chemical-peel

What is a chemical peel?

A chemical peel involves the application of toxic chemical solutions to the skin in a controlled manner, producing controlled tissue death. The desired depth of the wound is dependent upon the condition to be treated. After the peel, the skin regenerates. The damaged skin likely regenerates through the growth of cells from deeper layers of the epidermis or from undamaged hair follicles.

Chemical peeling treatment pune

What are the benefits of chemical peel?

If performed correctly in appropriate patients, the appearance of the treated skin will have a more youthful texture with a uniform coloration that will blend with their untreated skin.

Are at-home or over-the-counter chemical peels as effective as professional chemical peels?

As a general rule, so called over-the-counter peels do not damage the skin and therefore cannot produce the same sort of results that a peel performed by a physician is likely to achieve. On the other hand, they are safe products and are unlikely to produce any skin damage. The so-called “microdermabrasion” is similarly non-invasive.

chemical-peel

Who is a good candidate for a chemical peel?

The most common candidate for a chemical peel is a person with sun-damaged skin, uneven pigmentation, and/or actinic keratoses. Sun damage results in fine wrinkling, skin thinning, sun spots (liver spots or solar lentigines), and very early precursor to skin cancers called actinic keratoses. Skin peels may also be used to treat acne scarring.

Who is not a candidate for a chemical peel?

Generally light-haired and fair skinned people are the best candidates for chemical peel. The procedure does not work as well on dark-skinned patients. The procedure is not recommended for individuals with infections, active skin disease, cut or broken skin, sunburns or active Herpes simplex 1 sores. Other counter-indications include patients who are:

  • Nursing or pregnant.
  • Have taken Accutane in last six months.
  • Have psoriasis, eczema, dermatitis or rosacea.
  • Have used Retin-A, Renova, prescription skin care products, products that contain
  • ascorbic acid, bleaching or skin-lightening agents or other acid-based products in the last 48 hours.
chemical-peel

What are risks, side effects, and dangers of chemical peel?

The risks, side effects, and complications of chemical peels include scarring, infection, reactivation of herpes simplex infections, and a substantial contrast in coloration of the treated skin. All patients will have a recuperation period, the length of which depends upon the depth of the peel. Deep peels can result in substantial periods of healing on the order of weeks. Deep peels generally require extensive local anesthesia, conscious sedation, and occasionally general anesthesia, which carries its own risks.

How do specialists perform chemical peels?

Superficial peels rarely require anesthesia but are accompanied by a burning sensation when the solution is applied. This can be relieved by the application of cool compresses and fan-aided evaporation. Deeper peels often require extensive local anesthesia, systemic sedation, and rarely, general anesthesia. The peeling process begins with the application of a defatting solvent (acetone or alcohol), which is wiped uniformly over the area to be treated. The peeling solution is then applied for the appropriate time period and then halted by the application of a neutralizing solution. Bandages are applied to the treated area, and the patient is sent home to convalesce.

How does one prepare for a chemical peel?

Often it is suggested to pretreated patients with tretinoin cream for a period of time prior to the peel. People who get cold sores (herpes simplex infections) should start on antiviral medications like acyclovir (Zovirax) one week prior to treatment and continue taking these for two weeks after therapy to prevent reactivation of cold sores. All patients should be encouraged to use high SPF sunscreens prior to and after peeling. Those with darker skin may also require pretreatment with hydroquinone preparations.

What can I expect after having a chemical peel?

All peels require some follow-up care:

  1. Superficial peels require one to seven days to heal. Treated skin will initially be red and may scale. Lotion or cream should be applied until the skin heals, followed by daily use of sunscreen. Makeup can usually be worn the next day.
  2. Medium peels require seven to 14 days to heal. Treated skin will initially be red and swollen. Swelling worsens for the first 48 hours. Eyelids may swell shut. Blisters may form and break. Skin crusts and peels off in seven to 14 days. Skin must be soaked daily for a specified period, followed by ointment application. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure until healing is complete. Camouflage makeup may be worn after five to seven days. A follow-up appointment will be necessary to monitor progress.
  3. Deep peels require 14 to 21 days to heal. The treated area will be bandaged. Skin must be soaked four to six times daily, followed by ointment application for the first 14 days. Afterwards a thick moisturizer is applied for the next 14 days. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure for three to six months. Camouflage makeup may be worn after 14 days. Several follow-up appointments will be necessary to monitor progress.

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