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What is a Chemical Peel?

Cosmetic procedure using chemicals to exfoliate and rejuvenate skin

A chemical peel is a cosmetic procedure used to improve the appearance of the skin on the face, neck, or hands. During the procedure, a chemical solution is applied to the skin, which causes it to exfoliate and eventually peel off.

The new, regenerated skin is usually smoother and less wrinkled than the old skin, leading to a more youthful appearance.

Chemical Peel - A Non-invasive skin rejuvenation - A woman receiving Chemical Peel treatment

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Chemical peels are used to treat a variety of skin issues, including wrinkles and fine lines, uneven skin texture and tone, acne scars, etc.

There are different types of chemical peels, ranging from mild to deep, depending on the strength of the chemical solution used and the depth of skin penetration. Superficial or light peels usually use mild acids while medium peels penetrate the skin more deeply addressing moderate skin issues. Deep peels are the strongest and can treat more severe skin problems but require more downtime for recovery.

It’s important to note that chemical peels should be performed by qualified professionals, such as licensed estheticians, to ensure safety and optimal results. After the procedure, proper skin care and sun protection are essential to maintain the results and promote skin healing.

What are the different types of chemical peels?

Chemical peels come in different types based on their depth of penetration and the specific skin concerns they address:

Superficial peels:

    • Ingredients: Alpha hydroxy acids (AHAs) like glycolic acid or beta hydroxy acids (BHAs) like salicylic acid.
    • Depth: Targets the outermost skin layer (epidermis).
    • Uses: Mild exfoliation, improving skin texture, treating mild discoloration, and acne.
    • Downtime: Minimal, often no downtime required.

Medium peels:

    • Ingredients: Trichloroacetic acid (TCA) or a combination of acids.
    • Depth: Penetrates the epidermis and upper dermis.
    • Uses: Treating moderate wrinkles, skin discoloration, and acne scars.
    • Downtime: Moderate, with redness, peeling, and temporary changes in skin color.

Deep peels:

    • Ingredients: Phenol.
    • Depth: Reaches the middle dermis.
    • Uses: Treating severe wrinkles, deep scars, and precancerous growths.
    • Downtime: Significant, with extended recovery and potential changes in skin color.

Chemical peels used in our clinic:

AlumierMD: Alumier MD peels use only pure acids. They offer light to medium peels, depending on your skin condition. The anti-aging, antioxidants, and brightening ingredients are applied after the peel. This makes sure that the active ingredients do not degrade in the acidity of the chemical peel formulas. The beneficial ingredients and nutrients for the skin penetrate and get absorbed better post-peel.

BioRePeelCl3® BLUE: It is a special two-step skincare treatment for the face, neck, and décolleté. It contains 30% Trichloroacetic Acid, along with a blend of α-hydroxyacids, β-hydroxyacids, poly-hydroxyacids, amino acids, and vitamins.

This product uses a mix of ingredients to bring the skin back to its best condition. It’s a complete treatment that helps with exfoliation, beautification, and moisturization, making it great for various skincare needs.

The choice of peel depends on the specific skin concerns, the depth of treatment required, and the individual’s skin type. Consultation with a qualified professional is crucial to determine the most suitable type of chemical peel for optimal results.

Are you a good candidate?

Although the Chemical Peel is generally a safe procedure, certain individuals should avoid it or consult an experienced professional before undergoing the procedure, including those with:

Active skin infections: People with active skin infections, such as cold sores, should wait until the infection is fully healed before getting a chemical peel.

Pregnancy and breastfeeding: Pregnant or breastfeeding women should avoid chemical peels, as the effects of the chemicals on the fetus or baby are not well-studied.

History of abnormal scarring: Those with a history of abnormal scarring, such as keloids, may be at a higher risk of developing similar issues after a chemical peel.

Skin conditions: People with certain skin conditions, like psoriasis, eczema, or dermatitis, should avoid chemical peels, as the procedure can exacerbate these conditions.

Recent laser treatments: Individuals who have had laser treatments or other skin procedures recently should wait until their skin has fully healed before considering a chemical peel.

Dark skin tones: People with darker skin tones are at a higher risk of developing pigmentation changes after a chemical peel. They should consult a skilled professional experienced in treating darker skin tones.

Certain medications: Some medications, like oral contraceptives and hormone replacement therapy, can increase the risk of pigmentation changes. It’s essential to discuss medication use with the healthcare provider before undergoing a chemical peel.

Sunburned skin: Individuals with sunburned skin should wait until the skin has fully healed before considering a chemical peel, as the procedure can worsen the damage and increase the risk of complications.

For whom would this treatment be suitable?

Chemical peels can be suitable for individuals with various skin issues, including:

Fine lines and wrinkles: Peels can reduce the appearance of fine lines and wrinkles, making the skin look smoother and more youthful.

Sun damage: Peels can improve sun-damaged skin by fading sunspots, reducing hyperpigmentation, and improving overall skin texture.

Acne and acne scars: Chemical peels can help in treating acne and reducing the appearance of acne scars by removing damaged layers of skin.

Uneven skin tone: Peels can even out skin tone by addressing issues like age spots, freckles, and other forms of hyperpigmentation.

Uneven texture: Chemical peels can smoothen out rough skin, leaving behind a more even and refined texture.

Melasma: Peels can be effective in treating melasma, a common skin condition that causes brown or gray-brown patches on the face.

Enlarged pores: Chemical peels can reduce the appearance of enlarged pores by removing the top layers of skin, leading to a smoother complexion.

Dull or rough skin: Peels can rejuvenate dull or rough skin, giving it a healthier and more vibrant appearance.

Age spots: Chemical peels can fade age spots, also known as liver spots, by removing the damaged outer layers of skin.

Hyperpigmentation: Peels can address various forms of hyperpigmentation, including post-inflammatory hyperpigmentation (PIH) caused by conditions like acne or injuries.

It’s crucial to have a consultation with a qualified professional before undergoing a chemical peel. They can assess your specific skin concerns, determine the appropriate type and strength of the peel, and ensure that the procedure is safe and suitable for your skin type.

Benefits of Chemical Peel

Chemical peels are a popular cosmetic procedure that can improve the appearance of the skin by removing the top layer of damaged cells. Some of the most common benefits of chemical peels include:

  • Enhanced collagen production: Chemical peels can stimulate collagen production in the skin, which contributes to its firmness and elasticity.
  • Improved absorption of skincare products: By removing dead skin cells and unclogging pores, chemical peels enhance the skin’s ability to absorb skincare products, making them more effective.
  • Enhanced hydration: Chemical peels can improve the skin’s ability to retain moisture, leading to a more hydrated and plumper complexion.
  • Reduced redness and inflammation: Peels with anti-inflammatory properties can help reduce redness and inflammation associated with conditions like rosacea.
  • Stimulated blood circulation: Chemical peels can enhance blood circulation in the skin, promoting a healthy, radiant complexion.
Benefits of Chemical Peel - Image of a patient receiving this treatment
  • Quick procedure: Most chemical peel procedures are relatively quick, making them a convenient option for those with busy lifestyles.
  • Customizable: Chemical peels come in various strengths, allowing for customization based on individual skin concerns and desired outcomes.
  • Youthful glow: Chemical peels can impart a youthful glow to the skin, making it look refreshed and revitalized.

Chemical peels can also be used to treat specific skin concerns such as sun damage, melasma, and rosacea. They are typically performed by a licensed skincare professional and are customized to the individual’s skin type and concerns.

What are the precautions that need to be taken?

Before and after undergoing a chemical peel, it’s crucial to follow certain precautions to ensure safety and optimize results. Here are some key precautions to consider:

Before the chemical peel treatment:

  • Consult a qualified professional for skin assessment and peel determination.
  • Stop using retinoid creams and prescription skincare products before the peel.
  • Minimize sun exposure and use sunscreen to prevent complications.
  • Share complete medical history, allergies, and current medications with the practitioner.
  • Arrange transportation home after the procedure, especially for deep peels.

After the chemical peel treatment:

  • Follow post-procedure instructions strictly, including specific skincare and moisturizers.
  • Wear a wide-brimmed hat and high-SPF sunscreen, to avoid sun exposure.
  • Don’t scratch or pick treated skin; let it peel naturally.
  • Moisturize using recommended products for healing.
  • Avoid strenuous activities, hot showers, and saunas.
  • Limit makeup use until the skin fully heals.
  • Attend scheduled follow-up appointments.
  • Report severe pain, redness, swelling, or signs of infection promptly.

Are there any side effects?

Yes, chemical peels can have several side effects, which can vary depending on the type and strength of the peel, as well as individual skin characteristics. Common side effects include:

  • Redness: The treated area is likely to appear red immediately after the peel, which can persist for several days, depending on the depth of the peel.
  • Peeling and flaking: The skin will naturally peel and flake after the procedure, revealing new, regenerated skin. This can last for a few days to a week, depending on the type of peel.
  • Dryness: The treated skin may become dry and tight temporarily, which can be alleviated with the use of moisturizers.
  • Sensitivity: The skin can be more sensitive to touch and certain products immediately after the peel.
  • Mild swelling: Some swelling, particularly around the eyes, can occur temporarily after a chemical peel.
  • Hyperpigmentation or Hypopigmentation: In some cases, especially with deeper peels, changes in skin pigmentation can occur. This can result in either darkening (hyperpigmentation) or lightening (hypopigmentation) of the skin. People with darker skin tones are more at risk for these changes.
  • Infection: Although rare, there is a risk of bacterial, viral, or fungal infections, especially if the treated area is not properly cared for.
  • Scarring: While uncommon, scarring is a possible complication, particularly if the skin is picked or not cared for appropriately after the peel.
  • Herpes reactivation: For individuals with a history of cold sores, chemical peels can trigger a recurrence. It’s important to inform your healthcare provider about any history of herpes infections.
  • Allergic reactions: Although rare, allergic reactions to the chemicals used in the peel can occur. This emphasizes the importance of providing a complete medical history to the healthcare provider.
  • Prolonged redness: Some individuals may experience prolonged redness, which can last for several weeks or months, especially after deep peels.

It’s essential to discuss potential side effects and risks with your practitioner before undergoing a chemical peel. They can assess your skin type, address any concerns, and provide appropriate pre-and post-procedure care instructions to minimize the risk of complications.

Additionally, following the recommended aftercare guidelines diligently can help reduce the likelihood of adverse effects and promote proper healing.

How do chemical peels work?

Exfoliates skin, removes damaged layers, and stimulates regeneration for rejuvenation.

Chemical peels involve the controlled application of specific chemical solutions to the skin, which leads to the removal of damaged outer layers and stimulates skin regeneration.

The process varies based on the type of chemical peel being used: superficial, medium, or deep.

Superficial peels: Superficial peels use mild acids like glycolic acid or salicylic acid. These acids are typically derived from natural sources like fruits and milk. The acids work by breaking down the bonds between dead skin cells on the surface layer of the skin. This exfoliation process encourages the shedding of these damaged skin cells, revealing smoother, healthier skin underneath.

Medium peels: Medium peels use stronger acids to penetrate deeper into the skin. TCA peels target the epidermis (topmost skin layer) and the upper dermis (deeper skin layer). By causing controlled damage to these layers, medium peels prompt the skin to regenerate. This process results in the formation of new skin cells, improving skin texture, reducing wrinkles, and addressing moderate skin imperfections.

Deep peels: Deep peels use phenol, a strong chemical solution, to penetrate deeply into the skin’s middle layer (dermis). Phenol peels cause a significant controlled injury to the skin, leading to the removal of damaged skin cells and stimulating collagen production. Deep peels are effective for treating severe skin imperfections, deep wrinkles, and precancerous growths. However, they require extensive downtime and careful aftercare due to the depth of skin penetration and the intensity of the treatment.

AlumierMD

Exfoliating acids - Photo of woman before and after the procedure

Alumier MD peels use only pure acids. They offer light to medium peels, depending on your skin condition.

The anti-aging, antioxidants, and brightening ingredients are applied after the peel. This makes sure that the active ingredients do not degrade in the acidity of the chemical peel formulas.

The beneficial ingredients and nutrients for the skin penetrate and get absorbed better post-peel.

SKEYNDOR

SKEYNDOR uses a combination of multiple acids and enzymes at low concentrations. Their ingredients dive deep down to unclog pores and stimulate cell and collagen growth.

On the surface, it works to clear blackheads, acne, acne scars and dark spots.

Recovery and Aftercare

Recovery time varies depending on the type of peel and the depth of the peel.

Light peels may not require any recovery time, while deeper peels may take from a few days to several weeks to heal.

  • After the peel, the skin will be red and swollen, and a scab may form.
  • It is important to avoid sun exposure and to use sun protection while the skin is healing.
  • It’s also important to avoid using any skincare products that may irritate the skin during the healing process.

Chemical peels can improve the appearance of your skin by removing the top layer of dead skin cells. You can choose between different types of chemical peels available to treat different skin concerns, but all chemical peels can improve your skin texture and tone, reduce fine lines and wrinkles, and reduce age spots and other pigmentation issues.

However, remember always to consult with a skincare specialist before undergoing a chemical peel.

FAQ about Chemical peels

What can I expect during the treatment?

During a chemical peel treatment:

Consultation: The skincare professional will assess your skin, discuss your goals, and determine the appropriate type and strength of the peel for your skin concerns.

Preparation: Your skin will be cleansed thoroughly to remove any makeup, oils, or dirt.

Application: The chemical solution will be applied to the targeted area. You might experience a tingling or burning sensation, which is usually temporary.

Monitoring: The skincare professional will monitor your skin closely to ensure the peel is working as intended and to assess any adverse reactions.

Neutralization: After a specific duration, the chemical solution will be neutralized or removed to stop the peeling process.

Post-treatment care: Soothing creams or ointments will be applied to aid in healing and minimize discomfort.

Recovery: Depending on the peel’s depth, you may experience redness, swelling, and peeling in the days following the treatment. Superficial peels often have minimal downtime, while deeper peels require more recovery time.

Follow-up: The skin care professional may schedule follow-up appointments to monitor your skin’s progress and recommend additional treatments if necessary.

It’s essential to communicate any discomfort or unusual sensations during the treatment. Following the provider’s instructions for pre- and post-treatment care diligently can enhance the results and minimize complications.

What can I expect after the treatment?

After a chemical peel treatment, you can expect the following:

Recovery: Depending on the peel’s depth, you may experience redness, swelling, and peeling in the days following the treatment. Superficial peels often have minimal downtime, while deeper peels require more recovery time.

Follow-up: The skincare professional may schedule follow-up appointments to monitor your skin’s progress and recommend additional treatments if necessary.

Sun sensitivity: Your skin will be more sensitive to the sun. It’s crucial to avoid sun exposure and wear broad-spectrum sunscreen to protect your skin from harmful UV rays.

Improvement in skin tone and texture: As your skin heals, you’ll notice improvements in your skin tone, texture, and overall appearance. Your skin should look smoother, more even, and rejuvenated.

It’s important to follow the specific post-treatment instructions provided by your skincare professional. If you experience severe pain, persistent redness, swelling, or signs of infection (such as pus or increasing warmth), contact your healthcare provider promptly.

Proper aftercare is essential to minimize complications and promote a smooth recovery.

Is it painful?

The level of pain experienced during a chemical peel can vary based on the type and depth of the peel, as well as individual pain tolerance. Superficial peels typically cause a tingling or mild burning sensation that is generally tolerable.

Medium peels may cause discomfort, while deep peels can be more painful and may require local anesthesia or sedation. Providers often use cooling methods to minimize discomfort. It’s essential to discuss pain management options with your skincare provider before the procedure.

What is the recovery process like?

The recovery process after a chemical peel can vary based on the type and depth of the peel performed. Here’s a general overview of what you can expect during the recovery period:

  • Immediate post-procedure: After the chemical peel, your skin may appear red and feel sensitive, similar to a sunburn. Some individuals may experience mild swelling, particularly around the eyes. Your skincare provider may apply ointments or dressings to the treated area to aid in healing.
  • First few days: In the days following the peel, your skin will start to peel and flake as it sheds the damaged outer layers. It’s essential to keep your skin moisturized and avoid picking or scratching at the peeling skin, as this can lead to scarring and infection.
  • Avoid sun exposure: Your skin will be more susceptible to damage from the sun. It’s crucial to avoid sun exposure as much as possible and wear protective clothing, including wide-brimmed hats and sunglasses. Regular application of broad-spectrum sunscreen with a high SPF is essential whenever you’re outdoors.
  • Follow skincare routine: Follow the skincare routine prescribed by your skincare provider. This may include gentle cleansing, moisturizing, and the use of specific creams or ointments to aid in healing. Avoid using harsh or irritating skincare products during the recovery period.
  • Avoid makeup: It’s advisable to avoid using makeup until your skin has fully healed, as makeup can irritate the sensitive, newly treated skin.
  • Returning to normal activities: Depending on the depth of the peel, you may be able to resume normal activities within a few days to a week. Deeper peels may require more downtime, and you may need to limit certain activities, such as vigorous exercise, for a longer period.
  • Follow-up appointments: Attend any scheduled follow-up appointments with your skincare provider to monitor your skin’s progress. They can assess the results, address any concerns, and recommend additional treatments if necessary.
  • Long-term care: After your skin has fully healed, it’s important to maintain a good skincare routine, including regular cleansing, moisturizing, sun protection, and, if necessary, the use of specific skincare products recommended by your provider.

Always consult your skincare provider for specific post-peel instructions tailored to your individual needs. Adhering to their recommendations diligently will help ensure a smooth recovery and optimal results.

How long do the results last?

The duration of chemical peel results varies based on the type of peel and individual skin characteristics.

Superficial peels may require regular sessions for maintenance and can provide temporary improvements. Medium peels offer longer-lasting results, often several months to a year. Deep peels can provide long-lasting results, sometimes several years, but may require a single session due to their intensity. To maintain results, proper skin care and sun protection are essential.

Can this be used in combination with other treatments?

Yes, chemical peels can be used in combination with other treatments depending on your skin concerns and goals. Common combinations include:

  • Microdermabrasion: Enhances exfoliation and skin rejuvenation.
  • Laser therapy: Targets specific skin issues like pigmentation or wrinkles.
  • Botox or dermal fillers: Addresses dynamic wrinkles and volume loss.
  • Skincare products: Used post-peel to maintain and enhance results.

Always consult with a qualified skincare professional to determine the best combination of treatments tailored to your needs.

Is there any scientific research to support this treatment?

Yes, there is scientific research supporting the effectiveness and safety of chemical peel treatments. Numerous studies and clinical trials have been conducted to evaluate the outcomes, side effects, and long-term benefits of chemical peels for various skin concerns (Rendon et al., 2010).

A review published by O’Connor et al., in 2018 concluded that chemical peels remain a rapid, safe, and cost-effective technique for cutaneous rejuvenation, especially in aging and photodamaged populations.

Additionally, chemical peels are recognized as a valuable treatment option for specific dermatological conditions such as acne vulgaris, melasma, actinic keratoses, and scarring. This research supports the efficacy and versatility of chemical peel treatments (O’Connor et al.,2018).

Conclusion

Chemical peels are cosmetic procedures that exfoliate the skin, removing damaged layers and stimulating regeneration. They come in various types, including superficial, medium, and deep peels, each targeting specific skin concerns and depths of penetration. Superficial peels are mild and suitable for minor imperfections, while medium peels address moderate issues.

Deep peels are intense treatments for severe wrinkles and deep scars. Choosing the right type of peel and following proper precautions and aftercare under professional guidance are essential for safe and effective results.

References

Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthet Dermatol. 2010 Jul;3(7):32-43. PMID: 20725555; PMCID: PMC2921757.

Alicia A O’Connor, Patricia M Lowe, Stephen Shumack, Adrian C Lim. Chemical peels: A review of current practice. Australasian Journal of Dermatology. 2018 Aug;59(3):171-181. https://doi.org/10.1111/ajd.12715

Medical News Today. (Updated on May 30, 2023). How Do Chemical Peels Work. Retrieved from https://www.medicalnewstoday.com/articles/chemical-peels (Accessed Nov 6, 2023).

Healthline. (Oct 21, 2020). What Are the Benefits of a Chemical Peel and Which Type Is Right for You? Retrieved from https://www.healthline.com/health/chemical-peel-benefits#benefits (Accessed Nov 6, 2023).

American Society for Dermatologic Surgery. (n.d.). Chemical Peels for Wrinkles. Retrieved from https://www.asds.net/skin-experts/skin-treatments/chemical-peels/chemical-peels-for-wrinkles (Accessed Nov 6, 2023).

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