cosderma chemical peels
we have wide range of chemical peels , glycolic, lactic, salicylic, TCA, jessner's, mandelic peel, yellow peel & many more combos are available
3. What is Skin?
Largest organ of the body
3 layers: Epidermis, Dermis & Sub-dermis
Epidermis: Outer layer (layer you can actually see)
Dermis: Volumous second layer-25 times thicker than epidermis.
It is made up of protein fibers which give the skin strength and
elasticity.
Subdermis: (subskin or subcutaneous layer) This is our heat
barrier, composed of adipose fat or sub cutis tissue. This creates
a protective cushion that gives contour and smoothness to the
body.
4. History of Chemical Peels
Widely used by Dermatologists for over 50 years
Some peels where discovered as far back as the
1800’s
Chemical Peels are still extremely important in
skin care therapy today.
Better methods of application and “Designer
Peels” Give the esthetician better control and
improved results.
5. Chemical Peel Definition
A chemical peel solution applied to the skin to
trigger a “Blistering” effect that loosens the
targeted outer layer of skin to peel off in the
affected area.
Underlying regenerated skin is smoother and
less wrinkled than the older skin
6. Benefits
Retexturize the skin
Restore Radiance
Skin rejuvenation
Minimize fine lines and
wrinkles
Restore moisture
Acne
Hyper pigmentation
Improve light scarring
Improve imperfections
Stimulate new skin
growth
Stimulate collagen and
elastin
7. Realistic Goals
Can correct sun damage
Reduce mild scaring
Reduction of wrinkles
Remove blackheads
Improve appearance of Stretch marks
Acne
Improve Melasma
Improve uneven texture
8. Unrealistic goals
Cannot remove appearance of blood vessels on
the skin
Cannot change pore diameter-pores can appear
less pronounced
Cannot remove-get rid of scars-Keloidal scars
Chemical peels are not face lifts
10. Fitzpatrick Scale
Type I Very fair-Blonde
Light eyes-Red head-
freckles
Always burns
Never tans
Type II Fair skin-Light eyes-
Light hair
Burns Easily
Type III Very common skin
type-Fair
Sometimes burns-
gradually tans
Type IV Mediterranean
Caucasian skin
Rarely Burns-always
tans
Type V Mideastern-rarely sun
sensitive
Tans
Type VI Black skin Tans easily
11. Types of Chemical Peels
Glycolic (AHA)
Salicylic Acid (BHA)
Lactic Acid
Jessner’s Peel ( A Combination of Salicylic acid,
resorcinol and lactic acid mixed in alcohol)
Resorcinol
TCA (Trichloracetic Acid)
Baker’s Phenol
13. Glycolic Acid
Derived from sugar cane
Became popular in the 1990’s
Revolutionized skin treatments
Correct application is extremely important in
order to achieve success.
14. Jessner’s Peel
14% Salicylic acid,14% Lactic acid,14% Resorcinol in
alcohol base
14-14-14 keeps peel solution from separating
Jessners focus is exfoliation and digestion of debris
Good choice for patients with acne and melasma
Can be used with other peels to provide a deeper peel
Modified Jessner’s available
15. Salicylic Peel BHA
Hydroxybenzoic acid found in willow bark
Manufactured synthetically from sodium phenolate
Dissolves the top layer corneum cells
Varied strengths and combinations available
Antimicrobial action
Antiseptic
Reduces sebaceous follicle blockage
Good choice for Acne
16. TCA
Discovered in the 1800’s
Widely used peel
Can be used alone or in conjunction with
Jessners and modified Jessners
Client will experience a heat sensation
Redness can occur
Disclamation can occur 5-7 days post peel
17. Trichloroacetic Acid
TCA
Variety of strengths-15%, 25%, 35%
Non toxic, stable, easy to use
TCA penetrates to the papillary dermis or the
upper reticular dermis when full frost is achieved
Frost occurs due to the chemical (TCA)
coagulating the protein in the skin
Medium depth peeling
18. PEELS
Treatment What it does
TCA Peels Flattens scars
Reduces wrinkles
Corrects Photo damage
Improves Hyper pigmentation
Jessner’s Solution Reduces Wrinkles
Corrects Photo damage
19. Peeling depth
Superficial=Epidermal
Medium=Epidermal into
Papillary dermis
Deep Peels=Papillary
dermis into reticular
dermis
Glycolic, Salicylic acid
Recorcinol, Jessner
solution, 10-20% TCA
70% Glycolic with 35%
TCA. 35% + TCA,
Jessner, Erbium Laser
Phenol, Co2 Laser
20. 4 Levels of Peeling
Ingredient concentration determines level of peeling
Pre-peel-de fat can make a difference
Amount of chemical applied
Length of time chemical is left on the skin
Varying skin thickness can effect peel outcome
Very Superficial
Superficial
Medium
Deep
21. Very Superficial
Superficial layers of the stratum corneum is
removed
Smooth out rough area
Help self tanners go on more evenly
Promote product-Ingredient penetration
Can enhance collagen production
22. Superficial Peel
Reduce blotchy skin
Help reduce discoloration
Most common performed by aestheticians
Usually AHA or BHA or blends
23. Medium Peels
Penetrates through the epidermis to the
uppermost portion of the dermis
Infection prevention
Do not pick at peeling skin
24. Deep
Peel goes into the dermis-reticular dermis
Not a simple procedure
Phenol
Can cause cardiac arrest
Procedure done under general
anesthesiasedative
Done in a surgical setting
2-3 weeks down time
25. Sensation
Clean excess oils from skin
Apply Peel
Client feels warming sensation
Stinging may occur
Reddening of the skin-Like sunburn
Skin Flakes off after 3-7 days
Blisters from deeper peels take 1-2 weeks to heal
26. Contraindications
Clients who are pregnant or lactating
Certain medical conditions-may require a
doctors note
Herpes Simplex
Accutane
Retin A
Extremely Couperose skin
27. Consent Form
Always needs to be signed before any chemical
peels
Pre and Post peel care
Sunscreen
Stay out of the sun
28. Cosmoderma Chemical Peels
We believe that our peels are the most
innovative peels on the market today.
Our peels give the skin care specialist control,
versatility and deliverable results.
Peels work synergistically
Peels can be layered and interchanged
Active ingredients and additives available to
increase desired effect.
29. Preparation at home
The foundation of an effective Chemical Peel is Preparation.
Skin preparation should begin a few weeks heading up to the peel
The skin priming can be divided into two phases:
Pre Treatment
Preparation
The Pre Treatment Phase consists of topical agents applied in the days or
weeks preceding the peel. The goal of this Phase is Designed to thin the
epidermal barrier; enhance uniform active agent penetration; accelerate
healing and reduce post operative side-effects and complications, most
importantly Post-inflammatory Hyper pigmentation
The Preparation Phase encompasses those steps that occur directly
before and sometimes those leading into the peel itself
30. Steps before applying the peel
STEP 1 : Cleanse
STEP 2 : Degrease
STEP 3 : Scrub
STEP 4 : Analyze the skin and choose the appropriate
peel for the skin type and the skin condition you want
to treat.
31. The Peel Procedure
The application of an AHA peel ( Gel form) lasts less than
10-12 minutes and may cause temporary discomfort, redness,
and irritation. These symptoms diminish as the skin becomes
more accustomed to the chemical peel treatments. Due to
the rapid penetration of BHA`s ( Solutions) , the peel will
last about five minutes (or until a white mask forms). BHA
peels are slightly less irritating than AHA and TCA peels due
to the anti-inflammatory properties they possess. A TCA
peel application should last less than 15 minutes and as with
the AHA peel, a temporary stinging may result immediately
after the peel is applied. Any immediate discomfort
associated with a TCA peel typically subsides within a few
minutes.
32. Post Treatment
Temporary redness, flaking, and dry skin are typical
following a chemical peel treatment. With an AHA peel
treatment, the skin often looks and feels similar to
sunburned skin. At first the skin turns red and dry,
before flaking and peeling. A smoother, fresher skin
results from the initial AHA peel as well as subsequent
peels. It is very important to protect the skin following
an AHA peel. A sunblock with adequate SPF
protection should be used every day. SeSDERMA
Sunyses has sunscreens with SPF 8, 15, and 35.
33. Post Treatment
BHA peel, the skin will feel tight for several days
after a BHA peel. After two to four days the
skin will feel sunburned for another three days.
People with darker skin have a slightly higher
risk of scarring pigment changes as a result of
beta hydroxy acids so increased caution must be
used with these treatments.
34. ArgiPeel
Indications: Softest peel. An
excellent peel for clients that are in
the sun, and/or people with
sensitive skin. Rejuvenates the skin,
reduces wrinkles, and treats sun
damaged skin. Improves the skin’s
thickness and firmness and
stimulates collagen synthesis. Closes
pores and controls pigmentation
and acne-prone skin.
35. LactiPeel
Indications: Treats melasma, photo aging,
dryness, wrinkles, flaccid skin, dull skin, and
acne
Properties: Lactic acid unblocks blackheads
and helps reduce sebum. Has moisturizing,
bleaching, anti-aging, and rejuvenating
properties. Increases the thickness of the
epidermal and dermal levels and it
stimulates the growth of collagen and elastin
fibers in the dermal layer of the skin. Over a
period of time, the surface of the skin will
look younger and smoother.
Composition: 90% lactic acid that is
stabilized with DMAE, which is derived
from salmon and sardines.
36. Mandelac Exfoliating Gel
Indications: Deep melasma, anti-aging,
normal to sensitive skin, ethnic skin
Properties: Due to the molecular weight of
this mandelic acid, less itching and irritations
occur during application. It has properties
typical of AHAs - it destroys intercellular
contacts, stimulates collagen synthesis, and
activates cellular regeneration. Has
depigmenting and anti-fungal, anti-septic
properties. Treats skin before and after peels
because it prevents bacterial infections.
Chemical action is similar to that of
antibiotics.
Composition: 40% mandelic acid
37. Mandelac Alcohol Solution
Indications: minor to moderate acne, folliculitus,
rosacea, and superficial melasma
Properties: Due to its molecular weight, less itching
and irritations occur during application. Stimulates
collagen synthesis and activates cellular regeneration.
Anti-bacterial and anti-fungus properties. Controls
and stabilizes minor to moderate acne. Controls and
stabilizes sebum because it penetrates the skin
through hair follicles. Prepares the skin before and
after other peel treatments because it prevents gram
bacterial infections. It has a chemical structure similar
to several broad spectrum antibiotics.
Skin Types: Normal to sensitive
Composition 40% Mandelic Acid
38. Mandelac C Alcohol Solution
Indications: clients that are starting treatments
with mandelic acid peels, Dull skin, Photo-aging,
Acne
Properties: citric acid is added to the mandelic acid
for its repairing properties that treat photo-aging. It
regulates the pH of the skin, diminishes oxidative
damage, and alleviates eritema cause by UV
exposure. Excellent for sensitive skin. Results on
the epidermis are immediate. Depigmenting, sebum
regulating, antimicrobial, and antibacterial
properties.
Composition: 30% citric acid and 20% mandelic
acid
39. Mandelac L Alcohol Solution
Indications: Moisturizing, Anti-Aging,
helps skin pH
Properties: lactic acid is added to the
mandelic acid. Has a clarifying effect on the
skin color, which promotes a homogenous
dispersion of melanin and exerts an anti-
oxidant effect. Excellent peel for sensitive
skin, with immediate effects on the
epidermis. Depigmenting, sebum
regulating, antimicrobial, and antibacterial
properties
Composition: 40% mandelic acid and
20% lactic acid
40. SaliPeel Slow Action Ampoules
Properties: Equivalent to those of SaliPeel Alcohol Solution.
You can apply this after microdermabrasion as a mask.
Another option is that you can do a layer of solution, then
microdermabrasion, followed by SaliPeel Ampoules and sun
protection.
Indications: Rosacea, aging skin/wrinkles, pigmentations,
psoriasis, folliculitis, and body peels. Excellent for skin that
cannot tolerate the burning sensations of SaliPeel Alcohol
Solution or SaliPeel Plus. Contains a special ingredient that
penetrates deeper in the skin and prolongs the properties of
the product.
Skin Types: Normal, thick, and resistant
Composition: 30% salicylic acid
41. SaliPeel
Properties: Is Salicylic Acid in a gel form
Indications: Acne-prone skin as well as skin
with seborrhea tendencies, aging skin,
melasma, psoriasis and hyperkeratosis.
Prepares the skin for other dermatological
processes such as laser resurfacing,
microdermabrasion, other peels, folliculitis,
and cosmetic treatments of rosacea. Good for
all skin types, especially patients with sensitive
and/or dark skin (phototypes IV and V).
Composition: Alcohol Denat, Salicylic acid
30%, Polyethylenglycol, Polyquaternium-37,
and Water
42. SaliPeel Alcohol Solution (pH 2.0)
Indications: Acne/acne scarring,
rosacea, aging/wrinkles, pigmentations,
psoriasis, folliculitis, and body peel.
Properties: 25% salicylic acid on hydro
alcoholic vehicle. It is a beta hydroxy
acid.
Salicylic acid enhances epidermal renewal
of the skin. Helps clear spots,
blackheads, and acne scars. Clears dark
spots of melasma. Smoothes wrinkles.
Some seborrheic kerasotes are
minimized.
Skin Types: normal, thick, and resistant
skin
43. SaliPeel Plus
Indications: Same indications as SaliPeel
Alcohol Solution. Indicated for larger
treatment areas.
Properties: Enhances the actions of salicylic
acid. Bacteriostatic, soothing, and sebum
regulator. Treats and improves the appearance
of acne-prone skin. Improves blood
circulation, tones veins, anti-oxidant,
diminishes aging, and captures free radicals.
Composition: 25% salicylic acid, 15% azelaic
acid, green tea extract
Green Tea Extract: stimulating action
facilitates the metabolism of lipids
Skin Types: normal, thick, and resistant.
Excellent for rosacea.