GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Inflammatory / Specialty · Actinic keratosis

Chemical peel evidence for Actinic keratosis

C 47.3 / 100 Supported 3 RCT/meta · 0 clinical/observational · 5 case · 21 total
Early-stage evidence

This is an early evidence stage based mainly on observational studies and case reports. Use it as supplementary reference, and follow your doctor's judgment for treatment decisions.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2015 Last 5 years 24% Positive results 57%

Known in Korea as

라라필밀크필블랙필플라필각질제거 피지제거 라라필

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Chemical Peels as Field Therapy for Actinic Keratoses: A Systematic Review. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2021 · PMID 34238790

Abstract summary (English) BACKGROUND: Actinic keratoses (AKs) are a common premalignant cutaneous neoplasm and can progress to squamous cell carcinoma. A variety of treatment options are available for field therapy of diffuse AKs. OBJECTIVE: This review systematically analyzes the use of chemical peels for treatment of AKs.

Journal Article, Systematic Review

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tier1 Tretinoin (0.05% cream vs. 5% peel) for photoaging and field cancerization of the forearms: randomized, evaluator-blinded, clinical trial. Journal of the European Academy of Dermatology and Venereology : JEADV · 2018 · PMID 29704456

Abstract summary (English) BACKGROUND: Topical tretinoin cream is the gold standard treatment for skin ageing, particularly photoaging. The purpose of tretinoin peel was to obtain similar results, but in a shorter time, however, there have been few controlled trials on its effectiveness. OBJECTIVE: To compare efficacy and safety of tretinoin 0.05% cream and 5% as a peeling agent on photoaging and field cancerization of the forearms.

Comparative Study, Journal Article, Randomized Controlled Trial

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tier1 Five percent 5-fluorouracil in a cream or for superficial peels in the treatment of advanced photoaging of the forearms: a randomized comparative study. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2014 · PMID 24852464

Abstract summary (English) BACKGROUND: The antimetabolite 5-fluorouracil (5-FU) is used for topical treatment of actinic keratosis. Overall improvement in the skin is also observed. Additionally, 5-FU was reported to be used for superficial peels.

Comparative Study, Journal Article, Randomized Controlled Trial

View on PubMed
tier0_review Laser and chemical resurfacing as field treatment for actinic keratoses: a systematic review of the literature. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology · 2025 · PMID 41446950

Abstract summary (English) Laser resurfacing and chemical peels have emerged as options for the field treatment of actinic keratoses (AKs). We aimed to evaluate the efficacy of lasers and chemical peels for field treatment of AKs and prevention of non-melanoma skin cancer (NMSC). A PubMed search of all relevant literature describing the use of laser resurfacing and chemical peels as field treatment in AK management or NMSC prevention was...

Journal Article, Review

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tier0_review [Treatment of actinic keratoses in older adults]. Dermatologie (Heidelberg, Germany) · 2023 · PMID 37594513

Abstract summary (English) Actinic keratoses (AKs) are common precancerous skin lesions that primarily affect older adults due to cumulative sun exposure. Given the increased vulnerability of older adults to developing AKs, appropriate therapeutic strategies are crucial to prevent their progression to invasive squamous cell carcinoma. This comprehensive review aims to explore the various treatment modalities available for AKs in the elderly...

English Abstract, Journal Article, Review

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tier0_review Wounding Therapies for Prevention of Photocarcinogenesis. Frontiers in oncology · 2022 · PMID 35071017

Abstract summary (English) The occurrence of non-melanoma skin cancer (NMSC) is closely linked with advanced age and ultraviolet-B (UVB) exposure. More specifically, the development of NMSC is linked to diminished insulin-like growth factor-1 (IGF-1) signaling from senescent dermal fibroblasts in geriatric skin. Consequently, keratinocyte IGF-1 receptor (IGF-1R) remains inactive, resulting in failure to induce appropriate protective responses...

Journal Article, Review

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tier0_review Actinic Keratoses: Reconciling the Biology of Field Cancerization with Treatment Paradigms. The Journal of investigative dermatology · 2020 · PMID 32956650

Abstract summary (English) This Perspective briefly reviews the relationship between UV-induced mutations in habitually sun-exposed human skin and subsequent development of actinic keratoses (AKs) and skin cancers. It argues that field therapy rather than AK-selective therapy is the more logical approach to cancer prevention and hypothesizes that treatment early in the process of field cancerization, even prior to the appearance of AKs, may...

Journal Article, Review

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tier0_review Current therapies for actinic keratosis. International journal of dermatology · 2020 · PMID 32012240

Abstract summary (English) Actinic keratosis (AK) is a very common skin disease caused by chronic sun damage, which in 75% of cases arises on chronically sun-exposed areas, such as face, scalp, neck, hands, and forearms. AKs must be considered an early squamous cell carcinoma (SCC) for their probable progression into invasive SCC. For this reason, all AK should be treated, and clinical follow-up is recommended.

Journal Article, Review

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tier0_review Chemical peeling for acne and melasma: current knowledge and innovations. Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia · 2019 · PMID 31804050

Abstract summary (English) The skin is a dynamic organ that continuously eliminates an infinite number of keratinized cells through physiological mechanism. Chemical peeling is a widely used cosmetic procedure in medical practice. This technique consists of the application of one or more chemical ablative agents to the skin's surface in order to induce keratolysis or keratocoagulation.

Journal Article, Review

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tier0_review Chemical Peels: Indications and Special Considerations for the Male Patient. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2017 · PMID 28902026

Abstract summary (English) BACKGROUND: Chemical peels are a mainstay of aesthetic medicine and an increasingly popular cosmetic procedure performed in men. OBJECTIVE: To review the indications for chemical peels with an emphasis on performing this procedure in male patients. MATERIALS AND METHODS: Review of the English PubMed/MEDLINE literature and specialty texts in cosmetic dermatology, oculoplastic, and facial aesthetic surgery regarding...

Journal Article, Review

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Suggested interpretation

Limited evidence

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