Chemical peeling is a procedure that involves the use of strong acids or other chemicals to remove the top layer of skin. The goal is to reduce wrinkles, scarring, and pigmentation problems, as well as treat acne and oily skin. It’s important to know what to expect before you undergo a chemical peel procedure. Chemical peeling can be performed in two ways: superficial or deep. Superficial chemical peels remove only the outermost layer of skin (epidermis), while deep chemical peels can penetrate into the dermis, which is located beneath the epidermis.
The most common superficial peel treatments are salicylic acid (BHA) and glycolic acid (AHA). These treatments are ideal for those with milder cases of acne or oily skin since they don’t require downtime and have minimal side effects such as redness, swelling and stinging sensation on application. However, they do not penetrate deeply into the skin so they won’t be effective for treating fine lines or wrinkles. Other popular superficial peel options include trichloroacetic acid (TCA) and Jessner’s solution—both of which are stronger than salicylic or glycolic acids but require longer recovery.
Read on to learn more about What To Know About Chemical Peel Like Skin, What To Expect After the Chemical Peel
What To Know About Chemical Peel Like Skin
Chemical peels can improve the skin’s appearance. In this treatment, a chemical solution is applied to the skin, which makes it “blister” and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin.
Chemical peels can be done on the face, neck, or hands. They can be used to:
- Reduce fine lines under the eyes and around the mouth
- Treat wrinkles caused by sun damage and aging
- Improve the appearance of mild scars
- Treat certain types of acne
- Reduce age spots, freckles, and dark patches (melasma) due to pregnancy or taking birth control pills
- Improve the look and feel of skin
Areas of sun damage may improve after chemical peeling.
After a chemical peel, skin is temporarily more sensitive to the sun, so wear sunscreen every day. It should say “broad-spectrum” on the label, meaning it protects against the sun’s UVA and UVB rays. Also, it should be a physical sunscreen and be above SPF 30. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m., and wear a wide-brimmed hat.
Who Is a Good Candidate For a Chemical Peel?
Generally, fair-skinned and light-haired patients are better candidates for chemical peels. If you have darker skin, you may also have good results, depending upon the type of problem being treated. But you also may be more likely to have an uneven skin tone after the procedure.
Skin sags, bulges, and more severe wrinkles do not respond well to chemical peels. They may need other kinds of cosmetic surgical procedures, such as laser resurfacing, a facelift, brow lift, eyelid lift, or soft tissue filler (collagen or fat). A dermatologic surgeon can help determine the most appropriate type of treatment for you.
Before You Get a Chemical Peel
Tell your doctor if you have any history of scarring, cold sores that keep coming back, or facial X-rays.
Before you get a chemical peel, your doctor may ask you to stop taking certain drugs and prepare your skin by using other medications, such as Retin-A, Renova, or glycolic acid. The doctor may also prescribe antibiotics or antiviral drugs.
Work with your doctor to determine the depth of your peel. This decision depends upon the condition of your skin and your goals for treatment.
Ask your doctor in advance whether you will need to have someone drive you home after your peel.
How Chemical Peels Are Done
You can get a chemical peel in a doctor’s office or in a surgery center. It’s an outpatient procedure, meaning there’s no overnight stay.
The professional who does your peel will first clean your skin thoroughly. Then they will apply one or more chemical solutions — such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbolic acid (phenol) — to small areas of your skin. That creates a controlled wound, letting new skin take its place.
During a chemical peel, most people feel a burning sensation that lasts about five to ten minutes, followed by a stinging sensation. Putting cool compresses on the skin may ease that stinging. You may need pain medication during or after a deeper peel.
What To Expect After the Chemical Peel
Depending upon the type of chemical peel, a reaction similar to sunburn occurs following the procedure. Peeling usually involves redness followed by scaling that ends within three to seven days. Mild peels may be repeated at one to four-week intervals until you get the look you’re after.
Medium-depth and deep peeling may result in swelling as well as blisters that may break, crust, turn brown, and peel off over a period of seven to 14 days. Medium-depth peels may be repeated in six to 12 months, if necessary.
After treatment, you may need bandages for several days on part or all of the skin that was treated.
You’ll need to avoid the sun for several months after a chemical peel since your new skin will be fragile.
Possible Complications
Some skin types are more likely to develop a temporary or permanent color change in the skin after a chemical peel. Taking birth control pills, subsequent pregnancy, or a family history of brownish discoloration on the face may make that more likely.
There is a low risk of scarring in certain areas of the face. Some people may be more likely to scar. If scarring does happen, it can usually be treated with good results.
For people with a history of herpes outbreaks, there is a small risk of reactivating cold sores. Your doctor can prescribe medication to prevent or treat that.
Chemical peeling treatment
A chemical peel uses a chemical solution to remove layers of skin, revealing the more youthful skin underneath. Chemical peels can reduce or improve fine lines and wrinkles, acne, scars, uneven skin coloring and other skin imperfections. Different chemicals determine the depth of your peel and type of skin condition treated.
What is a chemical peel?
A chemical peel, also known as chemexfoliation or dermapeeling, uses a chemical solution to improve the appearance of your skin. In this treatment, a chemical solution is applied to your skin, which causes trauma or injury to your skin’s layers. The skin layers eventually peel off revealing more youthful skin. The new skin is usually smoother with fewer lines and wrinkles, has a more even color and is brighter in complexion.
What conditions does a chemical peel treat?
Chemical peels are used to treat certain skin conditions or to improve your appearance by improving the tone and texture of your skin.
Chemical peels are most commonly performed on your face, neck or hands. They can help reduce or improve:
- Fine lines under your eyes or around your mouth and wrinkling caused by sun damage, aging and hereditary factors.
- Certain types of acne.
- Mild scarring.
- Sun spots, age spots, liver spots, freckles, uneven skin coloring.
- Precancerous scaly spots called actinic keratosis.
- Rough skin, scaly patches, dull complexion.
- Dark patches (melasma) due to pregnancy or taking birth control pills.
You will work with your dermatologist to determine the depth of your peel. This joint decision can vary depending upon the condition of your skin and the objectives of treatment.
Sags, bulges, deep scars, deep facial lines and more severe wrinkles don’t respond well to chemical peels. If these are your concerns, other cosmetic surgical procedures, such as carbon dioxide laser resurfacing, a face lift, brow lift, eye lift or soft tissue filler will be better options. A dermatologic surgeon can help determine the best treatment for your concerns.
Is a chemical peel good for all skin types?
Generally, superficial peels can be used on all skin types. However, if you have a darker skin tone, you have a greater risk of experiencing a darkening of your skin after treatment. This condition is called post-inflammatory hyperpigmentation. If you have a naturally darker skin tone, you may want to get the advice of your dermatologist about other less aggressive treatments to reduce the risk of hyperpigmentation.
Chemical peeling may also not be recommended if you:
- Have a history of abnormal skin scarring.
- Have extra coloring in your scars.
- Have skin conditions or take medications that make your skin more sensitive.
- Can’t stay out of the sun for the healing period.
PROCEDURE DETAILS
How are chemical peels performed?
A chemical peel can be performed in a doctor’s office or in a surgery center as an outpatient procedure. Your skin will be thoroughly cleansed with an agent that removes excess oils, while your eyes and hair are protected. A chemical solution is then applied to your skin. Chemical solutions typically used include glycolic acid, trichloroacetic acid, salicylic acid, lactic acid or carbolic acid (phenol). The different types of chemicals cause a controlled injury, each penetrating through to a different skin depth, then peeling away to reveal a new layer of skin.
The different chemical solutions provide different results. The choice of chemical depends on your goal. You will work with your dermatologist to determine the depth of your peel.
- A light (“lunchtime”) chemical peel provides subtle improvement over time and is often done in a series. The outermost layer of skin is removed. This choice may be best if you have fine wrinkling, acne, uneven skin coloring or dry, rough sun-damaged skin to help promote a healthy glow. Recovery from this type of peel may be within hours to a few days but with little to no down time.
- A medium chemical peel gives your skin a smooth, fresh look. The outermost layer and the upper part of your middle skin layer are removed. This choice may be best if you have uneven or moderate skin discoloring, age spots, acne scarring or fine-to-moderate wrinkles. Recovery from this type of peel may take a week or more and require some down time.
- A deep chemical peel produces the most dramatic results. This chemical penetrates down to the lower middle layer of your skin. Recovery time is longer with a deep peel. This choice may be best if you have moderate lines and wrinkles, extensive sun-damaged skin, deep acne scars, blotchy skin, and/or precancerous growths called actinic keratosis. A deep chemical peel requires pretreatment for up to eight weeks. Your doctor will provide specific instructions. A deep chemical peel is a one-time only treatment if applied to your face and does have significant down time.
To prepare for your chemical peel, some general instructions include:
- Avoid tanning and direct sun exposure for two weeks before each treatment.
- Apply topical products (such as hydroquinone) as instructed before treatment to prepare your skin.
- Don’t use any products containing retinoids (such as tretinoin) one to two weeks before treatment, unless your physician tells you differently.
- If you have been prescribed oral antibiotics or an oral antiviral medicine, start taking it at least 24 hours before your chemical peel.
- Peel areas must be free of any open sores, lesions or skin infections.
Your doctor will give you specific instructions for your peel type and your unique skin condition.
Day of peel: Your skin will be thoroughly cleaned. If you are having a deep chemical peel, you will receive general anesthesia (you will be asleep).
The procedure: During a chemical peel, solution is applied to your skin. You may feel a warm to somewhat hot sensation that will last a few minutes. This is followed by a stinging sensation. To relieve the sting, a cool compress may be applied your skin. The chemical is then washed off and/or neutralized.
RISKS / BENEFITS
What are the possible complications of chemical peels?
In certain skin types, there’s a risk of a temporary or permanent change in the color of your skin. Taking birth control pills, pregnancy or a family history of brownish discoloration on your face may increase your risk of developing abnormal pigmentation.
There’s also a low risk of scarring in certain areas of your face and certain individuals may be more prone to scarring. If scarring does occur, it can usually be treated with good results.
If you’ve had a history of herpes outbreaks, there’s a small chance of reactivating the cold sore. Your dermatologist can prescribe medication to reduce the chance of a flare up. Follow the instructions of your doctor.
Before your chemical peel, be sure to tell your dermatologist if you have a history of keloids (scar tissue overgrowth created at the site of a skin injury), any unusual scarring tendencies, any X-rays of your face or history of cold sores.
Infections are rare but still a risk.
RECOVERY AND OUTLOOK
What should I expect after the chemical peel?
What to expect varies depending on the depth of your chemical peel.
If you’ve had a light chemical peel:
- Expect a sunburn-like reaction to occur after your peel, meaning you’ll see redness followed by scaling that lasts between three and seven days.
- Apply lotion or cream as directed until your skin heals. After your skin heals, apply daily sunscreen.
- You can wear makeup immediately after treatment or the next day.
- Additional peels may be repeated every two to five weeks until you achieve your desired results. Typically three to five peels are needed to achieve your goal.
If you’ve had a medium chemical peel:
- Expect some redness, swelling, stinging and flaking of your skin. Swelling may last and/or worsen for 48 hours. Blisters can develop and will break open. Skin will crust and peel off over seven to 14 days.
- Perform daily soaks as directed by your doctor. Apply ointment after each soak. Apply lotion or cream daily. Don’t expose your skin to sunlight until completely healed.
- Antiviral medication will need to be taken for 10 to 14 days.
- You can wear makeup after five to seven days.
- Additional medium-depth peels may be repeated at six to 12 months intervals, if needed, to maintain results.
If you’ve had a deep chemical peel:
- The treatment area will be bandaged. Your bandages will be removed in a few days. Expect a healing time of 14 to 21 days.
- Perform daily soaks as directed by your doctor. Apply ointment after each soak. After 14 days, apply moisturizer as directed. Don’t expose your skin to sun for three to six months.
- Antiviral medication will need to be taken for 10 to 14 days.
- Wait at least 14 days before using any makeup.
- You can only have one deep peel performed on your face.
To get the best results, regardless of the depth of your peel, follow these tips:
- Don’t use a tanning bed or other type of indoor or even outdoor tanning while your skin is healing.
- After your skin heals, always apply a daily sunscreen.
- Apply a daily moisturizer, as directed, to keep your skin moist to prevent scarring.
Your new skin is fragile and more susceptible to complications. Your doctor will provide you with post-treatment instructions to reduce the chance of developing abnormal skin color after your peel and other complications.
If your skin itches, swells or burns, call your doctor. Scratching your skin could lead to an infection.
ADDITIONAL DETAILS
Is a chemical peel covered under insurance?
No, usually not. Chemical peels are considered a cosmetic treatment and therefore not covered by insurance.
Chemical peel benefits
Out with the old and in with the new. Chemical peels treat fine lines, wrinkles, sun damage, pore size, acne, pigmentation, and more. These aesthetic treatments are some of the most sought-after, and millions of people are already enjoying the life-changing benefits. At AURAE MD in La Jolla, CA, we offer the widest variety of peels to reveal a new, radiant, you. Read on to find the top ten benefits of chemical peels.
What Is a Chemical Peel?
A chemical peel is a powerful skin exfoliating solution applied to the face, neck, or hands to reveal the smooth and clear skin underneath. What makes this technique so popular is that it’s useful for a variety of skin concerns.
Are All Chemical Peels the Same?
No, there are different peels. Peels are generally classified by their ingredients. Each skin condition may respond differently to the ingredients in a peel. For example, wrinkles, pigment problems, and superficial blemishes respond very well to a stronger peel. Acne often responds best to salicylic acid peels.
Alpha-hydroxy (AHA), glycolic, lactic, or fruit acid peels are among the gentlest peels. Stronger options like trichloroacetic acid peels penetrate the skin more deeply and can rid the skin of wrinkles.
All peels can provide skin rejuvenating benefits, but your skin’s type and condition dictates which peel to use. Contacting Dr. Margo Aura Emami is the best way to find out which peel is right for you.
How Does a Chemical Peel Work?
The exact process varies depending on the chosen peel. Your skin is thoroughly cleansed and prepared for the treatment before the application of the peel. Next, a chemical solution is applied to your skin and left in place for a designated time. While you wait, the peel solution exfoliates the skin. Once the peel has completed its work, it is peeled away to reveal new, regenerated skin.
10 Top Benefits of Chemical Peels
There is a peel for all the most common skin concerns. Below are the top ten benefits of a chemical peel.
1. Treats Acne
Topical acne treatments can only go so far, and a peel exfoliates deeper. Getting a peel cleanses your skin more thoroughly and reveals a fresh new layer of skin, without the acne. Peels for acne work best when received in a series, and Dr. Margo Aura Emami can customize a peel schedule to help keep your skin blemish-free.
2. Minimizes Pores
Large pores are a common concern for many, and all who have them wish they’d go away. Removing the outer, often damaged layer of skin with a peel has the benefit of making pores look smaller.
3. Erases Fine Lines and Wrinkles
Nothing leaves us stuck in the past as much as lines on the skin. These reminders prevent us from living in—and fully enjoying—the present moment. When fine lines or wrinkles have got you down, peels come to the rescue. These chemical solutions can permanently remove fine lines and ease even the toughest wrinkles.
4. Fades Discoloration
You deserve to feel confident, vibrant, and beautiful. If sunspots, discoloration, and hyperpigmentation are getting in your way, a peel can help. Many clients find that a peel lifts discoloration from the skin for good.
5. Lifts Skin
When you don’t want the downtime of a facelift, a peel could be the right alternative for you. Skin lifting is one of the incredible benefits a peel offers.
6. Soothes Scarring
There is an implied permanence with scarring that isn’t accurate. Many scars from acne or anything else recede when exposed to the chemicals found in a peel.
7. Balances Texture
Uneven skin tone and blemishes add a dimension to the skin that many people don’t want. Peels bring balance to the overall texture of the skin.
8. Smooths Skin
Peels are best known for unparalleled skin-smoothing benefits. By lifting rigid layers of skin from the face, neck, or hands, the result is gorgeously smooth and touchable skin.
9. Non-Invasive Treatment
This treatment is one of the most effective options not requiring needles or surgery. Some clients pair this treatment with other treatments because of this. For others, it’s comforting to know that they can achieve their desired look without surgery.
10. AURAE MD Customizes
At AURAE MD, your peel is customized to ensure you get the most benefits from treatment. Whether you have a combination of concerns or a concern not listed above, there is a peel option for you.
Is There Anything to Avoid After a Chemical Peel?
After receiving any peel, it’s essential to avoid the sun while your skin heals.
Superficial Peels
Superficial peels take one to seven days to heal fully. Use lotion or cream on the skin while it heals. Wear sunscreen every day after your skin heals. You can wear makeup the day after your appointment.
Medium Peels
Medium peels take five to ten days to heal completely. The skin may peel during this time. If you have a history of cold sores, you may be advised to take antiviral medication during this time. Use a mild lotion or cream on the skin during the healing process. After five to seven days, you can wear makeup.