Chemical Peel Care Manual

Chemical peels are cosmetic treatments that can be applied to the face, hands, and neck. They’re used to improve the appearance or feel of the skin. During this procedure, chemical solutions will be applied to the area being treated, which causes the skin to exfoliate and eventually peel off. Once this happens, the new skin underneath is often smoother, appears less wrinkled, and may have less damage.

Chemical peels can improve the skin’s appearance. In this treatment, a chemical solution is applied to the skin, which makes it “blister” and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin.

Chemical peels can be done on the face, neck, or hands. They can be used to:

Reduce fine lines under the eyes and around the mouth
Treat wrinkles caused by sun damage and aging
Improve the appearance of mild scars
Treat certain types of acne
Reduce age spots, freckles, and dark patches (melasma) due to pregnancy or taking birth control pills
Improve the look and feel of skin

Areas of sun damage may improve after chemical peeling.

After a chemical peel, skin is temporarily more sensitive to the sun, so wear sunscreen every day. It should say “broad-spectrum” on the label, meaning it protects against the sun’s UVA and UVB rays. Also, it should be a physical sunscreen and be above SPF 30. Limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m., and wear a wide-brimmed hat.

What type of chemical peels can I get?

There are three different types of chemical peels that you can get. These include:

Superficial peels, which use mild acids like alpha-hydroxy acid to gently exfoliate. It only penetrates the outermost layer of skin.
Medium peels, which use trichloroacetic or glycolic acid to reach the middle and outer layer of skills. This makes it more effective for removing damaged skin cells.
Deep peels, which fully penetrate the middle layer of the skin to remove damaged skin cells; these peels often use phenol or tricholoracetic acid.

How much do chemical peels cost?

Chemical peels are almost always considered a cosmetic procedure, and insurance rarely covers it. You’ll be paying for the procedure out of pocket. Your initial consultation visit, however, may be covered by insurance.

The cost of the procedure will vary depending on factors like location, expertise of the provider, and what type of peel you want to get. Light peels can cost as low as $150, and deep peels can cost $3,000 or more (specifically if it requires anesthesia, or in-patient stays). According to the American Society of Plastic Surgeons, the current average cost of a chemical peel is $673.

How is a chemical peel done?

Chemical peels are typically done in-office; deep peels may be done in an outpatient surgical facility. Before the procedure, they will likely have you tie back your hair. Your face will be cleaned, and eye protection like goggles or gauze may be applied.

Your doctor may numb the area with a topical anesthetic, especially if you’re receiving a deep peel. For deep peels, your doctor may also use a regional anesthetic, which will numb large areas. They are particularly likely to do this if you’re having your face and neck treated. For deep peels, you’ll also be given an IV, and your heart rate will be closely monitored.

Light peel

During a light peel a cotton ball, gauze, or brush will be used to apply a chemical solution like salicylic acid to the area being treated. The skin will start to whiten, and may have a slight stinging sensation. Once complete, the chemical solution will be removed or a neutralizing solution will be added.

Medium peel

During a medium chemical peel, your doctor will use a gauze, special sponge, or a cotton-tipped applicator to apply the chemical solution to your face. This may contain glycolic acid or trichloroacetic acid. A blue color may be added to the trichloroacetic acid, commonly known as a blue peel. The skin will begin to whiten, and your doctor will apply a cool compress to the skin. You may feel stinging or burning for up to 20 minutes. No neutralizing solution is needed, though they may give you a hand-held fan to cool your skin. If you’ve had the blue peel you will have a blue coloring of your skin that may last for several days after the peel.

Deep peel

During a deep chemical peel, you will be sedated. The doctor will use a cotton-tipped applicator to apply phenol to your skin. This will turn your skin white or gray. The procedure will be done in 15-minute portions, to limit the skin exposure to the acid.

How soon after chemical peel can i use retinol

Do not use any products containing Retin A, retinol, AHA, benzoyl peroxide, glycolic acid or any other acid during the healing phase. Reintroduce these products when you feel your skin has fully healed, everyone is different but two weeks post-peel is a good guideline.

Who Is a Good Candidate For a Chemical Peel?

Generally, fair-skinned and light-haired patients are better candidates for chemical peels. If you have darker skin, you may also have good results, depending upon the type of problem being treated. But you also may be more likely to have an uneven skin tone after the procedure.

Skin sags, bulges, and more severe wrinkles do not respond well to chemical peels. They may need other kinds of cosmetic surgical procedures, such as laser resurfacing, a facelift, brow lift, eyelid lift, or soft tissue filler (collagen or fat). A dermatologic surgeon can help determine the most appropriate type of treatment for you.

Before You Get a Chemical Peel

Tell your doctor if you have any history of scarring, cold sores that keep coming back, or facial X-rays.

Before you get a chemical peel, your doctor may ask you to stop taking certain drugs and prepare your skin by using other medications, such as Retin-A, Renova, or glycolic acid. The doctor may also prescribe antibiotics or antiviral drugs.

Work with your doctor to determine the depth of your peel. This decision depends upon the condition of your skin and your goals for treatment.

Ask your doctor in advance whether you will need to have someone drive you home after your peel.

How Chemical Peels Are Done

You can get a chemical peel in a doctor’s office or in a surgery center. It’s an outpatient procedure, meaning there’s no overnight stay.

The professional who does your peel will first clean your skin thoroughly. Then they will apply one or more chemical solutions — such as glycolic acid, trichloroacetic acid, salicylic acid, lactic acid, or carbolic acid (phenol) — to small areas of your skin. That creates a controlled wound, letting new skin take its place.

During a chemical peel, most people feel a burning sensation that lasts about five to ten minutes, followed by a stinging sensation. Putting cool compresses on the skin may ease that stinging. You may need pain medication during or after a deeper peel.

What To Expect After the Chemical Peel

Depending upon the type of chemical peel, a reaction similar to sunburn occurs following the procedure. Peeling usually involves redness followed by scaling that ends within three to seven days. Mild peels may be repeated at one to four-week intervals until you get the look you’re after.

Medium-depth and deep peeling may result in swelling as well as blisters that may break, crust, turn brown, and peel off over a period of seven to 14 days. Medium-depth peels may be repeated in six to 12 months, if necessary.

After treatment, you may need bandages for several days on part or all of the skin that was treated.

You’ll need to avoid the sun for several months after a chemical peel since your new skin will be fragile.

Possible Complications

Some skin types are more likely to develop a temporary or permanent color change in the skin after a chemical peel. Taking birth control pills, subsequent pregnancy, or a family history of brownish discoloration on the face may make that more likely.

There is a low risk of scarring in certain areas of the face. Some people may be more likely to scar. If scarring does happen, it can usually be treated with good results.

Chemical peel post care and care

The peeling may take anywhere from 7-10 days on average or longer depending on internal and external factors such as skin type, age, weather, lifestyle, and hormones. Slight redness and skin sensitivity and flaking can occur as your treatment eliminates dead surface skin cells. Each treatment may vary. Other areas of the body will react differently because your skin has a different texture on your face and scalp than on your chest, back, arms, and legs. The healing process may take longer in those areas.

Your skin may take on a rough, patchy, darkened quality a few days after this treatment. This is normal and expected and it will resolve on its own. The first areas to peel are usually around the nose and mouth, but can begin anywhere. Most people begin peeling on the 3rd or 4th day after treatment. It is also possible to not peel at all. If this occurs, you will still benefit from the treatment because the skin has exfoliated microscopically.

Possible side effects include but are not limited to: mild to extreme redness, temporary tightness, itching, swelling, and dryness of the skin similar to a sunburn or windburn. This will usually subside in 2-3 days. A prescription of hydrocortisone, or over-the-counter hydrocortisone (Vanicream HCⓇ) may be recommended if the skin is inflamed or irritated.

You may GENTLY apply a cold compress to the treated area(s) as needed for any burning or irritation associated with your treatment.

Make sure to avoid excessive heat on the treated area and direct sun exposure of any kind, as well as tanning beds and self-tanners to the treated areas for 4 weeks after treatment.

Do NOT engage in strenuous exercise for 2-3 days after treatment because it may exacerbate the inflammatory and can cause your skin to become extremely inflamed.

Sweating excessively after treatment can irritate the skin or cause blistering due to the sweat being unable to escape through the top layer of dead skin. Try to avoid sweating until after you have stopped peeling to avoid lifting the skin prematurely, as this can cause scarring.

Do NOT use any acidic products such as retinoids or tretinoins, acne medication products such as Retin-AⓇ, TazoracⓇ, RenovaⓇ, AtralinⓇ, ZianaⓇ, VeltinⓇ, DifferinⓇ, the antibiotic Doxycycline, AHAs (lactic, glycolic, tartaric, etc.), BHAs (salicylic), benzoyl peroxide, vitamin C products, lightening agents such as hydroquinone or any exfoliative products including loofahs or coarse sponges to your skin for 2 weeks after your chemical peel, or more if you notice your skin becomes sensitive to application. These medications and products increase your photosensitivity, which can significantly increase the likelihood of complications.

Do NOT tweeze, pick, rub, exfoliate, wax, use a depilatory, undergo electrolysis, or schedule a facial or cosmetic service such as laser resurfacing, or IPL on a treated area(s) for 4 weeks after your treatment. To reduce the risk of scarring, you do not want to remove the dry, rough, dead skin faster than your body wants to.

Do NOT get your hair dyed until a week after you have finished peeling, if your treatment was performed on the face or neck. For most people, week 3 post-peel is the best time to have your hair color treated.

This procedure can stimulate cold sores. If you have an outbreak after your treatment, please call the office to inquire about obtaining a prescription. Please ask to speak with the esthetician, Alli.

How to Care for your Skin Post-Peel

Cleanse Gently: Your skin may be fragile for 5-7 days. Cleanse your skin with COOL water (hot water will cause inflammation to the skin) using only your fingertips – no washcloths, loofahs, buff puffs, sponges, ClarisonicⓇ, etc. We recommend using the Revision Gentle Cleanser. Other mild cleansers such as Dove Unscented Bar Soap for Sensitive SkinⓇ, AveenoⓇ, CetaphilⓇ, CeraVeⓇ, or VanicreamⓇ may be recommended by your esthetician, depending on your specific needs.

Moisturize Often: Letting the skin dry out may cause discomfort. We recommend using SkinCeuticals Phyto Corrective GelⓇ and SkinCeuticals Epidermal RepairⓇ to help your skin recover. For strong peels, you may use petroleum jelly for the first few days or as needed on sensitive areas that are peeling. When you start to peel, use a non-comedogenic moisturizer such as AveenoⓇ, VanicreamⓇ, CetaphilⓇ, or CeraVeⓇ, until the skin feels back to normal. This will promote the healing process by locking in moisture and reducing the chance of a bacterial infection, redness, and irritation. Use these products several times per day or as needed. Topical hydrocortisone may be recommended, depending on your specific needs.

Protect Your Skin: Heat and sun exposure can cause inflammation to the skin. Remember to avoid excessive heat on the treated area and direct sun exposure of any kind, as well as tanning bed sand self-tanners to the planned treatment areas for 4 weeks after treatment. If you need to be outdoors, make sure to use an umbrella or wear a large-brimmed hat, a pair of sunglasses, and use a physical sunblock (containing zinc oxide and titanium dioxide). We recommend using SkinCeuticals Sheer Physical UV Defense SPF 50Ⓡ or Colorescience SunforgettableⓇ. Both of these products provide broad-spectrum protection from both UVA and UVB rays with no chemical sun filters. Apply 30 minutes before exposure and reapply often (about every 2 hours) when exposed to the sun. Other sunscreen products may be recommended depending on your specific needs.

How To Treat Breakouts After Chemical Peel

Whether you’re using an at-home peel or getting a professional peel, you can minimize your skin’s downtime afterward by practicing these expert tips:

Wash your face with cool water. Warm or hot water might not feel as good as cool or cold water, which can help soothe post-peel sensations.

Moisturize and hydrate. Since peels can temporarily compromise your skin’s protective barrier, it’s important to reinforce that barrier with a medium-to-thick moisturizer. Also, drink more water to help avoid dehydration, which could make your skin feel tight.

Apply sunscreen with SPF30 or more. Your skin is more delicate after a peel, so avoid direct sun exposure, which can lead to even more visible signs of skin aging. If you must be exposed, use a Broad Spectrum physical sunscreen.

Avoid strenuous workouts, dry saunas and steam rooms. Increased blood circulation to the face can intensify warming, tingling, itching, redness or other uncomfortable side effects on freshly peeled skin. Skip such activities on the day you use a peel.

Don’t over-exfoliate. Peels are maximum-strength exfoliants, so you don’t need to use a separate exfoliant (like a scrub, brush or exfoliating cleanser) within 3-4 days of your peel. Over-exfoliating can lead to more redness or sensitivity, so wait until your skin feels up to it.

Once your skin feels “back to normal” after a peel, it’s generally considered OK to resume your normal skin care regimen. For more personalized advice, ask your professional skin therapist how to incorporate peels into your lifestyle.

Liquid Peelfoliant is a professional-grade at-home peel that helps unclog pores to help reveal brighter, healthier skin.