Pelletier-Louis M-L
Centre OroFace, 4, boulevard des Romarins, 13400 Aubagne, France.
Ann Chir Plast Esthet. 2017 Oct;62(5):520-531. doi: 10.1016/j.anplas.2017.07.001. Epub 2017 Aug 30.
Chemical peels are an alternative and/or a complementary treatment to the surgical procedures for skin aging. The purpose of this article is to specify the procedures and the indications of the three principal types of chemical peels: alpha-hydroxy acids, trichloracetic acid, phenol-croton oil peel. The clinical examination will determine the depth of the lesions to treat and will take into consideration counter-indications and specific limits to each patient. Chemical peel is a four step procedure: pre-peel preparation, peeling itself, recovery phase and maintenance phase. The preparation is a very important phase which requires a thorough knowledge of cosmetics. This preparation can extend to any medical or surgical treatment for aging skin. Various techniques of peelings: superficial, medium, deep, combined and mosaïc peel will be detailed. These procedures require a rigorous training and a distinct learning curve. The follow up will be specified as well as the management of the possible complications.
化学剥脱术是皮肤老化外科手术的一种替代和/或补充治疗方法。本文旨在明确三种主要化学剥脱术的操作方法和适应症：α-羟基酸、三氯乙酸、苯酚-巴豆油剥脱术。临床检查将确定待治疗病变的深度，并会考虑每位患者的禁忌证和特定限制。化学剥脱术分为四个步骤：剥脱术前准备、剥脱术本身、恢复期和维持期。准备阶段是一个非常重要的阶段，需要对化妆品有全面的了解。这种准备工作可扩展到任何针对老化皮肤的医学或外科治疗。将详细介绍各种剥脱技术：浅表剥脱、中度剥脱、深度剥脱、联合剥脱和镶嵌式剥脱。这些操作需要严格的培训和明显的学习曲线。还将明确随访以及可能并发症的处理方法。
