Cisneros JL, Del Rio R, Bouffard F

Language: Spanish
References: 16
Page: 173-178
PDF size: 311.23 Kb.

ABSTRACT

The field of Cosmetic Dermatology has multiple therapeutic tools. Peelings are one of the most frequently used in dermatological appointments, especially superficial and mid-depth ones. This paper describes a new, semi-oclusive peeling concept, Cimel, oriented toward despigmention, rejuvenation and anti-seborreic treatments for the skin.
Materials and methods: The Cimel peeling consists of a combination of ingredients with high concentrations, and it is applied as a mask over a four- to eight-hour time period. Depending on the predominant lesion to be treated, different active substances are added to the basic product composition. Cimel Conservador-C was used for maintenance applications. A total of 183 cases were treated, 60 for different types of hyperpigmentation, 55 for signs of cutaneous aging, 42 for seborrhea and 26 for melano-hematic pigmentations. Results were evaluated through visual inspection done by the investigators, and through photographs taken before and after the procedures. In three cases, cutaneous biopsies were taken before and after the peeling.
Results: In the group of hyperpigmentations, 90% of observed results were considered excellent, 80% in the case of aging cases, 75% for seborrhea and 70% for the melano-hematic pigmentations. The immediate effects included erithema and scaly skin. There were no complications.
Conclusion: The Cimel peeling is an innovation in the field of Cosmetic Dermatology because of its results and polyvalency for a wide range of indications.

REFERENCES

1. Cisneros JL, Singla R, Martí M, Brichs A. Rejuvenecimiento facial. Dermocosm Clin 1994;2-5:337-349.

2. Cisneros JL, Martí M, Brichs A. Los alfahidroxiacidos. Dermocosm Clin 1993; 3: 163-170.

3. Cisneros JL, Singla R, Oliveras F. Chirurgia photochimique Cutane. J Med Esthrt Chirurg Dermatol 1991;70:121-9.

4. Brody HJ. Chemical peeling. St Louis, Mosby-Yearbook 1992.

5. Whang KK, Lee M. The principle of a three-staged operation in the surgery of acne scars. J Am Acad Dermatol 1999;40:95-7.

6. Cisneros JL, Camacho F. Láser y luz pulsada intensa en Dermatología y Dermocosmética. Ed. Aula Médica, Madrid 2000.

7. Cisneros JL. El abc del láser en Dermatología y sus aplicaciones clínicas actuales. Med Cutan Iber Lat Am 1995; 23:329-339.

8. Van Scott EJ, Yu RJ. Alphahydroxyacids: procedures for use in clinical practice. Cutis 1989;43:222-9

9. Berger R. Initial studies show salicylic acid promising as antiaged preparation. Cosmetic Dermatol 1997;10:31-2.

10. Rubin MG. Glycolic acid peels. Manual of chemical peels. Superficial and medium depth. Ed. Rubin MG. JB Lippincott. 1995; 89-102.

11. Collins PS. Tricloroacetic acid peels revisited. J Dermatol Surg Oncol 1989;15:9.

12. Brody HJ, Hailey CW. Medium-depth chemical peeling of the skin: a variation of superficial chemosurgery. J Dermatol Surg Oncol 1986; 12:126-7.

13. Otley CC, Roegnik RK. Medium-depth chemical peeling. Semin Cutan Med Surg 1996; 15:145-154.

14. Resnik SS, Resnik BI. Complications of chemical peeling. Dermatol Clin 1995;13:309-12.

15. Cisneros JL, Martí M, Brichs A, Singla R, Palou J. Correlación histológica de los peelings químicos intermedios versus resurfacing con láser de CO2 y Nd Yag Q-switched poliderm. Med Cutan Iber Lat Am 1996;24:179-185.

16. Stegman SJ. A comparative histologic study of the effects of three peeling agents and dermabrasion on normal and sundamaged skin. Aesthetic Plast Surg 1982; 6:123-135