Obagi s TCA Blue Peel in Java Deploy 3 of 9 barcode in Java Obagi s TCA Blue Peel

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Obagi s TCA Blue Peel using barcode generating for awt control to generate, create code 39 full ascii image in awt applications. Code-128 Monheit s Jessner-TCA Peel Monheit s Jessner-T CA peel is a medium-depth peel that employs a keratolytic agent prior to the application of the TCA. This peel emphasizes adequate degreasing of the. The Obagi TCA Blue Code 3 of 9 for Java Peel differs from the two previously mentioned peels as it does not start with a keratolytic step to alter the epidermal integrity prior to TCA application. The skin surface is gently cleansed with alcohol only; no further degreasing is necessary. The TCA Blue Peel mixture is prepared immediately prior to use.

The TCA Blue Peel base (2 mL) is mixed with 2 mL of 30% TCA, to create a mixture of 15%; 4 mL of 30% TCA, to create a 20% solution; 6 mL of 30% TCA, to create a 22.5% solution; or 8 mL of 30% TCA, to create a 24% solution. The higher concentrations can be used, but only when the physician is more comfortable with skin peels.

Both the 15% and 20% TCA Blue Peel solutions are designed to be one coat that covers 5% of the body surface area (face or neck). In skin of normal thickness, it takes four coats of 15% TCA Blue Peel to reach the papillary dermis, while it takes only two coats of the 20% mixture to reach the same depth. The number of coats must be tailored to skin thickness, with thinner skin requiring fewer coats and thicker skin requiring additional coats.

The solution is applied evenly to the face, including the hairline, and is feathered down along the jawline. Any. 340 O FFICE -B ASED C OSMETIC P ROCEDURES T ECHNIQUES hair that is staine d blue with the colored solution will return to its normal color after shampooing. To allow the peel depth to be assessed, each coat is followed by a two- to three-minute waiting period before more TCA is applied. The end point of a papillary dermis peel is an even blue color, even frost, and pink background.

If more TCA is applied, there will be a loss of the pink background, indicating penetration beyond the papillary dermis and into the super cial reticular dermis. This is the maximum recommended depth of a facial TCA Blue Peel. This peel can be used on the neck and chest, but caution is necessary as these areas are relatively poor in adnexal structures (needed for reepithelialization).

Usually, one coat of 20% TCA Blue Peel or two coats of 15% TCA Blue Peel are evenly applied. The peel depth should be a continuum, with the deeper area up near the jawline and the lightest area down along the clavicles. This helps create a blending effect between the skin on the face and that on the chest.

. HEALING AFTER CHEMICAL RESURFACING (Beirsdorf Inc.), C etaphil Cream (Galderma Laboratories Inc.), or Bia ne (Ortho-Neutrogena).

The goal of moisturization is to keep the skin slightly moist and comfortable. If patients feel excessive tightening of the skin, they should apply an ointment (Aquaphor Healing Ointment, Beirsdorf Inc.).

The skin should be kept neither too dry nor too moist. All male patients should be encouraged to gently shave daily to minimize the risk of infection from beard hair. Every four hours while awake, patients should perform compresses with an astringent solution (Domeboro Astringent Solution, Bayer Corp.

), followed by reapplication of the emollient or ointment. Patients need to be instructed not to peel their skin prematurely as it may drive the wound deeper, uncover unhealed skin, and increase the risk for infection and scarring. If the skin is left to come off on its own, it will act as a bandage, which minimizes pain and the risk of infection.

Patients can be given hydrocortisone 1% ointment to apply to pruritic areas if they arise. Patients should be encouraged to resume their skin-conditioning programs on reepithelialization of the skin. Absolute avoidance of sun exposure is recommended for the rst four to six weeks postoperatively.

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