Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Demonstrate that peeling is procedure helping in treating multiple skin problems

Introduction: Chemical peeling being the gold standard of all aesthetic procedures can be helpful in treating multiple problems like acne, acne scarring, dyschromias, photoaging and simple rejuvenation.

Materials / method: The importance of chemical peeling must be stressed upon to develop the patient’s trust in realizing its role before the start of any cosmetic treatment whether interventional or not, for bringing out the best result.
With a wide variety of sophisticated peels available in the market, I still believe and trust the efficacy and safety of 20% TCA mainly in type 4 skin patients. Although we need to educate the patient about its relative downtime for the actual outcome, we still have more superficial peels that we categorize as desmosomalytic only that help in achieving our targeted goals.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: In this Lecture we intend to inform the participants about the way we approach patients with special skin needs, regarding chemical peeling.

Introduction: Chemical Peels are the most common minimal-invasive cosmetic procedures performed since the 18th century
There are several indications including melasma, acne, acne scars, rosacea, actinic keratoses & other precancerous lesions antiaging and skin rejuvenation.
They are relatively easy methods but need well trained providers.
Special groups of patients need a different standard of care.

Materials / method: We are going to discuss the standard of care regarding chemical peeling in :
Pregnancy
Children
Men
Isotretinoin
Skin of color
Summer

Results: Giving options with suggested chemical agents, concentrations and methodology, as well as pre and post treatment care and precautions, there will be a potential treatment plan for every special group of patient.

Conclusion: Chemical Peeling must be an option for every patient who is in need of this procedures , but we need to be well trained in order to deliver these treatments safely.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Inaesthetic leg stasis: Treatment by peeling
So what is it possible to propose to reduce the pigmentation?
It is possible to propose laser, IPL or peels? IPL exposes to the risk of burns as others lasers emitting in millisecond. With laser device, most of them are efficient but the burn risk is high except with the Q-switched laser. It allows to result in medium-superficial peel effect like TCA peels.

Introduction: Legs Cutaneous pigmentation often causes cosmetic problems for the patients.
Stasis dermatitis occurs secondary to venous hypertension of the lower extremities.
Hemosiderin and/or melanin have been considered responsible for the brown pigmentation

Materials / method: Melanin is the major determinant of the normal skin color. Other contributing chromophores are oxyhemoglobin (red), deoxygenated hemoglobin (blue), and carotene (yellow-orange). However, there has been no report except except few articles clarthrifying the role of melanin or melanocytes in the production of cutaneous pigmentation in stasis dermatitis.

Results: Stasis dermatitis develops as a complication of impaired venous return, and shows the vascular proliferation, red blood cells extravasation, and hemosiderin deposition histologically.
Inflammatory cytokines or growth factors have been considered responsible for the pathogenesis of venous leg ulceration. The mechanism suggested that iron (hemosiderin), various cytokines or growth factors derived from vascular inflammation might have an unproven effect on possible pluripotent stem cells which are involved in the development of dermal melanocytes inducing the pigmentation.

Conclusion: With peels, the difficulty is to obtain an homogenen penetration of active ingredients. We propose specific peels under occlusion during 4t o 6 hours to induce a progressive unpainfull epidermolysis for whitening the skin. Even, it take between 1 to 3 sessions every 6 weeks, we can expect a reduction around 60% of the ocer dermatitis.
From some clinical cases we propose to illustrate this and to define therapeutic conduct.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability