Peeling

Report
mesopeels
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Range of chemical peelings for skin
renovation and rejuvenation
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mesopeel
Index
Introduction
Mesopeel hidroxiacids
Mesopeel combined
Mesopeel trichloroacetic
Application protocol
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mesopeel
introduction
line of chemical peelings for the treatment and correction of different cutaneous
disorders.
Based on the used dermopeeling, we can achieve:
 Different degrees of exfoliation, and therefore superficial depigmentation and scarring
attenuation.
 Stimulation and reorganization of the collagen and elastin fibres, improving
physiological and mechanical qualities of the skin.
 Increased fibroblast activity , that synthetises different macromoléculas on the
extracelular matrix and more hydration.
 Correct sebaceous secretion and a decrease on the number of imperfections.
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mesopeel
introduction
Epidermis
pH 4.2 – 5.6 (sweat and
sebum)
+ Acid in men
+ Acid in dry skins
Elastin
Dermis
pH 6 – 7 (vessels and fibres)
Glycosaminoglycan
Collagen
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Complete
renovation in 28
days
mesopeel
Mechanism of action
A chemical peeling acts on the skin though three mechanisms:
TISSUE DESTRUCTION
INFLAMMATION MEDIATORS ACTIVATION
FORMATION OF NEW COLAGEN
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mesopeel
Mesopeel hydroxide acids
mesopeel
hydroxide acids
lactic_
melanostop_
peel AL
peel
mandelic_
mesopeel_
peel AM
azelan
salicylic_
mesopeel_
peel AS
jessner
glycolic_
peel AG
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mesopeel
combinados
mesopeel
Classification
mesopeel
hydroxide acids
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mesopeel
combinados
mesopeel
tricloroacético
lactic_
melanostop_
mesopeel_
peel AL
peel
TCA soft
mandelic_
mesopeel_
peel AM
azelan
mesopeel_
TCA
salicylic_
mesopeel_
peel AS
jessner
glycolic_
piruvex_
peel AG
peel
mesopeel
Mesopeel hydroxide acids
mesopeel hydroxide acids:
• They are organic acids that contain an hydroxide group.
• Various concentrations (weight and volume).
AHA´s
• Glycolic Acid
• Mandelic Acid
• Lactic Acid
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BHA´s
• Salicylic Acid
mesopeel
mesopeel hydroxide acids
Hydroxide acids
glycolic_peel AG
lactic_peel AL
mandelic_peel AM
salicylic_peel AS
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mesopeel
mesopeel hydroxide acids
Hydroxide acids are organic acids that contain an hydroxide group.
Alpha-hydroxide acids (AHA’s) have the hydroxide group next to carboxyl, from which it
derives:
• Glycolic Acid
• Mandelic Acid
• Lactic Acid
Beta-hydroxide acids (BHA’s) have it further in the molecule, from which it derives:
• Salicylic Acid
General characteristics of the mesopeels hydroxide acids are the following:
•
•
•
•
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Various concentrations (weight and volume)
pH 1,8
Cosmetic form : fluid transparent gel without preservatives
Presentation: 50ml container + measuring glass + neutralizer
mesopeel
mesopeel hydroxide acids
glycolic_peel AG
General characteristics:
 Formulated for intensive skin care for Photo-aging, cutaneous stains,
imperfections in skins with tendency to acne or other causes.
 Stimulate the cellular regeneration and the synthesis of collagen.
Mechanism of action:
• Destroys the protein bindings between the corneocytes.
• Stimulates the production of collagen in the fibroblasts.
Indication:
• Ideal for all types of skins.
• Reduction of wrinkles depth.
• Diminishes post acne scarring.
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Concentractions:
20%, 35%, 50%* and 70%*.
(*)Concentrations of 50% and
70% are of exclusive medical use
mesopeel
mesopeel hydroxide acid
lactic_peel AL
General characteristics:
 Indicated for mild or moderated photo-aged skins
 Soften contours, improves the texture, tone and aspect of the skin
in general.
Mechanism of action:
• Destroys the protein bindings between the corneocytes
causing the to detach.
• Stimulates the production of GAG’s in the dermis and
increases its hydration.
• It is less aggressive than Glycolic Acid for the skin.
Indication:
• Ideal for dry and sensitive skins.
• Stretch marks.
• Actinic damage.
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Concentrations:
30%, 40%* and 50%*.
(*) the concentration of 50% is for
exclusive medical use.
mesopeel
mesopeel hydroxide acids
mandelic_peel AM
General characteristics:
 Indicated for fight imperfections of skins with tendency to
acne that can also combine Photo-ageing and/or
hyperpigmentation.
 Produce a mild and progressive exfoliation .
 Antiseptic and depigmentation effects.
Mechanism of action:
• Breaks the unions between corneocytes of the stratum corneum,
as well as the cellules of the epidermis and the dermis.
• Stimulate the synthesis of collagen and proteoglycans.
• Induce a process of cutaneous rejuvenation.
Indication:
• Ideal for thick, oily and seborreic skins.
• treatment of hyperchromies.
• Photo-aging / Dilated pores.
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concentrations:
30%, 40% and 50%*.
(*)concentration of 50% is of
eclusive medical use
mesopeel
mesopeel hydroxide acids
salicylic_peel AL
General characteristics:
 Formulated to reduce or eliminate imperfections in skins with tendency to acne, photoaging alterations and wrinkles.
 Controls the proliferation of “propionilbacterium acnes”.
Mechanism of action:
• Liposoluble substance that eliminates intercellular lipids.
• It does not have inflammatory action, and therefore it is safe
in skins predisposed to PIH (Post-inflammatory
Hyperpigmentation).
Indication:
• Hyperkeratosis skins .
• Oily / proacneic skins.
• Acneic skins.
• Ideal as deep hygiene treatment .
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Concentrations:
10%, 20% and 30%*.
(*) The concentration of 30% is of
exclusive medical use
mesopeel
mesopeel hydroxide acids
MAXIUM RECOMMENDED EXPOSITION TIMES
Lactic peel AL
(Lactic Acid)
Concentration
30%
40%
50%
time
10’
7’
7’
mandelic_peel AM
(Mandelic Acid)
Concentration
30%
40%
50%
time
10’
7’
5’
salicylic_peel AS
(Salicylic Acid )
Concentration
10%
20%
30%
time
10’
7’
5’
glycolic_peel AG
(Glycolic Acid)
Concentration
20%
35%
50%
70%
time
10’
10’
6’
3’
* The maximum exposition time will always be subject to the professional criteria.
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mesopeel
Combined mesopeel
mesopeel
hidroxiácidos
lactic_
melanostop_
peel AL
peel
mandelic_
mesopeel_
peel AM
azelan
salicylic_
mesopeel_
peel AS
jessner
glycolic_
peel AG
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mesopeel
combined
mesopeel
Combined mesopeel
mesopeel
hidroxiácidos
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mesopeel
combined
mesopeel
tricloroacético
lactic_
melanostop_
mesopeel_
peel AL
peel
TCA soft
mandelic_
mesopeel_
peel AM
azelan
mesopeel_
TCA
salicylic_
mesopeel_
peel AS
jessner
glycolic_
piruvex_
peel AG
peel
Combined
melanostop_peel
mesopeel_azelan
mesopeel_jessner modified
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Combined
melanostop_peel
mesopeel_azelan
mesopeel_jessner modified
piruvex_peel
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mesopeel
Combined mesopeel
melanostop_peel
General characteristics:
 Its effect is based on the synergic action of the three active ingredients that work jointly.
Composition:
• Azelaic Acid 20%: Essentially metabolic activity. Antioxidant properties.
• Resorcinol 10%: Whitening effect.
• Fitic Acid 6%: depigmentation.
Mechanism of action:
• Inhibition of formation of abnormal melanic pigmentations.
• Renovation of the epidermis.
• Whitening effect
Indications:
• Treatment of superficial melasma.
• epidermal solar lentigo.
• Body hypercromies (armpits, knees, groin, etc…)
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mesopeel
Coadjuvant products
melanogel antispot cream
melanogel touch //
Depigmentation cream
puntual depigmentation treatment
post-treatment
Apply morning and night
Depigmentation cream for all types of
skins.
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post-treatment
Apply morning and night
puntual depigmentation treatment .
mesopeel
Combined mesopeels
mesopeel_azelan
General characteristics :
 Especially indicated in oily skins or with acneic tendency.
 Treatment of acne in all its different manifestations.
composition:
• Azelaic Acid 20%: Activity essentially metabolic. Antioxidant properties.
• Salicylic Acid 20%: Epidermical exfoliation. Antiseborrheic action.
Indications:
• Oily proacneic skins.
• Mild or moderate acne.
• Comedonal skins.
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mesopeel
Productos coadjuvants
purifying cleanser //
purifying face mask //
Facial gel
mask facial exfoliant
continous maintenance
continous maintenance
application morning and night
application morning and night
Descaling and purifying facial mask.
Cleansing facial gel for oily and proacneic skins.
purifying cream //
Maintenance cream
post-treatment
post-treatment
application morning and night
Puntual application
Eases the superficial peeling and prevents
pore obstruction.
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cosmelan active system
spot treatment
Sebum regulation puntual treatment
mesopeel
Combined mesopeel
mesopeel_jessner modified
General characteristics:
 Ideal for faded skins care , with signs of chronologic aging , superficial scars and epidermal
hyperpigmentations.
Composition:
• Salicylic Acid 14%: Keratolytical exfoliating and comedolytic effect.
• Lactic Acid 14%: Gives tautness and hydration to the skin. Activates the
formation of collagen and elastin.
• Citric Acid 8%: Lesser keratolytical action due to its heavier molecular weight.
Similar properties to Lactic Acid.
Indications:
• Photoaging.
• Antiaging treatments.
• Post-acne scarring.
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mesopeel
Coadjuvant products
post-treatment
post-treatment
continous maintenance
continous maintenance
Cosmeceutical line with high
concentrations of Vitamin C.
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Cosmeceutical line with high
concentrations of marine collagen.
mesopeel
Combined mesopeel
piruvex_peel
General characteristics:
 Specially indicated to tackle photo-aging, thin and deep wrinkles.
 Useful in acne and thin seborrheic keratosis.
 Increases the tone, luminosity and softness.
Composition:
• Pyruvic Acid 40%: Tackles chrono- and photo-aging.
• Lactic Acid 10%: Stimulates new collagen, elastic fibres and glycoproteins
production.
Indication:
• Chronologic aging.
• Photo-ageing.
• Deep wrinkles.
• Post-acne scarring.
• Seborrheic and actinic keratosis.
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mesopeel
Productos coadjuvants
post-treatment
post-treatment
continous maintenance
Cosmeceutical line with high
concentrations of vegetal stem cells.
continous maintenance
global antiage treatment that
includes [meso]recovery complex.
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mesopeel
Exposition time
MAXIMUM RECOMMENDED EXPOSITION TIME
FACE
NECK
BODY
melanostop_peel
5 minutes
2 minutes
5 minutes
mesopeel_azelan
10 minutes
2 minutes
5 minutes
mesopeel_jessner
10 minutes
2 minutes
10 minutes
piruvex_peel
3 minutes
2 minutes
3 minutes
* The maximum time of exposition will be subject to professional opinion.
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mesopeel
mesopeel trichloroacetic
mesopeel
hidroxiácidos
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mesopeel
combinados
mesopeel
trichloroacetic
lactic_
melanostop_
mesopeel_
peel AL
peel
TCA soft
mandelic_
mesopeel_
peel AM
azelan
mesopeel_
TCA
salicylic_
mesopeel_
peel AS
jessner
glycolic_
piruvex_
peel AG
peel
Trichloroacetics
mesopeel_TCA soft
mesopeel_TCA
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mesopeel
mesopeel tricloroacético
mesopeel_TCA and mesopeel_TCA soft
General characteristics:
 Trichloroacetic Acid is derived from Acetic Acid through by chloration of three
hydrogenate ions.
 Treats superficial and mid lesions.
• Superficial lesions: superficial hyperchromies, comedonal acne , thin wrinkles .
• Mid lesions: Acne damage reversion, actinic keratosis, wrinkles, dyschromy.
Mechanism of actuación:
• Acts by floculation pf skin proteins.
• Produce the precipitation of proteins by hydrofobic interaction.
hidrofóbica.
Indication:
• Treatment of photo-aging, wrinkles, actinic and seborrheic keratosis,
pigmentary dischromies, acne and acne scars; and lack of facial
luminosity.
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mesopeel
Treatment protocol
PHASE PRIOR TO TREATMENT:
Complete a clinical record (anamnesis)
All the relevant data will be collected such as , habits, personal or technical (skin type,
lesion types, associated problems) and any factors related to the disorder.
Personalized diagnosis
In order to adapt the application protocol based on the needs of each patient
Fill out the informed consent form
Involving the patient on the treatment process, and also at the same time invite them to continue with
the home treatment (fundamental protocol)
Photographic register
Guaranteing an objetive assessment of the evolution of results
Control visits
It is important to carry out control visits with an adapted periodicity based on the particular needs of
each case.
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mesopeel
Treatment protocol
CONSIDERATIONS WHEN WE CARRY OUT A CHEMICAL PEELING
• Treatment with retinoid (6 month wash out period).
• Active herpes lesions.
• Pregnancy.
• History of keloids or hypertrophic scars.
• Solar allergies or photo-sensitization.
• Hypersensitivity reaction to peeling.
• Radiotherapy treatment.
• Previous surgery in the area where the peeling it will applied.
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mesopeel
Treatment protocol
Mesopeel application protocol
Phase 1: preparation
Remove make up and tone up with hydra milk cleanser and
hydratonic.
Phase 2: degrease
Apply professional degreasing lotion with a gauze and rubbing.
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mesopeel
Treatment protocol
Mesopeel application protocol
Phase 3: protect
Protect with mesolips protector areas that due to their sensitivity must
not be in contact with the peeling.
Phase 4: treat
Apply with a brush or gauze the selected peeling according the type of skin
and estetopathy that will be treated.
Control the exposition time.
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mesopeel
Treatment protocol
Mesopeel application protocol
Phase 5: remove and neutralise
Remove with abundant water and spray the area treated with
post-peel neutralizing spray.
Phase 6: enhacing the result
Apply the mask post-peel crystal fibre mask or
anti-stress face mask and leave in exposition for 20 minutes.
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mesopeel
Treatment protocol
Mesopeel application protocol
Phase 7: complete and protect
After removing the mask apply post-procedure fast skin repair cream.
Apply moisturising sun protection.
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mesopeel
Treatment protocol
CHANGES IN THE SKIN DURING THE TREATMENT
Sensation of tightness
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This sensation is relieved through the repeated application of products that
encourage reepitelization and hydration.
PEELING
It is an expected evolution after carrying out an Acid based treatment.
Frost
The frosty areas must be moisturised repeatedly on subsequent days.
Burning
Typical treatment manifestation; Cool air may relieve this sensation.
Erythema
According to skin sensitivity, erythema may appear, being a temporary
manifestation.
mesopeel
Treatment protocol
APPLICATION OF CHEMICAL PEELINGS| CYCLES OF TREATMENT
Peeling as previous
treatment
Peeling as como specific
treatment
Peeling as
maintenance
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Before another more specific type of treatment , it is advisable to prepare the
skin with the peeling application . For this reason, it is advisable to carry out a
session 10 days before applying treatment with mesohyal, treatment antiaging,
photogen system, tmt system, amongst others.
When an estetopathy is treated with peelings, cycles of 6 to 8 sessions are
recommended.
It is advisable to carry out a peeling in every season of the year, once every 3
months approximately.
mesopeel
Results | Clinical cases
Before
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After
mesopeel
Results | Clinical cases
Before
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After
mesopeel
Results | Clinical cases
Before
Firstsession: salicylic_peel 10 % + 3 sessions peeling combined
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After
mesopeel
Results | Clinical cases
Before
After
6 sessions mesopeel glycolic_peel AG 20% and 35%
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mesopeel
Results | Clinical cases
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mesopeel
mesoestetic peelings advantages
THEY CAN BE USED IN ANY SEASON OF THE YEAR
APPLICABLES TO ANY PHOTOTYPE
IDEAL FOR BOTH FACIAL AND BODY TREATMENTS
FAST, SIMPLE AND HARMLESS APPLICATION
VISIBLE RESULTS FROM THE FIRST APPLICATION
THEY NO DOT REQUIRE RECOVERY PERIOD
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mesopeel
Peelings registered at Agencia Española de Medicamentos y Productos Sanitarios
mesoestetic glycolic_peel AG 20% / 318-PE
mesoestetic glycolic_peel AG 35% / 316-PE
mesoestetic glycolic_peel AG 50% / 326-PE
mesoestetic glycolic_peel AG 70% / 325-PE
mesoestetic lactic_peel AL 30% / 315-PE
mesoestetic lactic_peel AL 40% / 322-PE
mesoestetic lactic_peel AL 50% / 321-PE
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mesopeel
Peelings registered at Agencia Española de Medicamentos y Productos Sanitarios
mesoestetic mandelic_peel AM 30% / 317-PE
mesoestetic mandelic_peel AM 40% / 320-PE
mesoestetic mandelic_peel AM 50% / 319-PE
mesoestetic salicylic_peel AS 10% / 314-PE
mesoestetic salicylic_peel AS 20% / 324-PE
mesoestetic salicylic_peel AS 30% / 323-PE
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mesopeel
Peelings registered at Agencia Española de Medicamentos y Productos Sanitarios
mesoestetic mesopeel_TCA / 364-PE
mesoestetic mesopeel_TCA Soft / 365-PE
mesoestetic melanostop_peel / 370-PE
mesoestetic mesopeel_azelan / 368-PE
mesoestetic piruvex_peel / 366-PE
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mesopeel
FAQ’s – mesopeel
1. How does a chemical peeling work?
Besides of smoothing the skin, it unleashes series physiological reactions and increases
cutaneous permeability, stimulating the synthesis of collagen through a controlled aggression
of the skin (decrease of pH).
2. What performance can I get in sessions with a bottle of peelings?
Each bottle of peeling contains enough product for approximately 10 facial applications (5
ml. per session).
3. Hoy do I ken te peeling once oponed?
It can be perfectly kept at room temperature, closing it properly to avoid that it vaporises and
the gel base solidifies.
In case that it adopts a very viscose consistence, it can be rinsed with abundant hot water and
shake it well until it reaches gain the right texture to apply it.
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mesopeel
FAQ’s
4. How long must we leave between from the solar exposition solar until the application of
treatments with chemical peelings?
We must always assess the type and condition of the skin and absence of photo-sensitizing
factors. As a general rule, it is advisable to leave 10 days from the extended solar exposition
until the application in cabin of chemical peelings.
5. Is it advisable to combine peelings with electro-aesthetic techniques?
Chemical peeling is a quite complete treatment, however, it can be combined with topical
treatments that act as coadjuvants in the same session, and it is important not to combine it
with techniques that involve thermic or light stimulation in the same session, because it may
cause photosensitivity reactions.
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mesopeel
FAQ’s
6. What products can recommended for home care after a treatment with chemical peelings?
According the type of peeling used and the skin conditions, certain specific patterns of
treatment will be established.
However, there are recommendable products for all cases:
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•
post-procedure fast skin repair: during the 72 hours after the peeling application in cabin
(only if there is peeling).
•
hydra vital factor K: Moisturises.
•
anti-stress face mask or hydra-vital face mask: once a week at home.
•
The use of a moisturising sun protection is essential.
mesopeel
FAQ’s
7. Is it necessary that the skin peels to produce a result?
The reactions of the skin are unique and unpredictable, but we can have an expectation of
results more or less standard for our treatments, but the way every individual reacts is
unique, and therefore, it can be expected that some skins peel, while others do not , and
logically, some people have a faster response than others.
The peeling, does not involve a better result, and probably in cases where there is no
distinctive peeling, the result will take slightly longer to be evident, but internally the same
dermal stimulation occurs.
In terms of the dryness and tightness sensation, it indicates that the skin is recovering after
the application of peeling, and the only thing that can be done to balance it is to moisturise it
continuously, and we must also keep in mind that external factors make this sensation more
pronounced (cold and heating).
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mesopeel
FAQ’s
8. What special precautions should be taken in consideration when performing treatments
with chemical peelings in high phototypes?
It should be considered that the darker the skin, it gets more inflamed and, therefore, it has
greater risk of post-inflammatory hyperpigmentation unless extreme solar care.
In these cases, the best way of proceeding is to avoid aggressive peels and use discrete
concentrations, performing a increased number of sessions.
Do not perform other exfoliating techniques for 3 weeks prior to treatment.
In male skins, shaving is not recommended 24 hours prior to treatment.
9. Is there here is a minimum of preset exposition time?
No, once peeling is applied, it is the normal reaction of the skin itself, that determines the
exposition time, the times indicated in the tables are the maximum recommended.
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mesopeel
FAQ’s
10. Can a chemical peeling be applied on a skin that it is still peeling?
No, in that case, you should wait until the skin fully recovers before a new session.
11. What is the minimum time recommended intersession?
10 days recommended.
12. In body treatments, what are the peelings used for and how are they applied?
They are used as phase of preparation of the skin for body treatments in anya rea, and they
are applied in the same way in the face and the exposition times will vary according ot the
skin conditions (specially folded skin thickness).
The most common applications in body are: treatments of pigmentation in arms and hands,
necklines, stretch marks in abdomen and buttocks; acne in back, as keratolytic in elbows,
knees and feet, and finally as general maintenance of the condition of the skin .
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mesopeel
FAQ’s
13. It is mandatory the use of professional degreasing lotion before of the application of
chemical peelings?
It is not mandatory but highly recommended to obtain a uniform penetration of the chemical
peeling, as it prepares the skin, evaporating the hydrolipidic layer and eliminating impurities
of the cornea layer.
14. What peeling is more effective to treat facial acne : salicylic peel_AL or mesopeel_azelan? Is
it one stronger than the other? Are they complementary or do they need to be substituted?
They are actually complementary options:
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−
salicylic peel_AL indicated to treat keratinized skins in the first sessions of treatment.
−
mesopeel_azelan specífic for cases of acne in active phase, when there is an infection
present or inflamamation, and for treating post-acne scarring.
Chemical peelings
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