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The essence of the procedure

The main difference between medium peeling and superficial peeling is its penetration into the deeper layers of the epidermis. This can be achieved in different ways:

  1. Mechanically. After several sessions of microdermabrasion, the cosmetologist almost completely removes the top layer of keratinized cells. But this is quite damaging to the skin.
  2. Hardware. It is carried out by procedures such as ultrasonic lifting, photorejuvenation or laser resurfacing. They give a good effect of tightening the skin, but only slightly affect its condition, mainly accelerating metabolic processes and collagen synthesis. And the cost of one session is high.
  3. Chemically. It affects the skin with biologically active preparations, often based on acids. It has a complex effect, while perfectly cleansing and rejuvenating the face. Helps eliminate minor cosmetic imperfections.

In fact, during chemical peeling, dead cells from the surface of the skin are first loosened and removed, and then the effect required for the patient is performed on the living layer, which is ensured by a competent choice of drugs.

Based on the depth of penetration of biologically active components, two types of peelings are distinguished: medium-superficial with an acid concentration of 20-25% and medium-deep - from 30% to 50%.

Medium peelings are:

mechanical - exfoliation is carried out using various devices (brushes, sponges, nozzles with abrasive coating), scrubs or vacuum. During mechanical peeling, keratinized, diseased and old cells are exfoliated. The depth of cleansing is controlled by a cosmetologist; if the latter is inexperienced, there is always a risk of excessive damage to the skin;

hardware - peeling is performed using devices that generate laser or wave radiation. The essence of hardware medium peeling is to evaporate water and gradually get rid of dried skin fragments. Popular hardware medium peels: fractional laser thermolysis, diamond peeling, laser dermabrasion;

chemical - the procedure is based on the ability of proteins to coagulate in an acidic environment. An acid-based composition is applied to the skin of the face, which destroys the layers of the epidermis. The procedure takes 15-60 minutes, is relatively easy to tolerate, but in most cases requires preparation of the skin and a subsequent long recovery period, which is characterized by redness, swelling and flaking of the facial skin. Chemical medium peeling solves many cosmetic problems; there are formulations for oily, normal and dry skin, suitable for patients of any age. The procedure can be performed twice a year. There are superficial-medium peels, which are used to improve the texture of the skin and fight the first wrinkles (patients aged up to 35 years) and mid-deep peels to correct skin with obvious signs of aging: age spots, wrinkles and sagging skin (patients aged from 35 years).

Superficial-medium peelings Medium-depth peelings
croton peeling salicylic peeling (25-30%)
ferul peeling phenol peeling (25%)
gas-liquid peeling tca peeling (25-30%)
oxygen peeling abr-peeling

Indications

Most often, medium peeling is used to eliminate the first signs of aging. It is not effective as a treatment for deep expression lines or for tightening severely sagging skin. But it gives a pronounced positive result in the presence of the following problems:

  • hyperactivity of the sebaceous glands;
  • severely enlarged pores;
  • uneven skin texture;
  • acne marks and spots;
  • multiple small wrinkles;
  • decreased skin turgor;
  • superficial and medium-deep pigmentation;
  • pronounced signs of photoaging;
  • slight swelling of the oval of the face;
  • superficial keratomas, freckles.

People begin to use it as a rejuvenating agent at about 35 years of age. For therapeutic purposes, it is permissible to conduct sessions for patients over 14 years of age. But only in a beauty salon and with the hands of an experienced dermatologist. He may prescribe a procedure to eliminate acne or treat certain skin conditions.

You also need to understand that treatment with medium chemical peeling alone is ineffective, because in most cases it does not eliminate the source of the problems.

For example, acne can be a consequence of hormonal imbalances or poor bowel function. And any procedures will give only short-term results until the functioning of the whole organism improves.

How to make at home: recipes from fruits and berries

Before peeling with fruit acids, the following preparation is required:

  • two days before the session, it is advisable to avoid sunbathing and activities that could cause injury to the skin;
  • Immediately before the procedure, you need to cleanse your face, steam it a little, or just take a shower or bath.

The cosmetic mass of fruits is applied only to dry skin, avoiding the area around the eyes, and then left for the prescribed time. Wash off with water at a pleasant temperature.

After the session you need:

  • wipe the skin with tonic;
  • lubricate it with a moisturizing or nourishing cream;
  • Avoid sun exposure for three hours to prevent the appearance of age spots.

When preparing cosmetic mixtures for exfoliation, the following components can be added to fruit puree:

  • honey, which draws out toxic metabolic products from the epidermis;
  • sugar, which regulates water balance;
  • cosmetic clay (green or pink) and various oils (for dry type);
  • starch (preferably potato starch).

What and how to make fruit peeling at home:

Pineapple

For the fatty type, it is enough to grind 100 g of pineapple into a puree. This fruit intensively exfoliates the upper layer of the epidermis, tightens pores, and launches rejuvenation processes.

For normal, you can add 10 g of candied honey and 5 g of potato starch to the puree. With this mixture you can get rid of blackheads in two sessions and slightly tighten the oval of your face.

Most berries have antioxidant properties, protecting the skin from the harmful effects of free radicals. Strawberries are best suited for peeling.

It can be replaced by raspberries and red currants. Berries can be used individually or mixed in equal proportions.

To conduct an exfoliation session you will need:

  • 80-100 g berry puree;
  • 10 g green clay.

After mixing, immediately apply to face, leaving to dry for 20 minutes. The recipe is suitable for oily and combination skin.

During the procedure, tingling is possible, and after removal there may be redness. This is due to the high concentration of fruit acids in berries, which have a whitening effect.

Whitening peeling mask made from strawberries, honey and olive oil:

Malic acid is the strongest of all AHAs. It penetrates into the deep layers of the epidermis, activating its rejuvenation and cleansing.

For oily and combination skin, apples are used raw for peeling, and for normal and dry skin, apples are used baked or boiled in milk.

To prepare you need:

  • 100 g applesauce;
  • 10 g sugar.

This mixture effectively exfoliates, moisturizes, smoothing out fine wrinkles.

If the skin is dry, then it is advisable to add 5 ml of peach oil to the mixture. The duration of the procedure for dry type is 15 minutes, for all others - 30 minutes.

Apple peeling, video recipe:

Multifruit

It is more convenient to use freshly squeezed juices:

  • from sour grapes - 5 ml;
  • from mature - 10 ml;
  • apple - 5 ml;
  • lemon - 5 ml;
  • pineapple - 10 ml.

Exposure time from 15 (for dry) to 40 minutes. (for all other types).

A multi-fruit exfoliant that is both delicate and intense in its cleansing effect of dead cells.

Contraindications

There are not much more contraindications to medium chemical peeling than to superficial ones:

  • pregnancy and breastfeeding;
  • fresh tan (less than 14 days);
  • individual intolerance to components;
  • too dry, thin and sensitive skin;
  • any damage to its integrity in the treatment area;
  • some dermatological diseases (psoriasis, eczema, etc.);
  • cardiovascular failure;
  • oncology and blood diseases (including hemophilia);
  • severe form of hypertension, diabetes mellitus;
  • serious mental disorders;
  • recent (less than 6 months) surgical interventions;
  • severely weakened immunity;
  • active viruses and infections;
  • epilepsy and serious mental disorders;
  • exacerbation of chronic diseases.

Chemical peeling is not allowed while taking a number of medications: tetracycline antibiotics, retinoids, sulfonamides, antipsychotics. And also after treating the skin with Prosperin or Solcoderm.

Cleaning process

Since the effect of drugs during medium peeling is quite intense, the skin must be prepared for it. It is also very important to choose the right product and strictly follow the technology for its application and neutralization.

Everything is described in detail in the instructions, but it is better if the procedure is performed by a professional cosmetologist. He will be able to correctly determine the exposure time and react quickly if something goes wrong.

Preparation

First of all, two weeks before it you should abandon all irritating procedures: depilation, scrubbing, etc. After microdermabrasion, at least a month should pass.

It would be a good idea to take care of strengthening the immune system, since the protective layer of the epidermis will be almost completely destroyed. You can drink “Immunal” or its analogues.

If the herpes virus is already present in the body, a medium chemical peel will almost certainly provoke an exacerbation of it. Therefore, for prevention, it is advisable to take Acyclovir, Gerpevir, etc. 2-3 days before it. To avoid severe drying of the skin, you should avoid alcohol-containing cosmetics.

For those who need preliminary mechanical facial cleansing, this is done 2-3 weeks before peeling. And then at home they use cosmetics containing acids from 5% to 10%. This guarantees an antibacterial and anti-inflammatory effect, and also slightly loosens the top layer of the epidermis. You can buy such products from your cosmetologist or in professional stores.

Choice of product

Not all types of acids are suitable for medium peeling. Ideally, the doctor should determine which drug will be used, taking into account the existing problems, the type and structure of the skin, and even the age of the patient.

The most popular types are:

ViewDescription
SalicylicIt is widely used for medicinal purposes, as it has a pronounced anti-inflammatory and antibacterial effect. After a course of procedures, it is possible to get rid of not only acne, but also deep subcutaneous pimples that cause a lot of trouble. Can be used in adolescence. To enhance the effect, it can be rubbed into the skin, after which frosting is formed - a hard crust, which subsequently peels off in layers.
RetinolThe yellow color of the solution applied to the face is given by vitamin A derivatives. This is a rather mild option, which is rather superficial-medium. Intended mainly for aging skin that has lost its elasticity, as it stimulates metabolic processes and regeneration well. Depending on the type of drug, it can remain on the face from 15 minutes to 12 hours. Long-term exposure provides an excellent therapeutic effect when you need to get rid of acne, fine wrinkles and comedones.
TCA peelingIts main component is triacetic acid. Under no circumstances should it be used independently, as it can penetrate deeply and cause severe burns. This is a medium-deep peeling, quite unpleasant in sensation. But it is super effective and allows you to get rid of some skin diseases. Has a strong antibacterial, anti-inflammatory, exfoliating effect. Stimulates metabolism.
Jessner PeelThe drug for it is a mixture in equal proportions (14%) of three biologically active components: acetylsalicylic and lactic acids, resorcinol. This combination allows you to have a comprehensive effect on the epidermis, cleansing it and at the same time healing it. Depending on the number of layers and exposure time, peeling can be superficial or medium.

All these drugs are professional and are not sold in regular cosmetic stores.

For those who still decide to do medium peeling at home on their own, it will not be easy to get quality products. Even through the Internet, self-respecting companies sell such drugs only after the buyer has confirmed their qualifications.

Execution technique

Although the medium peeling procedure cannot be called pleasant - the solution will burn and sting, but the pain during it is moderate. Therefore, even local anesthesia is not needed. Schematically, the execution technique looks like this:

  • The patient is placed on the couch with his hair tucked under a bandage or cap.
  • The face is thoroughly cleansed of cosmetics and residual sebum.
  • The so-called “pre-peeling” is applied to the skin - a composition with a weak acid concentration (up to 5%).
  • The area around the eyes, lips and large moles are smeared with Vaseline or other protective ointment.
  • The face is quickly and evenly treated with the selected preparation (some of them are applied in layers).
  • After the time indicated in the instructions, the acid is neutralized with a special composition.
  • After 3-5 minutes, its remnants are washed off with cool water.
  • A soothing mask or gel is applied to the skin.
  • After 15-20 minutes the patient can go home.

It is important to understand that each of the drugs listed above has its own characteristics. Cosmetologists study them at closed professional seminars. But the average person may not know about them, which sometimes leads to serious complications after an improperly performed procedure.

Recovery

Immediately after the procedure, the skin turns slightly red and shiny, as if covered with an invisible thin film. Therefore, some patients ignore the recommendations of cosmetologists and go about their business. This is not worth doing. The protective layer of the epidermis is completely destroyed and any external influence: sun, wind, heat, frost can lead to unpleasant consequences. So it's better to go straight home.

Already on the second day, the redness goes away, but a feeling of strong tightness appears, and a more or less dense crust forms. To prevent it from cracking, it is very important to be careful with facial expressions during this period.

The wounds may become infected, and pigmentation or scars may remain in their place. A moisturizing spray or cream, which can be applied up to several times a day, will help prevent this and soften the skin.

From about 3-4 days, active peeling of the crusts begins. Most often they come off in layers, and the face does not look very attractive during this period. This should be taken into account and not plan important events on such days. You cannot speed up the process to avoid scars. After about a week, your face will become smooth and pink again.

But the hydrolipid layer will be completely restored up to 28 days. During this period you cannot:

  • steam in a sauna or steam bath;
  • sunbathe and visit the solarium;
  • swim in pools and open water;
  • use long-lasting foundations;
  • actively engage in sports;
  • do other types of peelings;
  • stay in the cold or wind for a long time.

It is important to carefully protect your face from ultraviolet radiation so as not to provoke hyperpigmentation. When going outside on sunny days, you need to apply cream with UV filters 30-50. On cloudy days – 15-20.

General post-peeling care tips

There is nothing complicated about how to care for your face after a medium peel. In many ways, recommendations for proper care depend on how deep the facial cleansing was. Also, a lot depends on the individual characteristics of the skin, because we all react differently to irritants. But there are universal tips that are suitable for most women planning to do peeling.

In the first 12 hours after the procedure you cannot:

  • to go out,
  • touch your face with something,
  • wash,

In the next 2 days after the procedure:

  • try not to go outside so that aggressive external factors such as wind, frost, ultraviolet radiation do not affect the skin for as long as possible;
  • for application to the skin, it is better to choose products with a light texture, such as foams and gels; heavier creams are best used in later periods, giving preference to those that contain lanolin.

Care for 2 weeks after medium peeling:

  • the cosmetologist should try to select care products depending on the client’s skin type; most often preference is given to those products that have protective, moisturizing and anti-inflammatory properties;
  • All cosmetics that are applied directly to the skin remain prohibited, while mascara and lipstick are allowed for use;
  • you need to touch your facial skin as little as possible, ideally not touch it at all;
  • if crusts form on the face, then it is strictly forbidden to rip them off; after some time they will disappear on their own;
  • When caring after a mid-peel, you should not change the brand of cosmetics you use; give preference to proven products;
  • It is advisable to spend as little time as possible outside, applying protective equipment to your face and putting on a hat before each exit; tanning is strictly prohibited;
  • visiting saunas, baths and similar establishments is also prohibited;
  • swimming in open water, including the sea, is contraindicated;
  • the use of various cosmetic masks is a rather controversial issue: on the one hand, they moisturize and nourish the skin well, but on the other hand, there is a risk of infection.

The rehabilitation process usually lasts 2 weeks, which is why cosmetologists focus their recommendations on this period.

Complications

When the procedure is performed correctly using high-quality cosmetics, complications are rare. But if a non-professional performs a chemical facial peel, the following problems are possible:

  1. Burn. The most common complication. Occurs when the recommended exposure time of the drug is exceeded or its concentration is chosen incorrectly.
  2. Scars. Most often, this is a consequence of the patient’s impatience, who tore off the resulting crusts. Microtraumas became infected and scars formed after a purulent-inflammatory process. Scars occur even after a well-performed procedure in people with a tendency to form them.
  3. Herpes or ulcers. Appear against a background of reduced immunity. With proper preparation for the procedure, they are not observed.
  4. Severe irritation. It happens when patients ignore the recommendations received from a cosmetologist in the first days after the procedure: they wash their faces with hot water, use decorative cosmetics, and touch their face unnecessarily with their hands.
  5. Lack of result. Also an indicator of unprofessionalism. The drug or its concentration was selected incorrectly, the number of procedures or exposure time was insufficient.

As you can see, not everything depends on the doctor. Much also depends on how the patient behaves at home and whether he cares for his skin correctly.

Recommendations for care for medium peeling

After a mid-peel has been done, how should you care for your facial skin afterwards? After all, it is clear that general recommendations are not always suitable for the middle type of procedure, since even the rehabilitation time varies.

To reduce the number of consequences and complications, try to choose a good cosmetologist. You should also choose the right time of year when ultraviolet radiation is not so active. Medium peeling is usually recommended in late fall or winter.

With medium peeling, the layers of the epidermis are injured quite severely, and therefore take a long time to recover.

  • The care products used should be soft and have a calming effect;
  • If side effects occur, you can take medications only after the permission of the cosmetologist;
  • You need to wash your face once a day with plain water at room temperature.

Summing up

According to patient reviews, there are no particular inconveniences during skin restoration after the mid-peel procedure. With constant use of a good moisturizer or emollient cream, there is no itching, and peeling and peeling of crusts occurs smoothly. After just a week, the face looks quite presentable.

Sometimes swelling is observed in the first days of rehabilitation. This is the body’s individual reaction to the procedure. Usually it goes away in 3-4 days. You can speed up the process using dry cold, but you cannot massage your face or expose it to hardware.

The result should be assessed no earlier than a month after completing the entire course. During this time, the skin will have time to completely regenerate, and positive changes will become clearly visible. Proper skin care and regular superficial peeling - at least once a season - will help maintain the effect for up to 2-3 years.

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