- includes Jessner's peels, salicylic acid peels, gylcolic acid peels, and light trichloroacetic acid (TCA) peels
- uses include acne treatment, rosacea, and fine lines
- minimal discomfort, no recovery time, may be repeated weekly
- may have mild skin irritation (2 days), temporary flaking, redness or dryness (up to 5 days)
- Use of cosmetics and moisturizers during the time of the peel generally is avoided if at all possible
- includes 30-50% TCA peels, and Jessner's combined with TCA peels
- used for melasma, pigment disorders of the skin such as lentigos, deeper wrinkles, and acne scars
- there is mild to moderate discomfort with these peels
- recovery time may be up to two weeks to heal completely
- there is usually some crusting, swelling, and redness
- includes phenol peels, 75% and higher TCA peels
- used to reduce severe wrinkling, aging and scarring
- severe pain should be expected
- takes two weeks or more to heal
- severe swelling (5-7 days), crusting, and redness (up to 6-8 weeks)
- The patient should stay out of the sun. When unavoidable, the patient should apply a strong sunscreen (SPF 45 or greater) and wear a hat. An ointment, such as petroleum jelly or Aquaphor, should be applied to the involved skin.
- Remind the patient that the skin will exfoliate and may look cosmetically unattractive for a period of time depending on the depth of the peel.
- For superficial peels, a follow-up appointment can be scheduled at the time of the next peel. For deeper peels, patients should be seen 2-3 times the first week following the peel to provide for early intervention if problems (ie infection) develop.
Skin Resurfacing, Chemical Peels; Gregory Caputy MD, PhD; eMedicine Article, March 28, 2008
Chemical Peels; Raymond T Kuwahara MD; eMedicine Article, Jan 19, 2007
Skin Resurfacing: Chemical Peels; Don R Revis Jr MD and Michael B Seagle MD; eMedicine Article, Oct 27, 2005