Abstract
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Chemical peeling is a secondary option in the management of melasma in brown-skinned patients. The superficial peels such as the alpha hydroxy acids (20–50 %), trichloroacetic acid (10–30 %), salicylic acid (20–30 %), Jessner’s solution, and tretinoin 1 % solution are the best options, as it is associated with the least side effects.
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This procedure is best combined with a topical bleaching agent and sunscreen protection.
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A cautionary approach is advised. Utilize superficial peeling agents as the primary choice and limit the use medium-depth peels.
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The proper patient evaluation and selection, appropriate choice of a superficial to medium-depth agent, attention to pre and posttreatment care and correct technique are essential keys to ensure a safe and successful outcome.
Keywords
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Nadela, R.E. (2017). Chemical Peeling for Melasma. In: Handog, E., Enriquez-Macarayo, M. (eds) Melasma and Vitiligo in Brown Skin. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3664-1_15
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DOI: https://doi.org/10.1007/978-81-322-3664-1_15
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