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Dermo Cosmecuetical treatments

Dermo Cosmecuetical treatments. We, at ‘ Simply Skin’ provide for the latest approved procedures in the medical field, done by the doctors; maintaining all aseptic systems. All such procedures are started only after a thorough and complete skin / hair analysis and a Test Patch where required.

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Dermo Cosmecuetical treatments

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  1. Dermo Cosmecuetical treatments We, at ‘Simply Skin’ provide for the latest approved procedures in the medical field, done by the doctors; maintaining all aseptic systems. All such procedures are started only after a thorough and complete skin / hair analysis and a Test Patch where required.

  2. Chemical Peeling Process of exfoliating the skin using acids derived from sugarcane like glycolic acid and Tri chloro acetic acid They peel off the superficial layer of skin unveiling a fairer, firmer more younger looking skin. A controlled peeling treatment

  3. A brief history Since the days of ancient Egypt, people have been using chemo exfoliation methods, also known as chemical peeling, to rejuvenate skin. The original chemo exfoliant was lactic acid, an active ingredient of sour milk that was used topically by the nobles and in the Middle Ages, old wine with tartaric acid as its active ingredient was used for the same purpose

  4. Basic skin structure

  5. Structure of Skin • Epidermis • Dermis • Subcutaneous Fat

  6. Epidermis • Formed from cells constantly being pushed up towards the surface by a steady replacement from beneath. By the time it reaches the surface the cell is dead. Here it forms a part of the protective layer before it flakes off and is replaced by another dead cell.

  7. Dermis • Contains blood vessels, nerve endings, fat cells, sweat glands, hair root, erector muscle for each hair which causes goose pimples. • Contains the fibro elastic tissue which forms the support for the skin

  8. Subcutaneous fat • Insulating layer to reduce heat loss and also as a food reserve.

  9. CHEMICAL PEELS • Light Peels • Medium Peels

  10. Light Peels Alphahydroxy acids (AHA’s) / Betahydroxy acids (BHA’s): Also called as Light Peels which include Glycolic, Lactic and other Fruit acid peels (AHA) or Salicylic Acid (BHA). These peels are often repeated to achieve the desired results. The application of AHA peels are relatively fast and simple. These peels are generally performed on an OPD basis. No sedation or anesthesia is required. The treatment usually takes about 10 to 15 minutes but this would depend on the strength of the solution or the contact time and skin type.

  11. Alpha hydroxy acids Common AHA’s being used: • Glycolic acid is the most widely used of out of the group and is manufactured from sugar cane. It considered the most effective of the AHAs • Lactic acid, derived primarily from milk is considered to be milder and less irritating than glycolic acid, and is therefore considered ideal for those with sensitive skin. • Citric acid from citrus fruits, Malic acid from apples and pears and tartaric acid from grapes are other few uncommon alpha hydroxy acids.

  12. Mechanism of action • Causes reduction of ph of the skin, sufficiently to cause a superficial shock to the cells • Decreases the thickness of the superficial layer by weakening the bonds between the cells of the superficial layer (stratum corneum) resulting in uniform exfoliation • Increases the elasticity of deeper layers.

  13. Medium Peels • Trichloroacetic acids (TCA):A TCA solution is used for medium depth peels. • Full-face TCA peels take approximately 15 minutes. • It is prepared by the reaction of chlorine with acetic acid in the presence of a suitable catalyst • It is basically used in medium to deeper depth peels • Available in various strength ranging from 15% to 50%

  14. Mechanism of action TCA produces a chemical necrosis of the skin to variable depths, depending on strength of the acid, this results in the peeling of the skin

  15. Indications for Peels • Skin tightening • Acne control • Scar reduction • Skin lightening • Skin rejuvenation

  16. Contraindications • Infections such as impetigo, herpes • Allergic tendencies to the chemical • Keloid tendencies • Photo dermatosis like P.L.E., D.L.E etc • History of chronic urticaria

  17. Peel Procedure • Patient history History is taken to determine the amount of sun-induced damage, history of hypertrophic scarring or keloid formation, and a general medical history. Items of interest include a history of prior surgeries, dermabrasion, or recent laser therapy. In addition, medicines, such as isotretinoin, need to have been stopped for at least 1 month prior to chemical peeling.

  18. Peel Procedure • Defatting The skin should be cleaned and excess fat removed with agents like acetone, alcohol or a combination of these agents. Three parts alcohol with 1 part acetone works well. A thorough Defatting of the skin is necessary for proper penetration of the peeling agent since most agents are not lipid soluble. • Method of application The acid should be applied with a brush, cotton, or sponge applicator. The acid should not form pools in the facial folds nor drip from the face. The more acid that the clinician applies, the deeper the peel.

  19. Peel Procedure • Contact time This is the time that the Peeling solution should remain in contact with the skin. • Neutralization Neutralization of the chemical peeling agent is an important step once the clinician has achieved the proper depth of the peel, which is determined either by the frost or how much time has elapsed. Neutralization can be achieved by cold water or wet, cool towels applied to the face following the frost. This soothes the sharp tingling discomfort caused by the peeling agent. Other neutralizing agents that can be used include bicarbonate spray or soapless cleanser. Some chemical peels, such as salicylic acid and trichloroacetic acid, do not require a neutralization step since the skin neutralizes the acid. Glycolic acid peels must be neutralized. Always wash the patient's face with water following the peel.

  20. Peel Procedure • Post peel instructions Application of sunscreen is mandatory. Chemical peeling without application of sunscreen is big blunder. It is better to ask the patient, if he/she is used to applying a sunscreen. In Indian setup any sunscreen above spf 15 is good enough. • Consent It is advised to take a detailed consent from the client before starting the peel. The consent should explain the nature and the procedure along with the rare complications.

  21. NEWER ADVANCES IN PEELS • Combination Peels – Better peeling Minimal inflammation Better patient compliance Adverse effects minimal • Can be combined with Dermarollers

  22. Frosting in Peeling

  23. Before and after Peeling

  24. Before

  25. AFTER

  26. To Sum Up… • Chemical Peeling – a safe, effective solution for quick rejuvenation of the skin thereby delaying the sins of ageing.

  27. THANK YOUSimply Skin – Aesthetics Ma-Belle Mansion,Central Avenue,Chembur.Tel: 25284453 / 9821117136www.simplyskin.in

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