among the indications for such procedures are used today are the skin, which a few years ago clearly applies to contraindications (eg, acne in the acute phase). At the same time not losing its relevance to such traditional purposes peeling problems like pigmentation disorders.

There are two fundamentally different ways to lighten hyperpigmentation: inhibition of melanogenesis and accelerate exfoliation.

Among the exfoliating effects can be identified:

1) mechanical (dermabrasion, scrubs)

2) physical (laser transformation kozhi0

3) chemical (peeling acids)

common mechanism of action of bleaching pmlmngov includes peeling an existing pigmented layer of cells and facilitate the penetration of bleaching agents. Efficacy and safety of peeling depends on the depth of exfoliation. Thus, superficial peel removes only superficial layers of the epidermis, therefore, provides a modest but safe lightening effect. In turn, the median peeling leads to exfoliation of the entire epidermis, and affect the dermis. In this case, immediate whitening effect is much higher, but the injuries the skin, can trigger increased pigmentation. Deep peeling accompanied by destruction of melanocytes and may lead to persistent complications in the form of depigmentation.

Thus, even holding a series of superficial peels may cause frustration, but the appointment of more aggressive drugs entails a risk of iatrogenic complications.

Consider a second mechanism of bleaching peelings - to strengthen the actions of other bleaching agents. In the case of the parallel application of a bleaching creams and procedures, superficial peel patient with hyperpigmentation we will definitely get synergism of these drugs, and this solve the problem of inefficiency of the surface of exfoliation. And in the case of joint use of bleaching creams and the median peel, we have some assurance that avoid the unpleasant complications such as iatrogenic pigmented. The subtlety lies in the fact that in the first case it is advisable to start using whitening creams after the procedure, and the second - no later than two weeks before peeling.

Continue to use bleaching cream should be for the entire course of peeling, and two - four weeks after its completion. A necessary condition for success is the use of sunscreen and avoiding any form of sunburn during the year.

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