Here’s what to expect after a facial chemical peel. When you visit a dermatologist for a facial chemical peel, you want to know what to expect. You want to know that the results will be worth it, and you want to know that there won’t be any side effects or complications.
That’s why we’re going to take a look at what happens when you go through this procedure. We’ll show you how your skin will change, how long it will take for those changes to happen, and what else you can do at home to speed up that process.
Read on to learn more about What To Expect After A Facial Chemical Peel, Crows Feet Botox Treatment and What Happens During a Chemical Peel?
What To Expect After A Facial Chemical Peel
When you hear the words “chemical” and “peel,” you probably don’t immediately think that’s something you want for your face. It sounds a little scary, but actually, chemical peels offer a range of skin health and cosmetic benefits. One of the coolest things about chemical peels is how versatile they are. A good chemical peel improves skin tone and texture, manages chronic skin conditions, and even offers some anti-aging benefits. Generally speaking, peels are a budget-friendly, effective cosmetic dermatology treatment. This blog will dig deeper about what you can expect after your first chemical peel.
What is a Chemical Peel & Why Would I Get One?
If you’ve never had a chemical peel before, you may be wondering what this treatment even is. Simply speaking, chemical peels are exactly what their name suggests. They are facial treatments that use chemicals (commonly-used ingredients include salicylic acid, glycolic acid, or trichloroacetic acid) to peel layers of skin, revealing healthy, new skin below. There are many different types of chemical peels. Depending on your specific needs and your dermatologist’s recommendation, you may choose a chemical peel option that ranges from very light (just the surface of the skin) to improve uneven skin tone and other mild symptoms, or you may choose a chemical peel that goes deeper to address fine lines, wrinkles, scars (including acne scars), adult acne symptoms, and other concerns.
Am I a Good Candidate for a Chemical Peel?
Chemical peels offer improved appearance for a wide range of skin tone and texture concerns. However, peels aren’t appropriate for every cosmetic need. Specifically, chemical peels aren’t recommended if your scars or wrinkles are very deep, and peels aren’t able to tighten sagging skin. For the most part, reasonably healthy people can safely receive chemical peels, but there are some health conditions and skin characteristics that make chemical peels less effective and increase the risk of adverse effects, including:
- Individuals who are receiving isotretinoin treatment for acne
- Individuals who have a personal or family history of scar tissue abnormalities such as keloid scars
- Women who are nursing, breastfeeding, or actively trying to get pregnant
- Anyone with open sores, lesions, infections, or poorly managed chronic skin conditions
- People who spend large amounts of time outdoors receiving direct sun exposure
- Individuals with naturally darker skin tone may be at an increased risk for pigmentation concerns related to chemical peels.
Do I Need to Do Anything to Prepare for My Chemical Peel?
We know you can get a chemical peel at the spa or even perform one at home, but before you do, we really recommend you talk to a dermatologist. This ensures you have the knowledge you need to make informed decisions about which chemical peel procedure is right for your skin. And, honestly, we encourage you to let one of our medical professionals perform the procedure to avoid any negative effects like pigmentation issues, scarring, and infection that happen when peels are improperly performed.
Once you’ve decided that a chemical peel is the right option, your dermatologist will partner with you to develop a plan to prepare for your chemical peel treatment visit, which may include:
- Taking an antiviral medication to prevent skin infection
- Using a topical retinoid cream for a few weeks before your treatment to promote cell turnover and decrease healing time after your visit
- Applying topical bleaching agents like hydroquinone may also be recommended in the weeks leading up to your treatment as this can help to create an even skin tone and prevent hyperpigmentation after the procedure
- Using sunscreen daily and avoiding direct sun exposure whenever possible
- Applying a good moisturizer in the morning and evening to keep skin hydrated
- Reviewing and possibly discontinuing use of certain cosmetic products, hair removal chemicals, face masks, and other products that may increase the risk for adverse effects from chemical peels
- Forgoing shaving, plucking, or waxing in the area for at least 24 hours before your chemical peel
- When necessary, arranging for a ride to and from the office if you’ll be receiving a sedative
What Happens During a Chemical Peel?
In most cases, chemical peels are performed in your dermatologist’s office with no anesthesia or mild local numbing. For patients who are receiving deeper chemical peels, mild sedative medication may be used on the day of the procedure. Before we begin the process, we cleanse and dry the skin thoroughly, and then use thick emollients, gauze, or other methods to protect your eyes, hair, nose, and mouth.
The peel itself involves applying a chemical solution to the skin and allowing it to sit. You may notice some stinging or discomfort as the solution sits on the skin. Then, depending on the type of chemical peel used, the dermatologist may apply a neutralizing agent to the treatment area. Most often the entire area is treated at once, but sometimes deeper chemical peels are performed in small sections which allows the dermatologist to carefully monitor your response and adjust treatment.
Some stinging or burning is normal during a chemical peel, but we never want anyone to be in excessive discomfort. At every step of treatment, we’ll do everything we can to ensure our patients are completely comfortable. That includes coming up with a good at-home care plan following the chemical peel to ensure you heal quickly and comfortably.
What Should I Expect After My Chemical Peel?
Patients can be really fearful going into a chemical peel because they’ve heard horror stories about people who had bad reactions. When they’re done correctly by a professional and the right chemical peel solution is used for your skin type, you should see really good results with minimal discomfort and downtime. Below are the top 10 things you should expect after your first chemical peel.
1 – Side Effects are Common, but They Should be Mild & Short-Lived
There’s a common misconception out there that chemical peels are really painful or the side effects are severe. Each person will react differently to skin treatments of all kinds, but for the most part, the side effects following chemical peels should be mild and healing should be completed within two weeks.
A common recovery timeline may look like:
- First few hours – you’ll notice some redness, tingling, or burning
- First few days – you may notice some dryness, irritation, and mild swelling
- Two to Three days – your skin may look flaky or peel, and discolorations or imperfections may temporarily be more noticeable
- Three to four days – you may breakout or notice skin looks tan or slightly darker than usual
- Five to seven days – all side effects should start to subside, and your skin should begin to look and feel “normal”
- Seven to fourteen days – you’ll see the formation of healthy, new skin, but you may notice some redness or skin that is darker or lighter than usual for up to a month
2 – Your Skin Will Peel
It is called a peel for a reason. The chemical is applied to peel away the existing layer of skin. After three to five days, you’ll start to see the skin peeling away. This should be similar to how your skin flakes away after a sunburn. You should gently remove the flakes when cleaning your face, but avoid pulling or picking at the peeling skin as this can cause irritation and increase the risk for infection.
3 – One Treatment is Great, but Multiple Chemical Peels Deliver Maximum Results
Many people think they’ll achieve the results they want after just one chemical peel. It usually takes several treatment sessions to see the desired outcomes. Most people notice some improvement after their first chemical peel, but with multiple treatments over the span of several months, patients will be astonished by how much better their skin looks.
4 – You Will Likely Need to Visit the Dermatologist for Follow Up Appointments
While most people have very mild reactions following chemical peels, it’s important to pay close attention throughout your recovery period and let your dermatologist know right away if you notice signs of infection or have other concerns. Because of the potential for rare but serious health risks, we like to schedule follow up visits with our patients after chemical peels. This also gives us a chance to check progress and adjust ongoing treatment plans.
5 – You May Need to Skip the Cosmetics for Awhile
For the first 1-2 weeks, you should not use any makeup. Chemicals and other substances in cosmetics can unnecessarily irritate the skin and prolong the healing process.
6 – Adjust Your Skincare Routine & Follow the Dermatologist’s Instructions
The body’s natural healing process is the reason chemical peels are so effective at improving skin’s appearance, so it’s essential to allow your skin to heal after treatment. Our providers usually work with patients to plan ahead for their aftercare, including making product recommendations based on skin type for cleansing, moisturizing, promoting cell turnover, and of course, protecting healing skin from sun damage.
While each person should talk to their dermatologist about a specific post-peel skincare plan, some basics include:
- Let the product work – You’ll start to see some dryness and other changes to your skin within the first few hours of application. To allow the product to work and avoid unnecessary skin irritation, you should avoid other skincare for the first 24 hours after your peel.
- Use dressing & medications – If you receive a deeper chemical peel, your dermatologist may apply dressings and healing ointments after your treatment. Follow your dermatologist’s recommendation for removing and replacing bandages and apply healing medications as recommended.
- Stay hydrated – As your skin is drying out and peeling away, it’s even more important to maintain hydration from the inside out by drinking plenty of water.
- Don’t pick at it – We know the dry, flaky skin is just begging to be pulled off, but try not to scratch, pull, or pick at your skin. This can increase the risk of scarring, and oils and germs transferred from the hands can lead to infection.
- Address pain & swelling – In most cases, taking a mild over-the-counter pain reliever is effective in managing discomfort. For very deep chemical peels or those who have a very low tolerance for pain, your dermatologist may prescribe something to help with your discomfort during healing. Additionally, you may be instructed to use cold compresses to manage symptoms during the first day and help avoid swelling and inflammation.
- Gently clean skin – After the first day, you should start washing your face in the morning and evening, using cool water and a gentle cleanser.
- Moisturize – Apply moisturizer at least twice a day to promote the healing process and protect the skin. Even if you typically have oily skin and only use a light moisturizer, you may need to use a good, thick moisturizer as your skin recovers following a chemical peel.
- Skip the exfoliant – Chemical peels are exfoliating, so you don’t need to use any exfoliant for the first week after treatment. That includes avoiding the use of exfoliating brushes and scrubs as well as cleansers or toners that contain a chemical exfoliant.
7 – Don’t Skip the Sunscreen!
Sunscreen is a must every day, but following a chemical peel, sun protection is even more essential. The skin is more sensitive to damage from the sun’s UVA/B rays. You should avoid exposure to the sun immediately after your treatment, and apply a broad-spectrum sunscreen with an SPF of 30 or higher before going outdoors. Immediately following your chemical peel, you should not use chemical sunscreens. Instead, use a physical sunblock to avoid an adverse response to the ingredients in some chemical sunscreens. Additionally, keeping the treated area physically shielded from the sun by wearing hats, scarves, or other protective coverings may be recommended after your chemical peel.
8 – Avoid High Temperatures & Overexertion
To combat potential side effects like redness, tingling, and post-inflammatory hyperpigmentation, you need to keep your skin cool. That means limiting time outdoors, taking cooler showers or baths, and avoiding overexerting yourself during exercise. In most cases, you can return to your regular routine after the first two weeks.
9 – You Might Break out
Many patients receive chemical peels to help improve the appearance of acne scars or combat the symptoms of adult acne, so when they hear that they may break out after their chemical peel, it’s upsetting. Unfortunately, the combination of larger amounts of dead skin and inflammation from the procedure can lead to pimples. We know how frustrating it can be, but after this initial breakout, the skin should clear up within just a few days and look healthier.
10 – Be Patient – True Results Take Time
Our patients are always reminded that changes to the skin take a long time to accumulate, so it shouldn’t be surprising that it takes time to correct irregularities and damage. Cosmetic procedures do not restore youth overnight. The results of your chemical peel treatment plan will depend on the time you invest and your commitment to consistent treatment and at-home care. Be patient. If you’re concerned that a peel hasn’t had the desired effect, contact your dermatologist or ask about your results during your follow up visit.
Schedule an Appointment at U.S. Dermatology Partners
When you’re ready to learn more about your chemical peel options, the U.S. Dermatology Partners team would love to hear from you. We’re happy to offer personalized consultation and treatment planning visits. You can complete our in-office scheduling form to request your consultation today. Once you’ve submitted your request for a consultation, our team will reach out to confirm your appointment date and time. We look forward to hearing from you.
Crows Feet Botox Treatment
Whether they scrunch up in disgust, anger or delight, crow’s feet are either a source of limitless annoyance or a reminder of wonderful pastimes. They’re tiny and not even a centimeter wide. But whether they’re loved or hated, crow’s feet eventually show up on everyone’s face. And BOTOX® Cosmetic could be the answer to eliminate them.
What Is Crow’s Feet?
Crow’s feet are wrinkles marked in the corners of your eyes. Unlike expression lines or wrinkles on other facial areas, crow’s feet may seem to look more pronounced or deeper on your skin.
Top causes of crow’s fee are
- A loss of skin elasticity and collagen that occurs with age
- UV exposure
Crow’s feet go by numerous common names, including:
- Laugh lines
- Character lines
And also more technical names:
- Duchenne markers
- Orbicularis oculi contractions
- Lateral canthal lines
And, while “character lines” and “laugh lines” sound a bit more flattering, they still point to the same thing — an inevitable sign that you’re getting older.
How Do Crow’s Feet Occur?
Your facial skin stretches like a rubber band due to its elasticity. When compressed or pulled, it returns back to its original form. But, as you age, your skin loses this elasticity which is why certain body parts start drooping and wrinkles begin forming. A primary reason for this are our bodies’ production of elastin and collagen (responsible for the elasticity in your skin) lessens with age.
Repeated muscle contractions from squinting, raising eyebrows or frowning cause your skin to fold and furrow, gradually leading to facial lines.
Although UV exposure and age play a key role in the formation of crow’s feet, crow’s feet, as mentioned, can occur at any age. Unlike other wrinkles, crow’s feet actually can show up in your mid-twenties; even earlier in some individuals who don’t engage in good skincare. But either way, they’re unavoidable.
The reason they can show up earlier in life when other types of wrinkles show up later on as you age is due to a thin skin layer and lack of oil glands surrounding your eyes. As your skin elasticity around this thin skin layer lessens, your skin can’t bounce back to its initial state like it once used to. 
The Role BOTOX Plays in Treatment of Crow’s Feet
FDA-approved, BOTOX cosmetic for crows feet is a common outpatient technique. Dr. Bradford S. Patt MD, FACS performs BOTOX around eyes for crow’s feet here at the Houston Center for Facial Plastic Surgery (HCFPS).
BOTOX is also used for various medical purposes, including excessive sweating and eye twitching. The injections stop nerve signals from getting to the muscles, thereby causing them to contract less often.
The most common use of BOTOX is for wrinkles. When using BOTOX for crows feet, it relaxes the muscles that surround the corners of your eyes, smoothing your skin out. You may notice the effects more so when you laugh.
BOTOX for Crow’s Feet Technique – How BOTOX for Crow’s Feet Works
BOTOX is a fast treatment (around 10 minutes) that works beneath your skin’s surface. It reduces underlying muscle activity temporarily that leads to crow’s feet, forehead lines and moderate to severe frown lines in adults to improve their appearance.
Dr. Patt injects the BOTOX treatment with fine needles directly around your eyes near the crow’s feet. Even if shots don’t bother you, the doctor will likely suggest ice or another topical anesthetic to numb the area before the procedure. Once numb, Dr. Patt begins the injection process.
There are potential side effects of BOTOX, including:
- Swelling or redness around the eyes
- Droopy eyelids
- Tearing in your eyes
- Headaches
- Dryness
If you’re taking herbal supplements or medication currently, let your doctor know. They may have you stop taking them temporarily before your procedure to reduce your chances of experiencing side effects. 
BOTOX for Crow’s Feet Results
Overall, you may not notice results until a few days later. After a few days, your muscles that surround your eyes might begin to relax.
Results usually last around four months, or slightly longer. In fact, according to a study in 2016 involving 1,362 participants who received BOTOX treatment for their crow’s feet, the results lasted for a minimum of four months.
When you use BOTOX cosmetic for crow’s feet on a continuous basis, it can be very effective. You’ll need to receive follow-up injections by your doctor every few months to maintain the smoothness around your eyes.
BOTOX for Crow’s Feet Recovery
The recovery time for the treatment is short when you compare it to other cosmetic procedures. You should be able to go home immediately after your treatment if you don’t experience any side effects at your doctor’s office.
Recovering at home is also straightforward. You can wash your face and wear makeup the same day as your treatment. You can go back to work. But, what you can’t do is rub the skin surrounding your eyes since it can cause the BOTOX medication to move away from the treated area.
If you’re considering BOTOX cosmetic for crows feet, you’ll want to factor in the long-term costs that go with long-term use. Most doctors charge their rates based on the number of units needed, instead of the visits themselves. This is something you’ll want to sit down and discuss with Dr. Patt during your initial consultation.
Preventing Crow’s Feet
The only way you can prevent crow’s feet is to never laugh, smile, squint or frown. This obviously is impossible and causes many individuals to invest in techniques to reduce or eliminate these V-shaped wrinkles.
To start, you can apply sunscreen to protect yourself and your skin from the harmful UV rays of the sun. UV ray exposure is the most common reason why skin loses its elastin and collagen.
You’re at an even higher risk if you smoke since smoking kicks the biochemical processes into gear, causing your skin to age quicker. But, even if you never touch a cigarette and apply sunscreen every day, you’re still going to get crow’s feet.
Not to worry, there are numerous products and techniques to help reduce their appearance, and BOTOX for crow’s feet is now a popular way.
Crows feet botox injection sites
Crow’s Feet are the fine wrinkles at the edges of your eyes, extending out in a fan-like pattern resembling a bird’s foot. Sometimes called “laugh lines,” crow’s feet can accentuate your laughs and your smiles, but they are also a sign of aging. Fortunately, these wrinkles can be easily smoothed out with Botox injections for a more youthful appearance.
What Are Crow’s Feet?
Crow’s feet occur as we age and our skin’s elasticity declines. Nobody is immune to signs of aging, but certain factors can cause deeper lines and wrinkles.
- Sun exposure
- A loss of collagen as we age
- smoking
While “character lines” sound distinguished, they’re an inevitable sign that you’re getting older.
How Do Crow’s Feet Occur?
As we age, we lose the natural elasticity inherent to youthful skin. Youthful skin stretches like a rubber band to fill in small gaps and moves with the muscles of the face. As we age, the collagen in skin declines, and skin loses the ability to stretch.
Treating Crow’s Feet with Botox
Botox injections are a common outpatient procedure to treat crow’s feet. Dr. Michael Kane, M.D. performs Botox injections at his office on New York City’s Upper East Side. Botox injections relax the muscles surrounding the corners of your eyes, smoothing out the skin and reducing the appearance of wrinkles.
Tailoring Botox Injections for the Individual Patient
Dr Kane is experienced with different patterns of injecting Botox and can tailor the injection sites depending on the appearance of lines and the structure of the face of each patient.
Patterns of Crow’s Feet
Surgeons have identified four patterns of crow’s feet: full fan, lower fan, central fan, and upper fan. Injections need to be tailored to match the pattern of eye wrinkles. Before you get Botox injections, make sure your surgeon is experienced with matching injection patterns to the unique structure of your face.
How Effective are Botox Injections for Crow’s Feet?
In a recent clinical study authored by Dr Kane, Botox injections for crow’s feet proved to be remarkably effective. Patients were followed for 7 months, and most showed improvements lasting the full length of the study.
Most patients experience noticeable results in three days. The muscles of your face start to relax, and the wrinkles start to fill in. Treatment generally lasts for about four months, depending on several factors including your age, skin type, and the depth of the lines.
What To Expect When You Have It Done
Botox is injected directly around your crow’s feet with fine, small needles. An experienced plastic surgeon can minimize pain, swelling and bruising due to these injections. Since crow’s feet cover a small area around the eyes, the treatment itself will only take a few minutes.
The treatment can be combined with other treatment methods, and can be performed on the same day as Botox treatments for other areas of the face, including frown lines and other wrinkles.
Recovery After Botox Injections
Recovery time for Botox is usually very short. Many people go back to work after the procedure, with no noticeable side effects. You can wear makeup and wash your face the same day. Don’t rub your eyes after the injections, because you don’t want to move the medication away from the treatment area.
Potential Side Effects of Botox Injections
Botox is remarkably safe and has a short recovery time, but side effects are still possible. Some people experience pain or bruising, and some people are afraid of needles. It’s important to choose an experienced surgeon for the procedure to minimize side effects. Dr Kane has performed thousands of procedures and treats patients calmly and minimizes pain from injections.
Other possible side effects include:
- excessive tearing in your eyes
- dryness (especially around the injection site)
- droopy eyelids
- crooked eyebrows
- headaches
If you experience any of the following rare, but serious side effects, seek medical help right away:
- muscle weakness that starts in your face and spreads to your body
- bladder control issues
- trouble with breathing
- loss of speech or vision
- problems swallowing food and drinks
Once you start Botox, it’s important to stick with it to receive maximum results. There are other types of medications available that offer similar effects, such as Myobloc, Dysport, and Xeomin. However, these medications can’t be used interchangeably because they’re all slightly different in terms of strength and dosage.