Chemical Peels

chemical-pealA chemical peel is an aesthetic procedure performed to achieve better skin tone and to remove fine lines, especially on the face. The chemical solution removes outer layers of skin which are damaged by age, sun, acne, wrinkles, or pigmentation problems. Removing the outer skin prompts the body to generate a new layer of skin cells which are tainted by the previous skin condition. Chemical peels may not be appropriate for darker skin complexions.

  • Reduce facial wrinkles and lines
  • Improve sun-damaged skin
  • Correct age spots and pigmentation problems
  • Lighten scars (especially from acne)
  • Treat precancerous skin lesions
QuestionAnswer-header

What is a chemical peel?

A chemical peel uses a chemical solution to smooth the texture of your skin by removing the damaged outer layers.

Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and hands.

A chemical peel is one of the least invasive ways to improve the appearance of your skin. Sun exposure, acne, or just getting older can leave your skin tone uneven, wrinkled, spotted or scarred.

A chemical peel can help improve:

  • Acne or acne scars
  • Age and liver spots
  • Fine lines and wrinkles
  • Freckles
  • Irregular skin pigmentation
  • Rough skin and scaly patches
  • Scars
  • Sun-damaged skin

What a chemical peel won’t do

  • Treat deep facial lines
  • Tighten loose or sagging skin
  • Remove broken capillaries
  • Change pore size
  • Remove deep scars

Chemical peel cost

The average cost of a chemical peel is $632, according to 2014 statistics from the American Society of Plastic Surgeons.

The cost of a chemical peel can vary. The average fee referenced above does not include anesthesia, facilities or other related expenses.

Your cost will be based on your individual plan and procedure.
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Prices may also be based on the expertise and qualifications of the person performing the procedure, type of chemical peel performed, time and effort the procedure or treatment requires, and the geographic location of the office.

Chemical peel cost may include:

  • Anesthesia fees
  • Prescriptions for medications
  • Facility costs

Be sure to ask your surgeon about all costs involved in your procedure.

When choosing a board-certified plastic surgeon for a chemical peel, remember that the surgeon’s experience and your comfort with him or her are just as important as the final cost of the surgery.

Chemical peel candidates

You may not be a good candidate for chemical peeling if you have:

  • A history of abnormal skin scarring
  • Abnormal pigmentation
  • Afro-Caribbean or Asian skin
  • Facial warts
  • Red hair and pale freckled skin
  • Used certain acne treatments within the last year

How a chemical peel works

Chemical solutions are carefully applied to your skin to improve the texture by removing damaged outer layers.

The chemicals used are phenol, trichloroacetic acid, and alphahydroxy acids. The formula used by your doctor will be adjusted to meet your particular needs.

There are three types of chemical peels:

  • Light chemical peel – Subtle improvements at first, but that healthy glow will increase with more treatments
  • Medium chemical peel – Your skin will be noticeably smoother and fresher looking
  • Deep chemical peel – Results are dramatic, but recovery takes the longest

Light chemical peel

A light chemical peel might be the right choice if you have uneven pigment, dryness, acne or fine wrinkling.

This kind of peel removes just the outer layer of skin (epidermis) in a light exfoliation and results in a healthier glow.

Your health care provider will use a combination of alphahydroxy acids and beta hydroxy acids, such as glycolic acid, lactic acid, salicylic acid and maleic acid. All of these chemicals are the mildest choices. You can repeat these treatments to achieve your desired results.

Light chemical peel procedure steps

  • Your face will be cleansed.
  • The chemical solution is brushed onto your skin and left on for a few minutes. You may feel some mild stinging.
  • The chemical peel is then washed off and neutralized.

Light chemical peel risks and recovery

You are likely to experience some redness, stinging, skin flaking, and irritation from a light chemical peel.

After repeated treatments, these side effects will likely subside.

Other light chemical peel risks include:

  • Hyperpigmentation (when too much pigment occurs, causing brown blotches). Avoid this by always using a high-factor sunscreen.
  • Infection.

Medium chemical peel

Acne scars, deeper wrinkles and uneven skin color can all be treated with a medium chemical peel.

The chemicals used for this type of peel will remove skin cells from both the outer layer of skin (epidermis) and upper part of your middle layer of skin (dermis).

Your health care provider will use trichloroacetic acid, sometimes used in combination with glycolic acid.

Medium chemical peel procedure steps

  • Your face will be cleansed.
  • The chemical solution is brushed onto your skin and left for just a few minutes. You may feel some burning or stinging.
  • The treated area may turn a whitish grey color.
  • The chemicals are neutralized with a cool saline compress.
  • Your skin may turn red or brown in the days just after the peel. It may take up to six weeks for your skin to look normal.

You may repeat a medium chemical peel every few months to maintain your new glowing skin.

Medium chemical peel risks and recovery

When trichloroacetic acid is used in a medium chemical peel, you’ll experience some redness, stinging and skin crusting just like a light chemical peel.

Although these chemicals won’t bleach your skin, you may see some color changes. You’re advised to avoid the sun for several months to protect that fresh new layer of skin.

Other medium chemical peel risks include:

  • Hyperpigmentation (when too much pigment occurs, causing brown blotches) may result even if you use sunscreen.
  • Permanent scarring is another infrequent risk.
  • Redness, which occurs in everyone after the peel, may last longer than a few months for some people.

Deep chemical peel

If you have deeper facial wrinkles, skin that’s damaged by the sun, scars, areas that appear blotchy, or even pre-cancerous growths, deep facial chemical peels might be the right choice for you.

Your physician will use the strongest chemical called phenol to penetrate down to the lower dermal layer of your skin. For this type of peel, you may need a local anesthetic and a sedative to manage any discomfort.

A deep chemical peel usually involves some sort of pretreatment for up to eight weeks. This will prepare your skin for the peel and speed the healing process.

Pretreatment may include use of a retinoic acid cream or gel – a prescription medication that’s derived from vitamin A. This works to thin out the skin’s surface layer, allowing the chemical solution to penetrate more evenly and deeply.

Deep chemical peel procedure steps

  • You will be given a sedative to relax along with a local anesthetic to numb your face.
  • Your face will be cleansed.
  • Phenol is brushed onto the area after an appropriate time interval.
  • The chemical is neutralized with water.
  • A thick coat of ointment is smoothed over your skin, to prevent dryness and pain. The ointment must stay in place. Sometimes your surgeon will cover your skin with strips of tape or medicated gauze rather than ointment.

Deep chemical peel risks

The chemical used in a deep chemical peel, phenol, can lighten the skin that’s treated. With this kind of peel, your new skin often loses its ability to make pigment, meaning to tan. You will always need to protect your skin from the sun.

Phenol also can pose a special risk for people with heart disease. Be sure to tell your surgeon about any heart problems and include it in your medical history.

Deep chemical peel recovery

A deep chemical peel requires that you have an adequate recovery time.

You may return to work and some of your normal activities two weeks after treatment. At that point, your skin will be healed enough for you to wear makeup.

Deep chemical facial peels will result in peeling, crusting, skin redness and discomfort for several days.

Your doctor will provide painkillers to keep you comfortable. Although the swelling is likely to disappear in about two weeks, your skin may remain red for up to three months.

One treatment with a deep chemical peel will produce long-lasting and dramatic results that can last up to 10 years.

Chemical peel risks and safety information

You should understand that all chemical peels carry some risks and uncertainties.

A chemical peel is usually a very safe procedure when performed by a qualified and experienced plastic surgeon.

It happens infrequently, but you could develop an infection or scarring from chemical peels.

For people with certain skin types, there is a risk of developing a temporary or permanent color change in the skin either lightening or darkening.

Use of hormone medications or a family history of brownish discoloration on the face may increase the possibility of developing abnormal pigmentation.

If you have suffered from cold sores (herpes) in the past, there is a risk of reactivation. Be sure to ask your doctor to prescribe medication to try and avoid an outbreak.

Inform your physician if you have a history of keloids (scar tissue overgrowth) or any unusual scarring tendencies.

Your chemical peel consultation

During your chemical peel consultation be prepared to discuss:

  • Your goals
  • Medical conditions, drug allergies, medical treatments and smoking history
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous surgeries

Your surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Discuss likely outcomes and any risks or potential complications

Be sure to ask your plastic surgeon questions. To help, we have prepared a checklist of questions to ask during your chemical peel consultation (see tab titled “Questions to ask your plastic surgeon”).

It’s very important to understand all aspects of your chemical peel. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of stress. Don’t be shy about discussing these feelings with your plastic surgeon.

Questions to ask your plastic surgeon

Use this checklist as a guide during your chemical peel consultation:

  • Are you certified by the American Board of Plastic Surgery?
  • Were you specifically trained in the field of plastic surgery?
  • Is the office-based surgical facility accredited by a nationally or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?
  • Am I a good candidate for a chemical peel?
  • What will be expected of me to get the best results?
  • Who will perform the chemical peel?
  • Have they been specifically trained in this procedure?
  • Where and how will you perform my procedure or treatment?
  • How long of a recovery period can I expect?
  • What are the risks and possible complications associated with my procedure?
  • How can I expect to look over time?
  • Do you have before-and-after photos I can look at for this procedure?
  • What results are reasonable for me?

Choose a plastic surgeon you can trust

A chemical peel involves many choices. The first and most important is selecting a member of the American Society of Plastic Surgeons (ASPS) surgeon you can trust.

  • ASPS member surgeons meet rigorous standards:
  • Board certification by the American Board of Plastic Surgery® (ABPS) or in Canada by The Royal College of Physicians and Surgeons of Canada®
  • Complete at least six years of surgical training following medical school with a minimum of three years of plastic surgery residency training
  • Pass comprehensive oral and written exams
  • Graduate from an accredited medical school
  • Complete continuing medical education, including patient safety, each year
  • Perform surgery in accredited, state-licensed, or Medicare-certified surgical facilities

Do not be confused by other official sounding boards and certifications.

The ABPS is recognized by the American Board of Medical Specialties (ABMS), which has approved medical specialty boards since 1934. There is no ABMS recognized certifying board with “cosmetic surgery” in its name.

By choosing a member of the American Society of Plastic Surgeons, you can be assured that you are choosing a qualified, highly trained plastic surgeon who is board-certified by the ABPS or The Royal College of Physicians and Surgeons of Canada.

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