Textbook of Chemical Peels: Superficial, Medium, and Deep Peels in Cosmetic Practice

• Provides the definitive guide to all types of chemical peel treatments
• Includes new material on adjunctive procedures such as microneedling and mesotherapy
• Explores mosaic peels
• Reflects the new classification for peels as a medical, not cosmetic, treatment
• Incorporates color clinical photographs throughout

Chemical peels have returned to the forefront of the practitioner's armamentarium and are popular because they offer nearly immediate results. The Textbook of Chemical Peels is the definitive guide to all types of chemical peel treatments. It covers the practical application and scientific background for a wide variety of chemical peels.

The book reflects the new classification of peels as a medical, rather than cosmetic, treatment and helps providers by making chemical peel formulas easier, safer, and quicker to use. The book covers the appropriate selection of peels to treat the face, scalp, neck, hands, body, and forearms. It also discusses the use of peels to treat aging skin, stretch marks, scars, melasma, chloasma, acne, postinflammatory hyperpigmentation, and scalp keratoses.

The mechanism of action, indication, application, and results are discussed for a variety of chemical peels including alpha hydroxy acids, trichloroacetic acid, salicylic acid, resorcine, and phenols. Also covered are any contraindications, precautions, and safety issues. This edition includes new material on adjunctive procedures such as microneedling and mesotherapy as well as new information on mosaic peels.

Treatment prior to and following the peel are also discussed in detail, and a full chapter is devoted to discussing complications associated with chemical peels. The book incorporates color clinical photographs throughout as well as descriptive tables summarizing key information. Based on the author’s extensive experience in both research and practice, this updated reference is an invaluable guide to all providers involved with chemical peel treatments.

Table of Contents

Definition and Classification of Chemical Peels

Prepeel Care

Postpeel Care

Factors Influencing the Skin’s Reactions to Chemical Peels

Selection of the Right Peel

Alpha Hydroxy Acids: Chemistry, pH and pK_a, and Mechanism of Action

Alpha Hydroxy Acids: Histology and Factors Influencing Penetration

Alpha Hydroxy Acids: Indications and Results

Alpha Hydroxy Acids: Application as Cosmetics and as Peels

Alpha Hydroxy Acids: Side Effects of AHAs

Alpha Hydroxy Acids: A New Slow-Release AHA Complex with No Neutralization Required

Trichloroacetic Acid: General Information, Toxicity, Formulations, and Histology

Trichloroacetic Acid: Indications and Contraindications

Trichloroacetic Acid: Classic Semiology

Easy TCA and Easy TCA Pain Control: Description and Basic Protocols

Treating Melasma, Chloasma, and Postinflammatory Hyperpigmentation

Treating Acne

Treating Multiple Keratoses on the Scalp

Treating Aging Skin of the Hands and Forearms

Treating the Neck and Décolletage

Stretch Marks, Scars, and Pilar Keratosis: Anterior Chemabrasion

Face and Hands: Actinic Keratoses and Lentigines

Trichloroacetic Acid to the Papillary Dermis: Unideep

Resorcinol: Unna’s Paste/Jessner’s Solution

Phenol: Chemistry, Formulations, and Adjuvants

Phenol: Properties and Histology

Phenol: Skin Penetration and Detoxification

Phenol Toxicity: Causes, Prevention, and Treatment

Phenol: Choice of Peel and Combination Treatments

Phenol: Indications

Phenol: Contraindications, Precautions, and Safety

Phenol: Prepeel Preparation

Full-Face Phenol: Nerve Block Anesthesia and/or Sedation

Full-Face Phenol: Application

Full-Face Phenol: Postpeel Care

Phenol: Chemical Blepharoplasty and Cheiloplasty

Complications of Chemical Peels

Combination Peels

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