SpringerLink
Log in

Chemical Peels for Precancerous Skin Lesions

  • Chapter
  • First Online:
Skin Cancer Management

  • 482 Accesses

Abstract

Medium-depth chemical peels remain an excellent choice for reducing actinic keratosis and improving sun-damaged skin of the face, neck, chest, and arms. As compared to other treatments, such as prescription medications and photodynamic therapy, chemical peeling enjoys benefits of lower costs and a single application when used in the correct patient. Being in use for the past several decades, the combination of Jessner’s solution and 25–35% trichloroacetic acid medium-depth peel remains the most popular. Several contraindications do exist, and patient selection and application technique are critical to achieve good outcomes and avoid complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Brody HJ, Monheit GD, Resnick SS, Alt TH. A history of chemical peeling. Dermatol Surg. 2000;26:405–9.

    Article  CAS  PubMed  Google Scholar 

  2. Mackee GM, Karp FL. The treatment of post-acne scars with phenol. Br J Dermatol. 1952;64:456.

    Article  CAS  PubMed  Google Scholar 

  3. Baker TJ, Gordon HL. Chemical face peeling: an adjunct to surgical facelifting. South Med J. 1963;56:412–4.

    Article  CAS  PubMed  Google Scholar 

  4. Brody HJ. Variations and comparisons in medium depth chemical peeling. J Dermatol Surg Oncol. 1989;15:953–63.

    Article  CAS  PubMed  Google Scholar 

  5. Monheit GD. The Jessner’s + TCA peel: a medium depth chemical peel. J Dermatol Surg Oncol. 1989;15:945–50.

    Article  CAS  PubMed  Google Scholar 

  6. Coleman WP, Futrell JM. The glycolic acid trichloroacetic acid peel. J Dermatol Surg Oncol. 1994;20:76–80.

    Article  PubMed  Google Scholar 

  7. 2007 American Academy of Dermatology Survey. Majority of dermatologists are providing cosmetic services. Skin & Allergy News. February 2008. p. 29.

    Google Scholar 

  8. Brody HJ. Do chemical peels tighten the skin? Dermatol Surg. 2014;40(Suppl 12):S129–33.

    Article  PubMed  Google Scholar 

  9. Stegman SJ. A comparative histologic study of the effects of three peeling agents and dermabrasion on normal and sun-damaged skin. Aesthet Plast Surg. 1982;6:123–5.

    Article  CAS  Google Scholar 

  10. Kubiak M, Mucha P, Dębowska R, Rotsztejn H. Evaluation of 70% glycolic peels versus 15% trichloroacetic peels for the treatment of photodamaged facial skin in aging women. Dermatol Surg. 2014;40(8):883–91.

    Article  CAS  PubMed  Google Scholar 

  11. Glogau RG. Chemical peeling and aging skin. J Geriatr Dermatol. 1994;2(1):30–5.

    Google Scholar 

  12. Waldman A, Bolotin D, Arndt KA, Dover JS, Geronemus RG, Chapas A, et al. ASDS guidelines task force: consensus recommendations regarding the safety of lasers, dermabrasion, chemical peels, energy devices, and skin surgery during and after isotretinoin use. Dermatol Surg. 2017;43:1249–62.

    Article  CAS  PubMed  Google Scholar 

  13. Coleman WP. Dermabrasion and hypertrophic scars. Int J Dermatol. 1991;30(9):629–31.

    Article  PubMed  Google Scholar 

  14. Monheit GD. The Jessner’s-trichloroacetic acid peel. Dermatol Clin. 1995;13(2):277–83.

    Article  CAS  PubMed  Google Scholar 

  15. Awosika O, Burgess CM, Grimes PE. Considerations when treating cosmetic concerns in men of color. Dermatol Surg. 2017;43:S140–50.

    Article  CAS  PubMed  Google Scholar 

  16. Reserva J, Champlain A, Soon SL, Tung R. Chemical peels: indications and special considerations for the male patient. Dermatol Surg. 2017;43(Suppl 2):S163–73.

    Article  CAS  PubMed  Google Scholar 

  17. Brody HJ. Trichloroacetic acid application in chemical peeling, operative techniques. Plast Reconstr Surg. 1995;2(2):127–8.

    Google Scholar 

  18. Monheit GD. Chemical peeling for pigmentary dyschromias. Cosmet Dermatol. 1995;8(5):10–5.

    Google Scholar 

  19. Monheit GD. Presentation at the American Academy of Dermatology in New Orleans. March 25, 1999.

    Google Scholar 

  20. Rubin M. Manual of chemical peels. Philadelphia: Lippincott; 1995. p. 120–1.

    Google Scholar 

  21. Vanaman M, Fabi SG, Carruthers J. Complications in the cosmetic dermatology patient: a review and our experience (part 2). Dermatol Surg. 2016;42(1):12–20.

    Article  CAS  PubMed  Google Scholar 

  22. Cox S. Rapid development of keratoacanthomas after a body peel. Dermatol Surg. 2003;29(2):201–3.

    PubMed  Google Scholar 

  23. Mohr B 3rd, Fernandez MP, Krejci-Manwaring J. Eruptive keratoacanthomas after Jessners and trichloroacetic acid peel for actinic keratosis. Dermatol Surg. 2013;39(2):331–3.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Total Skin and Beauty Dermatology Center, Department of Dermatology and Ophthalmology, University of Alabama at Birmingham, Birmingham, AL, USA

    Gary D. Monheit

  2. Louisiana State University Health Sciences Center, Department of Dermatology, Sanova Dermatology, Baton Rouge, LA, USA

    Chad L. Prather

Authors
  1. Gary D. Monheit
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chad L. Prather
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Departments of Dermatology and Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Deborah F. MacFarlane

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Monheit, G.D., Prather, C.L. (2021). Chemical Peels for Precancerous Skin Lesions. In: MacFarlane, D.F. (eds) Skin Cancer Management. Springer, Cham. https://doi.org/10.1007/978-3-030-50593-6_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-50593-6_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-50592-9

  • Online ISBN: 978-3-030-50593-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation