Acne and Rosacea Charity Training Manual

Salicylic Acid Peel (Enerpeel SA)
Enerpeel is a carrier system whereby carrier molecules attach to the acid molecules rendering them inactive and there is no water in the Enerpeel vials.
This allows the addition of acne treatment ingredients in this case, but other ingredients can be added to the other peels depending on their focus.
This particular peel delivers a 30% salicylic acid and the carrier releases the acid in and on the
stratum corneum. The skin if first cleaned with surface lipid dissolving wipe which allows the peel
to better ‘engage’ with the skin when the peel is applied with an applicator brush which attaches
directly to the end of the Enerpeel vial. There is usually some stinging which is noticed about 30
seconds post application. This continues for up to 2 minutes and then fades away as the salicylic
acid converts to an analgesic powder. The peel is left for 5 minutes and then removed using a
remover wipe.
Skin following Enerpeel SA application
powder present on the skin
The other key ingredients are carried into the blocked sebaceous duct where the P acnes bacteria have colonised. These ingredients are the same as
found in OSK/Aknicare and therefore the peel acts like a loading dose of the key antibacterial and anti-inflammatory properties of the creams. The creams
are used b.d. between the peels, which are normally repeated four times with a gap between peels of between two to four weeks
Elegant studies have shown that after treatment there is a significant reduction of the stratum corneum and removal of comedones. There is no real down
time - some dryness the next day although the associated Tebiskin OSK UV or Aknicare Cream are designed to counter that. If there is a significant build-up
of dead skin on the surface, some area may become white and this will persist for an hour or so.
Always take a history of salicylic acid sensitivity and avoid use in these patients.