Skin Resurfacing

7.17.1 Discuss the changes seen in skin with aging.

7.17.2 Salicylic acid, alpha hydroxy acid, glycolic acid……is there a difference?

Fabbrocini G, De Padova MP, Tosti A. Chemical Peels: what's new and what isn't new but still works well. Facial Plast Surg. 2009 Dec;25(5):329-36. Epub 2009 Dec 18. PMID:20024875

7.17.3 Tell us about a TCA peel.

7.17.4 Tell us about a phenol peel.

7.17.5 What are the indications for and the complications of chemical peels?

7.17.6 Describe pre-op preparation and post-op care of peels. Is pretreatment with hydroquinone and retinoid necessary?

7.17.7 Two days after CO2 laser resurfacing, your patient complains of painful “blisters” around her mouth. What is the likely diagnosis? How will you treat her? Could this have been prevented?

7.17.8 Describe complications associated with skin resurfacing.

Alster TS, Lupton JR. Treatment of complications of laser skin resurfacing. Arch Facial Plast Surg. 2000 Oct-Dec;2(4):279-84. PMID:11074725

7.17.9 What are the histological changes seen after chemical peel? Compare this with dermabrasion.

Johnson JB, Ichinose H, Obagi ZE, Laub DR. Obagi's modified trichloroacetic acid (TCA)-controlled variable-depth peel: a study of clinical signs correlating with histological findings. Ann Plast Surg. 1996 Mar;36(3):225-37. PMID:8659944

7.17.10 What are the benefits for topical vitamin C?

7.17.11 What is the role of hydroquinones in skin care?

7.17.12 Does Retin-A work? How do you give it? Is it recommended before and after a peel?

7.17.13 What is dermabrasion?

7.17.14 Discuss “non-ablative” skin resurfacing.

Kim KH, Geronemus RG. Nonablative laser and light therapies for skin rejuvenation. Arch Facial Plast Surg. 2004 Nov-Dec;6(6):398-409. PMID:15545535

7.17.15 Lasers seem to be the rage…you have been thinking about purchasing a laser for skin resurfacing. What are the options? How much do they cost? Do they really work?

Rinaldi F. Laser: a review. Clin Dermatol. 2008 Nov-Dec;26(6):590-601. PMID:18940539