Chemical peels – The process of chemical peels, as with the surgical cutting of the skin, can sometimes seem counterproductive. In a chemical peel, you are literally using chemicals to burn the topmost layers of damaged skin, thereby forcing the body to undergo the healing process to regrow new, hopefully smoother, skin in its place. Again the severity of the scar and its location will dictate the level of chemical peel used, and some peels may actually cause keloid scar formation or infections, so be sure to get all the facts from your doctor or dermatologist before proceeding.
Occlusive Dressing Technique
Occlusive dressings may be used for the management of psoriasis or other recalcitrant rub a small amount of cream into the lesion until it disappears. Reapply the preparation leaving a thin coating on the lesion, cover with pliable nonporous film, and seal the edges. If needed, additional moisture may be provided by covering the lesion with a dampened clean cotton cloth before the nonporous film is applied or by briefly wetting the affected area with water immediately prior to applying the medication. The frequency of changing dressings is best determined on an individual basis. It may be convenient to apply Triamcinolone acetonide cream under an occlusive dressing in the evening and to remove the dressing in the morning (., 12-hour occlusion). When utilizing the12-hour occlusion regimen, additional cream should be applied, without occlusion, during the day. Reapplication is essential at each dressing change. If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy instituted.