Chemical peels and combination therapies

The topical application of acids is one of the most dependable and widely recognized methods of improving the overall health and appearance of the skin. The goal of a chemical peel is to regulate and enhance the cellular turnover process-a complex system that ultimately leads to the shedding of cornified cells. In addition to maintaining healthy cell turnover rates, each of the most commonly used topical acids provides ancillary benefits. Numerous studies have shown that all chemical peel solutions stimulate collagen and glycosaminoglycan production, regardless of depth of penetration (). Other modalities have also gained popularity and many of them may be successfully combined with chemical peels to create dramatic, visible results in the skin. By outlining a variety of chemoexfoliants, as well as some popular modalities, the clinician will gain a deeper understanding of the wide variety of combination therapies available for improving skin health.