FACE PEELS
----------------------------------------------



I was told by a fellow colleague of mine that Obagi blue peel works much 
better than the conventional glycolic acid peel in melasma for Asian 
skin. Any comment?

Henry Foong
--------------------



I am just about to try the Obagi peel system and will report. Success in
darker skin is oneof the advantages Dr. Obagi claims for his system.

James R. (Jay) McCarty, M.D.
--------------------



 (Remember, I haven't tried this yet.) You mix 30% TCA with a blue tinted
liquid to make a 15% preparation. This is applied in layers, with a
cleansing solution applied between each layer. There is a color endpoint
between each layer which provides reproducibility. One layer is
intraepidermal; two layers takes off the entire epidermis; three layers
goes to papillary dermis; four layers goes to reticular dermis. The product
is marketed agressively, and of course there is an accompanying line of
glycolic and bleaching products which I don't plan to use because I'm happy
with what I already have. The appeal of the product is that the
reproducibility makes it easier to train nurses and other ancillary
personnel to perform the procedure. Personally, I would do anything over
two layers myself, but oneof two layers of this doesn't seem too much more
than a glycolic peel, which my nurses do all the time.

We'll have to see whether it works.

James R. (Jay) McCarty, M.D.
--------------------