Chemical peels remove damaged outer layers of skin to make skin smoother, reduce scarring and remove blemishes. Ranging from mild to strong, there are three types of chemical peels: alphahydroxy acid (AHA), trichloroacetic acid (TCA) and phenol. The strength of each peel is tailored to the patient. Peels can be combined with other procedures, such as facelifts, for additional improvement to skin. Chemical peels may be covered by insurance if they are performed for medical rather than cosmetic reasons.
Chemical peels are performed in a plastic surgeon‘s, dermatologist‘s, or Medical Spa office. Anesthesia is not required because TCA and phenol have anesthetic properties, and AHA produces only a slight stinging.
Chemical Peel Procedure
During a TCA or phenol peel, the skin is cleansed, and the solution is applied, which may cause a brief stinging sensation. Petroleum jelly or a waterproof adhesive tape may be put on the skin following a phenol peel. During an AHA peel, the skin is cleansed, and the solution applied; there is no need for post-peel ointment or covering.
Side Effects of Chemical Peels
A phenol or TCA peel can result in tingling or throbbing, reddened skin, a crust or scab, and significant swelling that lasts, depending on the strength of the peel used, about a week. With a phenol peel, eyes may be swollen shut at first, and the patient may be put on a liquid diet and advised to keep talking to a minimum. Any tape used is removed after a day or two. AHA peels can cause temporary stinging, redness and irritation, as well as flaking or crusting. After a chemical peel, it is essential that the skin be protected from the sun.
Chemical Peel Options
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FAQS
Individuals with sun-damaged skin, uneven skin tone, fine lines, acne scars, or other types of skin imperfections are good candidates for chemical peels. Those with generally healthy skin seeking to improve its texture and appearance can also benefit from chemical peels. A skincare professional can help you choose the best type of peel for your specific needs.
Results of chemical peels can vary depending on the type and strength of the peel. Generally, you can expect initial skin texture and tone improvements within a few days to a week after the procedure. Full results typically become more apparent after the skin completely recovers, which can take several weeks.
The longevity of results from chemical peels depends on the type of peel and your skincare routine following the treatment. Mild peels, like AHA peels, may provide results that last several weeks, while stronger peels, like TCA or phenol peels, can offer more long-lasting improvements. Regular maintenance peels and a proper skincare regimen can help sustain the benefits.
Downtime and side effects vary with the type of peel. Mild peels (AHA) may cause temporary stinging, redness, and irritation with little to no downtime. Medium (TCA) and deep peels (phenol) can result in significant redness, swelling, and peeling that may require several days to a week of recovery. Side effects may include tingling, throbbing, and scabbing.
Before a chemical peel, avoid excessive sun exposure and discontinue using certain skincare products as your provider advises. After the treatment, keep your skin moisturized, avoid picking at peeling skin, and protect your skin from the sun by using sunscreen. Follow all post-treatment care instructions your skincare professional gives to ensure optimal healing and results.
During a chemical peel, your skin is cleansed, and the chemical solution is applied. There may be a brief sensation of stinging or burning. For TCA or phenol peels, petroleum jelly or waterproof adhesive tape may be applied afterward. The procedure duration depends on the type of peel, usually lasting about 30 to 60 minutes. Your provider will explain the process and post-treatment care in detail.