1st Edition
Chemical Peels in Clinical Practice A Practical Guide to Superficial, Medium, and Deep Peels
Xavier Goodarzian, MD(Hons), MRCGP, PGDiplClinDerm, PGCertCosMed, MBCAM, is the medical director of the Dr Xavier Clinic in Southampton and London, UK, where he has performed chemical peels since 2006. A medical graduate of the University of Louvain (Leuven) in Belgium, he obtained member status of the Royal College of General Practitioners and has postgraduate degrees in Clinical Dermatology (Queen Mary University of London) and Cosmetic Medicine (University of Leicester) in the UK. A full member of the British College of Aesthetic Medicine, he is an officially recognised trainer and Key Opinion Leader for SkinTech in the UK, holds training and mentoring sessions internationally, and has spoken at many live events in conferences in various countries. He is passionate about skincare, skin health, and chemical peels.
This book has been written with the aim of making a practitioner’s peeling experience easier and more practical. It contains sample patient forms, over 250 illustrations, and a wealth of tips for patient guidance and safe clinical practice.
Preface
Author biography
1. Introduction
Why Peels?
The Skin
References
2. Classification of Peels
How Not to Define a Peeling Agent
How to Define a Peeling Agent on a More Anatomical Scale
Reference
3. Consultation: How and When to Recommend Peels
The Consultation
Talking about Peels
Patient Concerns about Peels
Protocols
Reference
4. Patient Journey: Steps Leading to and from the Peel
Stages for Each Treatment Type
Consenting and Aftercare
What Should You Do after a Superficial Peel Procedure?
Consent for Treatment with a Phenol (Deep) Peel
General Sun (UV) Damage Advice – Why Our Skin Ages Prematurely
This Peel Is a Serious Medical Procedure and Not a ‘Beauty’ Procedure
After Your Peel
You Must Have Realistic Expectations of This Procedure
Non-serious Side Effects
Preparation before Your Peel Is key to Success
Medication
Your Phenol Peel ‘Treatment Journey’
References
5. Skin Prep
An Ideal Skincare Routine
Ingredients
The Fingertip Unit
References
6. Investigations and Peri-Operative Measures
Reference
7. Peeling Procedures
AHA and BHA Peels
TCA
Phenol
Day One Review
Day Three Review
Two-Week Review
Three-Month Review
Six-Month Review
References
8. Body Procedures
Neck and Decolletage
Back of the Hands
Striae
References
9. A Special Note on Some Common Skin Conditions
Sun Damage and Lentigines
Acne
Rosacea
Post-Inflammatory Hyperpigmentation
Melasma
References
10. Mosaic Peels
Medium TCA Peel
Lower Eyelid Phenol Peel
Upper Eyelid Phenol Peel
Upper Lip Phenol Peel
Lower Lip and Chin Phenol Peel
Reference
11. Aftercare
AHA-BHA Peel Aftercare
Superficial TCA Aftercare
Medium TCA Aftercare
Phenol Peel Aftercare
Mosaic Peel Aftercare
Reference
12. Complications
Poor or Insufficient Result
Prolonged Downtime
Post-Inflammatory Hyperpigmentation
Uneven Result
Prolonged Erythema
Rebound Pigmentation
Herpes Simplex
Bacterial Infections
Scarring
References
Conclusion
Index
Biography
Dr Xavier Goodarzian is the medical director of Xavier G. clinic in Southampton and London UK where he has performed chemical peels since 2006. A medical graduate of the University of Louvain (Leuven) in Belgium, he obtained member status of the Royal College of General Practitioners and has postgraduate degrees in Clinical Dermatology (Queen Mary University of London) and Cosmetic Medicine (University of Leicester) in the UK. A full member of the British College of Aesthetic Medicine (BCAM), he is an officially recognised trainer and Key Opinion Leader for SkinTech in the UK, holds training and mentoring sessions internationally, and has spoken at many live events in conferences in various countries. He is passionate about skincare, skin health, and chemical peels.
