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Complications after chemical peeling in our previous article, we looked at what problems can be solved with the help of chemical peeling. Today, let’s look at what complications can be after peeling. The peeling procedure is widely known and the cosmetology market is full of an abundance of various peeling products designed for both professional and home use. Peels that contain chemical acids can work wonders, but only in the hands of a professional! And before deciding on a peeling procedure, it is necessary to consult a qualified cosmetologist, so that the seemingly harmless procedure does not turn into a problem. Only an experienced specialist can competently choose the peeling that is necessary for You, in order to achieve the maximum result in solving many aesthetic problems.

The goal of all peeling procedures is the same-removing the surface layers of the skin. Peels differ in the mechanism of action and the depth of penetration. If we are talking about chemical peels, all of them are performed using chemical acids. These peels can consist of either one acid or several.

In chemical peels, the concentration of acid and its pH is very important. The higher the percentage of acid in the peeling and the lower the pH, the more active the peeling is. The choice of the peeling depends on the condition of the skin, its thickness, phototype, and the desired result. As a rule, peeling procedures give a bright visible result. The demand for this procedure is the possibility of obtaining a good and lasting effect. Peeling makes the skin surface smooth and smooth, improves the complexion, removes age spots, renews the epidermis and successfully fights acne.

Despite the apparent simplicity of peeling, you can not underestimate the possible complications. They may or may not be predictable.

Peeling. Refers to the predicted effects after chemical peels. It can be “mucoid” after light surface peels, which passes in 5-7 days. After trichloroacetic peels, the predicted large-plate peeling is expected. Usually, the rehabilitation period after such peels is 10-14 days.

Erythema of the skin at the site of chemical peeling. This is a persistent redness of the skin. Usually this kind of complications are observed in people prone to rosacea, on the face of which there is an enhanced vascular mesh.

The swelling of tissues. It may appear after the procedure for 1-3 days and be observed for several more days. Most frequently occurs after chemical peeling with a combination of retinoids and trichloracetic. The probability of this kind of complications is associated with high vascular permeability and as a result of the release of the liquid part of the blood in the tissue.

Uniform darkening of the skin and the appearance of “crusts”. An integral part of the trichloroacetic peeling procedure after protein coagulation and the appearance of frost on the skin. Appears on day 3-5 and passes after complete exfoliation of the skin. It is strictly forbidden to remove “crusts”. They should exfoliate on their own for 10-14 days.

Hypersensitivity of the skin. Non-specific excessive skin reaction to temperature changes, mechanical effects, sunlight. Usually completely disappear for 1-3 weeks after peeling, but sometimes the feeling persists for up to 1 year.

Hyperpigmentation. Most often occurs due to the patient’s own fault, if the doctor’s recommendations are not followed (increased solar insolation after the peeling procedure, ignoring protective products with SPF filters). Due to the doctor’s fault, such complications may occur if the peeling solution was incorrectly selected, or if the cosmetologist incorrectly determined the primary skin condition: thickness, phototype, and skin sensitivity.
Herpetic infection. This type of complication occurs in patients with a high titer of herpetic infection, but sometimes due to a decrease in immunity ( usually after median peels), primary infection may also occur.
Other infections are complications. Complications may occur due to violations of rules and standards of hygiene when performing the peeling procedure by a cosmetologist, as well as by a patient in the rehabilitation period. One of the most common types of infections is streptostaphyloderma. Treatment consists of taking appropriate antibiotics in ointments and tablets.

Allergic reaction. Allergies to acids (peel ingredients) in cosmetic practice are extremely rare. Most often this happens for ascarbic and kojic acids. However, you should not exclude reactions to external stimuli, they are very unexpected and can provoke hives or severe edema. After the peeling procedure, you must be extremely careful and avoid negative effects on the skin of external stimuli. Strong wind, frost, and active solar radiation are not allowed!!!

Marbling of the skin. A complication arises as a result of the death of a large number of cells melanocytes. It most often occurs after carrying out the median peelings. Those who have dark skin with similar complications are more susceptible. Such patients are not allowed to stay in open sunlight after pinning.

Persistent (persistent) erythema. The complication occurs in patients with telangiectasias (dilated vessels) who have made a sufficiently deep peeling. The skin reaction can be for a long time up to 1 year. As a rule, it passes independently. It is important to avoid sudden changes in temperature, insolation, excessive physical activity, if possible, exclude alcohol, spicy food, do not visit the sauna.

Exacerbation of acne (acne) and seborrhea. This kind of complication occurs in patients with oily, acne-prone, chronic seborrhea. A factor is the stimulation of excessive sebum production as a protective reaction of the skin to the aggressive action of acids. Usually, inflammatory reactions pass in 2-4 weeks.

Demarcation line. This is a clearly visible line between the areas of skin that were subjected to chemical peeling and untreated areas of skin. Occurs in patients with dark skin, and may also occur in patients with porous skin. To solve this problem, you can use surface peels, and you can also conduct a course of mesotherapy procedures with koteylyami, which contain ingredients that lighten the action.

Scars (keloid, hypertrophic). A complication can occur after a median TCA, phenol peels. Can occur in patients prone to keloids, hypertrophic scars, also at infringement of technology of the procedure by the doctor, and through the fault of the patients failure to comply with the recommendations of cosmetologist after such severe peeling procedures.

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