?? ?????? peeling (????????? ? ???????????) ????? ? ???????? ???? ? ???????????? ?????? ??? ????? ?? ?????????? ??? ?????????? ??? ??? ?????????? ??? ??????????? ??? ?????? ??? ??????.

? ??????? ???? ???????? ?????????? ?????, ??????????? ??? ??? ???????? ??? ??????????? ?? ????????? ??????????????, ??????????, ????? ????? ??? ???????.

??????????

?? ?????? peeling ?????? ???????????? ??????? ?? ?? ????? ??? ????????????, ??? ?????????? ????? ?? ??? ?????? ?????????, ??? ??????????? ??? ??? ???????? ??? ?????????. (??????? ??? ??? ??????? ???????? ? ???????, ??? ????????? ??? ????????, ???????????? ?????, ??? ???????? ??? ???????? ??? ??? ????????? ???????)

?/. ???? ??????????? (??????????)

Alpha � hydroxy � acids (AHA) 30-50% (1-2 ?????)

Jessner�s solution (1-3coats/???????????)

Resorcinol 20 - 30% (1-10 ?????)

TCA 10% (1coat)

????? : ???? (????????? � ??? ???? ??? 2????? ??? ????)

?/. ??????????? (?????????? ??? ??????? ??????)

AHA 50-70% (2-10?????)

Jessner�s solution (4-10coats)

Resorcinol 40 - 50% (30-60 ?????)

TCA 10-30%

????? : ???????????, ????????? ??????????????, ????? ?????

(????????? ??? ???? ??? 6 ????? ????? ?????? ????? ?? ?????)

?/. ????? ?????? (?????????? � ??????? ?????? �???????)

AHA 70% (3-30 ?????)

TCA 35 -45%

Jessner�s solution + TCA 35%

glycolic acid 70% + TCA 35%

?/. ?????? (?????????? � ??????? ?????? �??????? �?????)

TCA 45-70%

??????? 89% (?????????? ??? ?????? �????? ???????????

??????????)

Jessner�s solution + TCA 35% (?????????? ?? TCA 45-50% )

??????? ??????? PEELING

• ?????? ???????
• ????????
• ??????????????????
• ??????????? ?????????? ?????
• ??????????? ???? ???????
• ?????????? ?????????? (?? 2 ?????)

???????:

?? PEELING ??????? ??????? ??? 10 ????????? ????? 10??????? ???? ???????????.

?????????

1. ??????? (TCA 35-40%)
2. ???????? ????????????
3. ??????? (TCA 35% ? TCA 20-25% ?????? ?????)
4. ????? ????? (TCA 35% + Jessner�s solution)
5. ?????????????? ??????? (TCA 45% ? TCA 45% + Jessner�s )

????????????

1. ????? ???????? IV-VI ???? Fitzpatrick
2. ???????? ??????????????? ??????? ?????
3. ??????????
4. ??????????? ????????????? ????????
5. ????????? ?????????????
6. ???????
7. ???? ??????????? ?????????
8. ???????? ?????????????? ????? (??? ???????)
9. ???????? ???????? ??? ???????? ????? (??? ???????)

10.???????? ???????????? ???????????????

11.???????? Ehlers �Danlos

12. ??????? HIV+ (??????? ??? ????????????)

13. ???????? ???? Isotretinoin (Roaccutan) ? ??????????????? ? ??????????? (??? ???????)

14. ?? ??????????? ??????????

???????

?/. ????????????

1. Tretinoin 0,05-0,1% ?? ????? ??? 15 ????? ???-peel
2. ???? ????????? ??? 6??? ??? 24???? ???? ??? ????????
3. ??????? ???????? ?????? 48???? ???? ?? peeling
4. ????? ??????????
5. ???? ??????????? ??????????? �??? ??????? ??????????

?/. ???? ??? ????????

1. ???? ??????????? ????
2. ??????? ???????? ?? ??????????? ??? ?? ??????? (????)
3. ?????????? ??? 2 ?????
4. ????????? Jessner�s solution ?? ???????? ????, ??? ???? ???? (??? ?????? ???. ?? ????? ??? ?????? ????????)
5. ??? ???? ????? ?? ????? ?????????? ???? ??? ????????
6. ?????? ??? 3-4 ?????
7. TCA 25 -45% ?? cotton tip ? ??????? ????? ????????, ?? ???????? ???? ?? ??????????? ?????? ?? ????? peeling
8. ????????? ?? ???? 3-6????? ??? ???????????? ? ??????? (???????)
9. ??????? ?????

????????

(????????? ?? ??????? ???? ??? ???? ??? ??????? ??? ????????)

• ??????
• ????????? ???????
• ???????
• ?????????????
• ????
• ????? (???????)

??????????????

• ????????? ?? ??????? ?????? ????? 25% ?? ???? (3-4 ????? ??? 2 ??????, ???????? 1 ???? :3 ????)
• ??????? ????? ???? ??? ?????????
• 3-4 ????? ???????? cream fucidin, ??????????? ??????
• ??? ?????? ???? ???? ???? ??????? ??????????
• ??? ???????? ?????????? ?????

?????? ?????????

1. ???????? 10-30 ????? (?????)
2. ??? ??????? 20-60 ????? ( ???????? 1-2?????)
3. ?????? 60 ????? (???????? 1-2?????)
4. ????????? 3-4 ???? (???????? 7-12 ?????)
5. ????? ??????? 10-12 ???? (???????? 30-60 ?????)
6. ?????? (?? ???????? ???? ??? ????? ???????? ??? ??????????)

???????????? ?????????

?/. ?????? :

1. ???????
2. ??????
3. ?????????

?/. ???????

1. ???????????? ???????
2. ??????????
3. ????? (?? ??????? ??????????)
4. ????????????
5. ????????
6. ???????
7. ????????? ? ?????? ??????? (???????)

???????

1. ??? ???? ???????? ????????? TCA
2. ??????? ???? ?????
3. ????????? ?????, ?????? ?? ??????? ??? ?????? peeling
4. ?? ?????? ?? ???? 30??????
5. ??????? ???????????? ?? ??? ????? ???????
6. ??? ??? ????? ??????? ?????
7. ??? ???? ????? ??????? ?????
8. ??? ?????? ?????????????? ?? ???
9. ????????? ??????????? TCA 20%

?????????? ??????????? ??? ?????

• ???????? ?????? 2 peeling ??? ???? ??? 2 ?????
• Re-peeling ???? ??? 6 ?????
• ???????? 3????? ???? ??? isotretinoin
• ??????? ????????? ???? ???????? ?????? ??? ???????? ? ?? ???????????? ?????? ? ???????

???????

???? ????? � ?????? ????

??????????? ???????? ??? ????? ??? 15 ?????

?? ???????? ?????????? ??? ?? ?????? (?????? ????)

?? ?????? ?????? ??? ?????

Jessner�s solution formula

Resorcinol 14gr

Salicylic acid 14gr

Lactic acid 14cc

QS Ethanol 100cc?

???????????: ????????? ???? ???? ??? ?? ???, ?????? ?? ?????????? ?? ?????? ??????, ??????????? ??? 2 ??????.