D&PS

Daily Issue (Mar 22. 2019)

Clinical Case Review
#3-3. Peeling Agents Effective in Acne Treatment

Before applying a TCA solution (with 20~30% concentration), it is good to remove foreign substances or oil from the skin using alcohol swabs. White frost appears on the skin after TCA application. Unlike in the case of salicylic acid, the frost turns white in proportion to the peel depth upon the application of TCA. For convenience, peel depth is classified into four groups based on the level of frost. Tingling and burning symptoms occur after application of a TCA solution and these last for 1 to 5 minutes. After the treatment, patients should not intentionally peel off the peeling skin or eschars. It is recommended that patients use a mild moisturizer and apply sunblock. If the patient complains of severe irritation, itching or erythema, the use of light steroid ointment is recommended. I have recently seen some cases of patients concerned about side effects…

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