Chemical peeling in ethnic skin: an update. (4th October 2013)

• Record Type: Journal Article
• Authors: Salam, A.; Dadzie, O.E.; Galadari, H.
• Is Part Of: British journal of dermatology. Volume 169(2013)Supplement 3
• Page Start: 82
• Page End: 90
• Publication Date: 2013-10-04
• Subjects: Dermatology -- Periodicals; Skin -- Diseases -- Periodicals; 616.5
• DOI: 10.1111/bjd.12535
• Languages: English
• ISSNs: 0007-0963

Abstract

Abstract : What's already known about this topic? Chemical peels are efficacious therapeutic interventions for many skin disorders. Many peels exist; however, not all are safe for use in ethnic skin. Darker skin types have an increased risk of adverse events from chemical peeling such as pigmentary disorders. What does this study add? This is an up‐to‐date review of the various peeling agents and their indications for use in ethnic skin. It provides a summary of newer peeling agents. It gives practical tips on performing chemical peeling safely and effectively in ethnic skin. Prevention and management of complications of chemical peeling in this cohort are discussed. Summary: With the growth of cosmetic dermatology worldwide, treatments that are effective against skin diseases and augment beauty without prolonged recovery periods, or exposing patients to the risks of surgery, are increasing in popularity. Chemical peels are a commonly used, fast, safe and effective clinic room treatment that may be used for cosmetic purposes, such as for fine lines and photoageing, but also as primary or adjunct therapies for acne, pigmentary disorders and scarring. Clinicians are faced with specific challenges when using peels on ethnic skin (skin of colour). The higher risk of postinflammatory dyschromias and abnormal scarring makes peels potentially disfiguring. Clinicians should therefore have a sound knowledge of the various peels available and their safety in ethnic skin. This article aims to review the background, classification, various preparations, indications, patient assessment and complications of using chemical peels in ethnic skin.