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

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

??????????

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

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

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

Jessners solution (1-3coats/???????????)

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

TCA 10% (1coat)

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

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

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

Jessners solution (4-10coats)

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

TCA 10-30%

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

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

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

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

TCA 35 -45%

Jessners solution + TCA 35%

glycolic acid 70% + TCA 35%

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

TCA 45-70%

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

??????????)

Jessners 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% + Jessners solution)
  5. ?????????????? ??????? (TCA 45% ? TCA 45% + Jessners )

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

  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. ????????? Jessners 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 ?????

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

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

Jessners solution formula

Resorcinol 14gr

Salicylic acid 14gr

Lactic acid 14cc

QS Ethanol 100cc?

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