2004 Guidelines for Chemical Peeling

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  • 日本皮膚科学会ケミカルピーリングガイドライン2004
  • 生涯教育講座 日本皮膚学会ケミカルピーリングガイドライン2004
  • ショウガイ キョウイク コウザ ニホン ヒフ ガッカイ ケミカルピーリングガイドライン 2004

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Abstract

Chemical peeling is one of dermatological treatments for certain cutaneous diseases or conditions or aesthetic improvement; consists of the application of one or more chemical agents to the skin. Recently in Japan, chemical peeling has become very popular in medical as well as the aesthetic fields. Since the scientific background and adequate approach is not completely understood or established, medical and social problems have been reported. This prompted us to establish and distribute standard guideline of care for chemical peeling. The 2001 guidelines included the minimums for the indications, the chemicals used, their applications, associated precautions, and postpeeling care and findings. The principles were as follows: 1) chemical peeling should be performed under the control and the responsibility of a physician. 2) this physician should have knowledge of the skin and subcutaneous tissue and understand the mechanisms of wound-healing. 3) this physician should be board-certified in an appropriate specialty such as dermatology. 4) the ultimate judgment regarding the appropriateness of any specific chemical peeling procedure must be made by the physician in light of all standard therapeutic ways which are available to each individual patient. Retaining these concepts, the new 2004 guidelines include more detailed approaches from the scientific and practical aspects.

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