INTRODUCTION
Chemical Peels In Delhi are important procedures in a cosmetic or aesthetic practice as they are versatile and cost-effective. The concept of skin peeling by chemicals to beautify the skin has been used since time immemorial. Cleopatra used sour milk, containing lactic acid, and French women used old wine containing tartaric acid as beauty baths. With the advent of newer peels and newer combinations, there has been a resurgence of their popularity in recent times. According to the American Society of Plastic Surgeons, they are among the top five minimally invasive cosmetic procedures in practice. Chemical peels are basically cutaneous resurfacing procedures, that cause a controlled chemical exfoliation of the skin, followed by regeneration and remodeling of the epidermis and dermis leading to improved appearance of the skin. Some of the newer peels have added adjuvants that do not cause obvious peeling; hence, “chemical rejuvenation” is a more appropriate term.
VALUE OF PEELS IN AESTHETIC PRACTICE
The resurgence of popularity of peels among dermatologists, plastic surgeons, and estheticians is due to its several advantages. They are simple office procedures, easy to learn and practice, minimally invasive with little downtime, that perfectly suit today’s busy lifestyles. Unlike lasers, they do not require equipment and costly maintenance and more importantly have minimal complications, even in skin of color. The long-term experience with chemical peels has shown them to be safe and effective for a variety of common conditions such as dyschromias, photoaging, and acne. A wide array of peeling agents is now available; hence, treatment can be individualized, according to skin type.
CLASSIFICATION OF PEELS
Chemical Peels In Delhi are traditionally classified according to the depth of peeling as very superficial, superficial, medium depth, and deep peels. However, the depth can be variable, depending on the formulation of the peeling agent, amount of free acid, pre-peel skin preparation, skin condition, and method of application of the peel. It is preferable to standardize the method of skin preparation, priming agents, and application with the same formulation to achieve the desired depth.
INDICATIONS
Chemical peels can be used for various aesthetic and medical conditions acne, hyperpigmentation, photoaging, and skin rejuvenation are the main indications. Very superficial peels exfoliate the stratum corneum only, leading to smooth, translucent skin with a glow. These are called as lunchtime peels, party peels, or glow peels.
CONTRAINDICATIONS
Absolute contraindications to Chemical Peels in Delhi include active infection, particularly herpes simplex, open wounds, and allergy to peeling ingredients. Relative contraindications include recent sun tanning, photosensitizing medications, and pre-existing inflammatory dermatosis such as psoriasis, atopic dermatitis, pregnancy, radiation therapy, and unreliable patients. It was previously advocated that all resurfacing procedures are contraindicated with concomitant use of isotretinoin, due to increased risk of scarring. However, the recent evidence points that they are safe, particularly superficial, and medium depth peels, while deep peels should be avoided.
