What To Know About Chemical Peel Procedure

What To Know About Chemical Peel Procedure

To get that radiant, healthy look, many people turn to chemical peels. A chemical solution is applied to the face and left to sit for a few minutes before being washed off. This procedure causes the top layer of skin to peel off, exposing younger, healthier skin beneath.

Alpha hydroxy acid (AHA) peels, which typically use fruit acids, are the most popular type of chemical peel. Beta hydroxy acid (BHA) peels and phenol peels are two more types of chemical peels. There are advantages and disadvantages to each variety. It’s crucial to know what to expect from a chemical peel and what potential side effects there can be before deciding to have one.

Chemical peels are becoming increasingly popular today as we try to reverse signs of aging and slow down the aging process in our skin. However, it is important to note that not all chemical peels are created equal. There are different types of chemical peels that serve different purposes and target different skin issues. In this article, we will be discussing what to know about the chemical peel procedure. Read on to learn more about Chemical Peel Benefits and types of chemical peels.

What To Know About Chemical Peel Procedure

As we age, dead skin cells do not slough off as easily as when we are younger, causing the skin to appear dull. Light, medium and deep chemical peels are a popular nonsurgical dermatology procedure used to peel away the skin’s top layer to improve sun-damaged, unevenly pigmented and wrinkled skin. Improving the evenness of color and texture in your skin creates a youthful look and restores a healthy, luminous and radiant appearance.

When to Consider Chemical Peels

• If you have wrinkles or sun-damaged skin.
• If you have skin discolorations, blotchiness or brown spots.
• If you have scars that have made the surface of your skin uneven.
• If you have certain precancerous skin growths.
• If you want to improve the appearance of acne scars.

Considerations

Pros

• No anesthesia or sedation is needed.
• Light and medium chemical peels have minimal aftercare and recovery.
• Deep chemical peels have long-lasting effects on treating deep wrinkles.

Cons

• After peel, there will be sun sensitivity and pores may appear larger.
• Deep chemical peels may have a bleaching effect.
• Can exacerbate skin disorders, including allergic reactions or cold sores.

These are the top three pros and cons to weigh when considering chemical peels. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon.

Are you a good candidate for a chemical peel?
The following are some common reasons why you may want to consider a chemical peel:

• You have sun-damaged skin
• You have significant facial wrinkling
• Your skin color is uneven with blotchiness, sunspots and brown spots
• You have scars that have made the surface of your skin uneven
• You have certain precancerous skin growths

Other characteristics of your skin, such as its thickness and texture, may influence whether you are a good candidate for chemical peels.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Detailed Procedural Info

How is a chemical peel procedure performed?

Most often, your treatment will be performed by a licensed skincare professional in your plastic surgeon’s office or medical spa. Peels involve the application of a chemical solution to your entire face or just to certain regions, such as the crow’s feet area around your eyes or the vertical wrinkles around your mouth.

The chemical solution is either applied lightly or rubbed more vigorously onto the skin being treated using a sponge, cotton pad, swab, or brush (avoiding your brows, eyes and lips). During peel application, you may experience a slight tingling (light to medium peels) or a burning sensation (deep peels). These sensations are usually minimal for light and medium peels but are more severe for deep peels. The length of time the solution is allowed to work is determined by carefully observing the changes in the appearance of your skin. With certain types of chemical peels, the solution may be “neutralized” after an appropriate amount of time has elapsed.

The different types of chemical peels vary according to their specific ingredients and their strength. The depth of their peeling action may also be determined by factors such as how long they remain on the skin and how they are applied onto the skin.

No covering or after-peel ointment is necessary after a light or medium peel and you can expect little to no downtime. However, after a deep peel, a thick coating of petroleum jelly or other protective ointment is layered over the face, covering the protective crust that develops rapidly over the area. This stays in place for one to two days. In some cases, dressings, tape or a bandage may be applied (this is particularly effective in cases of severe wrinkling). A deep peel requires a longer recuperation period.

Chemical peels exfoliate dead cells and can improve texture, acne, sun damage and congested pores. Deeper peels can address wrinkles and uneven skin tone.

What are my options?

Your options will depend on the treatment depth you require and your surgeon will recommend an approach based upon your aesthetic goals. The amount of time you can allow for recovery may be an important factor to consider when selecting a particular chemical peel or determining the extent of treatment.

Light to Medium Peels

Glycolic (AHA) peel

Generally, the most superficial peels are those using alpha hydroxy acids (AHA), such as glycolic, lactic or fruit acid. AHA peels can reduce the effects of aging and sun damage including fine wrinkling and brown spots. Sometimes a single treatment with an AHA peel will give your skin a fresher, healthier appearance and a radiant glow. No anesthesia is needed and you will only feel a tingling or mild stinging sensation when the solution is applied. Immediately after the procedure, you generally will be able to wear makeup and you can drive yourself home or back to work. Various concentrations of an AHA may be applied weekly or at longer intervals to further improve the texture of your skin. Your surgeon may recommend a maintenance program using AHA products that you can apply at home on a regular basis.

Trichloracetic (TCA) acid peel

A TCA peel is a stronger, medium depth peel. TCA peels are often used for the treatment of wrinkles, skin pigment changes and blemishes. Many patients can benefit from having TCA applied not only on the face but also on the neck and other parts of the body that have been exposed to the sun. For spot peeling of limited areas such as around the mouth or eyes, TCA formulas are often preferred because they have a reduced bleaching effect compared to solutions containing phenol, another popular peeling agent. Some surgeons have found TCA to be effective in treating darker-skinned patients. Milder TCA peels can be repeated frequently in order to achieve cumulative effects or TCA can be used to achieve a medium or even a deep peel, depending on the acid concentration and manner of application.

Deep Peels

Phenol peels

A phenol peel is a deep peel that is sometimes recommended for treating severe wrinkles (from fine lines to deep creases), sun damage, uneven skin tone and texture and may be used in the treatment of precancerous skin conditions. Phenol is particularly useful for minimizing the vertical lines that often form around the mouth as a result of aging. Deep peels take longer to perform and will leave a healing crust on the skin that must be covered with protective ointment and limited from sun exposure. There is a burning sensation, but it is relieved somewhat because the solution also acts as an anesthetic. Phenol often has a significant bleaching effect and you may need to wear makeup in order for the treated portions of your skin to more closely match the skin color of the surrounding areas. Phenol cannot be used on your neck or other parts of your body.

ASAPS Position
The effectiveness of phenol chemical peeling has been proven in clinical studies over the last 30 years. Because this is a serious procedure, it is ASAPS’ position that phenol chemical peels should only be performed under the direction of a qualified physician.

Croton oil peels

Croton oil enhances the penetration of phenol and the depth of the peel. Croton oil peels are used to treat severe wrinkles caused by sun damage and extensive acne damage. The ideal patient has fair, dry skin. The application of this peel is painful, and intravenous sedation or general anesthesia is usually necessary. Patients are usually pain free the following morning.

What are the brand names for chemical peels?

A variety of chemical treatments can be used to exfoliate and rejuvenate the skin. Depending on the depth of treatment required, your surgeon may choose one of the following peels:

• Alpha-hydroxy acid peel (AHA)
• Beta-hydroxy acid peel (BHA)
• Trichloroacetic acid peel (TCA)
• Phenol peel
• Croton oil peel

Selecting a Surgeon

Select a surgeon you can trust

It’s important to choose your surgeon based on:

• Education, training and certification
• Experience with chemical peels
• Your comfort level with him or her

Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure. Learn how to select a surgeon.

After finding a board-certified plastic surgeon in your area who is experienced in performing chemical peels, you will need to make an office appointment to set up your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit.

Your initial consultation appointment

During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for a chemical peel and clarify what it can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered (see related procedures).

You should come to the consultation prepared to discuss your complete medical history. This will include information about:

• Previous surgeries
• Past and present medical conditions
• Allergies and current medications

Additionally, it is important to tell your surgeon if you have ever had x-ray treatments of your facial skin, such as those used in the treatment of acne or if you have had a chemical peeling procedure. Current or past use of Accutane (isotretinoin), as well as Retin-A (tretinoin) and other topical skin preparations, must be reported to your surgeon.

Your treatment plan

Based on your goals, physical characteristics and the surgeon’s training and experience, your surgeon will share recommendations and information with you, including:

• An approach to your treatment, including the type of procedure or combination of procedures.
• The outcomes that you can anticipate.
• Your financial investment for the procedure.
• Associated risks and complications.
• Options for anesthesia and treatment location.
• What you need to prepare for your treatment.
• What you can expect to experience after treatment.
• Show before and after photos of cases similar to yours and answer any questions.

Questions to ask your aesthetic plastic surgeon

It is important for you to take an active role in your treatment, so please use this list of questions as a starting point for your initial consultation.

• Am I a good candidate for a chemical peel?
• Are the results I am seeking reasonable and realistic?
• Do you have before-and-after photos I can look at for the procedure I am undergoing?
• Will I have any scarring?
• What kind of anesthesia do you recommend for me?
• What will be the costs associated with my treatment?
• What will you expect of me to get the best results?
• What kind of recovery period can I expect and when can I resume normal activities?
• What are the risks and complications associated with my procedure?
• How are complications handled?
• What are my options if the cosmetic outcome of my treatment does not meet the goals we agreed on?

Preparing for Your Procedure

How do I prepare for a chemical peel procedure?

Your surgeon will provide thorough pretreatment instructions, answer any questions that you may have, take a detailed medical history, and perform a physical exam to determine your fitness for treatment.

Depending on the depth of your chemical peel treatment, you may be placed on a pretreatment program during which you will apply special creams, lotions or gels to your skin for a few weeks or longer. If you have a history of herpes infections around your mouth, your doctor will prescribe an antiviral medication before and after treatment to prevent viral infection. You may also be given certain oral medications that you should begin taking prior to your treatment.

In advance of your procedure, your surgeon will ask you to:

• Stop smoking at least six weeks before undergoing the chemical peel to promote better healing.
• Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding.
• Regardless of the type of treatment to be performed, hydration is very important before and after surgery for safe recovery.

Chemical peels are usually performed on an outpatient basis. If you have a deep peel be sure to arrange for someone to drive you home after treatment and to stay with you at least the first night following treatment.

*What can I expect on the day of a chemical peel treatment?

Light to Medium Peels

A light or medium chemical peels is often performed in an office-based setting. Generally the procedure takes about 30 minutes to an hour. No sedation or anesthesia is needed.

Deep Peels

A deep chemical peel may be performed in an accredited hospital, free-standing ambulatory facility or office-based surgical suite. Most chemical peel procedures take at least 30 minutes to two hours to complete but may take longer.

• Medications are administered for your comfort during the procedure.
• Depending on the type of chemical peel chosen and the area treated, local anesthesia may be adequate; however, for larger areas, sedation or general anesthesia may be recommended.
• For your safety during the treatment, various monitors will be used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
• Your surgeon will follow the treatment plan discussed with you.
• After your procedure is completed, you will be taken into a recovery area where you will continue to be closely monitored.

You will be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate post-treatment recovery.

Aftercare and Recovery

Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:

• Normal symptoms you will experience
• Potential signs of complications

Following all chemical peel treatments, it is important to avoid direct or indirect sun exposure until all the redness or pinkness of your skin has subsided. Even after that, it is advisable to protect your skin by regular use of sunscreen and, whenever possible, a wide-brimmed hat. This is particularly important if you have had a phenol peel which eliminates your skin’s ability to tan. If the area around your eyes has been treated, you should wear good quality sunglasses when outdoors. After some types of chemical peel treatments, you may need to be careful about exposing your skin to chlorinated water.

Immediately after a chemical peel

For deep peels, your treated skin may be covered with petroleum jelly or other protective ointment and, in some cases, dressings may be applied.

You may have some pain, particularly with the deeper peels. If the pain is extreme or long-lasting, contact your physician. You will also have some redness and swelling after the surgery. Contact your surgeon to find out if your pain, redness and swelling are normal or a sign of a problem.

Recovery time frame after chemical peels

Your recovery will depend on the technique and depth of treatment.

Light Peels

A more superficial treatment will have no down time and you can return to your normal activities immediately.

Medium to Deep Peels

A deeper peel will involve a more prolonged healing period. You will be advised about cleansing your skin and if you should apply any ointments. For men who have undergone resurfacing procedures, shaving must be delayed for a while.

It is vitally important that you follow all patient care instructions provided by your surgeon. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.

The first two weeks

• Depending on the post-treatment regimen selected by your surgeon, a scab may or may not form over the treated area in medium and deep peels.
• For deeper peels, your wounded skin may be moist and ooze serous (“clear watery”) fluid.
• Depending on the depth of the peel you might have, swelling and redness will gradually change to pink, signalling that your new skin has begun to form.

Week two to eight

• Your skin may still be pink.
• Your skin tones will begin to blend naturally.
• Your surgeon will advise if camouflage makeup can be used.

How long will my results from a chemical peel last?

Because of the persistence of skin pinkness following deeper chemical peel procedures, it may take months before you can fully appreciate your new look. Most patients feel that the results are definitely worth waiting for and, in the case of deeper treatments, the benefits are relatively long-lasting. Superficial resurfacing procedures may need to be repeated periodically in order to maintain their benefits.

Your skin will continue to age, and wrinkles caused by movement of your facial muscles will eventually reappear. Some wrinkles may recur sooner than others, depending on their location as well as the type and extent of your chemical peel treatment. Despite this, you can expect that improvements in skin quality and texture achieved by a chemical peel will make your complexion appear younger and fresher for many years to come.

Maintain a relationship with your aesthetic plastic surgeon

For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you notice any changes in your skin that has been treated. Do not hesitate to contact your surgeon when you have any questions or concerns.

Associated Costs

The cost of chemical peels varies from the type of peel, from doctor to doctor, and from one geographic area to another.

See the national average for physician fees per procedure.
These numbers only reflect the physician/surgeon fees last year and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments or other miscellaneous costs related to this procedure.

Because chemical peels are elective procedures, insurance usually does not cover these costs. Occasionally, however, if the peel is being performed to treat precancerous skin conditions or improves certain types of scars, insurance coverage may be available. Your plastic surgeon’s office will explain how you can find out from your insurance company if a particular procedure will be covered. Many surgeons offer patient financing plans to make the procedure more affordable.

Choose your surgeon based on quality, training and experience—not cost.

See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training and certifications.

Limitations and Risks

Fortunately, significant complications from chemical peels are infrequent. Your specific risks for chemical peels will be discussed during your consultation.

All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:

• Adverse reaction to anesthesia
• Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
• Infection and bleeding
• Changes in sensation
• Allergic reactions
• Damage to underlying structures
• Unsatisfactory results that may necessitate additional procedures

Other risks specific to chemical peels are outlined below:

• Scarring
• Abnormal healing
• Unanticipated color changes or skin blotchiness
• Eruption of cold sore (herpes virus)
• Tiny whiteheads

You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your chemical peel treatment.

Chemical Peel Benefits

Chemical peel. A chemical peel uses acids at stronger concentrations to treat the desired area of skin. They reduce the appearance of hyperpigmentation by removing the top layer of your skin (epidermis). Deeper versions may also penetrate the middle layer of your skin (dermis) to produce more dramatic results

Although many chemical peels are available OTC, you might consider getting a professional-grade peel at your dermatologist’s office. These are more powerful, and they yield quicker results.

Due to their strength, in-office peels may also increase your risk for side effects. Talk with your dermatologist about your individual risks.

Possible risks with both at-home and in-office chemical peels includeTrusted Source:

• redness
• irritation
• blistering
• infection
• scarring
• allergic reaction

If you’re out in the sun on a regular basis, chemical peels may not be the best treatment option for you. Chemical peels cause your skin to be more sensitive to the sun’s rays.

If you don’t adequately apply sunscreen and use other UV protection, the sun may worsen your hyperpigmentation. You’ll need to take extra precautions for at least one week after your last chemical peel.

Who should try this?

Chemical peels may work if you have:

• age spots
• sun damage
• melasma
• blotchy skin

They also work best for fairer skin tones, and they may provide faster results than face acid products.

What products can you try?

If you’re looking for a professional-grade peel to use at home, consider a glycolic acid peel from Exuviance. This product may be used up to twice a week. It can also help reduce the appearance of wrinkles.

If you have a darker skin tone or want a stronger peel, talk with your dermatologist. They can discuss the professional peels that they have available and help you decide on the right peel for you.

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4. Laser peel (skin resurfacing)

A laser peel (resurfacing) treatment uses targeted beams of light to reduce hyperpigmentation.

There are two types of lasers: ablative and non-ablative.

Ablative lasers are the most intense, and they involve removing layers of your skin. Non-ablative procedures, on the other hand, target the dermis to promote collagen growth and tightening effects.

Ablative lasers are stronger, but they may cause more side effects. Both destroy elements in your skin to ensure that new skin cells grow back tighter and more toned.

Who should try this?

There isn’t a one-size-fits-all approach to skin resurfacing.

Ablative lasers may work better for people with fair skin. For some people, non-ablative versions may cause the skin to darken instead of lighten.

Your dermatologist will work with you to assess your discoloration and overall skin tone to select the best option for your skin.

5. Intense pulse light therapy (IPL)

IPL therapy is a type of non-ablative (fractional) laser treatment. Also known as a photofacial, IPL therapy stimulates collagen growth within the dermis. It usually requires multiple sessions.

IPL is used for overall pigmentation issues, but flat spots especially respond to this treatment. It may also help reduce the appearance of wrinkles, spider veins, and enlarged pores.

Who should try this?

According to the American Society for Dermatologic Surgery (ASDS), IPL works best for people with fair skin.

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6. Microdermabrasion

Microdermabrasion is an in-office procedure used to treat hyperpigmentation that affects the epidermis only (superficial scarring).

During the procedure, your dermatologist will use a drill-like handheld tool with a wire brush or another abrasive attachment. The tool is then swiped across your skin to rapidly — but gently — remove the epidermis.

You may need multiple sessions to achieve your ideal result.

Who should try this?

Microdermabrasion works best on superficial scars. Your dermatologist can help you determine whether this treatment is right for you.

It also works well for people with fairer skin.

7. Dermabrasion

Dermabrasion also involves the removal of your epidermis, but its effects continue down to a part of your dermis.

While dermabrasion is sometimes used to smooth out wrinkles, the procedure has been historically used to address texture concerns. These include:

• acne scars
• age spots
• chickenpox scars
• injury scars
• sun damage

As with microdermabrasion, your dermatologist will use a drill-like handheld tool with a wire brush or other abrasive attachment. They’ll move the tool across your skin to rapidly — but gently — remove your entire epidermis and the top part of your dermis.

Who should try this?

Dermabrasion may be a good option if you’re looking to decrease pigmentation at a faster rate than microdermabrasion.

It works best for fairer skin. However, further hyperpigmentation as a result of the procedure can occur with all skin types. The new patches of hyperpigmentation may lighten after about eight weeks.

8. Lightening creams

Lightening creams are over-the-counter (OTC) treatments that work with select ingredients to help decrease pigmentation. Many of these creams are available in stronger prescription forms.

They’re usually applied once or twice a day to help lighten the skin over time. Topical treatments for lightening also come in gel form.

Common ingredients found in OTC lightening products include:

• licorice extract
• vitamin B-3 (niacinamide)

Who should try this?

Lightening creams or gels work best for flat spots, such as melasma or age spots. They’re effective for patches of discoloration on most skin types.

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What products can you try?

OTC products are accessible (and sometimes more affordable) options for hyperpigmentation, but these can take longer than professional treatments.

Look for creams with ingredients like niacinamide.

The Food and Drug Administration (FDA) recommends using caution when purchasing OTC skin lighteners, as they may contain traces of mercuryTrusted Source.

What works best for each skin tone?

Skin tone can play a role in the intensity and length of hyperpigmentation treatments. As noted by Dr. Cynthia Cobb, DNP, APRN, WHNP-BC, MEP-C, people with fair, medium, and dark skin tones can use some of the same therapies, but people with darker skin need more time for the treatment to work.

Fair skin responds well to most hyperpigmentation procedures.

The following might be off limits if you tan easily or have darker skin:

• high-beam lasers
• IPL therapy

Medium skin tones may find the following options helpful:

• chemical peels
• microdermabrasion

Darker skin might benefit from:

• glycolic acid
• kojic acid
• OTC lightening creams
• microdermabrasion
• lower-strength chemical peels
• laser treatments, but only when used at lower intensities over a larger number of sessions

Topical treatments generally take longer to produce visible results. Patience is key with any treatment option.

Talk with your dermatologist

Your dermatologist can help you identify the cause of your hyperpigmentation and work with you to develop an appropriate treatment plan.

No matter what treatment you ultimately choose, it’s important to protect your skin from further sun damage and hyperpigmentation.

The years of active breakouts may be behind you, but breaking up with acne is hard to do. Pimples may disappear, but all too often they leave behind an unfriendly reminder of their visit — acne scars.

Acne scars detract from your overall complexion, making many adults feel self-conscious about the way they look. Acne scars are stubborn, and home remedies, like over-the-counter bleaching agents, won’t do the trick. The good news is that acne scars are now treatable.

At Dontage Premier Aesthetic Anti-Aging Specialists in Falls Church, Virginia, we understand the frustration acne scars bring. Skin care specialist Waseem Garbia, PA-C, and his medical team provide warm, personalized care that’s customized to meet your unique skin care needs.

If you’re like most people with acne scars, you’ve done your research and know two top treatments that work to reduce facial scarring are chemical peels and microneedling. But it’s hard to know which is better for acne scars.

Read on to understand the difference between chemical peels and microneedling, and figure out which is better for your acne scars.

Types Of Chemical Peels

When it comes to revitalizing the skin, chemical peels are the most common cosmetic treatment in the world of dermatology. Chemical peels are a customizable way to treat a myriad of skin conditions, including acne scars, age spots, discoloration, fine lines and wrinkles, melasma, and even rosacea. Chemical peels are designed to exfoliate the skin and eliminate dead skin cells from the top layer of the skin, which allows for healthier, younger-looking skin. Dr. Michele Green was one of the first dermatologists in NYC to incorporate TCA, Cosmelan peels, Glycolic acid, salicylic acid peels to treat melasma and other disorders of hyperpigmentation in her boutique New York City dermatology practice.

The American Academy of Dermatology specifies three different types of chemical peels. The different types are determined by the strength of the chemical peel, as well as how deeply the layers of skin are affected. The three major classifications of chemical peel are a light or superficial peel, a medium depth peel, and a deep chemical peel. Within those three major classifications are four common types of peels: Alpha Hydroxy acid peels, Beta Hydroxy acid peels, Trichloroacetic Acid Peels (TCA), and Phenol peels.

Chemical Peels contain a tailored chemical solution designed to target specific skin care needs, and range in depth and intensity of treatment. Board-certified dermatologist Dr. Michele Green, in NYC, has over 25 years of experience treating patients with chemical peels, and determines the best type of chemical peel for each patient based on both your skin type and skin care needs. When developing a treatment plan, Dr. Green customizes your skincare routine with a combination of the best cosmetic products and types of chemical peels tailored especially for you. Choosing the correct chemical peel for your skin type and skin condition is the most important aspect to chemical peel treatment. If you’re interested in revitalizing your skin through chemical peels, contact the NYC office of Dr. Michele Green today to learn what are the best options designed for you.

How do chemical peels work?

A chemical peel is a type of skin resurfacing treatment that uses a chemical solution to remove outer layers of dead skin. Through a process of chemical exfoliation, chemical peels can stimulate cell turnover, which in turn unclogs pores and corrects skin discoloration, giving the skin a vibrant glow. The chemical solution is applied to the surface of the skin and targets the top layers of the skin in order to eliminate dead skin cells. This “controlled trauma” to the skin stimulates the natural peeling of the skin, which can improve the texture of the skin for a variety of skin types. Chemical peels rely on a variety of acid types, including glycolic acid, lactic acid, salicylic acid, and trichloroacetic acid (TCA). The depth and effect of the peel varies depending on the intensity and make-up of the chemical peel.

Chemical peels have been approved by the FDA for decades, and this skincare treatment has actually been around since the 19th century. They are used today to create a customizable skin treatment that can both reduce the signs of aging and revitalize irritated skin with little downtime required. Specifically, chemical peels can be used to reduce the appearance of fine lines and wrinkles, eliminate the appearance of hyperpigmentation including melasma and age spots, and rid the skin of acne and acne scars. The concentration and active ingredients in the different types of chemical peels can address varying skin conditions for rejuvenation and hydration of the skin.

What types of chemical peels are there?

The types of chemical peel for face are incredibly varied, each type tailored to the needs of the patient. The peels are divided into a few different categories that address the depth of the treatment, light, medium, and deep chemical peels. The strength of the peel is determined both by the skin texture and tone, but by the skin problem that one is trying to address. Melasma and hyperpigmentation require a different type of peel from fine lines and deeper wrinkles. In addition, darker skin tones require more gentle chemical peels than lighter skin types.

Light Chemical Peels

Light chemical peels, or superficial peels, are formulated with mild peeling agents to gently exfoliate the skin. The lightest chemical peels have an exfoliating chemical solution that only affects the top layer of the skin (epidermis).

What are the different types of superficial peels?

When it comes to superficial peels, there are a few common acids that are used. Alpha Hydroxy acid peels are considered the most gentle form of chemical peel, which can help to reduce the appearance of very fine lines, dry skin, minor acne, and mild pigment or uneven skin tone. Beta Hydroxy acid peels have lipid-based chemical solutions that help to control oil production, which can be particularly useful for those with naturally oily skin or who are acne prone.

Jessner’s peels combine lactic acid, salicylic acid, and resorcinol in order to move acids deeper into the layers of the skin. Jessner’s peels are often followed up with the application of retinoid acid. Retinoid acid (retinol) provides a deeper peel penetration, which can help to trigger faster skin healing and new skin growth.

Alpha Hydroxy acid (glycolic acid) Peels

Alpha Hydroxy acids (AHA) refers variety of different acids, including  citric acid (from citrus fruits), lactic acid (from fermented milk), magic acid (from apples) and tartaric acid (from grapes). However, the most popular AHA peel is a glycolic acid peel in order to exfoliate the skin and stimulate collagen production in the body. Glycolic acid, derived from sugar cane, has a very small molecular structure which allows it to penetrate the layers of the skin, and varies in strength to balance active exfoliation with skin sensitivity.

Beta Hydroxy acid (salicylic acid) Peels

Beta Hydroxy acid Peels, or BHA peels, are an excellent option for those hoping to reduce the appearance of blemishes or congested skin. The lipid base of BHA peels can reach farther than many AHA peels, as the solution can penetrate deeper layers of the dermis by attaching to the skin’s natural oils. Salicylic acid, the most common acid in BHA peels, acts as a clear-out for the pores, and has anti-inflammatory characteristics that reduce irritation due to acne breakouts.

Jessner’s Peels

Jessner’s peels can vary by strength depending on the percentages of the acids used. Jessner’s peels can also contain additional acid combinations, such as mandelic acid (from almonds) for anti-inflammatory benefit, phytic acid to treat patients with sensitive skin, or lactic acid to brighten and hydrate the skin. Oftentimes, for patients with rosacea, chemical peels can be tailored with a solution that includes phytic, mandelic, and lactic acids.

Medium Depth Peels

Medium peels vary in terms of chemical solution, but the most common medium depth peel is a Trichloroacetic acid peel.

Trichloroacetic Acid Peels (TCA)

Trichloroacetic acid peels, or TCA peels, are offered in a range of strengths and combinations. TCA can be used in combination with salicylic acid, among others, at a lower percentage within a solution. However, when the TCA percentage exceeds 20%, it is administered solely by a medical professional, such as Dr. Green. TCA peels are an excellent choice for patients who experience pigment irregularities and sun damage, as well as deep wrinkles and acne scars. Additionally, TCA peels can be used to treat pre-cancerous growths on the skin, also known as actinic keratosis.

Deep Peels

Deep peels are designed to penetrate deeper into the layers of the dermis. Deep chemical peels tend to require more recovery time, but they offer long-lasting, dramatic facial rejuvenation.

When considering a deeper peel, patients may also consider laser resurfacing as a means to reinvigorate the skin. Laser resurfacing has become a popular treatment for convenient, safe, and successful skin rejuvenation.

Phenol Peels

Phenol peels use carbolic acid as their peeling agent. Phenol peels have perhaps the strongest chemical peel solution to produce the most dramatic results, and the concentration of carbolic acid can shift or be combined with resorcinol or salicylic acid to wonderful effect. Due to the intensity of the phenol peel, results can be transformative, but in some concentrations a phenol peel can only be administered once in a lifetime. For both safety and consistency of results, a phenol peel should always be administered by a board-certified physician, such as Dr. Green.

What are the side effects of chemical peels?

The side effects of chemical peels are typically temporary and mild, and include burning, dryness, redness, and swelling. After any chemical peel, and particularly if you are administered a deep peel, it is essential to avoid sun exposure and apply sunscreen regularly. Within the first few days post-treatment, you may experience lighter or darker skin tone, though this is temporary. Occasionally, patients experience herpes simplex (cold sore) flare-ups, in which case Dr. Green can prescribe an antiviral medication.

In rare cases, side effects from chemical peels can include scarring, as well as heart, liver or kidney damage. These side effects are more likely to occur when the incorrect chemical peel is administered, which is why it’s vital that a chemical solution be determined by a medical professional, such as Dr. Green.

What kind of chemical peel do I need?

When determining which chemical peel is best for you, Dr. Green considers your skin condition, skin type, and concerns. Ultimately, each individual will have different needs that will lead to the correct customized chemical solution but, in general, certain types of chemical peels are designed to target specific skin conditions.

What chemical peel is best for acne scars?

When it comes to acne, the best option is a superficial peel that has a chemical solution of glycolic acid or light TCA concentration. These acids are designed to unclog pores, exfoliate the skin, and remove the dead skin cells from the epidermis. This peeling procedure is able to get acne breakouts under control, and to clear out pimples and blemishes. BHA peels are also commonly used to treat acne, though this can cause some redness irritation for those with sensitive skin.

When it comes to acne scars, a AHA or TCA peel is actually able to lighten the appearance of blemish scarring when new skin is formed. Dr. Green often recommends a superficial peel in combination with her MGSkinLabs acne products, which can help to improve the appearance of acne and acne scarring  further after chemical peel treatment.

What type of chemical peel is best for wrinkles?

When it comes to reducing the appearance of fine lines and wrinkles, a Jessner’s peel, Mandelic chemical peel, and Retinol chemical peel are all excellent options. a Jessner’s peel is an effective choice for those hoping to reduce the appearance of fine lines and wrinkles, melasma, hyperpigmentation, and even acne scares when used as a superficial peel. Mandelic acid is a common anti-aging peeling agent, as it encourages new skin growth and can strengthen collagen in the skin to provide smoother, firmer skin. Retinol is a very popular skin care ingredient, as its a form of vitamin A that encourages the development of new skin cells. Retinol is able to reach deeper layers of the skin in order to trigger renewed skin cell growth, and it can hydrate and refresh almost any complexion.

What type of chemical peel should I get for hyperpigmentation?

The cosmelan peel is Dr. Green’s recommendation for reducing the appearance of hyperpigmentation. A cosmelan peel is designed to target dark marks from acne, acne scars, melasma, and wide-spread hyperpigmentation, healing the skin and evening out skin tone. The cosmelan peel can be used for all skin types and skin tones, and is able to reduce issues of hyperpigmentation through a combination of in-office application and at-home treatment. In order to achieve optimal results, patients must avoid sun exposure and use a high SPF sunscreen post-procedure.

Another option for treating hyperpigmentation is a Vi Peel. A Vi Peel is a distinctive chemical peel that uses a chemical solution of salicylic acid, Vitamin C, TCA, and retinoid acid. A Vi peel can sun damage, melasma, acne scars, and other pigmentation and discoloration of the face. As the Vi peel addresses the skin texture, it is also able to tighten pores and reduce the appearance of fine lines, acne, and surface irregularities. Like many other chemical peels, the Vi peel can be offered in combination with laser skin resurfacing, Botox, and Juvederm.

What type of chemical peel is the best for melasma?

When looking to treat any form of hyperpigmentation, including melasma, Dr. Green recommends the use of the Cosmelan peel. Melasma is a common skin condition that occurs due to an overproduction of melanin in the skin, which results in brown or gray patches on the surface of the skin. Melasma common appears on the face and can be easily treated at a dermatologist’s office with a Cosmelan peel. The Cosmelann peel contains five key ingredients – kojic acid, azelaic acid, arbutine, phytic acid, and ascorbic acid – which serve to inhibit the production of melanin by melanocytes in the skin. Further, the chemical peel works to exfoliate the pigmented layer of skin for lighter, clearer skin.

What is the best facial peel for aging skin?

There are many chemical peel options to address signs of aging, from reducing the appearance of fine lines and wrinkles, to eliminating age spots from the surface of the skin. When you have your initial consultation with Dr. Green, the two of you will discuss your aesthetic goals and Dr. Green will assess the treatment area in order to determine the treatment plan that will work best for you. There is no need for plastic surgery when it comes to rejuvenating your skin when there are many non-invasive, non-surgical options available, including chemical peels. For patients with sensitive skin, or who are looking to reduce the appearance of fine lines, a superficial chemical peel such as a Jessner’s peel may be the best options. Medium depth peels, such as TCA peels, can be used to address deeper wrinkles, as well as hyperpigmentation such as melasma and sun spots. Mandelic anti-aging chemical peels and retinol-based peels can also be used to refresh, hydrate, and revitalize aging skin.

What is the best chemical peel for dark skin?

There is a commonly held belief that chemical peels are all unsafe for patients with darker skin tones, but in fact, there are many chemical peel options that are safe and effective for Patients of Color or patients with darker skin. When it comes to chemical peels, People of Color are at a higher risk of developing post-inflammatory hyperpigmentation after receiving a chemical peel, which is when dark patches form on the surface of the skin. That is why, it is important to find a dermatologist who has worked with patients of all skin tones, such as Dr. Green, who understands how to treat darker skin. To start, it is best to use superficial chemical peels at a lower concentration, such as glycolic acid and salicylic acid peels. Retinol and Jessner peels are also safe and effective when used at a lower concentration. Medium depth peels can potentially be dangerous, particularly TCA peels at a concentration of 25% or above. Patients with darker skin tones should also avoid all deep chemical peels and any peels containing hydroquinone, as they pose the highest risk of damaging darker skin.

What are the different types of facial peels?

There are three main types of facial chemical peels: superficial peels, medium depth peels, and deep peels, each serving a different function and able to address a variety of skin conditions. Superficial peels are the lowest concentration facial peel and are best for reducing the appearance of fine lines, addressing acne, and brightening and hydrating the skin. Most superficial peels are safe and effective for all skin types. Medium depth peels can be used to treat skin conditions, such as hyperpigmentation, melasma, age spots, and actinic keratosis, as well as address deeper wrinkles and acne scars. Deep chemical peels have the highest concentration of exfoliating ingredients and may require some downtime. Deep chemical peels should not be used on patients with darker skin tones.

What types of facial peels are there?

Within the three categories of facial chemical peels, superficial peels, medium depth peels, and deep peels, there are many different types of peels with varying ingredients to treat a variety of conditions. Different acids, which are the main ingredients of chemical peels, will have a chemical reaction with the surface of the skin, which serves to exfoliate the skin, leading to new cell turnover. Different acids and different concentrations of acids will have different results. The most common acid found in the superficial alpha hydroxy acid peels is glycolic acid, which is good for reducing the appearance of fine lines, acne, and mild skin irregularities. Beta hydroxy acid peels will often contain salicylic acid, which is effective at reducing acne. Salicylic acid peels are often combined with Trichloroacetic acid peels, which are medium depth peels. Phenol peels, which are deep peels, contain carbolic acid as the peeling agent, which serves to address more severe skin conditions. When you have your consultation with Dr. Green, she will be able to determine the type of chemical peel that will work best to address your specific needs.

How does laser skin resurfacing compare to chemical peels?

Both chemical peels and laser treatments are cosmetic skin resurfacing procedures that are designed to remove dead skin cells from the top layer of the skin. Both lasers and chemical peels ca be used to rejuvenate the skin, reduce pigmentation or sun damage, and make the skin smoother and firmer. However, depending on your skin condition or skin type, you may be better suited for one treatment over the other.

Those with a lighter skin tone can be safely treated by a variety of laser treatments and chemical peels, but unfortunately those with a darker skin tone can be sensitive to certain lasers. Dr. Green has helped a variety of patients to reduce the appearance of hyperpigmentation that has been caused by lasers, and therefore encourages patients to do their research before considering laser skin resurfacing. Dr. Green will always work with you to determine if a chemical peel or laser skin resurfacing treatment is best for you.

How many types of chemical peels are there?

The four most common types of chemical peels are AHA peels, BHA peels, TCA peels, and Phenol peels. AHA and BHA peels are classified as light chemical peels, whereas TCA peels are defined as medium depth peels and Phenol peels are labeled as a deep peel. However, the chemical solution of a peel can be custom designed for a patient in order to optimize results, which leads to a variety of possible acid combinations and concentrations. Dr. Green is an expert in determining which chemical solution is best for each individual patient.

Who can perform a chemical peel?

Depending on the type, strength, and PH content of the chemical peel, it may only be provided by an authorized physician. Superficial peels can generally be performed by a licensed aesthetician, whereas deeper peels require a licensed medical professional. A chemical peel experience provided by a certified medical professional will provide you with the tailored chemical peel experience you need in order to achieve optimal results. A board-certified dermatologist such as Dr. Green is incredibly knowledgeable about how chemical solutions will affect different skin types and skin conditions.

Why choose Dr. Green for a chemical peel?

Dr. Green is a veteran in the world of cosmetic dermatology and specializes in skin rejuvenation and revitalization. Her goal with any treatment is ensure the safety and satisfaction of her patient, and she will work with you to create a curated skin care treatment plan that maximizes results while minimizing downtime. Dr. Green will help you to feel like the very best “you” possible through her care and expertise.

What is the best type of chemical peel?

Though it may surprise you, there is no one “best” type of chemical peel. The best chemical peel for you will always be different than the best chemical peel for another patient, as a chemical peel must be matched with your skin type, tone, condition, and area of the body. In general, fair-skinned patients can be treated with stronger chemical peels than patients with darker skin tones, but again this varies depending on the needs and skin condition of the patient. Dr. Green always works with her patients to best match the chemical peel with their particular skin type, and is incredibly knowledgeable in treating patients with all skin types and skin tones.

How do I get started with a chemical peel?

If you are looking for a way to revitalize your skin and rejuvenate your appearance, a chemical peel is an excellent non-invasive treatment option that will provide you with the cosmetic results that you’re after. Chemical peels are a completely customizable treatment option that can be used to target and resolve a myriad of skin conditions including acne scars, age spots, discoloration, fine lines and wrinkles, melasma, and even rosacea. Chemical peels are designed to exfoliate the skin and eliminate dead skin cells from the top layer of the skin, which allows for healthier, brighter, more youthful looking skin. Dr. Green often incorporates chemical peels into the treatment plans of her patients as they are a quick, painless way to achieve an overall improved complexion without any downtime whatsoever.

The four most common types of chemical peels are AHA peels, BHA peels, TCA peels, and Phenol peels. AHA and BHA peels are classified as light chemical peels, whereas TCA peels are defined as medium depth peels and Phenol peels are labeled as a deep peel.

A chemical peel resurfaces your skin through the use of a chemical solutions applied to the skin. As the chemicals react on your skin, they exfoliate the top layer, causing it to eventually peel off, leaving room for new, smoother skin to grow.

There are three basic types of chemical peel treatments, and each type has different effects and different time required to heal. The choice of peel depends on the results you’re seeking.

Superficial peels use a milder acid and generally work best on mild discoloration. Medium-level peels penetrate the outer and middle layers of skin to lessen the appearance of imperfections, such as age spots and wrinkles. Deep chemical peels penetrate far into the middle layers and remove damaged skin cells for more dramatic results.

Waseem and the team at Dontage will evaluate your skin to ensure you receive the best peel for your unique needs.

WHAT IS MICRONEEDLING?

Microneedling uses tiny needles to micro-puncture the skin. This nonsurgical procedure works by increasing collagen production in the punctured areas.

Collagen, a naturally-occurring protein made by the body, is the key ingredient in keeping your skin looking young, firm, and smooth. As we age, collagen production naturally declines. In addition, collagen production can be prematurely stunted when the skin is injured and then scarred, as with scars caused by acne.

Microneedling is safe to use on all skin types and is a safe and effective way to treat scars and other skin imperfections like wrinkles, sun spots, large pores, and more. Most patients find it to be pain free and experience dramatic results.

Microneedling isn’t a one-and-done treatment, however. Multiple treatments are generally required for optimal results. Waseem will evaluate your skin and recommend the right number of treatments for you. Most patients receive between 4-6 treatments, but each patient’s needs are different.

WHICH IS BETTER FOR ACNE SCARS?

Both chemical peels and microneedling will improve the appearance of your skin. Chemical peels generally work best on superficial imperfections, while microneedling penetrates deeper to improve more troublesome issues.

Many people with acne scars find a combination of microneedling and chemical peels deliver the best results. Microneedling will reach deeper under the skin to promote healing of scarred areas. Once the microneedling treatments are complete, a chemical peel can rejuvenate your skin further, leaving you with clearer, younger-looking skin.

No one treatment fits everyone’s needs. It’s important to meet with skincare professionals, like Waseem and the team at Dontage, to determine which is best for you.

HOW CAN I GET STARTED?

If you’re ready to say goodbye to your acne scars, be sure to seek treatment from certified professionals. With 16 years of professional experience, Waseem can recommend the right treatments to give you the clear, healthy skin you deserve.

Ready to take the first step in reducing the appearance of acne scars? Contact Waseem and the team at Dontage by phone or request an appointment online today.

Microneedling and chemical peel same day

Acne is difficult to overcome. Even after the pimples have disappeared, scars often remain a bitter reminder that we once suffered from this affliction. These scars cause the skin to look uneven, which in turn can lead to many insecurities. Home remedies or whitening creams usually do not work, so it is necessary to resort to professional dermatological treatments. 

Professionals recommend treatments such as chemical peelings and micro-needling to eliminate these marks on the skin. These treatments are highly beneficial both in combination and separately. The question is, can you do a chemical peeling after micro-needling? Keep reading to find out, but first, we will explain both processes separately.

What is micro-needling, and how does it work?

Microneedling is a non-surgical procedure in which the skin receives small punctures with the help of a radiofrequency device with microscopic needles or tools like derma-rollers and derma-pens. This treatment is painless, and the micro-punctures heal almost instantly.  

In microneedling, the punctures are made at the superficial level of the skin to stimulate and raise collagen production and increase elasticity in those specific areas. That promotes rejuvenation and reduction of scars, expression lines, flaccidity, and sunspots, resulting in a firmer, smoother, and younger appearance.

This treatment works on all skin types safely and with optimal results. Note that a single session is not enough, and the number of treatments required may vary for each patient, although usually between 3 and 6 sessions are performed. Even so, results show from the first session.

What is a chemical peeling, and how does it work?

Chemical peeling is a non-surgical procedure that consists of applying a chemical agent directly on the skin in the face, neck, and other body parts. With this powerful treatment, dead cells are exfoliated to stimulate new cells that will give the skin a smoother and younger appearance.

Chemical peels use a solution that “peels off” the top layers of the skin to improve its texture and appearance while diminishing acne marks, wrinkles, sun damage, blemishes, and redness.  

There are superficial, medium, and deep peels, each indicated depending on the desired effect. All of them have a different healing time, and their application will depend on the evaluation of a dermatologist for each patient