What is Chemical Peeling?
Chemical peeling is based on the principle of renewing worn skin by generating controlled damage in certain layers of the skin and improving the damaged and lesion-containing structures during this regeneration.
Chemical peeling should be applied by skilled hands. The content of the peeling agent and the depth of the skin layer to be reached are important criteria that should be considered separately for each patient by the physician. The Chemical Peeling application can be grouped under 3 main headings based on the depth of the skin layer to be targeted.
a) Superficial “peeling” is the peeling of the stratum corneum and the correction of the skin structure by stimulating the formation of a thicker epidermal layer.
For superficial peeling, trichloroacetic acid (TCA) 10-25%, Jessner’s solution, alpha hydroxy acid (AHA), salicylic acid and tretinoin solution can be used. b) Medium deep peeling is an effective method in correcting the effects of photoaging, including the treatment of pigment changes, mild to moderate wrinkles by causing destruction in the papillary and upper reticular dermis, and also in the treatment of actinic keratosis. c) Deep “peeling”; It is an effective method applied in severe photoaging by creating necrosis and inflammation in the epidermis, papillary and reticular dermis.
For medium and deep chemical peeling a combination of 35-50% TCA, Jessner’s solution and 35% TCA, a combination of 70% glycolic acid and 35% TCA, or 88% phenol can be used.
The contents of chemical peels are prepared under these main headings with the use of Alpha hydroxy acid, Beta hydroxy acid, Jessner’s, Retinoic acid, Trichloroacetic acid peels, Phenol peels alone or in combination.
What needs to be considered?
Chemical Peeling is a sensitive application and must be applied under the supervision of a plastic surgeon. The risk of complications increases the deeper the layers of the skin are penetrated. Therefore, doing the proocedure under the supervision of the right people is critical for both the success of the results and the skin health of the patient.
