Chemical Peel

What is a chemical peel?
TYPES OF CHEMICAL PEEL:
Side effects of a chemical peel?
What can I expect after having a chemical peel?
How is a chemical peel done?
How do you prepare for a chemical peel?

A

chemical peel is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is also temporarily more sensitive to the sun. There are three basic types of chemical peels:

S
uperficial or lunchtime peel:

Alpha-hydroxy acid or another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. The treatment is used to improve the appearance of mild skin

chemical peeling or procedure chemexfoliation. Human skin layers

discoloration and rough skin as well as to refresh the face, neck, chest or hands.

Medium peel:

Glycolic or trichloroacetic acid is applied to penetrate the out and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration. It also can be used to smooth rough skin and treat some precancerous skin growths, i.e. actinic keratosis.

Deep peel:

Trichloroacetic acid or phenol is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. Patients will see a dramatic improvement in skin appearance. The procedure is used on the face and only can be performed once.

  • Temporary change in skin color, particularly for women on birth control pills, who subsequently become pregnant or have a history of brownish facial discoloration.
  • Scarring
  • Reactivation of cold sores
  • Common side effects are temporary, and include redness, dryness, stinging or burning, and slight swelling. With deep peels, you may permanently lose the ability to tan.
  • serious side effects these includes:
  • Darkening of the skin color (hyperpigmentation) known as post inflammatory hyperpigmentation more common in people with darker skin.
  • Lightening of the skin color (hypopigmentation) more common in people with darker skin.
  • People with herpes simplex may experience flares following a treatment. Very rarely, chemical peels can cause fungal or bacterial infections.
  • Heart, liver, or kidney damage. The phenol used in deep peels can actually damage the heart muscle, kidneys, and liver, and cause irregular heartbeats.

A

ll peels require some follow-up care:

Superficial peels

require 1 to 7 days to heal. Treated skin will initially be red and may scale. Lotion or cream should be applied until the skin heals, followed by daily use of sunscreen. Makeup can usually be worn the next day.

Medium peels

require 7 to 14 days to heal. Treated skin will initially be red and swollen. Swelling worsens for the first 48 hours. Eyelids may swell shut. Blisters may form and break. Skin crusts and peels off in 7 to 14 days. Skin must be soaked daily for a specified period, followed by ointment application. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure until healing is complete. Camouflage makeup may be worn after 5 to 7 days. A follow-up appointment will be necessary to monitor progress.

Deep peels require 14 to 21 days to heal. The treated area will be bandaged. Skin must be soaked four to six times daily, followed by ointment application for the first 14 days. Afterwards a thick moisturizer is applied for the next 14 days. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure for three to six months. Camouflage makeup may be worn after 14 days. Several follow-up appointments will be necessary to monitor progress.

Sun exposure and smoking after a chemical peel must be avoided because they can cause unwanted side effects, including infection and scarring.

Convenience:

light chemical peels do not require much down time

medium and deep chemical peels can require two to three weeks of recovery time

the procedures can last anywhere from 30 minutes to 90 minutes

Cost:

the cost of chemical peels depends on the type of peel you get

the average cost of a chemical peel is $673

Right Candidate:

Who has

  • wrinkles and fine lines

  • sun damage

  • acne scars

  • hyperpigmentation

  • scars

  • melasma
  • uneven skin tone or redness
C

hemical peels are typically done in-office; deep peels may be done in an outpatient surgical facility. Before the procedure, they will likely have you tie back your hair. Your face will be cleaned, and eye protection like goggles or gauze may be applied.

Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.

Light peel

During a light peel a cotton ball, gauze, or brush will be used to apply a chemical solution like salicylic acid to the area being treated. The skin will start to whiten, and may have a slight stinging sensation. Once complete, the chemical solution will be removed or a neutralizing solution will be added.

Medium peel

During a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.

Deep peel

During a deep chemical peel, you will be sedated. The doctor will use a cotton-tipped applicator to apply phenol to your skin. This will turn your skin white or gray. The procedure will be done in 15-minute portions, to limit the skin exposure to the acid.

Before your procedure, you’ll first have a consultation with the skin care specialist. During this visit, they’ll help you determine what the best treatment option is for you. They’ll let you know the details about the specific peel you’ll be getting, and they’ll ask about anything that could interfere with the peel. This may include whether you’ve taken acne medication, and information about whether or not you scar easily.

Before a chemical peel, you must:
  • Not use any type of retinol or retin-A topical medication for at least 48 hours
  • Inform your skin care specialist about any medications you take
  • Not have been on Accutane for at least six months
Your doctor may also recommend that you:
  • Take an antiviral medication if you have a history of fever blisters or cold sores to prevent a breakout around the mouth
  • Use special lotions to improve treatment, like glycolic acid lotion
  • Use a retinoid cream to prevent skin darkening
  • Stop waxing, epilating, or using depilatory hair removal products the week before the peel. You should also avoid hair bleaching.
  • Stop using facial scrubs and exfoliants the week before the peel.
  • Arrange for a ride home, especially for medium or deep chemical peels, which will require you to be sedated.
  • If your doctor prescribes a painkiller or sedative, take it according to their instructions; you’ll likely have to take it before you come to the office.

Chemical Peels

What is a chemical peel?

A chemical peel is a technique used to improve the appearance of the skin on the face, neck or hands. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is also temporarily more sensitive to the sun. There are three basic types of chemical peels:

TYPES OF CHEMICAL PEEL:

Superficial or lunchtime peel: Alpha-hydroxy acid or another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. The treatment is used to improve the appearance of mild skin discoloration and rough skin as well as to refresh the face, neck, chest or hands.

Medium peel: Glycolic or trichloroacetic acid is applied to penetrate the out and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration. It also can be used to smooth rough skin and treat some precancerous skin growths, i.e. actinic keratosis.

Deep peel: Trichloroacetic acid or phenol is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. Patients will see a dramatic improvement in skin appearance. The procedure is used on the face and only can be performed once.

Side effects of a chemical peel?

  • Temporary change in skin color, particularly for women on birth control pills, who subsequently become pregnant or have a history of brownish facial discoloration.
  • Scarring
  • Reactivation of cold sores
  • Common side effects are temporary, and include redness, dryness, stinging or burning, and slight swelling. With deep peels, you may permanently lose the ability to tan.
  • serious side effects these includes:
  • Darkening of the skin color (hyperpigmentation) known as post inflammatory hyperpigmentation more common in people with darker skin.
  • Lightening of the skin color (hypopigmentation) more common in people with darker skin.
  • People with herpes simplex may experience flares following a treatment. Very rarely, chemical peels can cause fungal or bacterial infections.
  • Heart, liver, or kidney damage. The phenol used in deep peels can actually damage the heart muscle, kidneys, and liver, and cause irregular heartbeats.

What can I expect after having a chemical peel?

  • All peels require some follow-up care:

    Superficial peels require 1 to 7 days to heal. Treated skin will initially be red and may scale. Lotion or cream should be applied until the skin heals, followed by daily use of sunscreen. Makeup can usually be worn the next day.

    Medium peels require 7 to 14 days to heal. Treated skin will initially be red and swollen. Swelling worsens for the first 48 hours. Eyelids may swell shut. Blisters may form and break. Skin crusts and peels off in 7 to 14 days. Skin must be soaked daily for a specified period, followed by ointment application. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure until healing is complete. Camouflage makeup may be worn after 5 to 7 days. A follow-up appointment will be necessary to monitor progress.

    Deep peels require 14 to 21 days to heal. The treated area will be bandaged. Skin must be soaked four to six times daily, followed by ointment application for the first 14 days. Afterwards a thick moisturizer is applied for the next 14 days. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure for three to six months. Camouflage makeup may be worn after 14 days. Several follow-up appointments will be necessary to monitor progress.

    Sun exposure and smoking after a chemical peel must be avoided because they can cause unwanted side effects, including infection and scarring.

  • Convenience:

    light chemical peels do not require much down time

    medium and deep chemical peels can require two to three weeks of recovery time

    the procedures can last anywhere from 30 minutes to 90 minutes

    Cost:

    the cost of chemical peels depends on the type of peel you get

    the average cost of a chemical peel is $673

Right Candidate:

Who has

  • wrinkles and fine lines 
  • sun damage
  • acne scars
  • hyperpigmentation
  • scars
  • melasma
  • uneven skin tone or redness

How is a chemical peel done?

Chemical peels are typically done in-office; deep peels may be done in an outpatient surgical facility. Before the procedure, they will likely have you tie back your hair. Your face will be cleaned, and eye protection like goggles or gauze may be applied.

Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.

 

Light peel

During a light peel a cotton ball, gauze, or brush will be used to apply a chemical solution like salicylic acid to the area being treated. The skin will start to whiten, and may have a slight stinging sensation. Once complete, the chemical solution will be removed or a neutralizing solution will be added.

Medium peel

During a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.

Deep peel

During a deep chemical peel, you will be sedated. The doctor will use a cotton-tipped applicator to apply phenol to your skin. This will turn your skin white or gray. The procedure will be done in 15-minute portions, to limit the skin exposure to the acid.

 

How do you prepare for a chemical peel?

Before your procedure, you’ll first have a consultation with the skin care specialist. During this visit, they’ll help you determine what the best treatment option is for you. They’ll let you know the details about the specific peel you’ll be getting, and they’ll ask about anything that could interfere with the peel. This may include whether you’ve taken acne medication, and information about whether or not you scar easily.

Before a chemical peel, you must:

  • Not use any type of retinol or retin-A topical medication for at least 48 hours
  • Inform your skin care specialist about any medications you take
  • Not have been on Accutane for at least six months

Your doctor may also recommend that you:

  • Take an antiviral medication if you have a history of fever blisters or cold sores to prevent a breakout around the mouth
  • Use special lotions to improve treatment, like glycolic acid lotion
  • Use a retinoid cream to prevent skin darkening
  • Stop waxing, epilating, or using depilatory hair removal products the week before the peel. You should also avoid hair bleaching.
  • Stop using facial scrubs and exfoliants the week before the peel.
  • Arrange for a ride home, especially for medium or deep chemical peels, which will require you to be sedated.
  • If your doctor prescribes a painkiller or sedative, take it according to their instructions; you’ll likely have to take it before you come to the office.