What You Should Know About Chemical Peels
- chemical peels are used to remove damaged skin cells, revealing healthier skin underneath
- there are different types of peels: light, medium, and deep
- when conducted by a board-certified dermatologist, plastic surgeon, licensed healthcare provider, or trained skin care specialist, chemical peels are exceptionally safe
- it’s essential to follow your provider’s postop instructions carefully
- light chemical peels do not require much down time
- medium and deep chemical peels can require two to three weeks of recovery time
- the procedures can last anywhere from 30 minutes to 90 minutes
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.
There are a number of reasons people may get chemical peels. They may be trying to treat a variety of things, including:
- wrinkles and fine lines
- sun damage
- acne scars
- uneven skin tone or redness
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.
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.
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.
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.
*I do no perform Deed peels.
Before a chemical peel, you must:
- not use any type of retinol or retin-A topical medication for at least 48 hours
- inform your skin care specialist about any medications you take
- not have been on Accutane for at least six months
Your doctor may also recommend that you:
- take an antiviral medication if you have a history of fever blisters or cold sores to prevent a breakout around the mouth
- use special lotions to improve treatment, like glycolic acid lotion
- use a retinoid cream to prevent skin darkening
- stop waxing, epilating, or using depilatory hair removal products the week before the peel. You should also avoid hair bleaching.
- stop using facial scrubs and exfoliants the week before the peel.
- arrange for a ride home, especially for medium or deep chemical peels, which will require you to be sedated.
Recovery time varies depending on which chemical peel you received.
Light chemical peels
Recovery time is about four to seven days. Your skin may temporarily be lighter or darker.
Medium chemical peels
Your skin will recover about five to seven days after a medium chemical peel, though you may have redness that persists for months. Your skin will initially swell, and then form crusts and brown blotches before revealing new skin.