[Chapter Title]: Skin Peels
Khaled S. Al Nuaimi
Fine Care Medical Center, Department of Dermatology
Al Ain, United Arab Emirates
[Introduction/ Abstract: 1 paragraph, approx. 150-250 words, don’t include reference citations or undefined abbreviations) …]
Chemical peels are methods that cause a chemical ablation of defined skin layers to induce an even and tight skin as a result of the regeneration process. The actual peeling procedure involves the application of a caustic chemical substance to destroy layers of the skin in such a way that they are then spontaneously eliminated over several days and repair mechanisms of the epidermis and dermis are induced. They enhance breakdown and decrease cohesiveness, causing desquamation. The main indications for treatment with chemical peels include the following: melasma, ephelides, postinflammatory hyperpigmentation, photoaging, under-eye circles, acne vulgaris, rosacea, and scars. Peeling has also been proposed to treat flat warts, Pseudofolliculitis barbae, trichoepitheliomas, rhinophyma, generalized linear epidermal naevus and tumour prophylaxis in xeroderma pigmentosum. Superficial peels are useful in the treatment of mild dyschromias, acne, post-inflammatory pigmentation, and AKs and help in achieving skin radiance and luminosity. Medium-depth peels may be used in the treatment of dyschromias, such as solar lentigines, multiple keratoses, superficial scars, pigmentary disorders, and textural changes. Deep peels may be used for severe photoaging, deep or coarse wrinkles, scars, and sometimes precancerous skin lesions. Side effects may include transient mild hyperpigmentation, redness, flare-up of pimples, and desquamation. For deep peels, the risk of complications is significant, particularly post-operative infections and, more importantly, pigmentation problems.