Monday, February 19

Are you a right peeling candidate?

Peeling evaluation

When the patient arrives to a dermatologist office and requests for a skin rejuvenation with chemical peeling, the doctor has to evaluate her skin toe valuate if she gathers the conditions to undergo the treatment.

The procedure, the possible complications and the factors to take into account have to be explained to the patient. The patient’s expectations during the treatment have to be emphasized and those with unrealistic expectations have to be handled with care.

Skin evaluation

It is basic to evaluate your type of skin. Skins of high risk are not candidates for chemical peeling. Moreover, the doctor has to consider the lifestyle and occupation of his patients to see if they can adjust to the care procedures after the treatment and strictly sun exposure. Personal and environmental hygiene are considered to minimize injury infection. Any patient who does not fit these criteria should be rejected.

Medical history

It must he considered the medical history of the patient regarding her tendency to form cheloids, face eczema or recurrent perioral infection produced by herpes.

This is important since the Roaceutane can reduce the function of the polisebaceous units and induce a poor reepithelialization, and may also increase the possibility of forming scars.

Photosensitive drugs as tetracycline should not be used with chemical peeling to treat acne since it could easily develop a postoperative hyper pigmentation.

Patients who take oral contraceptives or receive hormonal treatment may also develop a hyper pigmentation after the peeling.

It is recommendable that patients do not get pregnant until 6 months after the peeling due to the hyper pigmentation.

If the patient has been treated with radiation therapy or had had a face stretching or blepharoplasty before the peeling, she must be carefully evaluated. The treatment in this case will be held very carefully to prevent scars or ectoprion.

Instructions before the peeling

Once you are considered a perfect candidate for chemical peeling, you will be given strict instructions on how to get ready for the procedure:

- You should not get sun tan.
- Do not use cheratolytic agents (facial creams, tretinoine), hair dye, and facial manipulation.
- The peeling day, men should not shave; and women, should not wear makeup, creams or spray.
- Before the peeling with glycolic acid, the patient ahs to cover her hair and dress properly. Her face has to be cleaned with alcohol, acetone or special cleaners. This procedure removes the shreds of the skin surface, grease and any other cosmetic product, in order to perform an uniform peeling.


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