Reference

AMET works diligently to keep the following information updated with the most current medical aesthetic news.  This information has been supplied by numerous sources. AMET is not affiliated with any such sources, and the information provided does not reflect the views of AMET.  The function of this page is to simply provide information, and AMET does not accept responsibility or liability for any views/claims/rumors/errors that appears herein.  

1/8/2015
Broad A-Peel
Few treatment modalities have the ability to treat as wide a variety of patients and concerns as chemical peels. Whether an individual wants to reduce fine lines and wrinkles, get rid of facial scarring or knock down cystic acne, there is a peeling agent that can help.
Broad A-Peel

Few treatment modalities have the ability to treat as wide a variety of patients and concerns as chemical peels. Whether an individual wants to reduce fine lines and wrinkles, get rid of facial scarring or knock down cystic acne, there is a peeling agent that can help.

The first peel widely used in cosmetic medicine was the Baker-Gordon peela combination of croton oil, phenol and septisol soap. The challenge with phenol peels is you have to be connected to an EKG, because you can have heart flutter, says Robert Manzo, founder of Skinprint, a developer of physician-dispensed skincare products and medical-grade chemical peels. Though deep phenol and croton oil peels are still performed today, they have largely been replaced by fractional resurfacing lasers and safer peeling agents.

The most popular ingredients for chemical peels today include alpha-hydroxy (AHA) and beta-hydroxy acids (BHA), trichloroacetic acid and retinol, says Rhonda Allison, founder and CEO of Rhonda Allison Cosmeceuticals.

Glycolic is the smallest of the range of AHAs, and it is the most effective, says Manzo. Glycolic peels typically come in 10%, 30% and 70%. In most states that regulate peels, 20% is the cutoff where estheticians can do them without supervision by a physician. So many companies make a 20% solution of glycolic for estheticians as well.

The difference between todays high percentage glycolic peels and earlier phenol and croton oil peels is that glycolic acid offers simple tissue removal while the skin rebuilds itself in a slightly different way after a phenol peel, says Manzo. With a 70% medium-depth glycolic peel you do get nice tissue removal, but nothing compared to the old croton oil and phenol peels. What youre doing with glycolic peels is youre just removing tissue. Youre not activating the skin at all, though you can make the argument that youre getting new collagen and elastin production because your skin sees the injury, but its minimal.

Trichloroacetic acid (TCA) is another popular agent for medium-depth peels. But due to its poor penetration, it is typically combined with AHAs, as in the Jessner Peel. TCA is rarely used alone as an acid. You usually have TCA with glycolic or TCA with phenol, because on its own you wont get that full peeling effect; it doesnt go as deep, says Manzo. When you put it with AHAs, that combination brings it deeper into the skin. He notes that one of the benefits of TCA is that, similar to phenol, it not only peels but also modulates the skin to behave differently. So you get a longer-lasting benefit for tone and texture, he says.

http://medestheticsmag.com/broad-peel

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