?? ?????? 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 ?????
6. TCA 25 -45% ?? cotton tip ? ??????? ????? ????????, ?? ???????? ???? ?? ??????????? ?????? ?? ????? peeling
7. ????????? ?? ???? 3-6????? ??? ???????????? ? ??????? (???????)
8. ??????? ?????

????????
(????????? ?? ??????? ???? ??? ???? ??? ??????? ??? ????????)
� ??????
� ????????? ???????
� ???????
� ?????????????
� ????
� ????? (???????)

??????????????
� ????????? ?? ??????? ?????? ????? 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 ??????.