Chemical Peel Overview
Chemical peels have been used to treat fine facial wrinkles for over 40 years. The art and science of performing a chemical peel has changed radically in the past five years with a variety of new chemical peel treatments being introduced.
A chemical peel involves the application of a specific solution to the surface of the skin to peel away the outermost layers revealing the fresh skin beneath. Chemical peels can be superficial, medium and deep in their penetration of the skin.
The new techniques allow us to treat a much wider variety of patients than previously possible. Depending on the skin concern, your doctor will suggest the most appropriate chemical peel treatment for you.
Chemical Peel Treatment Options
Glycolic Acid (AHA) Chemical Peels or Fruit Acid Peels are very gentle. There is usually little or no peeling, which enables patients to continue their lifestyle with no inconvenience. The skin’s appearance is improved by a gentle exfoliation whilst re-hydrating the skin below its surface. Collagen production is also stimulated.
Pigment (PCA™) Peels contain bleaching agents and are more suited to patients with pigmentation problems such as melasma (hormonal pigmentation), sun damage and hyper-pigmentation as a result of acne scars.
Jessner Peels are a mixture of Resorcinal, salicylic acid and lactic acid. They are primarily used on patients suffering mild acne, acne scarring and photo damage. This chemical peel produces more peeling than AHA and is therefore beneficial for patients who require a deeper treatment.
RA* Peels are aimed at skin rejuvenation. Suitable for any patient wanting minimum ‘downtime’ and progressive improvement in both skin texture and clarity.
TCA Peels are a medium strength peel used to induce a more profound resurfacing effect on the skin. This is often used when both PCA™ and AHA chemical peels have been insufficient to remove a more severe pigmentation or sun damaged skin problem. Moderately wrinkled skin also responds well to this type of treatment with fewer complications than the older type of chemical peels once used such as Phenol.
* Due to TGA regulations we cannot stated a prodcut name, or the substance name, as such we have coded the products. For more information please contact the clinic.
The Procedure for a Chemical Peel
Glycolic Acid (AHA) Peels may initially be commenced with no prior pre treatment, however, if patients are to continue on a course of chemical peels it is safer to prime the skin by using a glycolic cream once or twice daily. The skin is cleansed using an astringent, which removes excess oils and the glycolic solution is applied. During the time the solution is on the skin the patient usually experiences a prickling sensation, which is normal. After the appropriate time, a neutraliser is then sprayed on the skin and the patient then rinses their skin thoroughly under cold water.
Chemical peels are generally performed weekly and the concentration of the peel solution is increased until 70% strength is reached. The time the peel solution is left on the skin is also increased as tolerated by the patient.
Pigment (PCA) Peels are generally performed in conjunction with a pigment gel (as a home treatment). Following cleansing of the skin, several coats of the pigment peel solution is applied in intervals of three minutes. The treatment is repeated every ten days for about three to four treatments. The patient can expect flaking and or peeling of the skin with this procedure.
Jessner Peels may be applied in one or more layers following cleansing. It is normal to feel mild stinging for a few minutes after the application. Jessner Peels can be repeated each fortnight until the desired results are obtained, or may be alternated with AHA peels.
RA* Peels comes in the form of a skin-coloured cream of which a layer is applied following cleansing. Once dry a second layer may be applied. Some patients may feel nothing while others may feel a tightening of their skin. Patients may wash their face after six hours or choose to leave the cream on over night.
TCA Chemical Peels are applied by a doctor at our Armadale clinic. Initially a glycolic peel is given to prime the skin then the TCA solution is applied to the face until an even application is achieved. Initially the face will be uncomfortable and some swelling may occur. It is normal to feel stinging, tightness and a hot sensation. A ‘cool air machine’ is used to provide comfort for the patient during the peel. As the skin calms another layer of solution may be applied. After the treatment the skin will appear sun burnt. Sun exposure must be avoided.
* Due to TGA regulations we cannot stated a prodcut name, or the substance name, as such we have coded the products. For more information please contact the clinic.
The Recovery Process for a Chemical Peel
Following any chemical peel slight to moderate redness may occur and in some cases peeling and or flaking. We recommend that any home products are not used for 24 hours after the chemical peel. Following the PCA™, Jessner, Retin A and TCA peels, dryness, redness and peeling can be expected for up to a week after the treatment. This is similar to sunburn and it is imperative that the peeling skin is not picked or rubbed as it may scar the skin. Make up may be worn to cover the skin; however this is dependant on the doctor’s instructions.
Risks and Complications of Chemical Peels
Chemical peels are a very safe procedure and often used as a safer method of skin rejuvenation than laser resurfacing. The possibility of complications is rare if instructions are followed, however, it is possible for a superficial burn to occur if the skin is sensitive or dry (eg: swimming in a chlorinated pool prior to a chemical peel, using RA or sunburn). Any minor burn should heal with no scarring if left alone. An over sensitivity to a peel solution may indicate that the peel is not suitable.
Jessner, RA* and TCA peels may cause an over sensitivity to the peel solutions in some skin types. Deeper chemical peels may make the face seem hot or burning, or in some cases may cause slight swelling, which usually subsides after the first day or so. Colour differences or variation may be more pronounced after the peel. In most cases this subsides, although on some occasions a depigmenting solution may have to be used to solve the problem. In rare cases, colour variances may be permanent and scarri ng may occur.
TCA Chemical Peels will cause the skin to appear sunburnt and then either one or all of the following can be expected: swelling, flaking, scabbing and peeling. Healing occurs about day seven with the skin appearing pink and fresh with normal skin colour returning between three to six weeks after treatment. It is imperative that sun exposure is avoided.
Chemical Peel FAQs
What are Glycolic peels?
Glycolic peels are the lightest form of chemical peel and are made from alpha-hydroxy acid (AHA), a naturally occurring fruit acid derived from sugar cane.
What conditions can chemical peels be used to treat?
- blackheads / whiteheads
- sun damage
- fine wrinkling / minor lines
- discoloration / pigmentation
- ingrown hairs
- rosacea
- acne
- dry skin
- scaly textures / large pores
What areas can be treated with a chemical peel?
Most areas of the body can be treated with chemical peels including the face, neck, chest, back, legs, arms and hands.
How do Glycolic peels work?
When applied to the skin, the AHA loosens the thickened surface skin cells that can make the skin appear dry, rough and scaly. As the surface skin layer is gently polished, a smoother textured and healthier skin is revealed.
Why would I have a Glycolic peel?
Glycolic peels can be used to treat mild sun damage and some forms of pigmentation, acne and help improve skin elasticity. They are also minimally invasive so you can have a peel and return back to work. There is NO down time!
Will Glycolic peels help my acne?
Glycolic peels are good for acne and acne prone skin as they gently exfoliate any build up of dead skin cells that can sometimes cause bacteria growth. It is suggested to consult either your GP or a dermatologist to ensure you are treating your acne appropriately.
What should I avoid after a chemical peel?
Following all types of chemical peels you should avoid electrolysis, waxing, bleaching or dyeing your hair. Exposure to the sun or solariums for a few days to a week should definitely be avoided and a high protection sun block should be applied to the affected skin if it is absolutely necessary to go out into the sun.
If you would like to find out more about chemical peels contact us for a cosmetic surgery consultation with one of our specialist cosmetic nurses on 03 9500 9500
* Due to TGA regulations we cannot stated a prodcut name, or the substance name, as such we have coded the products. For more information please contact the clinic.
