Basic chemical peeling—superficial and medium-depth peels

Publication date: Available online 11 December 2018

Source: Journal of the American Academy of Dermatology

Author(s): Kachiu C. Lee, Carlos G. Wambier, Seaver L. Soon, J.Barton Sterling, Marina Landau, Peter Rullan, Harold J. Brody, International Peeling Society(IPS)

Abstract

Chemical peeling, or chemexfoliation, has been used for centuries to improve signs of ultraviolet light-induced sun damage. Over the last 30 years, the science behind chemical peeling has evolved, increasing our understanding of the role of peeling ingredients and treatment indications. The depth of peels is directly related to improved results and to the number of complications that can occur. Key principles for superficial and medium depth peeling are discussed, as well as appropriate indications for these treatments.

Chemical peeling is the controlled wounding of the epidermis and dermis for medical and aesthetic improvement. Although the use of chemical peels dates to ancient Egyptian times, our understanding of the science behind chemical peeling is still evolving.1 Recent scientific studies investigating the histologic and long-term effects of peels provide data to support the clinical observations. This first part of the two-part chemical peels CME discusses superficial and medium depth peels, with a description of the histological effects and treatment indications of these peels.

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