Best chemical peel for acne scars is the application of one or more chemical agents on to the skin resulting in dry desquamation or moist maceration followed by its exfoliation and subsequent resurfacing of the epidermis along with remodelling of collagen and elastic fibres and the deposition of glycosaminoglycans during the repair process in the dermis. The idea of chemical peel for acne marks is to wound the skin to bring it to a desired level, which is deep enough to cause exfoliation of the layers, while being superficial enough to allow regeneration from the appendageal structures and papillary dermis through wound healing, and reduce acne scars.
MECHANISM OF ACTION OF PEELS
The outer skin layers are removed through keratolysis and kerato coagulation. In keratolysis, the peeling agents such as glycolic acid or lactic acid penetrate through stratum corneum, break the intercellular desmosomal band and disrupt the keratinocyte cohesion. In kerato coagulation, the peeling agent such as TCA destroys the surface cells through protein denaturation and keratinocyte coagulation. Most of the very superficial and superficial peels primarily cause epidermal wounding whereas medium and deep chemical peels cause both epidermal and dermal wounding.
STAGES
Indications
Contraindications
Pre Procedure
1.Selection of the depth of the peel required
2. Priming
Preparing the skin for the best chemical peel for acne scars is an important part of the procedure, as it contributes in achieving optimum results. This can be achieved by using topical drugs at least 2 weeks prior to the planned day of the peel.
3. Sun Protection
Procedure:
1.Peel
Reaction:
2. Post-peel
Schedule:
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