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Chemical Peel

Aka: Chemical Peel, Chemexfoliation

II. Mechanism

  1. Chemical exfoliation of superficial skin layers using acids or enzymes (e.g. hydroxy acids)

III. Indications (same indications as for Microdermabrasion)

  1. Benign epidermal pigmentation
  2. Rough skin
  3. Acne
  4. Superficial acne scars

IV. Dosing

  1. Course of 6 treatments every 4 weeks with maintenance treatments every 1-3 months

V. Preparations

  1. Alpha hydroxy acids
    1. Glycolic Acid
    2. Lactid acid
  2. Beta hydroxy acids
    1. Salicylic acid

VI. Efficacy

  1. Results are temporary

VII. Advantages

  1. Inexpensive

VIII. Disadvantages

  1. Difficult to control exfoliation depth
    1. Deeper peels risk scarring as well as Hypopigmentation and Hyperpigmentation
  2. Skin peeling is common post-procedure
  3. Low efficacy with a single treatment

IX. References

  1. Small (2009) Am Fam Physician 80(11): 1231-8 [PubMed]
  2. Tung (2000) Am J Clin Dermatol 1(2): 81-88 [PubMed]
  3. Kligman (2001) Dermatol Ther 14(3): 225-7 [PubMed]

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Ontology: Chemexfoliation (C0007979)

Definition (NCI_NCI-GLOSS) A procedure used to improve the way certain skin problems look. These problems include acne scars, wrinkles, or skin changes caused by long-term sun exposure. A chemical solution is put on the skin to dissolve the top layers of skin cells.
Definition (MSH) Application of a cauterant to the skin for the purpose of causing a superficial destruction of the epidermis and upper layers of the dermis. After healing, the treated area has new epithelium.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D002615
SnomedCT 31459005
CPT 15793
English Chemexfoliations, chemical peels skin, chemexfoliation, skin chemical peel, Chemical Peel, Chemexfoliation, chemabrasion, chemical peel, Chemical peel of skin, Chemexfoliation of skin (procedure), Chemopeel of skin, Chemexfoliation of skin, Chemexfoliation of skin, NOS, Chemical peel of skin, NOS, Chemopeel of skin, NOS
Dutch chemische peeling van huid, Chemische exfoliatie, Exfoliatie, chemische
French Exfoliation chimique épidermique, Exfoliation chimique, Peeling chimique
German chemisches Peeling, Chemisches Peeling
Italian Esfoliazione chimica della cute, Peeling chimico
Portuguese Descamação química da pele, Resurfacing Químico, Peeling Químico, Quimioesfoliação, Abrasão Química
Spanish Exfoliación química cutánea, quimioexfoliación de la piel (procedimiento), quimioexfoliación de la piel, Quimioexfoliación
Japanese 皮膚�ケミカルピーリング, ﾋﾌﾉｹ�ｶﾙﾋﾟｰﾘ�ｸﾞ, 皮膚剥離法-化学的, 表皮剥離法-化学的, ケミカルピーリング, 化学的表皮剥離法, 化学的顔�皮膚剥離法, 化学的皮膚剥離法
Swedish Kemisk exfoliering
Czech chemická exfoliace, Chemické odloupnutí kůže
Finnish Kemoeksfoliaatio
Russian EKSFOLIATSIIA KHIMICHESKAIA, KHIMICHESKOE SLUSHCHIVANIE EPITELIIA KOZHI LITSA, KHIMICHESKAIA EKSFOLIATSIIA, ХИМИЧЕСК�Я ЭКСФОЛИ�ЦИЯ, ХИМИЧЕСКОЕ СЛУЩИВ��ИЕ ЭПИТЕЛИЯ КОЖИ ЛИЦ�, ЭКСФОЛИ�ЦИЯ ХИМИЧЕСК�Я
Polish ZÅ‚uszczanie chemiczne, Piling chemiczny
Hungarian Bőr kémiai hámlasztása
Norwegian Kjemisk eksfoliasjon
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Chemical peeling of skin lesion (C0411412)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 240996002
English Chemical peeling of skn lesion, chemical peel, chemical peeling, chemical peels, Chemical peeling of skin lesion, Chemical peel, Chemical peeling of skin lesion (procedure)
Spanish exfoliación química de lesión de piel (procedimiento), exfoliación química de lesión de piel
Derived from the NIH UMLS (Unified Medical Language System)

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