What determines the best type of chemical peel suitable for individual clients?
A. Prior to applying a chemical peel the physician has to first assess what specific problems need to be addressed such as dynamic aging lines of the cheek or sun damage, then decide what skin type the patient has and then assess the skin oil content. All of these affect the results from chemical peeling and the risk of complications after peeling. The Fitzpatrick classification system (skin type) is widely accepted to describe skin pigmentation and the potential for sunburn or tanning. A patient’s Fitzpatrick classification suggests his or her sensitivity to some skin care products and peeling agents and the subsequent risk for increased pigmentation. Fair skinned Fitzpatrick I to III tan or burn with sun exposure and are better candidates for chemical peeling. Olive or dark skinned Fitzpatrick V and VI, never tan or burn and are at high risk of problems after chemical peeling. Additionally the skin is usually prepared for chemical peeling by the application of Retin-A and temporary b
