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| What
can I expect during a Chemical Peel? |
| All
Chemical Peels begin with thoroughly cleansing and drying
the area to be treated (face, chest, hands). Next, the
chemical solution is applied. If a Light or Medium peel
is performed, you may feel a warm sensation, followed
by varying degrees of stinging, which quickly will be
alleviated with a hand-held fan. Once the peeling agent
is on the skin for several minutes, a white film, which
is referred to as "frost", will develop, indicating
how well the agent is penetrating. The solution is then
removed after a pre-determined period of time.
Depending
on the depth of the peel, a noncomedogenic petrolatum-based
gel may be applied to promote faster healing.
For enhanced comfort, IV sedation is administered during Deep Chemical Peels.
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| How
long does it take? |
Ultra-Light,
Light and Medium full-face peels generally take about
30 - 45 minutes. Full-face Deep peels may take between
one and two hours. Deep for small
portions of the face, such as the upper lip, may take
only 15 or 20 minutes. |
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| Where will the treatments be performed? |
Ultra-Light
and Light peels are performed by a medical esthetician
or registered nurse at The Skin Center in Mt. Lebanon,
Wexford or Shadyside. Medium and Deep
peels are performed by Dr. Brandy in our outpatient surgery
center in Mt. Lebanon. |
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| What
can I expect after the procedure? |
| UltraLight
- In most cases, there is no real recovery period associated
with an Ultra Light Peel. Some patients experience skin
flushing, which can easily be camouflaged with makeup.
An emollient skin moisturizer helps control dryness and
skin flaking for the first few days, which is common.
Light
Peels - Typically, the downtime after a Light Peel
is four to six days. Immediately following treatment,
a petrolatum-based gel will be applied to your face
to promote healing. You will reapply the gel as necessary
over the next several days as the damaged layers of
skin darken and peel off, revealing a softer, smoother
complexion.
Medium
Peels - After a Medium Peel, a petrolatum-based
gel will be applied to your face to promote healing
and to minimize scabbing. You will reapply the gel as
necessary for the next nine days. The recovery period
associated with a Medium peel is approximately two weeks.
During
this period, you'll experience varying degrees of swelling,
which is common. The damaged skin will dry and peel
off in layers within three or four days. As the new
skin emerges after about a week, you may resume normal
activities, however, your skin will be very pink before
fading to a normal color. A Medium Peel does not lighten
the skin so it will still be able to produce pigment
again. It is important, however, that you avoid sun
exposure for several months after the peel to protect
the newly formed layers of skin. Swimming in chlorinated
pools should be avoided for four to six weeks. Daily
use of a sunblock with both UVA and UVB protection is
essential.
Deep
peels - After a Deep peel, a petrolatum-based gel
is applied to your face to promote healing and minimize
scabbing. You will reapply the gel periodically for
several days. The initial recovery period with a Deep
Peel is approximately 10 days to two weeks. You may
be prescribed a mild pain medication to relieve any
discomfort, however, over-the-counter pain relievers
are usually all that is needed.
During
your recovery, swelling and oozing is common as the
damaged layers of skin dry and peel off during the first
week. As the new skin cells emerge, your face will be
very red at first, gradually fading to a pinkish color
over the next few weeks. It may take up to three months
for the pinkness to completely subside; however, it
can be corrected with the camouflage makeup we provide
after your treatment.
After
about two weeks, your skin will be healed enough that
you can resume normal activities and begin to wear makeup.
To protect the delicate new skin, a UVA and UVB sunblock
must be used at all times to prevent uneven skin color.
Chlorinated pools should be avoided for six to eight
weeks.
Keep
in mind, although a Deep Chemical Peel can be a difficult
process to endure,
the end result
smoother, younger skin, can last
15 years or more, when properly maintained.
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| Who is an ideal candidate? |
As with all elective surgery, good health and realistic
expectations are prerequisites, but if you want to improve
the texture and pigmentation of your skin without surgery,
a Chemical Peel may be very appropriate. Keep in mind,
however: "
Your skin type and color, ethnic background and age will
be factors in determining which type of peel is right
for you.
- You must be free of active skin infections, including
most kinds of acne and any type of cold sore, including
herpes simplex.
- You must discontinue use of Retin-A type products
two weeks prior to a Medium and Deep Peel.
- You should not have taken Accutane® for the
previous 18 months.
- Darker skin poses special considerations due to
increased chance of skin pigmentation changes.
- It's important that you are not prone to scarring
problems such as keloids.
- Make sure your doctor is aware of any medical conditions
or allergies you may have and any medications, herbal
supplements or natural supplements you are taking
(both prescription and non-prescription).
The
above is only a partial list of the criteria that your
doctor will consider in determining whether or not this
procedure is appropriate for you. |
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| What
are the alternative treatments? |
| Alternative
procedures that remove damaged epidermal layers and offer
similar results include multiple PowerPeels performed
bi-weekly for two to three months, or Laser Skin Resurfacing
for those with moderate to severe skin damage.
Alternatives
that work beneath the surface to build collagen in the
dermis and correct pigment conditions include the CoolTouch III
Gentle Laser and FotoFacial Skin Rejuvenation, respectively.
Regular
use of prescription-strength topical creams and serums
play an important
role in maintaining the result of a Chemical peel and
also help in the prevention of further skin damage.
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| What
are the risks and limitations? |
| Significant
complications with chemical peels are rare, but include
scarring, infection, temporary or permanent changes in
skin tone and cold sore breakouts in patients who have
a history of recurring blisters and cold sores, like herpes
and shingles. (An anti-viral medication before the procedure
can help prevent this.)
You
can help minimize certain risks by following instructions
both before and after your Chemical Peel.
Pre-existing
conditions may also put you at risk. If you have a history
of heart disease or herpes, or you have a tendency to
form large or unusual scars, be sure to discuss this
with your doctor before you have a chemical peel. Also
tell your
doctor if you have undergone considerable amounts of
radiation or facial x-rays.
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Copyright © 2008, Dominic A. Brandy, MD All Rights Reserved
American Board of Cosmetic Surgery
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