Chemical peels
by Chitra Nayak Dehdashti

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

Chemical peeling is defined as the application of one or more chemo-exfoliating agents to the skin, resulting in destruction of the epidermis and/or dermis, with resulting degeneration of new epidermal and dermal tissues. The wounds to the epidermis and dermis are enough to stimulate regeneration from the appendages and dermis via wound healing. Chemical peels can be used for a number of indications such as photoaging, pigmentary disturbances, rhytids and others such as rough and oily skin, dilated pores, superficial scarring, radiation keratosis, acne vulgaris and rosacea, flat facial warts and milia, pseudofolliculitis barbae, xanthelasma and acanthosis nigricans. It must be borne in mind that careful patient selection and education are crucial to both the patient’s final result and his/her satisfaction. This video demonstrates the technique of using various chemical peels to remove superficial lesions and improve the texture of the skin. It is important to remember that learning the technique is a small part of the process; postoperative care and close patient follow-up are equally important. While clinical and histological changes are long-lasting, and may even be permanent, complications arising from the procedure can also be permanent. Thus, postoperative care and follow-up are equally, if not more, important than learning the technique.

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