Chemical peel is a procedure of improving the quality and structure of the skin during a long time period. Effects that are obtained by using chemical peels are still a gold standard when compared with all the other methods of skin rejuvenation.
Chemical face peeling is a medical treatment during which a trained physician applies solutions of various acids on the skin of a patient with the purpose of removing the damaged skin layer. This procedure enables the regeneration of the removed layer with new the new and healthy skin layer.
When is a chemical peel an efficient method?
Chemical peels are efficient method in skin pigmentations (dark spots) caused by the Sun or other factors, acne or black comedones, fine wrinkles, scars from acne or rough skin caused by Sun damage or from age.
On which body parts can chemical peels be performed?
Chemical peels can be performed on the face, neck, hands, arms and legs. Depending on the depth, they can be skin deep chemical peels, medium-deep chemical peels and deep chemical peels.
What types of chemical peels are most commonly applied?
Based on the experience in our clinic we usually apply the following types of peels:
Chemical peels with fruit acids
Depending on the concentration, chemical peels with fruit acids can be mild (20% glycolic acid) and they remove fat and improve the appearance of the skin, or moderately strong (up to 70% of glycolic acid) which are conducted by a trained physician with the purpose of treating certain skin conditions. Peels with AHA acid significantly speed up the treatment of acne. Mild fruit acids remove the fatty layer of the skin and release the pores from the dead cells. This facilitates the effect of active substances which are used in acne treatment. The exception is Roacutane therapy which is not recommended when using peels. In our clinic, peels with fruit acids from the Neostrata company are also used, the Easy phytic and Vitalise peel.
Neostrata’s peels are among the top peels with fruit acids. Peels with 35%, 50% and 70% fruit acids are combined. A significant effect is visible already after the first treatment. These peels are especially suitable for greasy skin and when there is a long-term redness from scars. One peel a month is performed and four days after the procedure there is a mild peeling of the face. Photoprotection (protection from the Sun) is mandatory.
Vitalise peel are mild peels which can be done when having a break from work. The ingredient of these peels are fruit acids, salicylic acid but also a high concentration of retinol, the most important substance when it comes to skin rejuvenation. Salicylic acid has an anti-inflammatory and antiseptic effect to the epitel. Immediately after these peels there is a mild redness. For the next few days dryness of the skin is less expressed. Peeling is almost imperceptible and lasts up to 4 days. These peels are done once every three weeks and after a series of four treatments the quality of collagen fibers in the skin is significantly improved and the skin returns its hydration abilities and freshness.
Easy phytic peels
Easy phytic are peels with a combination of fruit acids: glycol, mandelic and lactic. In our clinic they are combined with cosmetic treatments of facial cleaning.
They enable better penetration of active substances into the skin. If they are used in persons with greasy and problematic skin they are combined with active substances that dissolve blackheads and calm the inflammation. In mature skin, masks with concentrated factors of growth and vitamins are used after this peel.
Chemical peel with trichlor-vinegar-acid (TCA)
This is a chemical peel of a greater strength applied only by well trained physicians. TCA peel belongs to the group of medium depth peels and is used to treat scars, fine wrinkles, enlarged pores and skin damage from the Sun radiation. Peels with 15%, 25% and 35% of TCA acid are used depending on the state of the patients skin. The function of this acid is not only in removal of the surface skin layer but also in the stimulation of the fibroblast, cells responsible for creation of collagen and elastine.
These peels give the best results when used in skin rejuvenation and scar removal treatments. Recovery period is 7 days after the procedure. Depending on the treated skin condition the aforementioned peels can be combined with other types of peels or other procedures, as decided by the dermatologist.
What number of chemical peels is necessary?
The number of treatments depends on the type and severity of skin damage, that is, the state of the skin that is being treated. Some patients are satisfied with only one chemical peel but usually 3 to 6 peels are necessary to obtain the maximal effect. Milder chemical peels with glycolic acid can be repeated every 7 to 14 days, while deeper peels with glycolic acid and trichol-vinegar-acid can be repeated every 4 to 6 weeks.
What are the side effects of chemical peels?
Except for a temporary redness and mild peeling, the superficial, mild peels done with glycolic acid have no significant side effects if done professionally. Deeper peels with glycolic acid and trichlor-vinegar-acid acid are more efficient in removing pigmentation, removing scars and wrinkles, but demands special care for the skin before and after the peel and the side effects depend significantly on the cooperation and the discipline of the patient.
The most common side effect is the appearance of pigmentation after the peel, due to inadequate protection from the solar radiation while the skin is still regenerating after the performed treatment.
Spec. Dr. Svetlana Djurisic, dermatologist