- Lactic Acid Peel:
An in-office 70%or less
alphahydroxy facial peel to remove dead skin cells, and promote
healthier, softer and more radiant skin. This peel is derived from
either sour milk or bilberries. Cleopatra was said to bathe in
- Malic Acid Peel: This
peel is the same type of mildly invasive peel derived from the
extracts of apples. It can open up the pores, allow the pores to
expel their sebum and reduce acne.
- Tartaric Acid
peel is derived from grape extract and is capable of delivering the
same benefits as the above peels. Have your skin technician
determine which is best for your individual needs.
For the above peels, do NOT
pick or pull at the flaking or peeling skin. Also moisturizing can lessen
the benefits of the peel. Although extensive cracking an bleeding will not
help either, moisturize these areas or apply a calming serum such as Neova
Calming Green Tea Serum with Copper Peptide. This will heal these areas
and lessen cracking and bleeding which can scar your newly uncovered skin.
Peeling or exfoliating your sensitive skin at this time can significantly
scar your skin. These peels may be reapplied at 2 week intervals.
- Jessner's Peel: This
is a medium depth peel designed for more extensive damage than AHA's can
improve. It is made from salicylic acid (a beta hydroxy acid), lactic acid
(an alpha hydroxy acid) and resorcinol. Your surgeon or skin
technician will apply a glycolic cleanser over your face to fully remove the
oils and horny layer so that your Jessner's solution will penetrate
properly. Then he or she will apply the Jessner's solution to your face, it
will then burn slightly (although this uncomfortable sensation can be
relieved by a fan blowing cool air on your treatment area). you may have
several layers applied depending. You may develop a whitened look, known as
"frosting" that will dissipate within a few hours. Then your skin
technician will neutralize the acid and remove your solution with cool
water. Your technician may apply a calming mask and you will be sent home.
You will peel and flake for about 7 days and turn pink or brown afterwards.
After you heal nice, smooth skin will be revealed.
Do NOT ever pick or pull at the flaking or peeling skin, it can cause
scarring or an infection which can spread all over your skin and cause
scarring. Also moisturizing will lessen the benefits of the peel.
cracking an bleeding will not help. Moisturize these areas or apply a
calming serum such as Neova Calming Green Tea Serum
with Copper Peptide. This will heal these areas and lessen cracking and
bleeding which can scar your newly uncovered skin, but may burn a little if
you place it on raw skin -- I use a fan to blow on it at first. Peeling or exfoliating
your sensitive skin at this time can significantly scar your skin. This peel
may be reapplied at 2-3 week intervals.
- The Obagi Blue Peel:
In order to have the Blue Peel you usually have to go through one cycle of
Obagi Nu-Derm to prep the skin. This will help prevent
hyperpigmentations from forming from the peel. This
type of peel is relatively new. Also developed by Dr. Zein E. Obagi,
this peel is an in-office trichloracetic acid (TCA) peel to correct
fine lines, superficial scars, minimal laxity and pigmentation problems.
It is performed in 1 to 4 steps and is very beneficial to persons of all
skin types. Usually more invasive peels are unfortunately suitable to
only those of European Caucasian descent. With the Blue peel, persons
of ethnic skin tones such Asian, African-America, Italian and other darker
skins tones can safely undergo beneficial resurfacing.
The solution is applied in 1 to 4
layers and left on the skin for 25 to 30 minutes. You may feel a
slight burning or stinging sensation as each layer is applied which may last
from 2 to 5 minutes. A fan will help you tolerate the stinging
sensation -- so request if this is used. The blue tint will darken and
advise the skin technician when the peel is complete. The blue tinge
that you get from this peel may last for up to 3 or 10 days, depending.
So prepare to take off a few days for this one as well. This peel may
be reapplied at 4 week intervals.
Chemical peeling with phenol is used to
improve significant actinic damage as well as moderate wrinkling of the
skin. It provides a relatively deep and predictable injury to the dermis.
“Pure” phenol is 88%. The solution most commonly used was developed by
Baker and Gordon and contains 3 ml USP liquid, phenol 88%, 2-ml water; 8
drops liquid soap (Septisol); and 3 drops croton oil. It has been shown
through histologic studies that the Baker/Gordon formula penetrates deeper
than pure phenol. This is a serious peel, requires sedation and monitoring
of your vital statistics. Unfortunately, there is usually blanching of the
skin and a distinct resulting demarcation line. It is very possible
that your skin will never regain its ability to tan after a phenol peel so
consider this before committing to such a procedure. Also this peel is
usually reserved for the face - and not the neck, arms, etc. It is reported
that scarring can result when used on these non-facial areas.
- Refinity Medical Skin
Solutions®: This peel and the
accompanying skin care is a medical strength AHA without the high known to occur with this type of peel.
Refinity goes by the belief that in
order to produce maximum results, a high level of acid must be made
available to the skin. The higher the level of Exfoliation or skin renewal.
However, increasing acid strength also increases the potential for skin
irritation. They report that in order to obtain the best result, one begins
using a mild solution then works up to a higher concentration -- but without
the intense irritation seen with high concentrations of acid or Retin A use.
Refinity allows this to happen with the addition of COSMODERM-7™.
The peel itself takes about 5
to 15 minutes and the entire treatment lasts about 30 minutes. You will be a
little pink or even slightly red afterwards but smoother skin is a definite
benefit. The Refinity Peel helps improve crow's feet wrinkles about 35%,
whereas age spots, superficial facial lines and uneven skin town can be
improved from a little over 50% to 70%. The smoothness of the skin and
moisturization properties can be improved by as much as 98%.
- BioMedic MicroPeel®: This
procedure is a three step process which is a combination of a manual
exfoliation, a chemical peel and a Cryogenic Therapy session -- together.
outcome is extraordinary. The first step is a five minute manual or
enzymatic exfoliation treatment. This step allows the removal of the skin's
horny layer, known as the stratum corneum. This allows
the acids to penetrate more deeply and also to improve the look of
The optional second step
is a 15 to 30% Alpha Hydroxy Peel. Your skin specialist will leave this on your
skin anywhere from 15 seconds to 2 minutes, and no longer. You will
feel a slight burning or stinging which can be lessened by a cool breeze from
a small fan although this step is very short and may not be needed. If you
choose to add this step BioMedic recommends that you have no more than
4 to 6
treatments WITH the AHA peel.
The third step is very
beneficial and the main component of the entire treatment. This step is
performed with what is called cryotherapy. Cryogenic Therapy is the act of
using a very cold substance to freeze a layer of skin. You may have heard of
sun damage and precancerous cells being removed with Cryogenic Therapy. The
substance used is Carbon Dioxide and it is applied to the face in circular
motions, freezes the surface cells, helps deliver an anti-inflammatory
response and smoothes the skin. The result is a smoother, clearer, healthier
You a Candidate for a Chemical
Depending upon the peel,
you may be a candidate for a chemical peel if you have slight wrinkles,
hyperpigmentations, splotchiness, unevenness, acne, acne scars, black heads or
sun damaged skin. You may not be a candidate if you have horal erpes, as this can
spread to your healing skin and cause great, weeping sores which will damage and
scar your skin. Ask your primary physician for a release and perhaps a
prescription for a oral medications such as Zovirax. This will decrease your
risk of an outbreak. If your primary care physician does not release you or
opposes to your having a peel -- DON'T take that chance!
For deeper peels which require
sedation or extensive recovery, first and foremost, you must be in good health,
not have any active diseases or pre-existing medical conditions and must have
realistic expectations of the outcome of your procedure. Communication is
crucial in reaching one's goals. You must be able to voice your desires to your
surgeon if he/she is to understand what your desired results are. Discuss
you goals with your surgeon so that you may reach an understanding with what can
realistically be achieved.
You must be mentally and
emotionally stable to undergo an cosmetic procedure such as this. This is an
operation which requires patience and stability in dealing with the healing
period. There is sometimes a lull or depression after a deeper peel and if
there is already a pre-existing emotional condition, this low period can develop
into a more serious issue. Please consider this before committing to this
to Expect at Your Consultation
After checking a few
dermatologists', surgeons' or skin technicians' backgrounds and credentials, you
will make an appointment for a consultation. You will meet with these possibles
and discuss your goals and you will disclose all information regarding your
health; if you smoke, what medications or vitamins you presently take, etc. --
this is very important. Visit the Medication &
Supplements List for more information.
You will discuss your complaints
and concerns and discuss the various results one can achieve, the amount that
can improved, etc. Your doctor will explain the technique and options that may
be most appropriate for you and should discuss the risks associated with
chemical peel with you, as well.
You will also
discuss the available anesthesia, if applicable, that will be used for
your procedure. Most deeper chemical procedures are performed under either
Oral Sedation or Light Sleep Sedation. However, lighter peels pay need no
more than an electric fan blowing cool air on you. Either way, discuss this
beforehand as many people are not aware of the risks of
If you would like
more information on consultations or a list of questions to ask your doctor
please visit the Consultation Help Page.
you should choose to book or reserve a procedure date you will usually give a
deposit to hold your date. Most times if you cancel a few days beforehand, this
amount is non-refundable. After paying your deposit and scheduling a surgery
date, you will also schedule a pre-operative appointment...
Although usually not necessary
for lighter peels, this appointment addresses more questions you may not have
thought to ask at the initial consultation, such as more procedure details,
concerns and even ascertaining that your doctor is aware of what you desire from
your procedure. Just as your doctor will make certain that you know what
it realistically possible from this procedure.
You will also
discuss your pre-operative instructions and speak about the recovery period
instructions and what to expect in the weeks or months ahead. If for deep peels,
you may be given prescriptions for antibiotics, pain relievers, perhaps blood
pressure medicines, prescription anti-inflammatory drugs, and perhaps a box or
directions for gaining Arnica montana. Would like to know
more on the benefits of Arnica montana?
Perhaps you will be instructed to obtain Bromelain or other types of
remedies, although many surgeons would rather have you not take ANYTHING other
than your prescription medications, please do not go against your surgeon's
wishes. Remember, always ask your doctor before taking any of these products.
Please do not
hesitate to address any concerns that you may have during this time and even
after your pre-operative appointment. If you remember something when you get
home or the next day or even the day of surgery -- don't be afraid to ask.
for Your Chemical Peel
You will more than likely
be asked to closely follow a skin care regimen which includes the use of AHAs,
Retin A and Hydroquinone to prepare your skin and even out the skin tone itself.
This makes the peel more effective as well as lessens the pigment and fades a
tan by bleaching and skin cell turn over. This way you are less likely to hyperpigment after the procedure.
You will be instructed or given a
high quality moisturizer, skin preparation lotions and sunblock which you will
use as you heal afterwards to protect the newly uncovered skin from the harmful
UV rays. The skin will crack and depending upon your instructions, peel and skin
type you will either be asked to cover it with a thin layer of lotion or
antibacterial ointment or allow it to dry, crack and fall away NATURALLY. So
please adhere to your own physician's or skin care specialist's instructions.
These steps are very important.
This Procedure Is Performed
Depending upon the peel,
peel depth and the skin type -- you will either be anesthetized or not, if so
please read the anesthesia section. If not, you will have your skin cleansed and
prepared either by exfoliation, sterilized or whatever is needed. The layers of
acid will be applied and the timer set for your treatment protocol. The acid
will be removed with a neutralizing lotion abs you will then have a moisturizer
applied to your face. You may or may not have a "second skin" type of
dressing placed on your face then gauze - unless of course this is a superficial
Please consult with your
physician for specific details of your procedure as many treatments are carried
out differently and are entirely individual-dependent.
Sometimes a membrane is applied to help with
comfort and healing -- some of these may be burn dressing membranes, or
commercially available masks such as the HydroGold Full Face Gel Mask® from www.BioDermis.com. But
ALWAYS ask your physician before using any product post-operatively.
such as this are usually reserved for more serious peels (Phenol, Obagi Blue,
Laser, etc) as they can be quite pricey.
A relatively new and exciting burn bandage is made from cotton and purified chitin,
called chitosan, (a polysaccharide), which is extracted from the
exoskeletons of crustaceans (crab, shrimp and lobster shells). Incidentally,
Chitosan is also an ingredient in controversial "fat magnet" pills and
supplements. Below is from Youngdeok Chitosan:
"Chitosan is a natural product derived
from Chitin, a polysaccharide found in exoskeleton of crustacean like crabs
and shrimps, in the crusts of the insects like beetles, gold bugs, and
grasshoppers, and in the cell wall of bacteria and fungi like molds and
Crab's shell consists
of Chitin substance, Protein, Calcium carbonate which are all boned together
very strongly to become a hard and stable crust.
Chitin (acetylamino-polysaccharide) is extracted by removing protein and
calcium carbonate from crab's shell. Through the process of deacetylization
called purification, Chitosan (amino-polysaccharide) is obtained from Chitin
by getting rid of acetyl radicals.
is obtained by an enzymatic hydrolysis of chitosan using chitosanase. Compared
with Chitin and Chitosan that has poor solubility and absorbability into our
body, Chitosan Oligosaccharide is absorbed perfectly. "
consists of several layers, the main layers consisting of the purified crab and
shrimp shells (chitosan, pronounced KEYE-toe-san) as well as a synthetic barrier that whisks
away moisture and fluids from a weeping, healing wound. An outer layer of cotton
gauze absorbs the fluids. The gauze pads can be changed but the synthetic skin
and chitosan covering stays to protect the wound. The chitosan are actually
absorbed harmlessly into the body and excreted. Miraculously, the crab shells
have a superior antibacterial property unheard of in any relative substance.
Reportedly, no known fungus or germ can adhere to it's surface. When the bandage
is removed - fresh, new skin appears.
Road to Recovery
You will feel as
though your skin has a windburn or sunburn and will find that your skin is
tight. Do not make excessive or widely exaggerated facial expressions.
tearing of the skin and bleeding, hence -- scarring. Just let your skin heal
naturally and do not peel or tug on ANY skin that may peel from the face. You
can cause excessive damage resulting in sever scarring if you do this. Below is
a typical after care instruction sheet, please ask your physician or skin care
specialist for your own specific instruction sheet.
- You will cleanse your face as
usual but be instructed to use a gentle-formulated cleanser.
- You may be instructed to use a
special moisturizing cream or lotion.
- Do not apply any type if
glycolic acid or exfoliation products as this can severely damage or
irritate the skin.
during the entire time of healing or the skin will become irritated.
- Avoid sun exposure if you can.
Use a high SPF sunblock to help block the harmful UV rays.
- Do NOT peel, rub or scratch
your skin at anytime, whatsoever. This WILL cause damage and compromise your
results as well as possibly severely scar you.
- Let your surgeon or skin care
specialist know immediately if you have a herpes break out. This can also
result in severe and permanent scarring.
Contraindication of Chemical Peels
You should not have a
chemical peel if you will continue to have excessive sun exposure. Active
herpes simplex, warts, history of keloidal scarring (excessive ropey scarring where the
collagen forms outside of the incision or cut area, Any type of
recent facial surgical procedures. You should not have a chemical peel if you've
used Accutane in the last year (which increases your chances of excessive
scarring). If you are pregnant or lactating (although simple, superficial fruit
acids may be acceptable, ask your physician). If you have any auto immune
diseases, have had any recent radioactive or chemotherapy treatments -- have
sunburn, windburn or broken skin or have recently waxed or have recently used a
depilatory such as "Nair®" or used "Vaniqua®."
& Complications of Chemical Peels
If you have oral herpes. You MUST gain the approval of your primary physician and seek a prescription for
oral acyclovir -- one brand name is Zovirax®. This is very important!
Zovirax® can significantly decrease your chances of a break out. If you have a
break out during your healing period, it can spread to your entire face and
result in severe and permanent scarring.
Be careful of crusting or
excessive weeping. In AHA peels you may think this is normal but there is a
borderline appearance that you must watch out for. Ask your skin care
specialist for specifics regarding what to look for. If for a typical AHA peel,
you should feel and look normal within 3 to 4 days. For deeper peels your downtime
may take weeks and then months for complete recovery.
If you experience painful areas
of the face, contact your surgeon or skin care specialist immediately --
ESPECIALLY if you are prone to cold sores. Blisters that form will need to be
treated as soon as posible!
coloration) and hypopigmentation (lack of pigmentation) can be problematic of
misdiagnosed skin types, failure to reveal any skin problems or ethnicity and
improper post-peel care. Infection is uncommon but possible so keep an eye out
for redness and pain.
Scarring is a problem if the
above is experienced so please adhere to your post-peel instructions to decrease
your chances of long term or permanent, visible signs of damage.
Least You Need to Know About Chemical
use of chemicals or a combinations of chemicals and manual or cryogenic
exfoliation to remove damage or dull layers of the skin to reveal healthier,
smoother and even toned skin.
skin becomes dull, scarred or wrinkled after damage and/or natural aging.
Acne can also be a problem and can improve after chemical peels, especially
with the use of accompanying,, customized skin care.
there is sun damage, age-related problems, or hyperpigmentations associated
with aging hormones and sun damage. Whenever acne affects the skin.
skilled skin specialist, physician or dermatologist with a good background
and experience in performing peels bad understanding the skin.
upon the type and depth of peel -- from a sterile environment for deeper,
invasive peels to home care superficial peels.
Please see above
unless infections or cold sore breakouts occur which can result in scarring.
All About Anesthesia (if applicable)
15 seconds - 1.5 hours, depending upon extent of work to be done.
nonexistent to moderate, pain meds should alleviate any
discomfort. If not, call your physician or skin care specialist immediately.
nonexistent to moderate -- depending upon individual's bodily reactions and
the depth of the peel.
instructions: This depends upon the
peel type and depth of peel, and if anesthesia was utilized, please see Recovery
and ask your physician or skin care specialist for specific instructions.
This also depends upon the peel type and depth of peel. Although next
day and 3 day visits are not unheard of with deeper peels, they usually
occur at 5 to10 days post-treatment.
visit: check up
usually at 3 weeks for exercise/activity release
immediately to usually within 7 to10 days -- but depends upon type of peel.
with your physician or skin care specialist.
Avoid sun exposure and where sunblock! This is extremely important and the
duration in which to adhere to this is dependent upon the depth of the peel
and if there is a subsequent skin care regimen.
End result: usually
can be seen anywhere from immediately to 9 months.
Sensitivity: It is
possible to lose sensation with deeper peels, especially with Phenol.
eyebrow and eyelash loss from medications and anesthesia (if applicable).
Usually permanent unless you expose your skin to the sun or have
hormonal changes again. Although a good skincare regimen can lengthen the
results by as much as 75%.
Disclose all your medical background. Be realistic in your expectations.
Type or Name
|Phase IV Jessner's Peel
||approximately $100 + up
|Phase IV Jessner's Peel
||approximately $150 + up
Phase IV Jessner's Peel
approximately $200 + up
|Phase V Method 40
Jessner's Peel (mild, moderate, aggressive)
||approximately $250 + up
Phenol (around mouth)
$500. to $2,000. and up
|Phenol (full face)
$3,000. - $4,000. + up
Obagi Blue Peel (recovery
7 - 10 days)
approximately $200. + up
per layer/15% solution;
$400 + up per layer/ 20% solution - up to $1,000.
|Standard TCA Peel
||approximately $1,500. -
$3,000. + up
Light TCA Peel
$200. to $500. + up
||$100. + up
$100. - $480. for a series
of six treatments + up
|BioMedic MicroPeel Plus
||$125. to $600. for a
series of six treatments + up
Refinity AHA Peel
$135. to $660. for a
series of six treatments + up
|Weekend Peel (recovery 4 -
||$750. + up