Why can peeling be a major prevention?
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Answer:
Chemical peeling (chemexfoliation) is a procedure wherein a chemical agent of a defined strength is applied to the skin, which causes a controlled destruction of the layers of the skin, and is followed by regeneration and remodelling, with improvement of texture and surface abnormality. Though the procedure is generally safe,complications may occur. The various complications that can occur in chemical peeling are:
Immediate (Within minutes to hours after peeling):
Pruritus, burning, irritation
Persistent erythema, and edema
Ocular complications
Delayed (Within a few days to weeks):
Loss of cutaneous barrier and tissue injury: Infections (bacterial, herpetic, candidal)
Abnormal wound healing: Scarring, delayed healing, milia and textural changes
Pigmentary changes: Hyperpigmentation, hypopigmentation, demarcation lines
Adverse reaction to chemical agent: Acneiform eruptions, allergic reactions, toxicity
Though minor, all these complications are more common in darker skin patients and with medium and deep peels as compared to superficial peels.
These complications of chemical peel can be prevented by proper patient selection, patient counseling, adequate priming and with good intra-peel and post-peel care. This article outlines some tips to achieve optimal results after chemical peels.
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