Chemical Peels

Chemical peels are a gentle way of burning off some of sun-damage that has accumulated on the skin since childhood. The difference between the skin of your inner arm and the face is the sun damage. The permanent light tan of the facial skin along with light brown spots are your sun damage. I must add that as of 2016 it is now known that air pollutants also stimulate our pigment cells to induce generalized darkening, freckling, and mole formation. If your upper cheeks and nose harbor road-map like capillaries, whether you would need to stretch the skin to see them or not, you have earned at least moderate sun damage since your childhood. At Brentwood Dermatology, we do not offer any deep chemical peels, such as phenol peels, that depigment the skin. Our most commonly performed peels is glycolic acid. It takes about ten minutes to perform. Patients leave the office slightly pink, which lasts for a few hours maximally. The skin appears slightly dry with very thin skin-colored scattered scale for three to four days. When repeated monthly a few times, patients often hear compliments from friends and family. Glycolic acid peels help clear acne greatly.

Jessner peels are formulated to prevent inadvertent deeper peel than intended. Depending on on how many coats of the solution are applied, a superficial to medium depth chemical peel can be achieved to refresh the skin.

Trichloroacetic acid (TCA) is acidified vinegar. Acetic acid is another name for the acid in vinegar. At Brentwood Dermatology, we apply different concentrations of it to different areas, in essence, we tailor the peel to the patient's skin type and needs to achieve the optimum desired outcome. Many fair-skinned people notice that their lower lip is constantly drier than their upper lip. Guess, what? The difference between the upper and the lower lip is much more sun damage on the lower lip because it faces the sun more directly. A TCA peel undoes decades of sun damage, and helps you have normal soft lip surface.

What is the procedure of chemical peel?

Dr. Silvers examines the patient's skin, and inquires about the recent skin care products that the patient has applied. Based not the condition of the skin, and the patient's needs, a certain chemical peel treatment is planned, often times, different agents are applied to different areas of the face, and non-facial areas. The skin is cleaned and prepped. The chemical peel agents are applied to the skin with a cotton-tipped applicator, and left on until the desired endpoint is reached. Over the following days the chemically burned off skin forms a thin crust, or appears as dry skin, and sheds off. New skin skin cells repopulate the superficial skin, and it has been documented that layers below, within the dermis, the fibroblasts lay down new collagen fibers.

Who can consider chemical peel?

Men and women who wish to restore the glowing youthful skin quality and looks. Discoloration from acne, age spots, fine lines, uneven pigmentation and rough skin on the face, neck, chest, hands, arms, shoulders and legs can be addressed.

Chemical peeling is useful in:

  • Acne
  • Skin discoloration, sun spots or diffuse darkening.
  • reducing fine lines
  • Post-inflammatory hyperpigmentation i.e. pigmentation that is left over from prior redness of he skin.
What happens after the superficial chemical peeling?

The skin appears pink right after for a short while. Then the skin becomes dries up, and looks older for one to two days. Depending on the skin condition, the chemical peel agent that was applied, and the response of the individual patient, either slight flakiness or wider crust will shed off. It is imperative not to deliberately peel off the dead skin, and only apply moisturizers, such as vaseline, and allow the skin to heal naturally. In the case of the crust that is already come off the skin, it can be clipped using a pair of scissors.

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