Chemical Peels in Clinical Practice: A Practical Guide to Superficial, Medium, and Deep Peels (Series in Cosmetic and Laser Therapy)

Xavier Goodarzian, MD(Hons), MRCGP, PGDiplClinDerm, PGCertCosMed, MBCAM, is the medical director of the Dr Xavier Clinic in Southampton and London, UK, where he has performed chemical peels since 2006. A medical graduate of the University of Louvain (Leuven) in Belgium, he obtained member status of the Royal College of General Practitioners and has postgraduate degrees in Clinical Dermatology (Queen Mary University of London) and Cosmetic Medicine (University of Leicester) in the UK. A full member of the British College of Aesthetic Medicine, he is an officially recognised trainer and Key Opinion Leader for SkinTech in the UK, holds training and mentoring sessions internationally, and has spoken at many live events in conferences in various countries. He is passionate about skincare, skin health, and chemical peels. This book has been written with the aim of making a practitioner’s peeling experience easier and more practical. It contains sample patient forms, over 250 illustrations, and a wealth of tips for patient guidance and safe clinical practice. Cover Half Title Series Page Title Page Copyright Page Table of Contents Preface Author Biography Chapter 1 Introduction Why Peels? The Skin References Chapter 2 Classification of Peels How Not to Define a Peeling Agent How to Define a Peeling Agent on a More Anatomical Scale Reference Chapter 3 Consultation: How and When to Recommend Peels The Consultation Talking About Peels Patient Concerns About Peels Protocols Reference Chapter 4 Patient Journey: Steps Leading to and from the Peel Stages for Each Treatment Type Consenting and Aftercare What Should you do After a Superficial Peel Procedure? Consent for Treatment with a Phenol (deep) Peel General Sun (UV) Damage Advice – why our Skin Ages Prematurely This Peel is a Serious Medical Procedure and not a ‘Beauty’ Procedure After Your Peel You Must Have Realistic Expectations of this Procedure Non-Serious Side Effects Preparation Before your Peel is key to Success Medication Your Phenol Peel ‘Treatment Journey’ References Chapter 5 Skin Prep An Ideal Skincare Routine Ingredients The Fingertip Unit References Chapter 6 Investigations and Peri-Operative Measures Reference Chapter 7 Peeling Procedures AHA and BHA Peels TCA Phenol Day One Review Day Three Review Two-Week Review Three-Month Review Six-Month Review References Chapter 8 Body Procedures Neck and Decolletage Back of the Hands Striae References Chapter 9 A Special Note on Some Common Skin Conditions Sun Damage and Lentigines Acne Rosacea (9) Post-Inflammatory Hyperpigmentation Melasma References Chapter 10 Mosaic Peels Medium TCA Peel Lower Eyelid Phenol Peel Upper Eyelid Phenol Peel Upper Lip Phenol Peel Lower Lip and Chin Phenol Peel Reference Chapter 11 Aftercare AHA-BHA Peel Aftercare Superficial TCA Aftercare Medium TCA Aftercare Phenol Peel Aftercare Mosaic Peel Aftercare Reference Chapter 12 Complications Poor or Insufficient Result Prolonged Downtime Post-Inflammatory Hyperpigmentation Uneven Result Prolonged Erythema Rebound Pigmentation Herpes Simplex Bacterial Infections Scarring References Conclusion Index