Chemical Peels

Indications

Method

During a light chemical peel:

• Your doctor will use a brush, cotton ball, gauze or sponge to apply a chemical solution typically containing glycolic acid or salicylic acid. The treated skin will begin to whiten.
• You might feel mild stinging while the chemical solution is on your skin.
• Your doctor will apply a neutralizing solution or wash to remove the chemical solution from the treated skin.
• 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.

During a medium chemical peel:

• Your doctor will use a cotton-tipped applicator or gauze to apply a chemical solution containing trichloroacetic acid, sometimes in combination with glycolic acid. The treated skin will begin to whiten.
• After a few minutes, your doctor will apply cool compresses to soothe treated skin. You might also be given a hand-held fan to cool your skin. No neutralizing solution is needed, however.
• You might feel stinging and burning for up to 20 minutes.
• 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.

Post Procedural Care

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.