The most unpleasant complications after chemical peeling and their consequences

Chemical peels, especially medium and deep ones, cause a strong inflammatory response, which is expected to result in intense regenerative processes leading to skin renewal and facial rejuvenation. However, in some cases, due to the characteristics of the patient's body, the condition of the vessels, the type of skin and its regenerative capabilities, many & nbsp; other factors, complications may occur after peeling, which are extremely difficult to correct.  Is it possible to foresee them, and what to do if complications could not be avoided, we will consider with estet-portal.com.

What persistent skin changes are formed after chemical peeling

The most severe complications after chemical peels appear approximately 10 weeks after the procedure, although in some cases they can form earlier. Let's take a look at some of them.

Depigmentation. It happens after phenol deep peels and is caused by the death of cells responsible for melanogenesis. In addition, a strong inflammatory reaction in some cases disrupts the hormonal balance – in particular, the synthesis of those hormones that are responsible for the production of melanin. The only real method of correcting this defect is the use of masking cosmetics.

Marble coloration of the skin. It develops due to uneven death of melanocytes under the influence of deep chemical peeling, if the cytotoxic effect of phenol is selective. Patients with IV & V skin phototype are especially often affected. It is not possible to correct the marbling of the skin cosmetically, it is possible to even out the color a little with superficial and superficial-median peels.

Enlargement of pores. It happens in patients with a history of seborrhea or acne if they have undergone a deep chemical peel that has provoked degenerative changes in the dermis. The result is a significant reduction in skin elasticity and large protruding pores. This defect is not amenable to cosmetic correction.

Scars. The reason for the formation of hypertrophic and keloid scars & nbsp; after chemical peel – deep or medial can become:

• attachment of a secondary infection,
• exacerbation of herpes,
• violations in the peeling procedure, in particular – exceeding the permissible acid concentration.

Bukki-therapy – Directional X-rays with short exposure.

An already formed scar can be treated with injections of triamcinolone. The drug is administered very carefully, strictly into the scar tissue, no more than once every 10-14 days. A good effect in reducing the volume of scar tissue is given by a combination of injections with cryodestruction procedures – once every 3-4 weeks. Ozone therapy with an ozone concentration of 5 — 7 mg / mol can also be recommended, procedures a course of 10 & mdash; 15 sessions are prescribed every other day.

Ectropion. A complication after deep chemical peeling with 88% phenol and 50% TCA is an eversion of the lower eyelid with exposure of the conjunctiva. The defect is explained by scarring of the skin after a severe burn that develops from peeling, and the formed scar gradually pulls the eyelid away from the eyeball. Ectropion of the eyelid is treated only surgically.

It is essential to be able to refuse patients a procedure such as a chemical peel if there is even the slightest reason to fear complications after the procedure.

The cosmetologist should take a very careful history, especially if a medium or deep peel is planned, and pay special attention to past dermatological and infectious diseases, telangiectasias, the condition of the heart and blood vessels, a tendency to allergies and scarring. It is also necessary to accurately determine the type and phototype of the patient's skin, evaluate its regenerative capabilities.

To prevent the development of serious complications after chemical peeling, the high professionalism of the doctor, his scrupulous observance of the procedure methodology and the correct selection of patients will help.