4mesopeelintroductionline of chemical peelings for the treatment and correction of different cutaneous disorders.Based on the used dermopeeling, we can achieve:Different degrees of exfoliation, and therefore superficial depigmentation and scarring attenuation.Stimulation and reorganization of the collagen and elastin fibres, improving physiological and mechanical qualities of the skin.Increased fibroblast activity , that synthetises different macromoléculas on the extracelular matrix and more hydration.Correct sebaceous secretion and a decrease on the number of imperfections.
5pH 6 – 7 (vessels and fibres) mesopeelintroduction+ Acid in men+ Acid in dry skinsComplete renovation in 28 daysEpidermispH 4.2 – 5.6 (sweat and sebum)ElastinGlycosaminoglycanCollagenDermispH 6 – 7 (vessels and fibres)
6INFLAMMATION MEDIATORS ACTIVATION FORMATION OF NEW COLAGEN mesopeelMechanism of actionA chemical peeling acts on the skin though three mechanisms:TISSUE DESTRUCTIONINFLAMMATION MEDIATORS ACTIVATIONFORMATION OF NEW COLAGEN
9mesopeel hydroxide acids: They are organic acids that contain an hydroxide group.Various concentrations (weight and volume).AHA´sBHA´sGlycolic AcidMandelic AcidLactic AcidSalicylic Acid
10Hydroxide acids glycolic_peel AG lactic_peel AL mandelic_peel AM mesopeelmesopeel hydroxide acidsHydroxide acidsglycolic_peel AGlactic_peel ALmandelic_peel AMsalicylic_peel AS
11Hydroxide acids are organic acids that contain an hydroxide group. mesopeelmesopeel hydroxide acidsHydroxide acids are organic acids that contain an hydroxide group.Alpha-hydroxide acids (AHA’s) have the hydroxide group next to carboxyl, from which it derives:Glycolic AcidMandelic AcidLactic AcidBeta-hydroxide acids (BHA’s) have it further in the molecule, from which it derives:Salicylic AcidGeneral characteristics of the mesopeels hydroxide acids are the following:Various concentrations (weight and volume)pH 1,8Cosmetic form : fluid transparent gel without preservativesPresentation: 50ml container + measuring glass + neutralizer
12glycolic_peel AG General characteristics: mesopeelmesopeel hydroxide acidsglycolic_peel AGGeneral characteristics:Formulated for intensive skin care for Photo-aging, cutaneous stains, imperfections in skins with tendency to acne or other causes.Stimulate the cellular regeneration and the synthesis of collagen.Mechanism of action:Destroys the protein bindings between the corneocytes.Stimulates the production of collagen in the fibroblasts.Indication:Ideal for all types of skins.Reduction of wrinkles depth.Diminishes post acne scarring.Concentractions:20%, 35%, 50%* and 70%*.(*)Concentrations of 50% and 70% are of exclusive medical use
13lactic_peel AL General characteristics: mesopeelmesopeel hydroxide acidlactic_peel ALGeneral characteristics:Indicated for mild or moderated photo-aged skinsSoften contours, improves the texture, tone and aspect of the skin in general.Mechanism of action:Destroys the protein bindings between the corneocytes causing the to detach.Stimulates the production of GAG’s in the dermis and increases its hydration.It is less aggressive than Glycolic Acid for the skin.Indication:Ideal for dry and sensitive skins.Stretch marks.Actinic damage.Concentrations:30%, 40%* and 50%*.(*) the concentration of 50% is for exclusive medical use.
14mandelic_peel AM General characteristics: mesopeelmesopeel hydroxide acidsmandelic_peel AMGeneral characteristics:Indicated for fight imperfections of skins with tendency to acne that can also combine Photo-ageing and/or hyperpigmentation.Produce a mild and progressive exfoliation .Antiseptic and depigmentation effects.Mechanism of action:concentrations:30%, 40% and 50%*.(*)concentration of 50% is of eclusive medical useBreaks the unions between corneocytes of the stratum corneum, as well as the cellules of the epidermis and the dermis.Stimulate the synthesis of collagen and proteoglycans.Induce a process of cutaneous rejuvenation.Indication:Ideal for thick, oily and seborreic skins.treatment of hyperchromies.Photo-aging / Dilated pores.
15salicylic_peel AL General characteristics: mesopeelmesopeel hydroxide acidssalicylic_peel ALGeneral characteristics:Formulated to reduce or eliminate imperfections in skins with tendency to acne, photo-aging alterations and wrinkles.Controls the proliferation of “propionilbacterium acnes”.Mechanism of action:Liposoluble substance that eliminates intercellular lipids.It does not have inflammatory action, and therefore it is safe in skins predisposed to PIH (Post-inflammatory Hyperpigmentation).Indication:Hyperkeratosis skins .Oily / proacneic skins.Acneic skins.Ideal as deep hygiene treatment .Concentrations:10%, 20% and 30%*.(*) The concentration of 30% is of exclusive medical use
16Lactic peel AL (Lactic Acid) Concentration 30% 40% 50% time 10’ 7’ mesopeelmesopeel hydroxide acidsMAXIUM RECOMMENDED EXPOSITION TIMESLactic peel AL(Lactic Acid)Concentration30%40%50%time10’7’mandelic_peel AM(Mandelic Acid)5’salicylic_peel AS(Salicylic Acid )10%20%glycolic_peel AG(Glycolic Acid)35%70%6’3’* The maximum exposition time will always be subject to the professional criteria.
21melanostop_peel General characteristics: mesopeelCombined mesopeelmelanostop_peelGeneral characteristics:Its effect is based on the synergic action of the three active ingredients that work jointly.Composition:Azelaic Acid 20%: Essentially metabolic activity. Antioxidant properties.Resorcinol 10%: Whitening effect.Fitic Acid 6%: depigmentation.Mechanism of action:Inhibition of formation of abnormal melanic pigmentations.Renovation of the epidermis.Whitening effectIndications:Treatment of superficial melasma.epidermal solar lentigo.Body hypercromies (armpits, knees, groin, etc…)
22melanogel antispot cream melanogel touch // mesopeelCoadjuvant productsmelanogel antispot creammelanogel touch //Depigmentation creampuntual depigmentation treatmentpost-treatmentpost-treatmentApply morning and nightApply morning and nightDepigmentation cream for all types of skins.puntual depigmentation treatment .
23mesopeel_azelan General characteristics : Combined mesopeelsmesopeel_azelanGeneral characteristics :Especially indicated in oily skins or with acneic tendency.Treatment of acne in all its different manifestations.composition:Azelaic Acid 20%: Activity essentially metabolic. Antioxidant properties.Salicylic Acid 20%: Epidermical exfoliation. Antiseborrheic action.Indications:Oily proacneic skins.Mild or moderate acne.Comedonal skins.
24cosmelan active system spot treatment purifying cream // mesopeelProductos coadjuvantspurifying cleanser //purifying face mask //Facial gelmask facial exfoliantcontinous maintenancecontinous maintenanceapplication morning and nightapplication morning and nightCleansing facial gel for oily and pro-acneic skins.Descaling and purifying facial mask.cosmelan active systemspot treatmentpurifying cream //Maintenance creampost-treatmentpost-treatmentapplication morning and nightPuntual applicationEases the superficial peeling and prevents pore obstruction.Sebum regulation puntual treatment
25mesopeel_jessner modified Combined mesopeelmesopeel_jessner modifiedGeneral characteristics:Ideal for faded skins care , with signs of chronologic aging , superficial scars and epidermal hyperpigmentations.Composition:Salicylic Acid 14%: Keratolytical exfoliating and comedolytic effect.Lactic Acid 14%: Gives tautness and hydration to the skin. Activates the formation of collagen and elastin.Citric Acid 8%: Lesser keratolytical action due to its heavier molecular weight. Similar properties to Lactic Acid.Indications:Photoaging.Antiaging treatments.Post-acne scarring.
26Coadjuvant products mesopeel post-treatment post-treatment continous maintenancecontinous maintenanceCosmeceutical line with high concentrations of Vitamin C.Cosmeceutical line with high concentrations of marine collagen.
27piruvex_peel General characteristics: mesopeelCombined mesopeelpiruvex_peelGeneral characteristics:Specially indicated to tackle photo-aging, thin and deep wrinkles.Useful in acne and thin seborrheic keratosis.Increases the tone, luminosity and softness.Composition:Pyruvic Acid 40%: Tackles chrono- and photo-aging.Lactic Acid 10%: Stimulates new collagen, elastic fibres and glycoproteins production.Indication:Chronologic aging.Photo-ageing.Deep wrinkles.Post-acne scarring.Seborrheic and actinic keratosis.
28Productos coadjuvants mesopeelProductos coadjuvantspost-treatmentpost-treatmentcontinous maintenancecontinous maintenanceCosmeceutical line with high concentrations of vegetal stem cells.global antiage treatment that includes [meso]recovery complex.
29MAXIMUM RECOMMENDED EXPOSITION TIME mesopeelExposition timeMAXIMUM RECOMMENDED EXPOSITION TIMEFACENECKBODYmelanostop_peel5 minutes2 minutesmesopeel_azelan10 minutesmesopeel_jessnerpiruvex_peel3 minutes* The maximum time of exposition will be subject to professional opinion.
32mesopeel_TCA and mesopeel_TCA soft mesopeel tricloroacéticomesopeel_TCA and mesopeel_TCA softGeneral characteristics:Trichloroacetic Acid is derived from Acetic Acid through by chloration of three hydrogenate ions.Treats superficial and mid lesions.Superficial lesions: superficial hyperchromies, comedonal acne , thin wrinkles .Mid lesions: Acne damage reversion, actinic keratosis, wrinkles, dyschromy.Mechanism of actuación:Acts by floculation pf skin proteins.Produce the precipitation of proteins by hydrofobic interaction. hidrofóbica.Indication:Treatment of photo-aging, wrinkles, actinic and seborrheic keratosis, pigmentary dischromies, acne and acne scars; and lack of facial luminosity.
33Complete a clinical record (anamnesis) mesopeelTreatment protocolPHASE PRIOR TO TREATMENT:Complete a clinical record (anamnesis)All the relevant data will be collected such as , habits, personal or technical (skin type,lesion types, associated problems) and any factors related to the disorder.Personalized diagnosisIn order to adapt the application protocol based on the needs of each patientFill out the informed consent formInvolving the patient on the treatment process, and also at the same time invite them to continue with the home treatment (fundamental protocol) Photographic registerGuaranteing an objetive assessment of the evolution of resultsControl visitsIt is important to carry out control visits with an adapted periodicity based on the particular needs of each case.
34Treatment with retinoid (6 month wash out period). mesopeelTreatment protocolCONSIDERATIONS WHEN WE CARRY OUT A CHEMICAL PEELINGTreatment with retinoid (6 month wash out period).Active herpes lesions.Pregnancy.History of keloids or hypertrophic scars.Solar allergies or photo-sensitization.Hypersensitivity reaction to peeling.Radiotherapy treatment.Previous surgery in the area where the peeling it will applied.
35Mesopeel application protocol Treatment protocolMesopeel application protocolPhase 1: preparationRemove make up and tone up with hydra milk cleanser and hydratonic.Phase 2: degreaseApply professional degreasing lotion with a gauze and rubbing.
36Mesopeel application protocol Treatment protocolMesopeel application protocolPhase 3: protectProtect with mesolips protector areas that due to their sensitivity must not be in contact with the peeling.Phase 4: treatApply with a brush or gauze the selected peeling according the type of skin and estetopathy that will be treated.Control the exposition time.
37Mesopeel application protocol Treatment protocolMesopeel application protocolPhase 5: remove and neutraliseRemove with abundant water and spray the area treated with post-peel neutralizing spray.Phase 6: enhacing the resultApply the mask post-peel crystal fibre mask oranti-stress face mask and leave in exposition for 20 minutes.
38Mesopeel application protocol Treatment protocolMesopeel application protocolPhase 7: complete and protectAfter removing the mask apply post-procedure fast skin repair cream.Apply moisturising sun protection.
39Sensation of tightness mesopeelTreatment protocolCHANGES IN THE SKIN DURING THE TREATMENTThis sensation is relieved through the repeated application of products that encourage reepitelization and hydration.Sensation of tightnessPEELINGIt is an expected evolution after carrying out an Acid based treatment.FrostThe frosty areas must be moisturised repeatedly on subsequent days.BurningTypical treatment manifestation; Cool air may relieve this sensation.According to skin sensitivity, erythema may appear, being a temporary manifestation.Erythema
40APPLICATION OF CHEMICAL PEELINGS| CYCLES OF TREATMENT mesopeelTreatment protocolAPPLICATION OF CHEMICAL PEELINGS| CYCLES OF TREATMENTBefore another more specific type of treatment , it is advisable to prepare the skin with the peeling application . For this reason, it is advisable to carry out a session 10 days before applying treatment with mesohyal, treatment antiaging, photogen system, tmt system, amongst others.Peeling as previous treatmentPeeling as como specific treatmentWhen an estetopathy is treated with peelings, cycles of 6 to 8 sessions are recommended.Peeling asmaintenanceIt is advisable to carry out a peeling in every season of the year, once every 3 months approximately.
46mesoestetic peelings advantages mesopeelmesoestetic peelings advantagesTHEY CAN BE USED IN ANY SEASON OF THE YEARAPPLICABLES TO ANY PHOTOTYPEIDEAL FOR BOTH FACIAL AND BODY TREATMENTSFAST, SIMPLE AND HARMLESS APPLICATIONVISIBLE RESULTS FROM THE FIRST APPLICATIONTHEY NO DOT REQUIRE RECOVERY PERIOD
47mesoestetic glycolic_peel AG 20% / 318-PE mesopeelPeelings registered at Agencia Española de Medicamentos y Productos Sanitariosmesoestetic glycolic_peel AG 20% / 318-PEmesoestetic glycolic_peel AG 35% / 316-PEmesoestetic glycolic_peel AG 50% / 326-PEmesoestetic glycolic_peel AG 70% / 325-PEmesoestetic lactic_peel AL 30% / 315-PEmesoestetic lactic_peel AL 40% / 322-PEmesoestetic lactic_peel AL 50% / 321-PE
48mesoestetic mandelic_peel AM 30% / 317-PE mesopeelPeelings registered at Agencia Española de Medicamentos y Productos Sanitariosmesoestetic mandelic_peel AM 30% / 317-PEmesoestetic mandelic_peel AM 40% / 320-PEmesoestetic mandelic_peel AM 50% / 319-PEmesoestetic salicylic_peel AS 10% / 314-PEmesoestetic salicylic_peel AS 20% / 324-PEmesoestetic salicylic_peel AS 30% / 323-PE
49mesoestetic mesopeel_TCA / 364-PE Peelings registered at Agencia Española de Medicamentos y Productos Sanitariosmesoestetic mesopeel_TCA / 364-PEmesoestetic mesopeel_TCA Soft / 365-PEmesoestetic melanostop_peel / 370-PEmesoestetic mesopeel_azelan / 368-PEmesoestetic piruvex_peel / 366-PE
50How does a chemical peeling work? mesopeelFAQ’s – mesopeelHow does a chemical peeling work?Besides of smoothing the skin, it unleashes series physiological reactions and increases cutaneous permeability, stimulating the synthesis of collagen through a controlled aggression of the skin (decrease of pH).2. What performance can I get in sessions with a bottle of peelings?Each bottle of peeling contains enough product for approximately 10 facial applications (5 ml. per session).Hoy do I ken te peeling once oponed?It can be perfectly kept at room temperature, closing it properly to avoid that it vaporises and the gel base solidifies.In case that it adopts a very viscose consistence, it can be rinsed with abundant hot water and shake it well until it reaches gain the right texture to apply it.
51Is it advisable to combine peelings with electro-aesthetic techniques? mesopeelFAQ’s4. How long must we leave between from the solar exposition solar until the application of treatments with chemical peelings?We must always assess the type and condition of the skin and absence of photo-sensitizing factors. As a general rule, it is advisable to leave 10 days from the extended solar exposition until the application in cabin of chemical peelings.Is it advisable to combine peelings with electro-aesthetic techniques?Chemical peeling is a quite complete treatment, however, it can be combined with topical treatments that act as coadjuvants in the same session, and it is important not to combine it with techniques that involve thermic or light stimulation in the same session, because it may cause photosensitivity reactions.
52However, there are recommendable products for all cases: mesopeelFAQ’s6. What products can recommended for home care after a treatment with chemical peelings?According the type of peeling used and the skin conditions, certain specific patterns of treatment will be established.However, there are recommendable products for all cases:post-procedure fast skin repair: during the 72 hours after the peeling application in cabin (only if there is peeling).hydra vital factor K: Moisturises.anti-stress face mask or hydra-vital face mask: once a week at home.The use of a moisturising sun protection is essential.
53Is it necessary that the skin peels to produce a result? mesopeelFAQ’sIs it necessary that the skin peels to produce a result?The reactions of the skin are unique and unpredictable, but we can have an expectation of results more or less standard for our treatments, but the way every individual reacts is unique, and therefore, it can be expected that some skins peel, while others do not , and logically, some people have a faster response than others.The peeling, does not involve a better result, and probably in cases where there is no distinctive peeling, the result will take slightly longer to be evident, but internally the same dermal stimulation occurs.In terms of the dryness and tightness sensation, it indicates that the skin is recovering after the application of peeling, and the only thing that can be done to balance it is to moisturise it continuously, and we must also keep in mind that external factors make this sensation more pronounced (cold and heating).
54In male skins, shaving is not recommended 24 hours prior to treatment. mesopeelFAQ’s8. What special precautions should be taken in consideration when performing treatments with chemical peelings in high phototypes?It should be considered that the darker the skin, it gets more inflamed and, therefore, it has greater risk of post-inflammatory hyperpigmentation unless extreme solar care.In these cases, the best way of proceeding is to avoid aggressive peels and use discrete concentrations, performing a increased number of sessions.Do not perform other exfoliating techniques for 3 weeks prior to treatment.In male skins, shaving is not recommended 24 hours prior to treatment.9. Is there here is a minimum of preset exposition time?No, once peeling is applied, it is the normal reaction of the skin itself, that determines the exposition time, the times indicated in the tables are the maximum recommended.
5511. What is the minimum time recommended intersession? mesopeelFAQ’s10. Can a chemical peeling be applied on a skin that it is still peeling?No, in that case, you should wait until the skin fully recovers before a new session.11. What is the minimum time recommended intersession?10 days recommended.12. In body treatments, what are the peelings used for and how are they applied?They are used as phase of preparation of the skin for body treatments in anya rea, and they are applied in the same way in the face and the exposition times will vary according ot the skin conditions (specially folded skin thickness).The most common applications in body are: treatments of pigmentation in arms and hands, necklines, stretch marks in abdomen and buttocks; acne in back, as keratolytic in elbows, knees and feet, and finally as general maintenance of the condition of the skin .
56They are actually complementary options: mesopeelFAQ’s13. It is mandatory the use of professional degreasing lotion before of the application of chemical peelings? It is not mandatory but highly recommended to obtain a uniform penetration of the chemical peeling, as it prepares the skin, evaporating the hydrolipidic layer and eliminating impurities of the cornea layer.What peeling is more effective to treat facial acne : salicylic peel_AL or mesopeel_azelan? Is it one stronger than the other? Are they complementary or do they need to be substituted?They are actually complementary options:salicylic peel_AL indicated to treat keratinized skins in the first sessions of treatment.mesopeel_azelan specífic for cases of acne in active phase, when there is an infection present or inflamamation, and for treating post-acne scarring.