Chemical Peels?

Illustration of Chemical Peels?
Illustration: Chemical Peels?

Hello, I want to do chemical peels for my hands and feet using a 20% TCA. I want to ask because there is a seller who claims that the TCA products he imported. Is there a difference if I use local and imported products ?? And also I’m confused about how to apply it. There are sources that say that after TCA has been scrapped leave it until the next day and rinse, but there are also sources that say that wait 5-10 minutes and then rinse. So which one is better for me to follow? Are there differences in results if I apply it 10 minutes overnight?

1 Answer:

Hello Silvi,

Chemical peeling is one of the skin care measures aimed at helping to remove dead skin cells so that the skin can be reached smoother, brighter, disguise black marks, and even skin texture.

Chemical peeling generally has 3 levels:

Superficial: the lightest, only the epidermis / outermost of the skin, including superficial peels are home peels that can be done at home, for example salicyclic acid 1-2%, glycolic acid 3-10%, lactic acid 3-10%, jessner peel Medium: part of the epidermis and part of the dermis, for example TCA peel (trichloroacetic acid) 20-35%, and glycolic acid with higher concentrations Deep: epidermis to the lower layer of the dermis, commonly used phenol peel, is currently quite rare. peeling should be done by a trained doctor. I do not recommend that you do your own 20% TCA peeling at home. If you want to do peeling at home, you can use home peels which tend to have less side effects. Medium peels that are done without the supervision of a doctor have the potential to cause side effects in the form of over exfoliation, skin irritation, blistering, redness, skin infections if post-treatment is not appropriate, and leaving dark or light marks on the skin.

For medium peeling, the action taken by the doctor is also not always the same for each patient because it depends on the skin response of each patient. Generally, doctors will remove TCA peels after pink frost appears (reddish or pink skin) to white frost (white dots appear on the skin). It is important for doctors to pay attention to the patient's skin reaction from the start of applying a peeling liquid until frosting appears to maximize the benefits and purpose of the peeling and minimize the side effects that occur.

After peeling, the doctor will also give topical medicines that contain moisturizers and if necessary corticosteroids for home treatment during the recovery / downtime. For 20% TCA peels, it usually takes 1-2 weeks of downtime. During this downtime, the skin usually feels dry, pulled, looks dark, then peels off. Patients must not exfoliate the skin by force. And if the peeling is done on the leg, the patient is strongly advised to wear loose clothing and not to wear tight jeans / tights until the peeling is complete.

Thus, I suggest that you consult directly with a dermatologist about chemical peels so that you can be given the most appropriate action according to the condition of your skin. The previous doctor will also do a check first to make sure you are the right candidate for the peeling treatment. Chemical peels are not recommended for people with active herpes lesions, open wounds, on isotretinoin or retinoids, melanoma, patients with high levels of sun exposure, and a history of keloids.

Hope it can help you,

Thank you

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