Peels

Peels: Abrasion of the epidermis or dermis using chemical means, typically strong acids, or physical methods such as cold or through a laser or radiofrequency source.

A bit of history...

Peels, as a treatment for the skin to improve its appearance, provide deep care, or simply enhance cleanliness, have been known since ancient times.

In ancient Egypt, skin care with exfoliating substances, generally mildly acidic, was well-known for achieving smoother skin. Ground flower and plant powders, citrus juices like oranges and lemons, and even milk were commonly used. Cleopatra used to bathe in donkey’s milk. In the late Middle Ages, there were professionals who provided peelings at home, and they also took care of tasks like eyebrow depilation, which had to be high, thin, and well-groomed!

There were texts that discussed substances capable of “washing away every blemish.”

In more modern times, to trace the origins of modern medical treatment, we must go back to the late 19th century when a German dermatologist, Dr. Unna, began modern treatment using various types of peels, especially resorcinol and salicylic acid, as well as deeper peels like phenol and trichloroacetic acid. These peels are still commonly used today.

In particular, phenol peels were extensively studied and experimented with by numerous dermatologists and plastic surgeons like the Englishman Mac Kee, or La Gassè, who refined the occlusive technique after phenol peels. However, it was in the 1970s and 1980s that trichloroacetic acid, salicylic acid, or lactic acid peels gained increasing notoriety, and above all, the pioneer of alpha hydroxy acids, glycolic acid, began to be used on a large scale.

Dr. Scott, of American origin, is credited with many works on light peels and their miraculous applications.

The patient decided to revitalize her skin and achieve a fresh and radiant appearance through peeling treatment as she had several skin spots on her forehead. After a consultation, Dr. Frabboni suggested a peeling treatment to improve skin texture.
Dr. Frabboni applied a gentle chemical peel to the patient’s forehead, which delicately removed the superficial layer of the skin, stimulating the cellular regeneration process and promoting collagen production. The result was brighter and smoother skin.

WHERE AND HOW DO PEELS WORK?

The skin is an extremely complex organ, perhaps the most complex in the entire body, with various functions, including its main function, acting as a barrier against external elements to the human body. It is certainly the most represented organ in the brain and is also one of the most important sexual organs: think about blushing from embarrassment or desire and the scent it emits, which significantly influences our emotions. It consists of three fundamental layers: the epidermis, dermis, and subcutaneous tissue. Additionally, we must consider the skin appendages, which inevitably decrease and lose function with age.

Skin cells originate in the deep layers and gradually become more superficial and keratinized, or hardened, until they detach from the superficial skin layer. The complete cycle takes about 25-30 days. As one ages, these cells accumulate and form thickened areas, spots, and so on.
Furthermore, there are various types of skin, especially based on its color. This is of great importance in patient selection and the indications for each type of peel.

The patient decided to revitalize her skin and achieve a fresh and radiant appearance through peeling treatment as she had several skin spots on her forehead. After a consultation, Dr. Frabboni suggested a peeling treatment to improve skin texture.
Dr. Frabboni applied a gentle chemical peel to the patient’s forehead, which delicately removed the superficial layer of the skin, stimulating the cellular regeneration process and promoting collagen production. The result was brighter and smoother skin.

Peels Serve Various Purposes

First and foremost, they accelerate this turnover, or cellular renewal. They also remove dead and damaged cells, which is why some peels are particularly effective on skin spots. Lastly, they have an inflammatory action that stimulates collagen production, through mechanisms not yet fully understood. Treated skin, some time after peeling application, is often firmer and more toned. They are, therefore, fundamental in every skin revitalization treatment.

Of course, not all of these action mechanisms are present simultaneously in various types of peels. Some have a greater whitening effect, while others have a greater effect on collagen production, and so on.

Potential side effects, including hyperpigmentation and hypopigmentation, should not be underestimated. For this reason, the patient must strictly follow the professional’s instructions. This is why a non-invasive peel, repeated multiple times, is preferred over a single, highly aggressive peel.

Benefits of Peels

Peels are particularly suitable for skin rejuvenation when the first signs of keratosis and skin aging become visible.

Another significant aspect concerns skin discolorations, especially those associated with aging.

Some skin diseases can also benefit greatly from medical peels, especially common acne and its consequences, rosacea, and seborrheic dermatitis.

Different Types of Peels

Peels can penetrate the skin to various depths, so the first classification is based on the depth of action (famously proposed by Dr. Rubin).

Superficial Peels

These are very discreet peels with glycolic acid ranging from 20-70%. They stimulate collagen formation significantly, but the presence of depigmenting and anti-tyrosinase substances makes them suitable for melasma.

Moreover, vitamins are also present in the formulation. They are indicated for rejuvenation and also for skin spots. It remains a light peel, with minimal social downtime, and is safe.

Medical peels are particularly suitable for skin rejuvenation when the first signs of keratosis and skin aging become visible. Another significant aspect concerns skin discolorations, especially those associated with aging.

Some skin diseases can also benefit greatly from medical peels, especially common acne and its consequences, rosacea, and seborrheic dermatitis.

Some colleagues use peels for stretch marks as well, but in my opinion, they are less effective in this case.

First and foremost, they accelerate this turnover, or cellular renewal. They also remove dead and damaged cells, which is why some medical peels are particularly effective on skin spots. Lastly, they have an inflammatory action that stimulates collagen production, through mechanisms not yet fully understood. Treated skin, some time after medical peeling, is often firmer and more toned. They are, therefore, fundamental in every skin revitalization treatment in aesthetic medicine.

Medical peels are particularly suitable for skin rejuvenation when the first signs of keratosis and skin aging become visible. Another significant aspect concerns skin discolorations, especially those associated with aging.

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The Oral Atelier srl uninominale

Poliambulatorio odontoiatrico monospecialistico
Dir.Sanitario dr. Pier carlo frabboni
Iscrizione ord. Medici ed odontoiatri di bologna n° 726 del 05/04/1994

051/471964 – +39 344 343 3540
Via Toscana n.52
40141 BOLOGNA

Dr. Pier Carlo Frabboni

Studio di Odontoiatria ed Estetica Dentale Dr. Pier Carlo Frabboni
Iscrizione ord. medici ed odontoiatri di Bologna n°726 del 05/04/1994

0546/21132 – +39 388 057 6093

Corso Baccarini n.15
48018 FAENZA

The Oral Atelier srl uninominale

Poliambulatorio odontoiatrico monospecialistico
Dir.Sanitario dr. Pier carlo frabboni
Iscrizione ord. Medici ed odontoiatri di bologna n° 726 del 05/04/1994

051/471964 – +39 344 343 3540

Via Toscana n.52
40141 BOLOGNA

Dr. Pier Carlo Frabboni

Studio di Odontoiatria ed Estetica Dentale Dr. Pier Carlo Frabboni
Iscrizione ord. medici ed odontoiatri di Bologna n°726 del 05/04/1994

0546/21132 – +39 388 057 6093

Corso Baccarini n.15
48018 FAENZA

info@piercarlofrabboni.com

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The Oral Atelier srl uninominale

Single-specialist dental clinic
Health Directorate dr. Pier carlo frabboni
Order registration Doctors and dentists of Bologna n° 726 of 04/05/1994

051/471964 – +39 344 343 3540
Via Toscana n.52
40141 BOLOGNA

Dr. Pier Carlo Frabboni

Dr. Pier Carlo Frabboni Dental and Aesthetic Dentistry Clinic
Registration with the Bologna medical and dental board n°726 from 05/04/1994

0546/21132 – +39 388 057 6093

Corso Baccarini n.15
48018 FAENZA

The Oral Atelier srl uninominale

Single-specialist dental clinic
Health Directorate dr. Pier carlo frabboni
Order registration Doctors and dentists of Bologna n° 726 of 04/05/1994

051/471964 – +39 344 343 3540

Via Toscana n.52
40141 BOLOGNA

Dr. Pier Carlo Frabboni

Dr. Pier Carlo Frabboni Dental and Aesthetic Dentistry Clinic
Registration with the Bologna medical and dental board n°726 from 05/04/1994

0546/21132 – +39 388 057 6093

Corso Baccarini n.15
48018 FAENZA

info@piercarlofrabboni.com