Pahnke F, Peckruhn M, Elsner P
Klinik für Hautkrankheiten, Universitätsklinikum Jena, Erfurter Str. 35, 07743, Jena, Deutschland.
Hautarzt. 2021 May;72(5):384-392. doi: 10.1007/s00105-021-04788-3. Epub 2021 Mar 24.
Treating the signs of skin ageing or acne scars by chemical peels or ablative lasers is increasingly used worldwide. Due to their reduced invasiveness, these methods are often favored over aesthetic surgical interventions. Both procedures rely on the principle of controlled damage to the skin. The subsequent regeneration may lead to the development of new epidermal (and dermal) tissue and therefore improve the skin's aesthetic appearance. At present, there are no official guidelines in Germany concerning pre- and post-interventional skin care, which is currently based on the personal experiences and evaluations of the practitioner. It is known that an appropriate treatment regime can improve the outcome and reduces downtime pre- and post-laser as well as pre- and post-peel. The aim of this article is to present the different possibilities of pre- and post-interventional care. In most cases, priming includes intense ultraviolet (UV) protection, topical retinoids as well as skin brightening agents, and occasionally oral herpes simplex prophylaxis. In order to support post-interventional wound healing, skin care should modulate inflammation and balance skin hydration. In addition to light moisturizers, broad spectrum UV protection as well as the avoidance of sports and sweating are essential.
通过化学剥脱术或剥脱性激光治疗皮肤老化迹象或痤疮疤痕在全球范围内越来越普遍。由于其侵入性较低,这些方法通常比美容手术干预更受青睐。这两种方法都基于对皮肤进行可控损伤的原理。随后的再生可能会促使新的表皮(和真皮)组织生长,从而改善皮肤的美观。目前在德国,关于干预前后的皮肤护理尚无官方指南,当前的护理主要基于从业者的个人经验和评估。众所周知,适当的治疗方案可以改善治疗效果,并减少激光治疗前后以及化学剥脱术前后的恢复时间。本文的目的是介绍干预前后护理的不同可能性。在大多数情况下,预处理包括严格的紫外线防护、局部使用维甲酸以及皮肤美白剂,偶尔还包括口服单纯疱疹预防药物。为了促进干预后的伤口愈合,皮肤护理应调节炎症并平衡皮肤水分。除了使用轻质保湿剂外,广谱紫外线防护以及避免运动和出汗也至关重要。