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Chemical peels: acne protocol and different body indications

Partner of the session

IPS

International Peeling Society

International

International Peeling Society

IPS has been formed in 2012 by international group of physicians dedicated to the field of chemical peels. The Society targets to teach and promote the methods and applications of chemical peels for both medical and esthetic purposes. Among the goals of the Society are development of clinical guidelines for better and safer use of peels, setting of appropriate quality standards and initiation and clinical research in this field.

Focus program

Room: Webinar
Date: Wednesday 17 February 2021 at 11:00 to 12:30
Format: FOCUS SESSION > lectures covering a major topic of the congress

Chair

Dr Uliana GOUT

United Kingdom

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
11:00	Dominique DU CREST	Introduction		108692
11:05	Dr Jean Luc VIGNERON	Acne and acne scars - My peeling protocol	View	108693
11:17	Dr Sylvie LEDERLE	Peelings for stretch marks	View	108694
11:29	Dr Oliver Philip KREYDEN	Review of peelings for body		108695
11:41		Discussion and Q&A with the audience		108696

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Dominique DU CREST

Industry Representative

France

Other author(s) :

Introduction

Dr Jean Luc VIGNERON

Dermatologist

France

Other author(s) :

Acne and acne scars - My peeling protocol

Objectives: Understand what an acne scar is made up of and draw the consequences on the choice of treatment technique.

Introduction: Acne scars often have psychological consequences. This is the case in young adults, but also after 45 years, when the tone of the skin relaxes and the scars create "fibrotic blockages".

Materials / method: It is through the combination of techniques that we obtain the best results.
- Medical Roller to prepare the skin
- underlying filler injections just before the deep act that will be
- either a deep peel, or a dermabrasion, or both successively, and sometimes the addition of a fractional CO2 during the peel to facilitate the penetration of the peeling liquid.

Results: We always get an improvement that is even better when the prior stretch test has been positive. It is the depth of scar fibrosis that will hamper the rise of the dermis and decrease the satisfaction score.

Conclusion: The combination of treatments allows us to offer solutions adapted to different types of scars. The treatment is often long because it is carried out in several sessions spaced out by the time necessary for reconstruction and for the results to be observed.

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?
Yes
Please specify date...: Formula Creator
and status : Exopeel since 1995

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

Dr Sylvie LEDERLE

Dermatologist

France

Other author(s) :

Peelings for stretch marks

Objectives: Stretch marks are a real esthetic problem especially on the abdomen in young women after pregnancies. Medium peels can bring a real improvement. 20% TCA or Phen TCA are the best peels to use, with Phen TCA being the best option to decrease pain levels during treatment.. These peels are easy to perform but a thorough training is necessary to feel comfortable and avoid complications.

Introduction: One of the most common benign cutaneous lesions encountered in esthetics. Those are a real esthetic problem especially on the abdomen often associated with skin sagging and this is where peels are going to work best. Stretch marks emerge as striae rubrae. They shift to striae albae which can be thin and hardly visible or wide, white, shiny or purple, like depressed atrophic scars being a real esthetic problem. Medium peels leading to a skin regeneration can bring a real improvement. However the treatment can be very painfull and Phen TCA is the best option to decrease the pain

Materials / method: Application on very thin skin: 20% TCA concentration will be used or preferentially Phen TCA to decrease pain. Treatment can be applied with the help of paint brushes or cotton tips. Progressive whitening of the skin depending of the amount of rubbing will indicate the deepness of penetration. Cortisone cream applied at the end of the peel treatment will decrease burning sensations. The treatment will lead to exfoliation and skin regeneration that will last 2 to 3 weeks. Treated areas must be covered during the healing process with colloid dressings.

Results: The best indication is the abdomen in young women after pregnancies associating wide, white, shiny, and sometime purple, like depressed atrophic scars with skin sagging. Results can be sometimes amazing in those young patients with a good regeneration ability. A good training is mandatory to avoid to go too deep which can lead to complications such as hypopigmentations or sometimes scars. Propenetration with fractinnal CO2 laser can be an option on wide stretch marks. Light phenol peels can bring good results as well but only to be used by experts.

Conclusion: Stretch marks can be treated with TCA or Phen TCA peels with good results, especially on the abdomen when associated with skin sagging. This treatment can be associated with fractional CO2 laser. At this location, where the skin is very thin, a maximum concentration of 20% TCA should be used to avoid hypopigmentation. The Phen TCA combination is recommended to decrease pain during the treatment. Healing time is quite long which must be clearly explained to the patient. A second later treatment can be performed to increase the results.

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

Dr Oliver Philip KREYDEN

Dermatologist

Switzerland

Other author(s) :

Review of peelings for body

Discussion and Q&A with the audience

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IMCAS Academy International Program

Chemical peels: acne protocol and different body indications

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Lectures of the session

IMCAS Academy International
Program