Superficial median peeling. Facial changes due to the procedure. Fractional laser thermolysis

Median (medial) peeling for the face is a chemical peeling, the effect of which is to remove part of the skin cells and the penetration of acids into the middle layers of the skin. What does this lead to?

Trichloroacetic acid, often used in exfoliation, stimulates new cell production, eliminating aging and mutating cells, allowing for a deeper cleansing of the face. In addition, not only chemical, but also physical, mechanical median peels can be performed.

It is important to understand the specifics of medial peeling, what are the indications and contraindications, what the preparatory stage looks like and what procedures it is combined with.

What is median (medial) peeling?

Peeling is one of the most popular and sought-after rejuvenation techniques and is often used by women who strive to always look perfect, regardless of age.

Median or medial peeling is one of the types of peeling. This is a method of removing dead cells from inside the epidermis and down to the basal layer of the skin.

The procedure is applicable both for the face and for the neck, décolleté, hands and other problem areas of the skin.

Medial chemical peels differ from superficial peels in that they involve more concentrated acids, for example, trichloroacetic acid (TCA) is one of the most common. That is why the deeper layers of the skin are affected.

Median peeling effectively fights age spots, removes shallow wrinkles, corrects skin changes on the hands and décolleté even in people of mature age.

#3 main types of peeling

What are peels?

With regard to the method of exposure, exfoliating procedures are distinguished:

Mechanical peeling. They remove dead cells with abrasion compounds (scrubs, enzymes, masks) or vacuum.
Physical (hardware) peeling. They are performed using professional equipment for fractional laser thermolysis, diamond dermabrasion, laser peeling.
Chemical peeling. The effect of which on the face is obtained due to acids, such as fruit, lactic, ascorbic, glycolic, malonic, trichloroacetic.

Regarding the depth of exposure, such peels are distinguished as medium-superficial and medium-deep. The contents of the first include or acids. The second are carried out with 25-30% acetic or 20-30% salicylic acids.

Often phenol peeling is called median.

However, phenolic implies a deep impact. It is used under exceptional circumstances, taking into account multiple restrictions and unpleasant manifestations.

Indications

Such a cosmetic event is used when it is necessary to eliminate specific flaws.

INDICATIONS

wrinkles that appear on the face due to solar intensity, causing photoaging, prolonged stress conditions, the genetic predisposition of the body;
, then the procedure is used in complex treatment;
chloasm, freckles, shallow keratomas;
the need to even out and whiten the color of the epidermal surface;
the need to stabilize the vital activity of the sebaceous glands by reducing fat content and leveling;
the need to increase the degree of skin hydration, reduce the manifestation of acne, lift the dermis;
if you need to increase blood microcirculation in the facial skin.

Median peeling is also used to improve dermal tone and elasticity of the skin surface. In addition, the procedure helps to remove the darkness of circles under the eyes.

Contraindications

The list of diseases and conditions of the body that preclude the possibility of resorting to the procedure includes the problems and conditions listed below.

CONTRAINDICATIONS

pregnancy and lactation;
existing cuts, wounds, scratches, abrasions, sores, other damage to the dermal cover in the peeling area;
infections in the form of herpes, warts, molluscum contagiosum;
just got a tan;
body temperature above normal, feverish condition;
exacerbation of acne;
the use of solutions of solcoderm, prospirin, 5-fluorouracil;
allergy to the active ingredients of the peeling composition;
diseases of the heart and blood vessels;
impaired blood clotting;
epileptic and other neurological anomalies;
diabetes;
oncological diseases;
susceptibility of the dermis to scarring;
, atopic dermatitis, other skin diseases.

It is also forbidden to perform median peeling for those who take antipsychotics, sulfonamides and tetracycline-based antibiotics. You should also refuse manipulation during the period of use of retinoids (for example, renin-A, roaccutane).

What should be taken into account when starting the procedure?

Despite the extensive list of indications for performing median peeling, nevertheless, it does not hurt to provide for some features of the event.

Such manipulation will not completely eliminate scars or scars - they will only become less visible. This is explained by the fact that the processing takes place in layers and along the boundaries of the dermal defect, and on its bottom.

Median peeling will not be able to remove mimic wrinkles, as well as those that form in the places of the corners of the mouth and eyes.

But the median peeling will help to discolor or completely remove pigmentation.

However, for those who are prone to the appearance of age spots, after some time it may appear either in the same or in new areas.

The motivating factors are solar action, microdamages of the epidermis.

For the irreversible removal of acne, a tandem of median peeling with drug treatment is suitable - this will eliminate the main source of the disease. Peeling will only narrow the pores and reduce the production of sebaceous glands.

Combination of median peeling with other procedures

To achieve maximum efficiency, median peeling is used together, for example, with injections,.

The main condition is to maintain an interval of 2-3 weeks between different cosmetic events.

The execution of a median peel should be delayed for 6 months or more if the skin surface is too damaged during the implementation of laser or mechanical dermabrasion.

When planning to use median peeling to rejuvenate the epidermis, it is necessary to refuse cosmetic manipulations accompanied by damage to the skin (for example, laser or photoepilation) 7 days before visiting the salon.

Preparatory measures

There are 2 ways to prepare the skin surface for the event.

Preparation with special cosmetics. First, you should carry out a hygienic cleansing of the face, and then switch to using cosmetics with glycolic acid (saturation up to 10%) in the composition for 2-3 weeks. This will prepare your face for a deeper impact.
Preparation of the skin with the help of superficial peeling with a small number (1-2) of manipulations. Exfoliation (the so-called peeling) is applied to a clean skin surface. It is also a kind of preparation of the skin for the median peeling.

To avoid the occurrence of herpes, 7 days before the median peel, it is worth starting to use an antiviral drug (for example, acyclovir).

Question answer

You should not expect that the only peeling procedure will get rid of post-acne - in one session only a decrease in the manifestation of the defect is achieved.

An alternative to chemical peeling can be laser thermolysis, resurfacing. In addition, you can use dermabrasion.

The fact is that during this period the least activity of the sun, which can adversely affect the skin after exposure to acids. It is worth remembering that even in the winter season, you should not forget about the use of SPF protection.

Median peeling with trichloroacetic acid (TCA)

Such peeling manipulation achieves the following results:

keratinized particles of the epidermis are exfoliated;
anti-inflammatory and antimicrobial efficacy is achieved;
metabolic processes are stimulated, capillaries expand.

For the execution of median peeling, special tools are used. This includes Easy TSA Peel - a composition of a 15% mixture of trichloroacetic acid and fruit acids.

TSA Peel Solution is also used - a remedy from a 20% mix with trichloroacetic acid (used for median peeling).

Cosmetologists also use Only Touch Peel - a substance containing 40% TCA (intended only for deep peeling).

An indispensable condition for eliminating unpleasant consequences is to strictly follow the instructions that are applied to these drugs.

Carrying out TCA (5 stages)

Only by following the step-by-step instructions, it is permissible to get the desired result.

First, the skin surface is cleansed of cosmetics and impurities with a special lotion.
Next, a protective solution is applied to the lips and eyes to eliminate the effects of the acid.
Then a peeling composition is applied. it is permissible to use in a repeated number of layers within the framework of one manipulation. The alternation of trichloroacetic acid with nourishing and moisturizing substances is also used.
Then the skin surface is wetted with a neutralizer that neutralizes the residual effect of the product.
At the end of the procedure, one of the masks is applied, which contains nourishing, moisturizing and anti-inflammatory components. After the mask has expired, the epidermal surface is lubricated with a moisturizer.

In order for the effectiveness of the median peeling to meet expectations, after the first manipulation, the second must follow. But not earlier than in 3-4 weeks.

Medium salicylic peel

A similar peeling manipulation is also applicable for owners of a swarthy or dark epidermis. This is due to the gentle effect of the peeling components on the epidermal surface. But only if a 30% solution of salicylic acid is used.

Median salicylic peeling is carried out according to the standard scheme. Initially, a preparation with sodium salicylate is applied to cleansed and fat-free skin.

After that, the neutralizer removes the harm from its impact, and special masks, creams moisturize and soothe the skin.

There are 2 methods of applying a product with salicylic acid to the skin surface:

soft- sodium salicylate in 1 or in a repeated number of layers, the epidermal surface is smeared with a cotton swab with a gentle touch;
hard- Sodium salicylate is rubbed with pressure into the skin surface with a cotton pad.

Confirmation of the beginning of the peeling action is the appearance of a white layer on the skin (frosting).

Salicylic peeling is applied in courses of 3-4 sessions with an interval of 10 days. Course repetition - 2-3 times a year.

Jessner median peel (composition)

This peeling manipulation is considered mid-surface. The tool consists of components with a concentration of 14%:

resorcinol;
salicylic and lactic acids;
ethyl alcohol.

The drug is applied, based on the thickness of the skin and the desired depth of penetration of the mixture. Therefore, the agent is applied to a thin skin surface with a sterile applicator, and on a thick one - with a gauze napkin.

The peeling course includes 3-4 events with an interval of 6 weeks.

Retinoic peeling

This type of peeling also has a superficial-median effect. In cosmetology, it is also called.

Means for this manipulation may contain various acids, but they must necessarily contain retinoic acid.

This peeling procedure is intended for patients whose age exceeds 35-40 years.

It is interesting that you can go for a session even in summer, which is prohibited for many peels. But at the same time, we must not forget to use sunscreen (protection from UV rays should be at least 50).

If you have an allergic reaction to vitamin A or have liver failure, then the manipulation should be abandoned.

Retinoic peeling is carried out in the following sequence:

The doctor cleans the patient's face, applies a special solution to prepare the skin. It should contain salicylic or glycolic acid.
Next, the peel itself is applied. There is more than one option. The doctor will select the appropriate method, taking into account the individual characteristics of the person.

The peeling composition can be held for only 15 minutes. In this case, the doctor himself eliminates the mixture. But this peeling can be left on the skin for up to 12 hours, then the person needs to wash it off on his own, following all the recommendations of the doctor.

Hardware medium peels (3 types)

For medium peeling, not only acids are used. It can also be done by other methods.

There are such hardware methods:

Laser ter. The laser is used for various cosmetic procedures. It can also be used for medium peeling. The main thing is that they can treat a specific area without touching neighboring tissues. After laser peeling, rapid regeneration and recovery occurs, and complications are extremely rare. For this, CO2, erbium, and neodymium lasers are used. They differ in wavelength, method of implementation.
Dermabrasion with a laser. This is a popular procedure. She is also called. It consists in laser exposure, which starts regeneration processes, renewal of the skin.
For this manipulation, a special nozzle is used, which releases diamond particles. The result is a kind of polishing. With the help of this procedure, you can reduce scars, pigmentation, and also get rid of acne.

#5 possible side effects

After undergoing a median peeling, the following troubles occur:

Lack of result. There are cases when the procedure does not live up to expectations, the improvement in the condition of the skin of the face does not occur evenly. To prevent this from happening, take your choice seriously. You will have to find it even when such a nuisance has already happened. He will try to fix the situation. In addition, it is worthwhile to understand yourself that with the help of the procedure it is impossible to remove deep scars. They can be made less noticeable, but this will require more than one session.
The appearance of a severe burn. Such a nuisance is extremely rare. Often this happens when contraindications are not taken into account. For example, a patient has recently undergone quite a traumatic manipulation. Therefore, be sure to check with your doctor about all the nuances.
The occurrence of scars. Often this happens when a person begins to independently remove the scales that formed after peeling. But we must remember that they must fall away on their own. You can’t tear them off, even if it’s time for you to go to work.
Herpetic or pustular eruption. Basically, this happens if a person is poorly prepared for manipulation. 7 days before the session, you need to take antiviral drugs, and there should be no inflammatory process on the face.
Irritation, prolonged peeling. Often, the skin becomes red and itchy. These are signs of an allergy. That is why it is recommended to test any product on the body in small areas before applying it to the face. If the symptoms persist for more than 2 weeks, and the beautician is powerless and cannot help you, go to a dermatologist. Otherwise, you may encounter, for example, with or other pathology of a chronic nature.

Patients with dark skin should be careful, as they run the risk of experiencing impaired pigmentation.

How to take care of your skin during the recovery period?

After peeling, it is better not to plan important events. The fact is that you will have a recovery period of about 2 weeks. But in order for everything to go “smoothly”, it is worth following some rules.

Rehabilitation takes place in stages:

Initially, after the procedure itself, the skin looks natural, only slightly tightness is felt. But in the future (about the first 2 days), the face begins to redden, swelling appears. It is impossible during this period to wet the skin with ordinary water, use decorative cosmetics (only creams with UV protection are allowed), go to the gym, sauna. Many doctors advise using Panthenol to alleviate their feelings.
When 3 days pass from the moment of peeling, there is a strong tightening of the skin, the formation of a crust (film) on the face of a brown color. Be extremely careful, since this film cannot be torn off, it should peel off on its own. Washing should take place using only the gel composition. It is allowed to use products that have a water base.
About 7 days these crusts will come off, there is increased peeling. The main thing is not to speed up the process.
After complete exfoliation, the resulting films will have a pink or reddish tint to the face. Don't be scared, it's normal. At this stage, you can use creams. It will take a couple more days, and the face will become the usual color.

Price range for medium peeling

The average cost of such peeling includes the price of the components included in the product. Median peeling with trichloroacetic acid costs 3500-8000 rubles, and -3500-7000 rubles.

Within the range of 3500-6500 rubles, you need to pay for retinoic peeling manipulation. Cheaper - 2000-4000 rubles will cost median salicylic or glycol peeling.

In the price segment of the procedure, the rating of the clinic and the client's skin type are taken into account. Also included is the method of applying the agent and the percentage of acid in the agent.

The price includes a type of post-peeling care masks and creams, as well as substances from preparatory measures.

Expert opinion

Irina Dorofeeva

practicing cosmetologist

Many peels are quite aggressive, often after them the skin resembles parchment. In order not to face complications, you need to contact a highly qualified cosmetologist with sufficient experience. If a person decides to do such a procedure for the first time, then it is better to pay attention to more gentle peels. In this case, I advise you to postpone the median. In addition, there are many other excellent procedures: mesotherapy, biorevitalization. But in the case of median peeling, I have never seen good results.

The word "peeling" comes from the English "peel", which means "strongly scrape", and as a cosmetic method of removing dead skin cells has been known since ancient Egypt. Since skin cells are renewed every day, regular exfoliation helps it always look young and fresh. Of all the classifications of this procedure, the most significant are the division according to the depth of exposure and the main substances with which peeling is carried out.

Each method has its own indications, contraindications, technique, but the fact that peeling is one of the most popular services in cosmetology remains undeniable. How to choose the perfect type of skin cleansing for yourself in order to get the desired result? In this material, we will talk about what median peeling is, as well as its types, principles of action and varieties.

Operating principle

Median peeling is a method of removing dead skin cells within the epidermal and up to the basal layer of the skin.

Compared to superficial treatment, in which only the keratinized layer of the epidermis is removed, medium and deep peels are used to correct serious cosmetic defects. To understand the principle of median peeling, you need to delve a little into the topic of the structure of the dermis.

So, the skin has a multilayer structure:

Epidermis- the most superficial skin layer, including five layers of cells (outer - horny, the lowest - basal). The most important component of the epidermis is the pigment, due to which a tan and age spots occur.
Dermis- has only two layers - papillary and reticular. There are many blood and lymphatic vessels, hair follicles, nerves, as well as collagen and elastin fibers.
Subcutaneous fat (hypoderm)– mainly serves as a power source and temperature controller.

So, median peeling is able to penetrate no deeper than the basal layer of the epidermis. The procedure is performed not only on the face, but also in the neck, décolleté, hands and other problem areas of the body. According to the mode of action, all peels, regardless of the depth of penetration, are divided into the following types:

Mechanical, in which exfoliation is carried out mechanically using various abrasive agents (scrub, brushes, enzymes, masks) or vacuum.
physical or hardware using special equipment.
Chemical, in which the result is achieved with the help of various acids.

The principle of operation of all peels is the mechanical removal of the stratum corneum, the bombardment and desquamation of cells (mechanical method), the evaporation of water with a laser (physical method), as well as the coagulation of cells with acids (chemical method). When the stratum corneum is damaged, the skin “reacts” with an increased degree of regeneration and increased production of collagen, hyaluronic acid and elastin. Outwardly, this is manifested by the fact that the skin is tightened, the relief and color are evened out, and wrinkles, scars and age spots disappear.

Dead cells of the epidermis under the microscope

If everything is more or less clear with mechanical peeling, then we want to familiarize you with the other two varieties.

Types of physical medium peeling

. Laser technologies firmly occupy a leading position in cosmetology. The advantage of the fractional method is that the skin is not completely irradiated, but with many deep, but quite tiny microbeams. The technology in the form of a laser grid promotes rapid regeneration and reduces the number of possible complications. It is carried out using an erbium, neodymium, and CO2 laser, which differ in wavelength, procedure technique, and penetration depth. Each of them has its pros and cons, but no laser has absolute advantages over other types.
or . The principle of operation is based on the absorption of a laser beam by skin cells along with a huge amount of energy, resulting in microscopic explosions and evaporation of the treated tissues. Laser resurfacing uses CO2 and an erbium laser.
. At the same time, the skin is injured by a special nozzle coated with diamond dust, with which you can get rid of many problems (scars, wrinkles, age spots, acne).

Photos before and after physical peeling

Contraindications for physical peeling are as follows:

Inflammatory and purulent formations of the skin.
Diseases of the heart and blood vessels.
Acute and chronic infectious diseases.
Predisposition to the formation of scar tissue.
Blood diseases and clotting disorders.
Mental disorders, including epilepsy.
Oncological diseases.
Diabetes.

What problems do these procedures solve? Basically, physical methods of influence are used under the following conditions:

Wrinkles of different depth and intensity.
Hypertrophic, .
Hyperkeratosis.
Papillomas and warts.
Striae (stretch marks).
Areas of hyperpigmentation.
Post-acne.

The recovery period, as with any cosmetic procedures, has its own characteristics and recommendations:

Do not remove the resulting crusts, trying to "speed up" the renewal processes.
Do not apply cosmetic products and cosmetics in the first 7-10 days.
Protect the skin from exposure to low (frost, wind) and high temperatures (sun, sauna, bath).

Chemical medium peeling

As we noted above, all chemical peels use acids, but in some cases alkalis can also be used. Chemical peeling can be single-component, that is, contain one type of acid, as well as multi-component, that is, contain acids and other active ingredients. Some of the acids have a large molecular weight, some have a small one, which ultimately affects the degree and depth of penetration.

mid-surface. It gives a good result when signs of premature aging appear, emerging or slight wrinkles, acne, post-acne, reduced skin elasticity, age spots. If an acid concentration of 5% to 50% is used for superficial peeling, then concentrations of 20% to 50% can be used for this type.
Mid deep. In addition to the above problems, it gives a good result with deep wrinkles, as well as with hyperpigmentation and the presence of cicatricial changes. The concentration of acids is 25-30% acetic acid, 20-30% salicylic and other acids.

From this article you will learn:

How is a chemical peel done?
face peeling - reviews, photos before and after,
What is the difference between superficial, medium and deep facial peels.

A chemical facial peel is a method that involves the application of toxic chemical solutions to the skin, thereby producing a controlled burning of the surface layers of the skin. After peeling, the skin is gradually restored. Skin repair occurs due to the growth of cells from deeper layers of the epidermis or from intact hair follicles.

Chemical peels damage the superficial layers of the skin in a controlled manner. After chemical damage, the skin is repaired by the formation of younger skin and thus the appearance of the skin is improved. The depth to which damage occurs is determined by the nature of the chemicals that are applied to the skin.

What are the benefits of a chemical peel?

If a chemical peel is performed correctly, the skin will look younger and have a beautiful, even tone. In addition, if a chemical peel is carried out in a course (for example, every 6-8 weeks), then this leads to stimulation of the production of collagen and elastin in the skin, which means it will lead to an improvement in skin elasticity and some reduction in the depth of wrinkles.

Chemical peeling of the face: indications

Chemical peels can improve skin conditions in the following cases −

Important: remember that no chemical peels can remove or reduce the appearance of spider veins on the skin of the face, they cannot reduce enlarged pores on the skin, they cannot promote facial skin tightening. But they can make the skin smoother and slightly firmer, remove brown spots, even out uneven skin tone, and generally make the surface of the skin look fresher and younger.

Chemical peeling of the face: before and after photos

What are the types of chemical peels?

Chemical peels differ from each other in the depth of damage to the skin. It is critically important to choose the right peeling depth for your skin, otherwise you can very much regret the treatment.

Superficial chemical peeling of the face –
penetrate to the depth of only the most superficial layer of the skin - the epidermis (Fig. 8). After this type of peeling, you can expect skin regeneration after 3-5 days, but be prepared for a period of skin peeling.
This type of peeling is a good way to rejuvenate the surface layer of the skin, helping to give it a youthful and even tone. Also, this peeling is intended for the treatment of acne, post-inflammatory skin pigmentation. Not effective in reducing wrinkles.
This gentle exfoliation usually needs to be repeated once a week for 4-6 weeks to get good results in the long term.

Deep face peeling –
works down to the deep layers of the dermis (Fig. 8). Can be used to treat severe skin changes due to photoaging (sun exposure), scars, scars and wrinkles. This type of peeling allows you to maximize the regeneration of your own collagen and elastin in the skin, which will allow the skin to be more elastic.
Epithelialization after peeling will occur on the 7-10th day, however, complete healing of the skin will occur only after 1-2 months. It is not advisable to carry out this peeling for diseases of the heart (arrhythmia) and kidneys, because. phenol used here in small quantities is absorbed into the blood.

Preparations for chemical peeling -

The most popular peeling chemicals are: alpha hydroxy acids, beta hydroxy acids, trichloroacetic acid, retinoids, and phenol.

1. Preparations based on hydroxy acids -

Alpha hydroxy acids –
used for superficial peeling. Glycolic acid is most commonly used, but other fruit acids can be used, such as citric acid, lactic acid, malic acid, and tartaric acid (the latter is derived from grape skins).
It should be noted that glycolic peeling of the face (depending on the concentration of glycolic acid in the preparation solution) can be both superficial and medium. Peeling with alpha hydroxy acids is more suitable for patients with dry skin.

Beta hydroxy acids –
this type of acid includes, for example, salicylic acid. Beta hydroxy acids have some advantages over alpha hydroxy acids, because they have the ability to penetrate deeper into the pores of the skin, which means that lower concentrations of acid can be used.
In addition, salicylic acid has anti-inflammatory properties, which means it is preferred for people with sensitive skin. In addition, salicylic acid is fat-soluble, so peels based on it are especially indicated for people with oily skin, as well as in the presence of acne on the skin.

Professional brands of superficial chemical peels containing alpha or beta hydroxy acids: MD Forte, Agera RX, Dermaceutic, Jan Marini, LA Peel, ICP, Mene & Moy , "Skinceuticals Gel Peels", "Mandel", "Cosmedix", "NeoStrata".

3. Preparations based on trichloroacetic acid -

Trichloroacetic acid at a concentration of 25-30% is used mainly for medium peeling, and at a concentration of 40% for deep peeling. In addition to all the above indications, this acid is excellent for reducing fine lines (shallow, narrow wrinkles). Peeling based on this acid has a blue color, so it is often called blue face peeling.

Professional brands of products for medium chemical peels containing trichloroacetic acid: Skintech Peels, Mene & Moy, Compositum, Cosmedix, Obagi Blue Peel.

4. Yellow peeling for the face: reviews

Yellow facial peel is a combination of retinaldehyde (a natural metabolite of beta-carotene and vitamin A), vitamin C, and acids (phytic, kojic and azelaic). At the beginning of the procedure, the face is cleansed with a special peeling based on 20% glycolic acid. This is necessary to remove the dead layer of the epidermis. Only after that, a yellow peel containing retinoids will be applied to the skin.

Kojic phytic acid helps to remove spots (hyperpigmentation). Azelaic acid has antibacterial properties, fights free radicals, regulates oily skin. Vitamin C promotes the synthesis of new collagen. Retinoic acid stimulates the proliferation of new epithelial cells and skin cells, and also controls the secretion of sebum.

Yellow peeling (Yellow Peel) is produced by many companies, including those we have listed above, for example, Mene & Moy and others. Despite the rich composition of the yellow peel, there are no studies that would confirm the advantage of this peel over others. Indications for the use of this peeling are exactly the same as for other peelings.

How are chemical peels performed?

What should be the preparation before chemical peeling?

Before chemical peeling, they are often prescribed, less often with stronger forms of vitamin A (tretinoin-type retinoids). The appointment of such funds allows you to accelerate the recovery of the skin, reduce the risk of complications.

If patients often have herpes on the face, then a week before chemical peeling and 2 weeks after its completion, antiviral drugs (Acyclovir or Zovirax) are prescribed to prevent the onset of herpes. this is very important, because herpes in this situation can lead to the formation of scars on the skin.

All patients should be advised to use a high protection sunscreen. This is necessary both before and after peeling. This is important so that the skin then has a uniform tone. In addition, for individuals with dark skin, pre-treatment of the skin with hydroquinone may be required to prevent problems with subsequent possible hypopigmentation of the skin.

Is anesthesia needed?

Superficial peeling rarely requires anesthesia, but the process of applying the solution may be accompanied by a slight burning sensation. Medium peeling may cause more discomfort. As a rule, medium peeling is carried out against the background of premedication with a tranquilizer (for example, diazepam) and oral analgesic. In some cases, a combination of a tranquilizer and local anesthesia is used.

Deep peeling is performed, as a rule, only under general anesthesia with the participation of a plastic surgeon and an anesthesiologist. However, in recent years, due to the advent of more gentle chemical formulations, it has often become possible to abandon general anesthesia in favor of premedication with tranquilizers in combination with injections of local anesthetics.

How does a chemical peel procedure work?

The process of chemical peeling begins with the treatment of the skin with compounds based on alcohol or acetone, which is necessary to degrease the skin. Then, a working chemical solution is applied to the skin, having previously protected the eyes from getting particles of the solution into them. The solution is applied for a strictly defined time, based on the type of patient's skin, the type of chemical reagent, etc. After the time has elapsed, the chemical solution is removed and the skin is treated with protective agents.

After the surface peeling procedure, you can immediately return to work. Recovery after a medium peel can take from several days to a week, and after a deep peel it can take several weeks. The rate at which the skin heals will largely depend on age, general health, and the immune system.

Face after chemical peel photo -

Chemical peeling of the face: price

superficial chemical peeling - 4000 rubles,
medium chemical peeling - 5000 rubles,
deep chemical peeling - 10,000 rubles.

Complications and side effects -

There is a general rule: the deeper the peeling, the longer the skin recovery will take place, and the higher the frequency of possible complications. Most superficial peels are safe, but medium and deep peels require a lot of experience from the specialist, proper preparation of the skin for the procedure, as well as proper care after the procedure.

Side effects :

Pain -
usually typical for medium and deep peels; usually lasts only a few hours.

Skin redness –
superficial peels cause only slight redness, which lasts only for a few days. However, red face after peeling, medium or deep, can last up to 1 month.

Itching and intense flaking –
itching, as a rule, occurs after medium and deep chemical peels.

allergic reactions –
are quite rare. If the patient has a history of any allergies, then it is advisable to perform peeling while taking antihistamine (anti-allergic) drugs.

Complications:

Chemical burn of the skin –
as a rule, this is only possible with medium and deep peeling, because. more highly concentrated acids are used there. With the wrong choice of the drug (without taking into account the type of skin), the time of peeling, unfortunately, such a complication is possible. The risk of this complication is higher if the peeling is performed not by a dermatologist, but by an ordinary cosmetologist without medical education.

Folliculitis or acne –
Acne after chemical peels can result from improper use of emollient creams used to promote healing. In this case, antibiotics may be needed.

Bacterial or fungal infection –
rarely occur, but if it does, it can lead to scarring of the skin. The danger of infection exists only with medium and deep peeling.

Herpes recurrence -
will require the appointment of antiviral drugs to prevent scarring. In persons who often develop herpes, it is advisable to peel while taking antiviral drugs or immunostimulants.

hyperpigmentation –
is a consequence of the occurrence of inflammation in areas of the skin subjected to chemical peeling. Inflammatory hyperpigmentation is usually temporary but may persist for up to 2 years. Treatment of age spots in such situations is possible with the help of special means, for example, hydroquinone.

Hypopigmentation –
is the loss of pigmentation; usually occurs after peeling dark skin. in some cases, hypopigmentation remains for life.

Telangiectasias (spider veins) –
these are small red vessels under the skin; they may become more visible after peeling. Cope with spider veins can be quite simple and with the help.

demarcation lines –
this is usually the result of medium to deep peels; there may be a noticeable line between the skin where the peel was performed and where it was not.

Scars -
are a very rare complication of chemical peels. An early sign of scarring is constant redness and itching.

How can the frequency of complications from chemical peels be reduced?

Peeling should only be carried out by a specialist –
surface peeling of the face with preparations based on lactic and glycolic acid can be carried out not only by dermatologists, but also by specially trained paramedical personnel and cosmetologists.
Medium peeling should be carried out only by a doctor with a higher medical education, and one should strive for this to be a dermatologist. If you plan to do deep peeling, then only a dermatologist or plastic surgeon should perform this procedure.

Choosing the Right Exfoliator –
it must be carried out with strict consideration of the patient's skin type.

Chemical peeling of the face: contraindications

The correct selection of patients who can undergo chemical peeling is very important. not everyone can do it . Depending on the type of peel, your doctor may not recommend treatment if:

→ do you have scars on the skin, warts,
→ there is abnormal hyper- or hypo-pigmentation of the skin,
→ if you have red hair and freckles, dark brown skin,
→ have a bacterial, fungal infection of the skin,
→ if you have been prescribed isotretinoin (used to treat acne) within the past 12 months.

We hope that our article was useful to you!

Last revision of the article: 10/10/2017

To improve and give the skin of the face an impeccable look, many different cosmetic procedures have already been invented.

The fair sex is ready to go to many tricks and endure complex manipulations of the beautician with their face in order to look irresistible.

Median peeling of the face is a relatively new procedure that is very popular today and has proven its effectiveness as an effective tool in the fight against skin imperfections.

The concept of the procedure and its effectiveness

Median peeling- This is one of the types of cosmetic peeling.

Its essence lies in the complete removal of the upper layer of the epidermis, due to which the skin increases the production of collagen and elastin, which leads to natural regeneration and improvement in skin quality.

This procedure is suitable for those who wants to achieve the following results:

The effectiveness of the method is noticeable within a week after the procedure.

Many who are familiar with this procedure are pleased with its durability - the effect lasts from six months to two years.

Women who have undergone the procedure note that the skin becomes more dense, uniform, toned.

What happens: types

Median peeling according to the method of carrying out is divided into the following types:

Stages of implementation, cost

Before carrying out a median peeling, it is necessary to consult with specialists (beautician, dermatologist) to find out about the condition of the skin and make sure that the procedure is safe for this type of epidermis.

The procedure itself consists of several stages:

The cost of median peeling varies depending on the region, type and complexity of the procedure, skin type, etc.

The average price of a procedure using trichloroacetic acid is from 3,000 to 9,000 rubles, the median – from 3000 to 8000 rubles.

Cost of the procedure with glycolic and salicylic acid - from 2500 to 5000 rubles.

How to spend at home

The steps of the procedure at home are the same as in the salon. First you need to decide which mixture to use.

This takes into account the type and characteristics of the dermis. Compounds based on lactic and trichloroacetic acid are considered universal.

Peeling steps:

Recipes for peeling preparations are presented below:

Salicylic Blend. 3 capsules of acetylsalicylic acid are crushed into powder, poured into 20 ml of water, you can add a few drops of honey. Even more peeling recipes with aspirin -.
salt mixture. Prepared according to the proportion 1:1:2 (salt, soda and day cream, respectively). About peelings and we have separate articles.
lemon mix. Freshly squeezed lemon juice is mixed in a 1: 1 ratio with non-carbonated mineral water.
Peeling badyaga:
Lubricate the face with a 5% solution of calcium chloride repeatedly until a dense film is formed. Wash off with mild soap.
Face peeling from Victoria Boni (calcium chloride, baby soap):

What results to expect

Most of those who have tried the median peeling procedure on themselves note that the skin after it becomes more even, fresher, the complexion acquires a healthy tone. Rashes disappear, small wrinkles disappear.

The procedure is associated with a number of unpleasant manifestations: itching and burning during manipulations, the appearance of crusts and irritations after peeling.

But, as practice shows, the result is worth all the inconvenience, and in a week the woman will be rewarded with beautiful and radiant skin.

This is what the face looks like in the photo before and after the chemical medium (medium) peeling procedure:

Contraindications and precautions

It is possible to carry out the procedure at home only after consulting a specialist or under the supervision of an experienced person in this matter. Otherwise, you can cause irreparable damage to the skin.

On the first day after the procedure, you can not wash, paint, in general, it is better not to touch your face once again. Serum should be applied to the face 2 times a day to accelerate regeneration.

For the first week, it's better to give up. from visiting baths, saunas and avoid places where there is a risk of dirt and dust getting on your face.

After a while, crusts appear on the face. In no case can you rip them off, you need to wait until they fall off on their own.

The young epidermis, which appears after the crusts fall off, will need to be protected from overdrying with a cream with a UV filter. More information can be found in a separate article.

The median peeling procedure has a number of contraindications:

Median peeling helps in most cases to find beautiful and radiant youthful skin. It should be approached with caution, because. Not every type of epidermis is able to endure all manipulations.

It is also worth remembering the possibility of getting burns, carefully study all contraindications, and only after the approval of a specialist, proceed with the procedure.

And after it, you can admire a young, renewed face and accept compliments from others.

Despite the fact that the median peeling procedure has managed to prove to be highly effective, most women are not very interested in signing up for it. The thing is that they are afraid to experience pain. However, in reality, everything is completely different, since the level of medicine today has reached such a level that this procedure is carried out in fairly comfortable conditions and at the same time does not cause damage to health.

Indications and contraindications

Specialists identify a number of states, in the presence of which a median chemical peel can be an effective solution to these problems:

the presence of small and shallow wrinkles on the face;
uneven relief of the skin of the face;
the presence of age spots, pronounced pigmentation;
the presence of freckles;
the presence of skin damage in the form of chloasma;
the presence of superficial keratomas;
the presence of acne marks;
the presence of hyperkeratosis;
the presence of signs of skin aging;
the presence of warts and papillomas;
the presence of foci of hyperpigmentation;
the presence of scars.

In modern practice, the median peeling method has become widespread not only in order to provide a rejuvenating effect and restore the skin of the face, but also to refresh the skin on the hands, as well as to control stretch marks.

At the same time, there are some patients who should refrain from superficial medium peeling:

Advantages and disadvantages of the method

The considered technique is of interest to many women because of the advantages it has:

the method is usually considered to be among the fairly well-known in cosmetology, which confirms its effectiveness;
the results that are achieved with this procedure, not only appear quickly enough, but are also visible externally. Usually, the first changes appear already after a week from the moment of the procedure;
the result provided by this method remains long enough - from six months to two years.

However, chemical peels are medium cannot be considered ideal., because it has, like other cosmetic procedures, disadvantages. These should include:

the occurrence of pain during the procedure. An unpleasant burning sensation may cause some discomfort to the patient, since this method is based on the use of acids that affect the living epidermis;
after the completion of the procedure, the patient will have to undergo a rehabilitation period, the duration of which is one week;
at the end of the course, side effects appear in the form of peeling of the skin;
the method is ineffective in the fight against mimic deep and vertical wrinkles near the mouth. These problems can be solved only with the help of an injection of Botox or contour plastics;
the method is powerless to remove pronounced "crow's feet" in the corners of the eyes;
median peeling does not allow clearing the skin of deep nasolabial folds;
during the procedure, there is a risk of disrupting the pigmentation of the skin, which is important today for patients with dark skin color.

Expected results

Having decided to undergo a median peeling procedure, the patient can count on the following results:

improving the uniformity of the stratum corneum of the skin;
increase the elasticity of deep skin layers;
increase in the density of the epidermis layer.

Types of physical medium chemical peeling

In the case of using a physical median peeling, the specialist can use one of the following types of this rejuvenation method.

Fractional laser thermolysis

Using fractional laser thermolysis the effect is ensured by the use of a laser and a laser grid, which ensures rapid regeneration and at the same time completely eliminates serious complications. The method is based on the use of a large number of mini-rays, while it excludes the complete irradiation of the skin.

Laser peeling

Laser peeling is based on the principle of absorption of a laser beam and a large amount of energy by cells. The effect of this method is manifested in the form of a series of microexplosions, which leads to the evaporation of the treated tissues.

Diamond Dermabrasion

This method has a slightly different technology: the skin is exposed to special nozzle with diamond dust. As a result, several procedures are enough for the patient to forever forget about such problems as acne, scars, pigmentation and wrinkles.

The main feature of median facial peeling is that it requires the use of more concentrated acids, among which trichloroacetic acid is often used. Instead, it is permissible to use fruit or salicylic acid. However, in medical practice, their use in synthesized form in combination with trichloroacetic is most common.

But this technique has its own nuances- it is still not possible to correctly accurately determine the depth of action on the skin of drugs. Because of this, even if the procedure is performed by a qualified specialist, there is a risk that as a result of chemical exposure to the skin, the latter will receive severe burns. And this is fraught with the fact that during healing, scars may appear on the skin.

This forced specialists to abandon the traditional technology and replace it with yellow peeling and TCA peel Pro Anthox. The latter involves the use of special gels, which ensures uniform distribution of the drug over the skin. As a result, the drug will be slowly absorbed by the layers of the skin, and this allows the specialist to provide the necessary depth of exposure.

Preliminary preparation for procedures

Before the problem area of the skin is treated, the patient will have to undergo special training. The essence of this event is to level the stratum corneum and its thickness, because otherwise during the session it will not be possible to ensure the supply of oxygen in a uniform amount. Also, during the preparation, the specialist must take appropriate measures to prevent hyperpigmentation, which can be one of the consequences of the procedure.

Preventive measures must be taken without fail, which involve the use by the patient of sunscreens with a protection level of at least SPF 15, as well as whitening components. Also, preparation should include taking antiviral drugs. This measure will help to avoid the occurrence of relapses and exacerbations during the treatment of areas where signs have previously appeared, for example, recurrent herpes.

As a result of peeling, there is a risk of developing its exacerbation, and this should be avoided. Therefore, proper preparation for peeling requires the use of antiviral drugs.

Operating principle

After exposure to living cells, causing their destruction, process starts the formation of new ones that form the epidermis. In the deeper skin layers, there is a rapid growth of capillaries, the process of producing elastin with collagen and hyaluronic acid is activated. The first two substances have a positive effect on the elasticity of the skin, and the latter improves the skin's ability to retain moisture.

Recovery after medial peeling

Despite the apparent simplicity, the procedure of median chemical peeling requires strict adherence to the recommendations of a specialist. First of all, this refers to the recovery period, which lasts one week. This period is often accompanied pronounced peeling skin, crusts form on them. The patient is not recommended to remove these crusts, as this does not have any effect on the rate of skin renewal. Gradually, the crusts fall off naturally, as a rule, it takes several days.

During the first week after the procedure, the patient will have to refrain from using decorative cosmetics, as well as facial makeup. A similar ban applies to cosmetic products. This recommendation is given by experts in order to provide the necessary rest to the skin, since peeling has a rather serious load on the integument.

During the rehabilitation period, the patient should pay special attention to protecting the skin from negative influences. First of all, here we mean cold, wind, critical temperatures. It is not allowed to stay under direct sunlight. During recovery, a woman should refrain from going to the sauna and solarium. The same applies to the pool, which will also have to be forgotten for a while.

The effect obtained as a result of the procedure of median facial peeling lasts up to 2 years. The peculiarity of this technique lies not only in the short duration of the rehabilitation period, but also in the affordable price of one session. It is enough to go through such a procedure once so that a woman can achieve positive changes that will pleasantly surprise her.

Conclusion

Today, medicine offers a sufficient number of drugs and methods with which the skin can stay beautiful longer. Along with the well-known and fairly common cosmetic preparations, in recent years, the median peeling technique has become more and more popular, which has enough adherents. Such a procedure is of interest for the reason that it provides excellent results that remain for a long time.

But, despite all the positive reviews that can be found on the network, you should not immediately agree to this method of rejuvenation. A certain category of women may have contraindications for a median chemical peel. Therefore, at first it is necessary to discuss this issue with a specialist, in a conversation with whom it will be possible to learn not only about contraindications, but also about the real results that this technique can provide.