after vi derm peel dark spots are darker

Since all anti-viral agents inhibit viral replication in the intact epidermal cell, the drug would not have an inhibitory effect until the skin is re-epithelialized, which is 7-10 days in medium and deep peels. A negative history of cold sores cannot predict development of post-operative herpes simplex virus infection after a procedure. It is preferred to treat all patients with anti-viral agents regardless of a positive history as many patients do not remember prior herpes simplex infection that may have occurred years ago. Few recommend acyclovir 200 mg five times a day or valaciclovir, 1 g times a day starting 2 days before a peel and continued for 14 days. Patients with a positive history of herpes simplex should be given 400 mg of acyclovir three times a day beginning on the day of the peel and continuing for 7-14 days, depending on whether it is a medium depth or deep chemical peel. They can cause milia, secondary infection, and scarring.

Deep peels are no longer popular in Indian skin.

All peels can cause activation of herpes viral infection, whereas medium and deep peels can cause scarring.

The superficial chemical peels are very safe when used properly but can cause itching, erythema, increased skin sensitivity, epidermolysis, allergic and irritant contact dermatitis, and post-inflammatory hyperpigmentation (PIH). They are classified as superficial, medium, and deep peels. AHAs are used in treating aging skin, melasma, photoaging and acne. Alpha-hydroxy acids (AHAs) became available as superficial peeling agents in late 1980s and the 1990s. Unna described the actions of salicylic acid, resorcinol, trichloroacetic acid (TCA), and phenol on the skin.ĭuring the first half of the 20 th century, phenol and TCA were used in several centers. In 1874 in Vienna, the dermatologist Ferdinand von Hebra used the technique to treat melasma, Addison's disease, and freckles. Dermatologists began to show interest in peeling in the 19 th century. The earliest use of caustic preparations for peeling procedures was described in the Egyptian medicine in the Ebers papyrus as early as 1550 BC. Chemical peel is the most popular and common non-invasive cosmetic procedure done since the 18 th century.

After vi derm peel dark spots are darker