Chemical peels remove the superficial layers of skin leaving fresh, renewed skin. Since the days of ancient Egypt, people have been using chemexfoliation methods, also known as chemical peeling, to rejuvenate skin. The original chemexfoliant was lactic acid, an active ingredient of sour milk that was used topically by the nobles as part of an ancient skin rejuvenation regimen. In the Middle Ages, old wine with tartaric acid as its active ingredient was used for the same purpose. Today, these historical chemexfoliants are known to contain alpha hydroxy acids, which are the active ingredients responsible for the skin exfoliation.
The patient has to be questioned about their general health status, medications (eg, oral isotretinoin), smoking, previous cosmetic procedures (surgical lifts), recurrent herpetic outbreaks, and keloid formation. Photoaging, fine superficial wrinkling, dilated pores, superficial scars, freckles , lentigines, melasma can be treated with different peeling solutions. Upper epidermal defects, such as melasma, can be treated with superficial peels, while deeper defects, such as deep wrinkles, may require a deep peeling agent. Patients may treat the skin before and after a peel with agents such as tretinoin, hydroquinone, or an alpha hydroxy acid. These may help the skin heal faster and may allow the chemical peel agent to achieve better penetration.
The peeling process also stimulates the skin to produce new collagen for smoother skin texture. Peeling decreases solar (sun induced) elastosis and replaces and reorients the new dermal connective tissue. The result is an improved clinical appearance of the skin, with fewer rhytides and decreased pigmentary dyschromia. Chemical peel can improve fine lines and skin discoloration caused by the sun. They can also be useful to control acne. There may be a period of redness skin for a few days to weeks depending the strength of the peeling solution after your peel.
Irregularities of the surface of facial skin are commonly improved by a surgical procedure known as dermabrasion or ‘’skin sanding." Acne or scar pitting, irregular scars and selected facial blemishes can often be effectively improved with careful dermabrasion in Cyprus Aesthetic Center. A small surgical rotating wire brush or diamond wheel is utilized to remove the sharp edges of scars or pits in order to blend them more uniformly with surrounding skin. You should expect partial improvement and not complete eradication of the treated defects. Repeat treatments may be necessary as well as the use of other resurfacing modalities. Dermabrasion was initially developed to combat acne scars; this is the most common indication for its use. It can also be used to effectively treat traumatic or surgical scars, irregular scarring from skin grafts, photo-damage, some benign tumors, actinic keratoses, rhinophyma, and perioral rhytides. Manual dermasanding has also been used in the treatment of periorbital wrinkles and fine lines.
Dermabrasion may be combined with facelift procedures to smooth and render inconspicuous the fine, small, shallow wrinkles that form around the mouth and temples. We find it additionally helpful as a final "touch-up" following scar camouflage operations because it blends the new camouflaged scar more uniformly into the surrounding facial skin.
Exposure to direct sunlight without the use of a total sun-blocking agent within at least 12 weeks following dermabrasion may result in unfavorable discoloration. We advise about sun exposure and effective sun-blocking agents (SPF 30). With meticulous postoperative care, the results can be highly satisfying for patients.