Cosmetic Surgery Tips

what to know about chemical peel procedure

Chemical peels are a popular treatment that can help you achieve a beautiful, healthy glow. It involves applying a chemical solution to your face and letting it sit for a few minutes before washing it off. This process makes your skin peel off, revealing new skin underneath that’s smoother and more vibrant.

The most common type of chemical peel is an alpha hydroxy acid (AHA) peel, which uses fruit acids to exfoliate your skin. There are other kinds of chemical peels as well, including beta hydroxy acid (BHA) peels and phenol peels. Each type has its own benefits and risks. Before you get a chemical peel, it’s important to know what kind of results you can expect and what kind of side effects may occur.

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on what to know about chemical peel procedure, chemical peel or microneedling for acne. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about microneedling and chemical peel same day. Read on to learn more.

what to know about chemical peel procedure

As we age, dead skin cells do not slough off as easily as when we are younger, causing the skin to appear dull. Light, medium and deep chemical peels are a popular nonsurgical dermatology procedure used to peel away the skin’s top layer to improve sun-damaged, unevenly pigmented and wrinkled skin. Improving the evenness of color and texture in your skin creates a youthful look and restores a healthy, luminous and radiant appearance.

When to Consider Chemical Peels

  • If you have wrinkles or sun-damaged skin.
  • If you have skin discolorations, blotchiness or brown spots.
  • If you have scars that have made the surface of your skin uneven.
  • If you have certain precancerous skin growths.
  • If you want to improve the appearance of acne scars.

Considerations

Pros

  • No anesthesia or sedation is needed.
  • Light and medium chemical peels have minimal aftercare and recovery.
  • Deep chemical peels have long-lasting effects on treating deep wrinkles.

Cons

  • After peel, there will be sun sensitivity and pores may appear larger.
  • Deep chemical peels may have a bleaching effect.
  • Can exacerbate skin disorders, including allergic reactions or cold sores.

These are the top three pros and cons to weigh when considering chemical peels. If you wish to focus on what is unique to you, please consult with your aesthetic plastic surgeon.

Are you a good candidate for a chemical peel?
The following are some common reasons why you may want to consider a chemical peel:

  • You have sun-damaged skin
  • You have significant facial wrinkling
  • Your skin color is uneven with blotchiness, sunspots and brown spots
  • You have scars that have made the surface of your skin uneven
  • You have certain precancerous skin growths

Other characteristics of your skin, such as its thickness and texture, may influence whether you are a good candidate for chemical peels.

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Detailed Procedural Info

How is a chemical peel procedure performed?

Most often, your treatment will be performed by a licensed skincare professional in your plastic surgeon’s office or medical spa. Peels involve the application of a chemical solution to your entire face or just to certain regions, such as the crow’s feet area around your eyes or the vertical wrinkles around your mouth.

The chemical solution is either applied lightly or rubbed more vigorously onto the skin being treated using a sponge, cotton pad, swab, or brush (avoiding your brows, eyes and lips). During peel application, you may experience a slight tingling (light to medium peels) or a burning sensation (deep peels). These sensations are usually minimal for light and medium peels but are more severe for deep peels. The length of time the solution is allowed to work is determined by carefully observing the changes in the appearance of your skin. With certain types of chemical peels, the solution may be “neutralized” after an appropriate amount of time has elapsed.

The different types of chemical peels vary according to their specific ingredients and their strength. The depth of their peeling action may also be determined by factors such as how long they remain on the skin and how they are applied onto the skin.

No covering or after-peel ointment is necessary after a light or medium peel and you can expect little to no downtime. However, after a deep peel, a thick coating of petroleum jelly or other protective ointment is layered over the face, covering the protective crust that develops rapidly over the area. This stays in place for one to two days. In some cases, dressings, tape or a bandage may be applied (this is particularly effective in cases of severe wrinkling). A deep peel requires a longer recuperation period.

Drawing of a Woman Getting a Chemical Peel Procedure

Chemical peels exfoliate dead cells and can improve texture, acne, sun damage and congested pores. Deeper peels can address wrinkles and uneven skin tone.

What are my options?

Your options will depend on the treatment depth you require and your surgeon will recommend an approach based upon your aesthetic goals. The amount of time you can allow for recovery may be an important factor to consider when selecting a particular chemical peel or determining the extent of treatment.

Light to Medium Peels

Glycolic (AHA) peel

Generally, the most superficial peels are those using alpha hydroxy acids (AHA), such as glycolic, lactic or fruit acid. AHA peels can reduce the effects of aging and sun damage including fine wrinkling and brown spots. Sometimes a single treatment with an AHA peel will give your skin a fresher, healthier appearance and a radiant glow. No anesthesia is needed and you will only feel a tingling or mild stinging sensation when the solution is applied. Immediately after the procedure, you generally will be able to wear makeup and you can drive yourself home or back to work. Various concentrations of an AHA may be applied weekly or at longer intervals to further improve the texture of your skin. Your surgeon may recommend a maintenance program using AHA products that you can apply at home on a regular basis.

Trichloracetic (TCA) acid peel

A TCA peel is a stronger, medium depth peel. TCA peels are often used for the treatment of wrinkles, skin pigment changes and blemishes. Many patients can benefit from having TCA applied not only on the face but also on the neck and other parts of the body that have been exposed to the sun. For spot peeling of limited areas such as around the mouth or eyes, TCA formulas are often preferred because they have a reduced bleaching effect compared to solutions containing phenol, another popular peeling agent. Some surgeons have found TCA to be effective in treating darker-skinned patients. Milder TCA peels can be repeated frequently in order to achieve cumulative effects or TCA can be used to achieve a medium or even a deep peel, depending on the acid concentration and manner of application.

Deep Peels

Phenol peels

A phenol peel is a deep peel that is sometimes recommended for treating severe wrinkles (from fine lines to deep creases), sun damage, uneven skin tone and texture and may be used in the treatment of precancerous skin conditions. Phenol is particularly useful for minimizing the vertical lines that often form around the mouth as a result of aging. Deep peels take longer to perform and will leave a healing crust on the skin that must be covered with protective ointment and limited from sun exposure. There is a burning sensation, but it is relieved somewhat because the solution also acts as an anesthetic. Phenol often has a significant bleaching effect and you may need to wear makeup in order for the treated portions of your skin to more closely match the skin color of the surrounding areas. Phenol cannot be used on your neck or other parts of your body.

ASAPS Position
The effectiveness of phenol chemical peeling has been proven in clinical studies over the last 30 years. Because this is a serious procedure, it is ASAPS’ position that phenol chemical peels should only be performed under the direction of a qualified physician.

Croton oil peels

Croton oil enhances the penetration of phenol and the depth of the peel. Croton oil peels are used to treat severe wrinkles caused by sun damage and extensive acne damage. The ideal patient has fair, dry skin. The application of this peel is painful, and intravenous sedation or general anesthesia is usually necessary. Patients are usually pain free the following morning.

What are the brand names for chemical peels?

A variety of chemical treatments can be used to exfoliate and rejuvenate the skin. Depending on the depth of treatment required, your surgeon may choose one of the following peels:

  • Alpha-hydroxy acid peel (AHA)
  • Beta-hydroxy acid peel (BHA)
  • Trichloroacetic acid peel (TCA)
  • Phenol peel
  • Croton oil peel

Selecting a Surgeon

Select a surgeon you can trust

It’s important to choose your surgeon based on:

  • Education, training and certification
  • Experience with chemical peels
  • Your comfort level with him or her

Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure. Learn how to select a surgeon.

After finding a board-certified plastic surgeon in your area who is experienced in performing chemical peels, you will need to make an office appointment to set up your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit.

Your initial consultation appointment

During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for a chemical peel and clarify what it can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered (see related procedures).

You should come to the consultation prepared to discuss your complete medical history. This will include information about:

  • Previous surgeries
  • Past and present medical conditions
  • Allergies and current medications

Additionally, it is important to tell your surgeon if you have ever had x-ray treatments of your facial skin, such as those used in the treatment of acne or if you have had a chemical peeling procedure. Current or past use of Accutane (isotretinoin), as well as Retin-A (tretinoin) and other topical skin preparations, must be reported to your surgeon.

Your treatment plan

Based on your goals, physical characteristics and the surgeon’s training and experience, your surgeon will share recommendations and information with you, including:

  • An approach to your treatment, including the type of procedure or combination of procedures.
  • The outcomes that you can anticipate.
  • Your financial investment for the procedure.
  • Associated risks and complications.
  • Options for anesthesia and treatment location.
  • What you need to prepare for your treatment.
  • What you can expect to experience after treatment.
  • Show before and after photos of cases similar to yours and answer any questions.

Questions to ask your aesthetic plastic surgeon

It is important for you to take an active role in your treatment, so please use this list of questions as a starting point for your initial consultation.

  • Am I a good candidate for a chemical peel?
  • Are the results I am seeking reasonable and realistic?
  • Do you have before-and-after photos I can look at for the procedure I am undergoing?
  • Will I have any scarring?
  • What kind of anesthesia do you recommend for me?
  • What will be the costs associated with my treatment?
  • What will you expect of me to get the best results?
  • What kind of recovery period can I expect and when can I resume normal activities?
  • What are the risks and complications associated with my procedure?
  • How are complications handled?
  • What are my options if the cosmetic outcome of my treatment does not meet the goals we agreed on?

Preparing for Your Procedure

How do I prepare for a chemical peel procedure?

Your surgeon will provide thorough pretreatment instructions, answer any questions that you may have, take a detailed medical history, and perform a physical exam to determine your fitness for treatment.

Depending on the depth of your chemical peel treatment, you may be placed on a pretreatment program during which you will apply special creams, lotions or gels to your skin for a few weeks or longer. If you have a history of herpes infections around your mouth, your doctor will prescribe an antiviral medication before and after treatment to prevent viral infection. You may also be given certain oral medications that you should begin taking prior to your treatment.

In advance of your procedure, your surgeon will ask you to:

  • Stop smoking at least six weeks before undergoing the chemical peel to promote better healing.
  • Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding.
  • Regardless of the type of treatment to be performed, hydration is very important before and after surgery for safe recovery.

Chemical peels are usually performed on an outpatient basis. If you have a deep peel be sure to arrange for someone to drive you home after treatment and to stay with you at least the first night following treatment.

*What can I expect on the day of a chemical peel treatment?

Light to Medium Peels

A light or medium chemical peels is often performed in an office-based setting. Generally the procedure takes about 30 minutes to an hour. No sedation or anesthesia is needed.

Deep Peels

A deep chemical peel may be performed in an accredited hospital, free-standing ambulatory facility or office-based surgical suite. Most chemical peel procedures take at least 30 minutes to two hours to complete but may take longer.

  • Medications are administered for your comfort during the procedure.
  • Depending on the type of chemical peel chosen and the area treated, local anesthesia may be adequate; however, for larger areas, sedation or general anesthesia may be recommended.
  • For your safety during the treatment, various monitors will be used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.
  • Your surgeon will follow the treatment plan discussed with you.
  • After your procedure is completed, you will be taken into a recovery area where you will continue to be closely monitored.

You will be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate post-treatment recovery.

Aftercare and Recovery

Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:

  • Normal symptoms you will experience
  • Potential signs of complications

Following all chemical peel treatments, it is important to avoid direct or indirect sun exposure until all the redness or pinkness of your skin has subsided. Even after that, it is advisable to protect your skin by regular use of sunscreen and, whenever possible, a wide-brimmed hat. This is particularly important if you have had a phenol peel which eliminates your skin’s ability to tan. If the area around your eyes has been treated, you should wear good quality sunglasses when outdoors. After some types of chemical peel treatments, you may need to be careful about exposing your skin to chlorinated water.

Immediately after a chemical peel

For deep peels, your treated skin may be covered with petroleum jelly or other protective ointment and, in some cases, dressings may be applied.

You may have some pain, particularly with the deeper peels. If the pain is extreme or long-lasting, contact your physician. You will also have some redness and swelling after the surgery. Contact your surgeon to find out if your pain, redness and swelling are normal or a sign of a problem.

Recovery time frame after chemical peels

Your recovery will depend on the technique and depth of treatment.

Light Peels

A more superficial treatment will have no down time and you can return to your normal activities immediately.

Medium to Deep Peels

A deeper peel will involve a more prolonged healing period. You will be advised about cleansing your skin and if you should apply any ointments. For men who have undergone resurfacing procedures, shaving must be delayed for a while.

It is vitally important that you follow all patient care instructions provided by your surgeon. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.

The first two weeks

  • Depending on the post-treatment regimen selected by your surgeon, a scab may or may not form over the treated area in medium and deep peels.
  • For deeper peels, your wounded skin may be moist and ooze serous (“clear watery”) fluid.
  • Depending on the depth of the peel you might have, swelling and redness will gradually change to pink, signalling that your new skin has begun to form.

Week two to eight

  • Your skin may still be pink.
  • Your skin tones will begin to blend naturally.
  • Your surgeon will advise if camouflage makeup can be used.

How long will my results from a chemical peel last?

Because of the persistence of skin pinkness following deeper chemical peel procedures, it may take months before you can fully appreciate your new look. Most patients feel that the results are definitely worth waiting for and, in the case of deeper treatments, the benefits are relatively long-lasting. Superficial resurfacing procedures may need to be repeated periodically in order to maintain their benefits.

Your skin will continue to age, and wrinkles caused by movement of your facial muscles will eventually reappear. Some wrinkles may recur sooner than others, depending on their location as well as the type and extent of your chemical peel treatment. Despite this, you can expect that improvements in skin quality and texture achieved by a chemical peel will make your complexion appear younger and fresher for many years to come.

Maintain a relationship with your aesthetic plastic surgeon

For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you notice any changes in your skin that has been treated. Do not hesitate to contact your surgeon when you have any questions or concerns.

Associated Costs

The cost of chemical peels varies from the type of peel, from doctor to doctor, and from one geographic area to another.

See the national average for physician fees per procedure.
These numbers only reflect the physician/surgeon fees last year and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments or other miscellaneous costs related to this procedure.

Because chemical peels are elective procedures, insurance usually does not cover these costs. Occasionally, however, if the peel is being performed to treat precancerous skin conditions or improves certain types of scars, insurance coverage may be available. Your plastic surgeon’s office will explain how you can find out from your insurance company if a particular procedure will be covered. Many surgeons offer patient financing plans to make the procedure more affordable.

Choose your surgeon based on quality, training and experience—not cost.

See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training and certifications.

Limitations and Risks

Fortunately, significant complications from chemical peels are infrequent. Your specific risks for chemical peels will be discussed during your consultation.

All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:

  • Adverse reaction to anesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection and bleeding
  • Changes in sensation
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures

Other risks specific to chemical peels are outlined below:

  • Scarring
  • Abnormal healing
  • Unanticipated color changes or skin blotchiness
  • Eruption of cold sore (herpes virus)
  • Tiny whiteheads

You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your chemical peel treatment.

Chemical peel or microneedling for acne

Chemical Peels vs. Microneedling

The years of active breakouts may be behind you, but breaking up with acne is hard to do. Pimples may disappear, but all too often they leave behind an unfriendly reminder of their visit — acne scars.

Acne scars detract from your overall complexion, making many adults feel self-conscious about the way they look. Acne scars are stubborn, and home remedies, like over-the-counter bleaching agents, won’t do the trick. The good news is that acne scars are now treatable.

At Dontage Premier Aesthetic Anti-Aging Specialists in Falls Church, Virginia, we understand the frustration acne scars bring. Skin care specialist Waseem Garbia, PA-C, and his medical team provide warm, personalized care that’s customized to meet your unique skin care needs.

If you’re like most people with acne scars, you’ve done your research and know two top treatments that work to reduce facial scarring are chemical peels and microneedling. But it’s hard to know which is better for acne scars.

Read on to understand the difference between chemical peels and microneedling, and figure out which is better for your acne scars.

WHAT IS A CHEMICAL PEEL?

A chemical peel resurfaces your skin through the use of a chemical solutions applied to the skin. As the chemicals react on your skin, they exfoliate the top layer, causing it to eventually peel off, leaving room for new, smoother skin to grow.

There are three basic types of chemical peel treatments, and each type has different effects and different time required to heal. The choice of peel depends on the results you’re seeking.

Superficial peels use a milder acid and generally work best on mild discoloration. Medium-level peels penetrate the outer and middle layers of skin to lessen the appearance of imperfections, such as age spots and wrinkles. Deep chemical peels penetrate far into the middle layers and remove damaged skin cells for more dramatic results.

Waseem and the team at Dontage will evaluate your skin to ensure you receive the best peel for your unique needs.

WHAT IS MICRONEEDLING?

Microneedling uses tiny needles to micro-puncture the skin. This nonsurgical procedure works by increasing collagen production in the punctured areas.

Collagen, a naturally-occurring protein made by the body, is the key ingredient in keeping your skin looking young, firm, and smooth. As we age, collagen production naturally declines. In addition, collagen production can be prematurely stunted when the skin is injured and then scarred, as with scars caused by acne.

Microneedling is safe to use on all skin types and is a safe and effective way to treat scars and other skin imperfections like wrinkles, sun spots, large pores, and more. Most patients find it to be pain free and experience dramatic results.

Microneedling isn’t a one-and-done treatment, however. Multiple treatments are generally required for optimal results. Waseem will evaluate your skin and recommend the right number of treatments for you. Most patients receive between 4-6 treatments, but each patient’s needs are different.

WHICH IS BETTER FOR ACNE SCARS?

Both chemical peels and microneedling will improve the appearance of your skin. Chemical peels generally work best on superficial imperfections, while microneedling penetrates deeper to improve more troublesome issues.

Many people with acne scars find a combination of microneedling and chemical peels deliver the best results. Microneedling will reach deeper under the skin to promote healing of scarred areas. Once the microneedling treatments are complete, a chemical peel can rejuvenate your skin further, leaving you with clearer, younger-looking skin.

No one treatment fits everyone’s needs. It’s important to meet with skincare professionals, like Waseem and the team at Dontage, to determine which is best for you.

HOW CAN I GET STARTED?

If you’re ready to say goodbye to your acne scars, be sure to seek treatment from certified professionals. With 16 years of professional experience, Waseem can recommend the right treatments to give you the clear, healthy skin you deserve.

Ready to take the first step in reducing the appearance of acne scars? Contact Waseem and the team at Dontage by phone or request an appointment online today.

Microneedling and chemical peel same day

Can you combine micro needling and chemical peels?

Acne is difficult to overcome. Even after the pimples have disappeared, scars often remain a bitter reminder that we once suffered from this affliction. These scars cause the skin to look uneven, which in turn can lead to many insecurities. Home remedies or whitening creams usually do not work, so it is necessary to resort to professional dermatological treatments. 

Professionals recommend treatments such as chemical peelings and micro-needling to eliminate these marks on the skin. These treatments are highly beneficial both in combination and separately. The question is, can you do a chemical peeling after micro-needling? Keep reading to find out, but first, we will explain both processes separately.


What is micro-needling, and how does it work?

Microneedling is a non-surgical procedure in which the skin receives small punctures with the help of a radiofrequency device with microscopic needles or tools like derma-rollers and derma-pens. This treatment is painless, and the micro-punctures heal almost instantly.  

In microneedling, the punctures are made at the superficial level of the skin to stimulate and raise collagen production and increase elasticity in those specific areas. That promotes rejuvenation and reduction of scars, expression lines, flaccidity, and sunspots, resulting in a firmer, smoother, and younger appearance.

This treatment works on all skin types safely and with optimal results. Note that a single session is not enough, and the number of treatments required may vary for each patient, although usually between 3 and 6 sessions are performed. Even so, results show from the first session.

Can you combine micro-needling and chemical peels?

What is a chemical peeling, and how does it work?

Can you combine chemical peels and micro-needling?

Chemical peeling is a non-surgical procedure that consists of applying a chemical agent directly on the skin in the face, neck, and other body parts. With this powerful treatment, dead cells are exfoliated to stimulate new cells that will give the skin a smoother and younger appearance.

Chemical peels use a solution that “peels off” the top layers of the skin to improve its texture and appearance while diminishing acne marks, wrinkles, sun damage, blemishes, and redness.  

There are superficial, medium, and deep peels, each indicated depending on the desired effect. All of them have a different healing time, and their application will depend on the evaluation of a dermatologist for each patient.


Can you do a chemical peeling after micro-needling?

Absolutely. Combining both techniques will improve the appearance of the skin internally and externally. It is recommended to perform the chemical peel first as this removes all the dead and old layers of skin.

After about 4 to 6 weeks, when the skin have recovered from the peeling, you can start micro-needling sessions to finish improving the most problematic areas.

Some people who have suffered from very severe acne do the treatment in reverse, attending the micro-needling sessions first to start the collagen production. That way, when the deep peeling is done, the skin heals better and has a more even tone.

In either case, it is essential to consult with certified skincare professionals who will recommend the ideal treatments to give your skin the aspect you have always wanted.

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