Chemical Peel
What is Chemical Peel?
A chemical peel is a skin-resurfacing office-based procedure in which a chemical solution is applied to the skin to exfoliate the top layers.
Exfoliation is followed by regeneration of skin that is smoother & aesthetically enhanced.
Chemical peels are used to treat Acne & acne sequelae, pigmentation concerns including melasma, sun damage including freckles & tannin & aging skin — typically on the face. A chemical peel can be done alone or in combination with other cosmetic procedures.
Classification
Chemical peels are broadly classified based on the depth of penetration, which in turn is determined by the strength of the chemical solution used & duration of application of the peeling agent.
Superficial / Light Peel
Superficial peels are the mildest, often called, ‘the lunchtime peel.’ A light (superficial) chemical peel removes the outer layer of skin (epidermis). It can be used to treat fine wrinkles, acne & post acne marks, uneven skin tone and for overall skin enhancement. The commonly used agents are low concentration glycolic acid (<40%) & Salicylic acid. One might choose to have a light chemical peel as often as every two to five weeks — depending on indications that are being addressed.
Medium Chemical Peel
This type of chemical peel removes skin cells from the epidermis and from the superficial portion of the middle layer of skin (dermis). A medium chemical peel can treat wrinkles, acne scars, moderate skin discoloration & uneven skin tone. The commonly used agents are high concentration glycolic acid (40-50%) and Trichloroacetic acid (15%). It can be repeated every three to nine months to maintain the desired results
Deep Chemical Peel
A deep chemical peel removes skin cells from the epidermis and from portions of the mid to deep dermis. A deep chemical peel is recommended for deeper wrinkles, scars, or precancerous growths. A high concentration of Trichloroacetic acid and/or Phenol is used to perform a deep peel. The treatment has a longer recovery time and, therefore, is recommended only once a year.
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Procedure
A chemical peel is typically performed in an office-based facility.
The area to be treated is thoroughly cleansed, hair is tied back and eyes protected with gauze. The sensitive areas like corners of the mouth and eyes are protected with a layer of vaseline.
The chemical solution is then applied using a brush or cotton-tipped applicator. Following the application, it is normal to experience a mild stinging or burning sensation. Any excessive sensation should be reported to the treating physician who is closely supervising the whole procedure.
The duration for which the peel is left on the skin depends on the indication being treated, the strength of the peel & the goal of treatment. The peel is removed with a neutralizing solution once the endpoint is reached followed by cold compresses. The patient is given an SPF 30 + to apply before leaving the office.
Post Procedure
After a chemical peel, the treated skin might be red, dry, and swollen; the degree of intensity of each depending on the depth of peel performed. Superficial chemical peels have minimal downtime and quick recovery. On average, the skin recovers in one week with a complete reversal of the adverse effects revealing healthier and smoother skin underneath.
Precautions Post Procedure
Avoid unprotected sun exposure. Use a sunscreen of SPF 30 + generously every 3-4 hours for a week following the treatment. Avoid outdoor activities involving sun exposure during peak UV hours (10 am to 4 pm).
Discontinue skincare products with irritant potential like retinol, AHAs, and BHAs for 2 days before and 1 week after treatment Keep the skin well moisturized and protected with a moisturizer suited to individual skin types. It would also help with recovery.
Avoid any other cosmetic procedure including Laser treatments for one week after a pee