Objectives: 1) Summarize chemical peeling’ history
2) Distinguish the difference between classic and modern chemical peelings
3) Describe diverse classic and modern acids with their recommended usages and cautions.
Introduction: Chemical peelings are one of the most ancient reported procedures to beautify the skin’s appearance. For approximately 3500 years a diversity of elements like fruits, milk, and acids have been applied in different ways and concentrations as a treatment for an assortment of dermatological problems like acne, hyperpigmentations, photo-aging; wrinkles, and scars.
Materials / method: The first chemical peels (classic peelings), like phenol, were effective but could be dangerous, were not recommended in higher Fitzpatricks' types, and the patients should comply with a meticulous downtime. However, peelings have evolved in the last 40 years (modern peelings), new molecules and ingredients complement the action; to be safer, easier to apply, with little or no down-time; hence it is a treatment option that most the patients could benefit from, regardless gender, age, or phototype, being an option to add as a combined therapy to any other aesthetic plan.
Results: In such a variety of acid agents in the market, from classic to modern era peelings, the distinction that the practitioner could realize between each one, with suggested use, cautions, and proper management of the acid molecule, will be guaranteed the expected results without minimal or none complications.
Conclusion: Despite new technologies with energy-based devices, chemical peels keep popular among patients; if the physician comprehends the chemistry of acid molecules, how they act on the skin, and their suggested uses, the practitioner will utilize them appropriately with excellent outcomes.
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