SDPA Summer | Live Blog | Laser, Light Therapies and Chemical peels for Anti-Aging
Dr. Gene Rubinstein presented a thorough lecture outlining the different types of chemical peels and their use in skin rejuvenation during the pre-conference day of the SDPA’s Annual Summer Dermatology Conference 2017 in San Diego, California. The most common conditions treated with chemical peels include pigmentary disorders, acne, scarring and aging. As with all cosmetic procedures, Dr. Rubinstein reiterated how critical patient selection is in the overall outcome of these procedures. Recognizing the Fitzpatrick skin type and Glogau classification of the individual patient is key in the decision making process. In general, patients with lighter skin type can tolerate deeper skin peels than patients who have darker pigmentation due to resultant hypo or hyperpigmentation.
While laser procedures have replaced the use of chemical peels for certain conditions, chemical peels still have a benefit when used with the correct technique. As always, adequate education of the patient and discussion of expectations are key in the overall outcome of these procedure. New collagen formation starts as early as 2 weeks after treatment and can continue for up to a year after a peel is applied illustrating how a deep peel may help with rhytides in the right patient.
Dr. Rubinstein emphasized the need to know if a patient has history of herpes simplex in order to provide proper prophylaxis with an anti-viral agent prior to peel application. Finally, Dr. Rubinstein reviewed patient cases demonstrating how chemical peels, such as Cosmelan® can be used to improve resistant melasma.
Byline: Sarah Patton, PA-C, MSHS
Posted: June 1, 2017