Peeling applications - Peeling
Over time, some skin imperfections appear.
These are called internal aging / aging and are more common in women and men with open phototypes. (light skin color and skin that is easily reddened-burnt and difficult to tan) and on skin that is thin and normal / dry (Our oily skin "suffers" from acne at a young age, but are more durable over time).
In addition the chronic and cumulative exposure to the sun (UV radiation) made for business reasons (workers in the countryside eg farmers) or leisure (various outdoor sports) adds to the above the photoaging which burdens our skin.
Peels are for people who notice the first signs of time or sun on their skin..
These can be fine wrinkles, freckles and discolorations from the sun (skin blemishes), hyperkeratosis (hardening of the skin), dry and dull skin.
Peels will renew the outer layer of the skin (keratin layer of the skin) and will cosmetically / aesthetically improve the skin which we will feel even more radiant, soft, fresh and healthy. There are also special peels aimed at acne patients and in addition to the medication they receive they offer sebum regulation. (regulating the oiliness of the skin and its tendency to retain sebum), while other deeper peels offer to the aesthetic improvement of the scars left by the difficult forms of acne.
Finally, special peels that offer whitening also help patients with melasma (spots that appear on the face after pregnancy etc.) for the aesthetic improvement of their problem.
Peeling can occur during the summer months;
Mechanical peeling with microcrystals has no restrictions as to the season in which it is done. Strong chemical peels are best done in the months when there is no intense sunshine (autumn to spring) . Despite all the newer chemical peels which are milder in terms of irritation and exfoliation they create, can be done in the summer months with always the appropriate protection from the sun.
Some special preparation is needed before their application;
When peeling purely for cosmetic reasons skin rejuvenation does not require any preparation before the patient. Before applying the peeling chemical, the skin is thoroughly cleansed with a suitable cleanser-antiseptic to remove the sebum., the makeup and the various pollutants from its surface. After the skin dries, the solution with which the peeling will be done is placed. This application causes a controlled irritation to the skin in order to renew it.
In cases where the dermatologist applies therapeutic peeling to treat discoloration (stains) or acne before the application of the peeling has been preceded by medication that the patient applies at home. Thus the skin is prepared therapeutically so that the peeling has an even greater effect. This treatment will be continued by the patient after 3-5 days (where the peeling irritation will go) until the next peeling application.
Among the things you should avoid 1-2 weeks before application is electrolysis to remove facial hair, intense exposure to sunlight (sunbathing) and solarium.
Instructions that the patient must follow after application;
Side effects from surface peels can be hyperpigmentation after exposure to sunlight so sunscreen with a high sun protection index should be used all hours of the day to reduce the chance of this side effect.. In case of severe skin irritation with intense redness and exfoliation the patient can use a regenerating-moisturizing cream in the following days after application. We recommend gentle cleansing of the face with a product without soap (on the face always with cold water), gentle drying with a towel, and hydration twice a day. It is good for the next few days to avoid exposure to intense heat (aerobic exercise, hair dryer, to sit near a fireplace etc)
In medium peels or deep peels the instructions after the treatment are more and the patient should pay more attention and has some limitations.
• Use of mild painkillers, such as paracetamol, if needed
• Apply a thin layer of antibiotic ointment 2-3 times a day to reduce the risk of infection
• If you suffer from severe itching during recovery, It is recommended to take antihistamines, to stop the symptoms
• Sleep on your back with your head resting on some pillows, to reduce swelling during sleep
· Not the hair dryer too close to the face when drying the hair,
· Not too hot water in the bathroom and especially on the face to wash with cold water
· Do not sit near stoves, radiator, nor over the kitchen when cooking. Pay close attention to the iron vapors when ironing
Avoid strenuous physical exercise for about two weeks , thus allowing for smooth recovery
• Avoid rubbing your face vigorously
· For at least one time the peeling is avoided, we avoid the depilation with electrolysis or wax
Start using sunscreen with a high sun protection index, and avoid direct sun exposure for at least 6 weeks
Contact your doctor immediately if you notice signs of infection or discoloration
What to expect immediately after applying the peels? The next days? Recovery time?
· Mechanical peels with microcrystals cause a mild irritation after application, which is treated with a moisturizing-regenerating cream which can be used in the following days. In fact, microcrystalline peels do not have a recovery time, and offer immediate return to work and activities
· In chemical peels the evolution after application and the recovery times depend on the depth of the peeling.
i. On the surface peels usually a slight redness appears and possibly, gentle exfoliation within the next 3-7 days (This exfoliation may not even be visible on very resistant skin). The most intense redness observed after the end of the procedure disappears in about two hours and only a very mild redness remains.. Some patients, they do not experience any visible sign, as a result of the previous treatment, but the benefit of exfoliation is there.
ii. In medium and deep peels, a brownish crust may occur more often, which gradually falls off.. The speed of healing is a quality element of the skin but it also depends on the age (Older skins tend to heal less quickly).
iii. Deep chemical peels are very invasive, they cause chemical burns and require long recovery times. (15-30 days). They also require specific postoperative medication to prevent infections. For these reasons we do not recommend them as a treatment.
The treatment is painful;
No. You do not even need to apply anesthetic cream (xylocaine) before application. The moisturizing mask that we apply after the application offers deep hydration and fights the burning sensation created by the peeling.
Peels can be combined with other anti-aging treatments;
Peels can be combined with other deep anti-aging applications (Botox, hyaluronic implants for filling wrinkles) which offer impressive results. Botulinum toxin prevents the formation of expression wrinkles while hyaluronic fillers fill in deep wrinkles and volume loss by correcting facial geometry. And other anti-aging applications which are done in depth such as the application of support mesh yarns or direct traction and straightening yarns (lifting) it is perfectly legal to combine them with the application of peelings.
From the anti-aging applications that concern the surface of the skin, the peels are perfectly combined with the autologous mesotherapy (PRP) which with the growth factors it contributes to the greater renewal and restoration of the skin and the reduction of the recovery time after the peels.
IN WHICH CASES PEELINGS ARE CONTRAINDICATED;
Peeling should not be applied in the following cases:
· In pregnancy and breastfeeding we prefer to do only mechanical peeling with microcrystals
· On very sun-exposed skin which has undergone great thinning (atrophy)
Patients with flare-ups of herpes simplex (In case the patient develops recurrent episodes of herpes, it is advisable to precede prophylactic anti-herpes treatment before peeling.)
Patients with a history of allergy to chemical peels. In this case we choose another type of chemical peeling or we prefer the absolutely safe microcrystalline mechanical peeling
In patients with a history of keloids or hypertrophic scars
· In patients who have warts or other infection on their face
· In patients who have used in the latter 6 months isotretinoin as a treatment for acne
MECHANICAL PELINGS- SKIN SCRAP WITH MICROCRYSTALS OR DIAMOND
Mechanical peeling is also known as microcrystalline peeling or dermabrasion.
It is made with a special microcrystal spraying machine (microdemabration) on the outer layers of the skin (cuticle). In this way it achieves the disintegration of the old stratum corneum and the mechanical detachment of the dead cells (peeling) .The result of this removal is that new healthy skin cells come out and the skin acquires softness., the deep cleansing of the skin , skin hyperemia (due to improved blood circulation) and in the long run after repeated sessions the skin fibroblasts are activated to produce collagen-elastin with a significant contribution to anti-aging.
This is how the skin acquires: Softness and brightness, improved elasticity, a general rejuvenation that offers velvety, bright and pleasant appearance
The advantage of the treatment is that it is done without chemicals (so there is no possibility of an allergic skin reaction), it is painless, done without injury, does not require recovery time (stay at home) as required by deep chemical peels, nor are special protective measures required after application. It can be done without season restrictions, even in summer
When mechanical peels are applied with a therapeutic protocol (acne treatment, discoloration etc.) usually required 4-5 sessions which are good to do every 30 days ,depending on the case. However, when done purely for reasons of rejuvenation and anti-aging, no specific number of sessions is required. It can be repeated whenever we want for a good renewal and toning of the skin.
The duration of each treatment is 15-20 minutes.
CHEMICAL PEELS - CATEGORIES
Chemical peeling is the application of one or more chemical exfoliating agents to the skin in order to, either the treatment of some skin diseases or the aesthetic improvement of the skin. The result is the removal of the outer layers of the skin or the dermis, resulting in skin regeneration, and in the long run, after repeated sessions, the skin fibroblasts are activated to produce collagen-elastin by increasing the thickness of the skin and improving the texture of the skin, which contribute significantly to anti-aging..
They are used in diseases such as solar flare, the melasma (freckles), post-inflammatory hyperpigmentation, radial hyperkeratosis as well as for the improvement of superficial scars. But in addition to skin diseases, peels are also used for aesthetic anti-aging purposes as peels significantly improve the quality of the skin and reduce fine lines on the face, achieving long-lasting aesthetic benefits..
Helps improve the appearance of skin texture in problems such as fine lines-wrinkles, the mild signs of acne, "The signs of age" (brown spots, which may be due to sun exposure) as well as help to balance the chromatic inhomogeneity of the face.
They are the most common types of peels and contain some type of hydroxy acid, with exfoliating properties. Different types of hydroxy acids are available in this market. these include, alpha hydroxy acids, such as natural lactic acid and tartaric acid. Salicylic acid, is a beta hydroxy acid, and is unique among hydroxy acids in the sense that it can penetrate deeper into the sebaceous glands and cause exfoliation even in oily areas of the face. For this reason it is used for years by dermatologists to treat acne in people with very oily skin.
Glycolic Acid: in various concentrations (10%-90%) and different pH levels (acidity levels).
Combinations of different hydroxy acids are sometimes used.
Reduced intensity TCA peeling (Trichloroacetic acid) may also, to be used to induce superficial exfoliation.
They reduce fine lines, acne scars, and some pigmentation problems. These include the use of stronger peels. The most common of these is TCA, which is commonly used in concentration 25-35% to avoid possible side effects.
They reduce the appearance of deeper lines, wrinkles and scars. These are generally applied using phenol or TCA 40%. While the most penetrating peels can be very effective for some, we do not prefer them because they cause great irritation leading to a long recovery time as well as there are possible complications associated with the procedure.
In which cases peels can not help;
You should know that chemical peels do not change the pores of the skin, do not face the "bags" , do not restore sagging and sagging skin (not related to the various lifting applications) and do not deal with the deep scars of acne or chickenpox. They also do not treat the varicose veins of the face (redness from enlarged vessels).
How to choose the type of chemical peeling that will be applied;
The Dermatologist will choose the appropriate solution to be applied depending on the problem that concerns the patient, his skin type and personal history. There are special peels that we use on oily skin with active acne, other peels that we use on skin with discoloration-stains. Also, very thin-dry and aged-atrophic skin needs very much attention in choosing the appropriate peeling which does not cause much irritation after application..
COMBINATION APPLICATION OF MECHANICAL AND CHEMICAL PEELINGS
THE EVOLUTION OF PELINGS ARE THE COMBINATIVE APPLICATIONS:
1) Cleansing the face with an ultrasonic spatula: With this treatment we help the skin to eliminate the excess sebum which is retained. The treatment concerns oily skin with a tendency to acne or patients with active acne. The treatment is painless and suits even sensitive skin.
2) Peeling with microcrystals: A system that shoots microcrystals into the outer layers of the skin (cuticle) and epidermal exfoliation is achieved. Exfoliation with microcrystals removes dead cells from the skin and helps healthy cells come to the surface, thus improving the appearance and quality of the skin. Ideal for anti-aging treatment and whitening treatments.
3) The light chemical peels: suitable for reducing the appearance of fine wrinkles and open, large pores of oily skin, while softening the color of the freckles, of brown spots. They also help treat acne scars while rejuvenating the skin.
4) The moisturizing mask: completing the treatment, offers a deep hydration and guarantees that in the coming days there will be no major irritation (you go to work comfortably), but only a gentle and controlled peeling
Depending on the case, the dermatologist can also suggest a maintenance dermatological treatment for the intervals of therapeutic sessions-applications to enhance the good result..
COMBINATIVE APPLICATION OF MICRONEEDLING AND CHEMICAL PEELING – FRAXPEEL PROTOCOL
This combined application is everything,what is new in the field of peels. The minor injury created by microneedling (microacupuncture of the skin) creates "gateways" for chemical peeling which achieves a much better penetration into the skin. So we can use milder peels which are completely safe, have very controlled exfoliation and very little skin irritation after application , can be done even in summer months and do not have recovery-recovery time which with this combined application penetrate deeper and have a much better result compared to what very strong chemical peels have
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