| chemicaL peeLs | aRTicLe as csa peeling has limited efficacy on volume
restoration, the procedure might be combined with autologous fat transfer or the use of dermal fillers4–6
. in
such cases filler treatment can be performed either 2 weeks before csa peels or after completion of the peeling series. hyaluronic acid fillers and caha replenish volume and provide a natural look and haptic feeling. Over-treatment, however, may result in ‘puffy hands’ and should be avoided. The present study demonstrated significant
improvement of ageing hands through the use of repeated csa peels; however, these data warrant validation by a prospective controlled trial. The present study also has some other limitations in that it covers a small group of patients and the follow-up was 6–24months only.
Conclusions This study presents data of csa peels in hand rejuvenation. it seems to be of practical importance, that csa has shown not only aesthetic improvements, but is also able to remove most actinic keratoses effectively. This argues for the concept of anti-ageing therapy as a part of preventive medicine. Furthermore, csa peels are safe and effective in hand rejuvenation and do not result in significant downtime. The procedure can be combined with volume restoration using dermal fillers.
Declaration of interest None
salicylates exert a range of effects on a cellular level. one pathway is the phosphorylation of the
eukaryotic translation elongation factor‑2 (eiF-2α) and activation of eiF-2α stress‑activated protein kinase R‑like endoplasmic reticulum kinase (PeRK).
Figure 4 Improvement in the dorsum of the hand of a 76-year-old female with
multiple actinic keratoses and pigmentary spots. (A) before peel; (B) after peel; (C) after dermal filler (calcium hydroxylapatite).
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