Basic chemical peeling: Superficial and medium-depth peels

J Am Acad Dermatol. 2019 Aug;81(2):313-324. doi: 10.1016/j.jaad.2018.10.079. Epub 2018 Dec 11.

Abstract

Chemical peeling, or chemexfoliation, has been used for centuries to improve signs of ultraviolet light-induced sun damage. Over the last 30 years, the science behind chemical peeling has evolved, increasing our understanding of the role of peeling ingredients and treatment indications. The depth of peels is directly related to improved results and to the number of complications that can occur. Key principles for superficial and medium depth peeling are discussed, as well as appropriate indications for these treatments.

Keywords: International Peeling Society; Jessner's solution; acne; chemabrasion; chemexfoliation; chemical peeling; glycolic acid; pyruvic acid; rejuvenation; retinoic acid; salicylic acid; solid CO(2); trichloroacetic acid.

Publication types

  • Review

MeSH terms

  • Caustics / therapeutic use*
  • Chemexfoliation / adverse effects
  • Chemexfoliation / methods*
  • Drug Combinations
  • Ethanol / therapeutic use
  • Glycolates / therapeutic use
  • Humans
  • Keratolytic Agents / therapeutic use*
  • Lactic Acid / therapeutic use
  • Phenol / therapeutic use
  • Resorcinols / therapeutic use
  • Salicylates / therapeutic use
  • Salicylic Acid / therapeutic use
  • Skin Diseases / therapy*
  • Tretinoin / therapeutic use
  • Trichloroacetic Acid / therapeutic use

Substances

  • Caustics
  • Drug Combinations
  • Glycolates
  • Jessner's solution
  • Keratolytic Agents
  • Resorcinols
  • Salicylates
  • glycolic acid
  • Phenol
  • Lactic Acid
  • Ethanol
  • Tretinoin
  • Trichloroacetic Acid
  • Salicylic Acid