Management of Aging Skin - 22/08/11
Doi : 10.1016/B978-0-323-05283-2.00028-8
Key Points |
• | Combined resurfacing modalities tailored to skin type and location are more effective than single modality alone. |
• | The ideal patient for skin resurfacing is the thin-skinned woman with fair complexion and fine rhytids. |
• | Impairment of liver and/or kidney function could slow the excretion of phenol, increasing the likelihood of cardiac complications. |
• | All patients should receive appropriate antiviral therapy to prevent and treat possible herpetic outbreaks before resurfacing. |
• | Retinoic acid increases the depth of chemical peels by decreasing the thickness of the stratum corneum. |
• | Fitzpatrick type III or greater should consider the use of 4% to 8% hydroquinone gel before and after resurfacing to prevent hyperpigmentation. |
• | Superficial peels extend to the papillary dermis, medium depth peels extend to the upper reticular dermis, and deep peels extend to the midreticular dermis. |
• | Indications for medium depth peel are moderate photoaging, actinic keratosis, pigmentary dyschromia, mild acne scarring, and blending of other modalities. |
• | Pigmentary changes are the most common complication of chemical peels. |
• | CO2 laser is particularly good for treating perioral vertical furrows, periocular crow’s feet, glabellar rhytids, diffuse acne scarring, and aging spots. |
• | Nonablative resurfacing usually require multiple treatments to obtain a desired effect. |
• | Multiple superficial peels do not equate to single moderate or deep peels. |
Plan
© 2010 Elsevier Inc. Tous droits réservés.
Article précédent
- Hair Restoration : Medical and Surgical Techniques
- Kevin H. Ende, Sheldon S. Kabaker
- Rhytidectomy
- Shan R. Baker
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L'accès au texte intégral de ce chapitre nécessite l'achat du livre ou l'achat du chapitre.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à ce produit ?