Xavier G Goodarzian’s Chemical Peels in Clinical Practice is a comprehensive and practical guide aimed at aesthetic clinicians, dermatologists, plastic surgeons, and advanced nurse practitioners. Positioned at the intersection of cosmetic dermatology and clinical science, this book offers an in-depth exploration of the theory, formulation, and application of chemical peels.
The book begins with a primer on skin anatomy and histology, emphasising how different peeling agents interact with the epidermis and dermis. The explanation of keratinocyte turnover, barrier function, and healing cascades is presented in a digestible format. The Fitzpatrick skin classification is thoroughly covered. Covering a wide array of agents, from alpha-hydroxy acids (glycolic, lactic) and beta-hydroxy acids (salicylic acid) to trichloroacetic acid and phenol. Goodarzian reviews each agent for its structure, penetration, indications, side-effects, and procedural protocols. Clinical pearls are included at the end of each chapter. The final chapters explore combination treatments, such as chemical peels with microneedling, light therapies, and cosmeceuticals. There is a strong emphasis on customisation of peel strategy based on patient factors.
The book includes step-by-step procedural guidance, before and after photographs, real-world case studies, and guidance on legal considerations and consent. It is extremely useful for translating theoretical knowledge into safe, effective practice.
This book is strongly evidence-based with a clear, structured, and readable layout. I found it to bridge the gap between spa and medicine, emphasising patient safety and accountability. Although, I believe having a digital companion or video content alongside would enhance procedure visualisation. It would also be helpful to include business / practice management advice for clinician-entrepreneurs. Additionally, including a broader global treatment perspective would improve cultural relevance.
Chemical Peels in Clinical Practice is a benchmark publication in cosmetic dermatology. It would be ideal for advanced aesthetic nurses and prescribers; clinical directors; dermatology / plastic surgery trainees; educators in dermatology training; and medico-legal experts in aesthetic practice. It strikes the right balance between scientific depth and clinical applicability, making it a must-have for aesthetic clinicians seeking to deliver safe, effective, and evidence-based chemical peel treatments.
