Glycolic acid peels in the treatment of melasma among Asian women. ncbi.nlm.nih.gov/pmc/articles/PMC2921758/, ncbi.nlm.nih.gov/pmc/articles/PMC6122508/, ncbi.nlm.nih.gov/pmc/articles/PMC4479370/, BHA Exfoliants: Benefits and How to Pick One for Your Skin Type, Scalp Acne: Causes, Treatments, Best Shampoos and More, Acne Keloidalis Nuchae: What It Is, Causes, Treatment Options and More, Hairline Acne: Causes, Treatments, and More, Jowls: Causes, Prevention and How To Get Rid of Them, Puffy Eyes: Causes, Treatments, Home Remedies, and Prevention, Puffy Eyes Causes: Lifestyle, Environmental, Medical (And How to Prevent Them), Beta hydroxy acid (BHA) peels like salicylic acid. Lactic acid has similar effects as GA peel, but surprisingly it has not been used frequently for melasma treatment. Massinde, A., Ntubika, S., & Magoma, M. (2011).
Stretch marks can be faded, smoothed and remodelled so as to be less obvious, using state-of-the-art cosmetic medical technology. This is a type of pigmentation that results from an injury to the skin or is by a skin inflammation, such as photodermatitis, and is most common in darker-skinned people. This peel, when used in a low concentration of 10%-35%, is preferable, as it only reaches the upper papillary dermis. Read more about reducing the appearance of melasma. (2005). Both microdermabrasion and chemical peels remove outer layers of skin, allowing skin cells to regenerate. This type of skin has a higher tendency for Post Inflammatory Hyperpigmentation(PIH). 2019 Harley Street Institute. For more severe hyperpigmentation more potent peels can be applied by a professional. A lactic acid peel is an AHA peel that is milder than other AHA peels like glycolic acid. It is a unique combination of AHA and BHA that has not been tried widely yet. Contact us. 2022 ENRICH Dermatology & Cosmetic Clinic. The three primary causes of this are sun exposure, inflammation and hormonal changes. You should also ensure you regularly apply sunscreen of SPF 30 or above, as chemical peels increase sun sensitivity. There are a number of different types and concentrations of chemical peels. I frequently blog about the news, researches and latest advancements in the aesthetics industry. The trends of peeling are currently changing and the innovative cocktail peels which combine both skin brightening and rejuvenating ingredients are being effectively used for tackling pigmentation and signs of ageing, along with numerous other skin problems, such as acne, clogged pores, skin tone and texture, scarring, etc. There are three common types of chemical peels: How deeply a peel works depends more upon the concentration than on the type of acid. Apply any neutralizing solution that is provided to the areas of skin with the peel on. Even light peels can treat dark spots, but more visible results might be seen from deeper peels with higher concentrations. So these peels are unsuitable for treating dermal melasma and its mixed forms on dark-skinned patients. This can reduce the appearance of dark spots by removing unwanted melanin from the skin. Lactic acid peels, which are relatively less expensive, showed almost the same results as that of GA, but still need further research. This process is followed by the regeneration of new epidermis and dermis tissues. Types of chemical peels for treating melasma in darker skin. Sun damage can cause hyperpigmentation of the skin, and dark-skinned people do despite popular belief need to protect their skin from UV rays with sunscreen. We use cookies to give you the most relevant experience, Cookie Policy. Mastering the Core Principles By Mentorship. This particularly occurs with chemical peels because they work by temporarily removing cutaneous melanin, without having any effect on the melanogenesis process or melanocytes. The treatment generates a controlled chemical burn to the skin that results in the elimination of unwanted melanin. 
BHA peels are also better for those with oily skin. Melasma occurs most commonly in women, especially pregnant women and people who live in warmer and sunnier climates.
Postinflammatory hyperpigmentation: a review of the epidemiology, clinical features, and treatment options in skin of color. A comparative study of glycolic acid and AFA peels showed that the latter peels give better results than GA peels for treating melasma, as there is less irritation and better tolerance, There is still a need for studies of dark-skinned patients to develop their efficacy for treating melasma, This is a newer generation of peels that use a combination of different peeling agents with the skin rejuvenating ingredients, like antioxidants, astringents, antiseptics etc, It is a one-step skin peeling solution that treats multiple skin conditions and can be used safely for all types of skin and tones, These peels range from superficial to deep peels in their depth, The priming procedure involves an application of topical depigmentary ingredients, such as tretinoin, hydroquinone or GA almost two weeks before the application of skin peel, It assures uniform active ingredients and peeling agent penetration in the skin, while also accelerating the healing process and maintaining its effects on skin obtained through the chemical skin peel, It reduces and prevents post-treatment side effects and complications, particularly PIH. These properties, when combined together in the form of a skin peel, make it an effective skin peeling combination, particularly for ethnic skin. Impaired skin barrier and acid mantle function leading to sensitive skin issues, Treatment of Danger facial areas with fillers, Botox Course For Indian Professionals Time To Up Skill & Re Skill, It is capable of stimulating new collagen and elastin fibres within the skin, It is effective for treating acne, sun damage and superficial scarring on the skin, It is also effective in treating a variety of pigmentary disorders among light-skinned people, Pyruvic acid can cause intense skin burning, which has limited its use as a peeling agent for a variety of conditions, Salicylic acid ethnol solutions are outstanding peeling agents for treating a variety of skin conditions in dark-skinned people, including melasma, acne and PIH, It is oil soluble, so it penetrates deeper into the skin, unclogging pores and preventing acne breakouts, Salicylic acid possesses anti-inflammatory properties, so it reduces PIH following skin peel treatment, It produces a diffused skin whitening effect, It can cause deep skin burns when used in a higher concentration or applied for a longer time, It does not produce long-lasting results and requires regular use, If higher amounts of salicylic acid get absorbed into the skin, it can cause salicylate toxicity, Mandelic acid is the largest of the AHAs. It penetrates slowly and evenly through the epidermis, which makes it ideal for sensitive skin, Salicylic acid, on the other hand, penetrates quickly through the skin, while also providing an extra advantage of reducing the PIH, A combination of Jessners peel with TCA solution provides a more even penetration and is an outstanding skin peel, as it has a low and safe concentration of TCA, It improves the overall complexion, while reducing the appearance of acne scarring and assistingthe treatment of melasma, It is a versatile peel that unclogs pores, kills bacteria, reduces acne, corrects uneven skin tone, sun damage and melasma, The primary risk involved in the use of Jessners peel for dark skin is PIH, It can also cause ochronosis (a peculiar kind of skin discolouration), It is not recommended for use on dark-skinned individuals, It causes epidermal changes and disperses melanin, One of the problems associated with the use of alpha hydroxy acid peels is that they need to be neutralised and the exact duration of neutralisation needs to be defined, Phytic acid offers an easy solution for this problem. Ortonne, P. (1990). 
This combination works really well for numerous skin conditions, including acne, pigmentation, acne scarring and melasma. It is a perfect combo of potent skin peeling agents with skin rejuvenating ingredients, which include TCA, salicylic acid, lactic acid, combined with numerous skin brighteners, as well as antioxidants such as glutathione, mandelic and azelic acid, as well as fruit extracts,among others. Dark spots appear on the skin after damage or trauma to the skin. Soleymani, T., Lanoue, J., & Rahman, Z. Deep peels should not be used by those with dark skin, but microdermabrasion can be undergone by any skin type or tone. Another issue that arises while treating melasma in dark-skinned patients is the high vulnerability of relapse or reappearance. This is more pronounced in darker skins, because there is more melanin available. On the days following the application of a peel, you should avoid any harsh or abrasive products in your skin care routine. Skin redness that lasts for weeks or months. Puri N. (2012). AFAs has been found to be highly effective in anti-ageing cosmeceuticals and works against photopigmentation. At ENRICH Clinic, our treatments are performed by specialists, nurses, and dermatologists and tailored to each patients skin health needs. Dr Michael. Peels are back in fashion, so get the most out of your rejuvenating skin treatments by knowing what to do and what not to do beforehand. However, you should only use weak peels at home, and more potent peels should be applied by a dermatologist to lessen the risk of chemical burn. This skin peel uses a combination of salicylic acid, lactic acid, and resorcinol mixed in ethanol. As has already been mentioned, the primary drawback of using chemical peels for treating melasma in dark skin is post inflammatory hyperpigmentation (PIH), which may occur during or after the treatment sessions. At ENRICH Clinic, we have a wide range of dermatological and cosmetic body treatments tailored to every individual body and patient need. Melasma is a condition whereby grey-brown patches of pigment appear on the skin. Glycolic acid has shown good results for treating dark spots with minimal side effects at a stronger 3050% concentration. Although there are numerous contributing factors that play their role in the pathogenesis, the exact cause and the etiology of the condition is yet to be understood. There are various suggestions for addressing this problem, but priming or preparing skin for the treatment is the most useful measure. Melasma Area and Severity Index (MASI) is a scoring system that is used for assessing the severity of the disease and for a treatment response measurement of melasma. Generally, 30%-70% of GA solution is used for chemical peel treatment. The peel is neutralised with water or with 1% solution of bicarbonate. It is best suited to treating surface hyperpigmentation because it doesnt penetrate deep into the skin. The most common type of alpha hydroxy peel used for treating melasma is glycolic acid (GA). Weak peels are less likely to cause further hyperpigmentation, especially when sunscreen is applied regularly post-treatment to prevent sun-induced dark spots. Comparative study of 15% TCA peel versus 35% glycolic acid peel for the treatment of melasma. Deeper-seated dark spots might require TCA of stronger 2025% concentration. The TCA peel may prove to be effective, like GA peels, for treating pigment dyschromias but caution should be taken while using these on the darker skin tones due to the higher prevalence of side effects. There are three identified with melisma that have been identified, including: Melasma has histologically been classified in three distinctive patterns, according to the primary pigmentation accumulation locations, including: There is a range of treatment options available that range from topical applicators to photo protections, lasers,chemical skin peels and others. Pigmentation is an issue for many people, with darkening (melasma), lightening, and loss of pigment (vitiligo). All peels can cause side effects like redness, irritation and sun sensitivity regardless of skin type or tone. Hyperpigmentation, or dark spots, refers to patches of skin that are darker than your normal skin tone.
A recentnew development in Jessners peel uses a combination the medium depth peels along with other peeling agents, such as GA and TCA peel. A glycolic acid peel is an AHA peel that can treat dark spots. Melasma is a type of hyperpigmentation also known as chloasma and pregnancy mask. Lim, T., Tham, N. (1997). This occurs on pale skin too, but you cant see it as easily.
It has been used widely as a superficial peeling agent for all types of skin. Chemical peelson darker skin are performed slightly differently to paler skin types, with an experienced dermatologist knowing how to treat darker skin correctly to avoid issues. Chemical skin peels suitable for treating melasma. With any surgery there are risks. Chemical peels are deep exfoliants that can break up clusters of melanin forming dark spots. Leave the peel on your skin for the amount of time indicated on its instructions. The name melasma is derived from the Greek word melas, which means black. This is a unique and innovative example of cocktail skin peels. Black skin is classified as Fitzpatrick type 6 and should avoid using peels if possible. A salicylic acid peel is a BHA peel that can treat dark spots. Though there are an extensive variety of chemical peels available, the choice is limited when it comes to the treatment of Fitzpatrick type IV to VI patients, because the deeper chemical peels are not appropriate for use on dark-skinned patients as the risks of developing prolonged pigmentation are high. Weak peels can be used at home to treat surface-level dark spots. In recent years, pyruvic acid has gained significant attention for treating various skin conditions. Please check your inbox, we have sent you the Download link. It is mild and safe to use, risking minimal side effects. Chemical Burn from Vinegar Following an Internet-based Protocol for Self-removal of Nevi.
Low-strength salicylic, glycolic and lactic acid peels are superficial peels that are best suited for at-home use. Even the use of medium depth peel should be done with caution. We can solve them. The results of the skin peel depends on the type of peeling agent, including its concentration, frequency and how long it is applied. The extent to which dark spots are reduced depends on the concentration and type of peel being used, as well as the severity of the dark spots. Check for any negative reaction to the skin 48 hours later. Got pigmentation problems? TCA peels are medium to deep peels that have been shown to treat hyperpigmentation effectively. All Rights Reserved. One chemical agent that deserves mentioning in this regard is phytic acid peel. Sharquie, E., Al-Tikreety, M., Al-Mashhadani, A. Chemical peels can increase collagen production, reduce pore size, reduce excess oils on the skins surface, and reducevisible signs of ageing. It also has anti-inflammatory properties, meaning it is well suited to dark spots caused by inflammation such as those that are caused by acne. Do not exfoliate your skin before applying the peel. It is a skin disorder characterised by dark skin patches distributed consistently on areas of the body that are primarily exposed to the sun. If peels are used on dark skin, salicylic acid is the best choice because it is anti-inflammatory and can lessen the risk of postinflammatory hyperpigmentation. My blogs have wealth of information for the general public as well as for practitioners pursuing career in aesthetics. It can cause hyper or hypopigmentation. Chemical peels for melasma in dark-skinned patients. We do not provide medical diagnosis, advice, or treatments. It is a form of alpha hydroxy acid with low pH and does not require neutralisation, so there is no danger of overpeeling, Phytic acid peel causes continuous and successive actuation of its acids in an unaggressive manner, soyou dont get the skin burning sensation you experience with glycolic peel, Phytic acid peel solution can be left on the skin until the next morning, unlike other kinds of AHA peels, which require instant neutralisation, Generally, a once a week application of phytic acid peels is recommended, but if a more stimulative effect is needed, it can be applied twice a week, In order to achieve skin lightening, 5-6 peeling sessions are required, Phytic acid is a safe and effective treatment for melasma among dark-skinned individuals, but it requires additional assessment. Chemical peels are more efficient than microdermabrasion for treating dark spots. However, dark skin is particularly prone to side effects from chemical peel use, so those with darker skin tones should avoid peels as a treatment. This page is not advice and is intended to be informational only. Thisdoes not just help to decrease PIH, but also enhances the effects of the skin peeling ingredients. This evolution started with traditional peeling agents, such as AHAs, BHAs and TCA, and then progressed to the cocktail of skin peels like Jessners peel, which have remained popular for a long period of time. Please read here for, With over 30 years of experience in tumescent liposuction, Dr Michael Rich is at the forefront of this gold standard treatment. When new skin forms it should be more evenly pigmented. Chemical peels have proved to be an effective treatment for melasma, both as a stand-alone treatment, as well as in combination with topical treatment. Required fields are marked *. However, microdermabrasion is a physically abrasive exfoliant that works on the surface level, while peels work more subtly and deeper in the skin. It doesnt penetrate the skin as deeply as glycolic acid and can be bought in weak concentrations such as 510%. The main cause of excessive skin pigmentation is an increased the number of melanocytes and excessive melanin production.The vascular component has also been considered to play a role in the development of melasma. You should wait at least two weeks before applying any more chemical peel to your skin. We endeavour to keep all our information up to date, however this site is intended as a guide and not a definitive information portal. If there is little or no reaction you can proceed. A chemical peel works by removing the top layers of skin, allowing new, healthy skin to form in its place. The role of priming agents in skin peeling. Salicylic acid has shown good results for treating dark spots at a stronger 2030% concentration. It is milder than other AHA peels and is safe to use, risking minimal side effects. We treat all types of scarring using a variety of effective treatments, depending on the type of scar. Salicylic acid falls into the category of acids that have traditionally been used for treating acne, melasma and PIH. Your email address will not be published. Even weak OTC peels can effectively treat dark spots, and higher concentration peels are only necessary for deep-seated dark spots. Treating melasma in dark-skinned patients. After conducting a test peel, GA peel is performed at an interval of 2-3 weeks for 3-5 minutes. Read more about reducing the appearance of melasma, Acne treatment Melbourne acne scarring at ENRICH Clinic. I write about diverse topics but my favourite field is aesthetics. ENRICH Clinic & COVID-19 - We continue to follow recommendations of the DHHS & Vic Gov. Chemical skin peel treatment is a popular option for treating melasma. Consult your physician before undertaking any surgical procedure. However, the most common factors that contribute to the development of melisma, include sun exposure, pregnancy, genetics, intake of oral contraceptives, thyroid diseases and some drugs, such as anti-epileptics. Clinical and Histological classification of melasma. Vitiligo is a skin condition whereby there is a loss of pigment in patches, which is much more obvious on darker skin because the contrast is greater. The P2R peel possesses powerful ways of treating multiple skin conditions, including pigmentation and sun damage. Pyruvic acid peel possesses a range of properties, including: In a recent study, an innovative, non-erythematogenic pyruvic acid formulation was used to treat sun damage, superficial scarring and melasma. Grimes, E. (1999). It has been shown to effectively treat dark spots. Save my name, email, and website in this browser for the next time I comment. Patch test your skin, applying a small amount of the peel to your forearm for 30 seconds. It is a common condition of skin in adults that appears in the form of dark brown or greyish colour pigmentation patches, which mainly targets facial skin. ENRICH Clinic has a wide range of technologies and dermatological solutions to help you achieve your skin care goals. Due to phytic acid peels unique properties, it may replace conventional AHAs, while the use of TCA peel in dark-skinned individuals still needs caution, as there are the risks of pigmentation dyschromias. The Question Why use Polydioxanone (PDO) threads for a minimally invasive lifting treatment? Feldstein, S., Afshar, M., & Krakowski, A. C. (2015). Despite the popularity of traditional skin peeling agents, researchers have continued to explore the newer peeling agents for treating numerous pigmentary dyschromias, including melasma. It is particularly important to provide advice to dark-skinned patientsabout photoprotection, priming agents and the importance of maintenance peels. In their terms of effectiveness and safety, traditional GA peels have proved to be the best ones. Dark skin comes with its own characteristics and tendencies, withpigmentationbeing a major cause of dermatologist visits. Note: if you did not get the email, please check spam/junk folder, Foundation Botox & Dermal Fillers Courses, the regeneration of new epidermis and dermis tissues, treatment generates a controlled chemical burn to the skin, compared to the GA peels for active acne and post-acne hyperpigmentation, Fellowship Diploma for Dentists and Doctors, Ages Impact on The Aesthetic Units of the Face. Skin health is essential for everyone. I am a writer by profession and works for a national magazine as a writer and sub-editor. The safety and efficacy of salicylic acid chemical peels in darker racial-ethnic groups. Davis, E. C., & Callender, V. D. (2010). Your email address will not be published. Those with Fitzpatrick skin type 46 should avoid using chemical peels, as they risk prolonged hyperpigmentation. Vitiligo is associated with autoimmune conditions, though it may appear on its own. Lighter peels with a weaker concentration can be used at home for more superficial treatment, but deeper peels can be applied by a dermatologist to treat dark spots that are more severe and deep-seated. There are some misconceptions regarding chemical peels in dark skin, which can beused with great success for pigmentation problems an issue dark skin is prone to. It is more pronounced in dark skin due to extra melanin. Chemical peels can also solve or manage some pigmentation problems. Extensive hyperpigmentation during pregnancy: a case report. They also help to stimulate new cell turnover. So it requires the rational approach to treatment of using multiple chemical peel sessions (generally 5-6)at an interval of 2-4 weeks, combined with additional therapy for maintenance with chemical skin peel or by using a bleaching agent like hydroquinone, Kojic acid, topical vitamin C serum, tretinoin, which helps to further suppress melanin production. Apply petroleum jelly around sensitive areas like the mouth, eyes and nose to protect them. This new skin can be more evenly pigmented, reducing the appearance of dark spots. As well as treating acne, fine lines, sun damage and scarring, chemical peels are effective in treating all types of dark spots. The working oftretinoin peels is considered to be same as that of topical tretinoin applications. If peels are used, a light BHA peel like salicylic acid is best for black skin, because it is mild and anti-inflammatory, meaning it will lessen any post inflammatory hyperpigmentation that might occur. Both treatments can cause irritation of sensitive skin that is prone to scarring and inflammation. The commonly used concentration of salicylic acid is 20%-30%. (2018). It has been observed that a combination of 2 or 3 treatments produces better results than administering a single pigmentation treatment, butdespite this, the melasma treatment remains a challenge because only mild to moderate improvements are achievedin the majority of patients. All Rights Reserved. Sarkar, R., Bansal, S., & Garg, V. K. (2012). The studys results showed that the peel was effective in all the three skin conditions, without any burning to the skin during or after the peel sessions. Peels that are used at home should be weak in strength and involve little downtime. AHA peels are also better for those with dry skin. We talk menopause, the Portrait & new season packages just for you! *Results may vary from person to person. Lactic acid as a new therapeutic peeling agent in melasma. It is predominantly present in people who have the Fitzpatrick skin type IV-VI,which includes Hispanics, Africans, Asians and American Africans, and causes severe psychological, emotional and social distress. Use a cotton pad to apply a thin, even layer of chemical peel to the skin. The effects of ultraviolet exposure on skin melanin pigmentation. Rinse the peel and neutralizer off your skin, and apply a moisturizer and sunscreen of SPF 30 or above. Gently wash and cleanse your skin, then dry. Side effects that can occur from the use of all chemical peels include: Deeper peels are more likely to cause severe irritation and risk further side effects, such as: Chemical peels can cause hyperpigmentation when the inflammation that they cause triggers the production of excess melanin.