A chemical peel is a time tested technique used to resuface the skin.  A chemical peel varies in the strenght of the chemical, and hence in the depth of the skin treatmet.

micropeels:  superficial chemical peels are often oferred at spas, and consist of a varietyof weak acids such as lactic, citric, or glycolic acids that will affect the superficial epidermal layer.  These peels stimulate the skin to keep its radience.  They are unlikely to permanently get rid of lines and wrinkles but help keep the skin radiant and smooth.

Medium Depth Peels:  these peels are typcially plasitc surgeon or dermatologist administered.  They use stronger acids, such as The TCA acid.  These peels should be considered a surgicla procedure as they involve a period of recovery, as well as some risks.  These peels are much more effective in reaching the papillary dermis level which can lead to permanent improvement in the fine lines of the face. The chemical solution removes outer layers of epidermis and dermis which are sundamage and agedby age. Removing the outer skin prompts the body to generate a new layer of skin cells which are tainted by the previous skin condition.  Chemical peels may not be appropriate for darker skin complexions.

You may be a candidate for the chemical peel if you want to:

• Have many fine facial wrinkles and lines.
• have a lot of sun-damaged skin.
• have a lot of spots and pigmentation problems.
• Lighten scars (especially from acne).

General Procedure

During the procedure, the skin is first cleansed of oils.  A TCA solution (25-35%) is then carefully applied and is allowed to remain on the skin for a short time in order to remove the layers of damaged skin.  During that time you may experience some burning sensation.  At this point, the skin will turn white, a frost-like effect.  The skin is then neutralized and cleansed.  Finally, an ointment is applied to the skin to aid in healing.

Recovery Process

Generally, post-operative instructions call for sun avoidance, moisture application to help promote the haling..  An ointment and dressings are applied immediately following surgery to aid in the healing process and to minimize swelling.  The skin will have a pinkish color, and a thin crust may form over the area that was treated. 

Complications:  scarring, hyperpigmentation, chemical burns, hypopigmentation are all risks associated with chemical peels, and therefore any medium depth chemical peel should be only performed by a plastic surgeon or dermatologist who has training to minimize these chances..