TY  - CHAP
M1  - Book, Section
TI  - Chemical Peels
A1  - Rullan, Jennifer M.
A2  - Baumann, Leslie S.
A2  - Rieder, Evan A.
A2  - Sun, Mary D.
Y1  - 2022
N1  - 
T2  - Baumann’s Cosmetic Dermatology, 3e
AB  - SUMMARY  POINTSWhat’s  Important?Superficial  peels  induce  epidermal  injury  and  are  indicated  for  mild  acne,  melasma,  pores,  texture,  and  mild  photodamage.Superficial  peels  include  the  water-soluble  alpha-hydroxy  acids  (AHA)  (which  include  lactic  acid,  mandelic  acid,  glycolic  acid  (GA)  and  pyruvic  acid  (PA)),  the  lipid-soluble  acids,  beta-hydroxy  acid  (which  includes  salicylic  acid),  retinoic  acid,  Jessner’s  solution  (JS),  and  trichloroacetic  acid  (TCA)  10%  to  35%.GA  and  PA  require  neutralization  by  removal  with  water  or  10%  sodium  bicarbonate.Medium  depth  peels  penetrate  into  or  through  the  papillary  dermis  when  a  level  II  frost  (confluent  white  frost  with  background  erythema)  or  a  level  III  frost  (confluent  white  frost  without  background  erythema).  The  classic  combination  medium  depth  peels  for  the  face  and  scalp  include  solid  CO2  plus  TCA  35%,  JS  plus  TCA  35%,  and  GA  70%  plus  TCA  35%.Baker-Gordon’s  formula  (2.1%  croton  oil)  was  the  standard  phenol-croton  oil  peel  from  1962  to  2000,  but  since  2000  Hetter’s  formulas  (less  than  or  equal  to  1.6%  croton  oil)  have  been  the  standard.Segmental  phenol/croton  oil  peels  limited  to  one  or  two  cosmetic  units,  over  10–15  minutes  per  unit,  do  not  require  cardiac  monitoring.What’s  New?Medium  and  deep  chemical  peels:  updated  safety  and  patient  selection  information,  histology,  techniques,  healing  stages  and  endpoints.Chemical  peels  for  acne  scars.What’s  Coming?More  publications  on  deep  chemical  peels  (segmental  and  full  face)  showing  safety  protocols,  procedures,  and  technique.  
SN  - 
PB  - McGraw Hill LLC
CY  - New York, NY
Y2  - 2024/04/18
UR  - dermatology.mhmedical.com/content.aspx?aid=1197534400
ER  -