Peeling

Exfoliation - one of the most common procedures in dermatology. Application area of ​​peeling constantly expanding. Among the indications for these procedures can now be found such skin condition, which a few years ago clearly applies to the contraindications (such as acne in the acute phase). It does not lose its relevance such traditional destination peeling problems like pigmentation disorders.

      There are two fundamentally different ways to brighten hyperpigmentation: inhibition of melanogenesis and accelerate exfoliation.

Among exfoliating effects are:

1) mechanical (dermabrasion, scrubs)

2) physical (laser transformation kozhi0

3) chemical (acid peels)

common mechanism of action of bleaching pmlmngov includes exfoliation of an existing layer of pigmented cells and facilitate the penetration of bleaching agents. Efficacy and safety of peeling depends on the depth of exfoliation. Thus, superficial peel removes only the superficial layers of the epidermis, and therefore provides a modest but safe bleaching effect. In turn, the middle peeling lead to exfoliation of the epidermis and dermis affected. In this case, an immediate whitening effect is much higher, but the trauma received by the skin, can cause increased pigmentation. Deep peeling is accompanied by destruction of melanocytes and can lead to complications such as persistent depigmentation.

            Thus, an entire series of superficial peels can be frustrating, and the appointment of more aggressive drugs entails the risk of iatrogenic complications.

            Consider a second mechanism of action whitening peeling - reinforcing the other bleaches. In the case of parallel use of any whitening creams and treatments to a patient with superficial peeling hyperpigmentation we definitely get synergism of these drugs, and this solve the problem of inefficiency of surface exfoliation. And in the case of joint use of bleaching creams and peels the median, we have some security that will avoid the unpleasant complications of iatrogenic pigmentation. The subtlety is that in the former case it is advisable to start using a bleaching cream after the procedure, and the second - no later than two weeks prior to the peel.

Continue to use a bleaching cream to the entire course of peeling and two - four weeks after the event. Precondition for success is the use of sunscreen and the rejection of any form of sun throughout the year.