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edito focus 2
Peelings are extremely practical and flexible and permit immediate adaptation to most of the situations we face in aesthetic medicine. We have a peeling that not only "peels" the patients but also provides strong stimulus for the skin regeneration process while eliminating the need for neutralization thanks to its delayed-release formulation: Easy Phytic Peel. We also have a deeper peeling, with controlled aggressiveness and a progressive action, spread over a total of four weekly sessions. This peeling consists of the application of an acid solution containing a weak concentration of TCA, immediately followed by an active cream which has no neutralizing effect at all. This is Easy TCA Peel. Also, we sometimes have to deal with aesthetic problems that are deeper within the skin or are less sensitive due to the thickness of the layer that covers them, and therefore require the use of more powerful products. We know that the more aggressive the peeling, the greater is the risk of side-effects. We also know that the smaller the treated surface, the smaller is the risk of harmful scarring. That is why Only Touch Peel, a very powerful peeling, must be carefully applied over small areas of the skin up to a maximum diameter of 1 cm. The time of contact of the acid with the skin is one of the more important factors determining the penetration of this solution. Since Only Touch Peel is by nature very powerful, only a short contact time is recommended: the cotton tip must be in contact with the skin for the same length of time a finger would touch a keyboard key when typing. The quantity of Only Touch Peel applied to the skin is also decisive for the depth of action of the product, so the cotton tip must be allowed to "drain" before it touches the skin in order to avoid any excess penetration and any dripping of acid. The peelings can be combined with one another if certain regions are to be treated more superficially or more deeply. A deep Easy TCA can also be implemented (see the technical handbook available from your distributor or at skinrebirth@estetik.com ) on certain hyperchromic or scarred regions and the treatment rendered uniform by applying an Easy TCA or an Easy Phytic base protocol on the rest of the region. Easy TCA can also make the result of a localised peeling with phenol more uniform, as the author has shown with "chemical blepharoplasty" and labial "bar code" treatments. When even greater penetration into the skin is required, experienced doctors should be able to combine mechanical abrasion with the application of Easy TCA (see technical handbook). This would be the case in the treatment of certain scars, stretch marks, or in certain protocols (décolleté rejuvenation) which require abrasion followed by the utilisation of the acid-free Easy TCA post-peel cream. From a financial point of view, peelings also have the edge over most other techniques, as they need only very limited investment and have no danger of loss of capital. Dr. Ph. Deprez |