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Chemical Peel
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Chemical Peel (Dermapeeling / Chemexfoliation)
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Description

An acid solution is painted onto the skin to remove the upper layer/s of skin, remove and reduce lines, wrinkles and scarring, and expose new skin


Length of Surgery

A few minutes to two hours, depending on the depth of chemical peel


In/Outpatient

Out patient


Anesthesia

Depends on the depth of peel, but varies from no anesthesia to local and sedation


Back to work in...

1 day for superficial peel, two weeks for deep


Back to the gym in...

Up to two weeks


Treatment Frequency

Superficial and medium peels – several times. Deep peel - once


Risks

Hyper pigmentation, scarring, cysts, skin infection, cold sores, permanent loss of pigmentation, a red face that lasts three to four months


Duration of results

Varies on the depth of peel, but superficial and medium peels need repeat treatments, deep peels results are permanent



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Click links below for detail.




Chemical peel Surgery Costs*

The American Society of Plastic Surgeons quoted the national average for Chemical Peels at approximately $870.   These prices are usually the doctor’s fees only and the cost of your chemical facial peel will vary widely depending on the type of chemical face peel you choose, where you live, and other factors such as anesthesia fees, facility fees etc. You also need to take into account the cost of repeat chemical peel treatments.

Chemical peel prices vary by the depth of chemical peel you choose to undergo. For superficial or light chemical peels you can expect to pay between $150 and $300. Superficial chemical peels usually need to be repeated multiple times for the best results.

Medium depth chemical peels cost $1000 to $2000. This treatment can be used on the neck and body as well as the face, and is recommended for darker-skinned patients. Medium chemical peels usually need to be repeated every two to three months.

Deep chemical peels cost between $2500 and $6000, which includes consultation, anesthesia, and follow-up care. However, a deep chemical peel will only be performed once.

Most cosmetic surgeons and surgical clinics/spas offer flexible chemical peel financing and payment options, some of which allow staggered payments or loans from VARIOUS FINANCING COMPANIES.

If you are considering having a chemical peel but want to explore more about the financing options available before you make your decision, PLEASE CLICK HERE . You can discuss your financial options with your surgeon, and find out if there are any loans of flexi-payment plans that will allow you to achieve the look you desire.

To find out more about financing options available please click here.

Am I a candidate for a chemical peel ?

You may be a good candidate for a chemical face peel if you have:

  • Fine lines and wrinkles
  • Brown marks, freckles and skin pigmentation
  • Age and liver spots (lentigines)
  • Sun-damaged skin on the face or on bald scalp skin
  • Acne and acne scars
  • Scaly patches and rough skin

 

Chemical face peels cannot:

  • Treat deep facial lines
  • Tighten loose or sagging skin
  • Stimulate collagen production
  • Remove broken capillaries
  • Change pore size
  • Remove deep scars

 

You may not be a good candidate for a chemical face peel if you have:

  • A history of skin scarring
  • Abnormal pigmentation
  • Facial warts
  • Afro-Caribbean or Asian skin
  • Red hair and pale freckled skin
  • Used certain acne treatments within the last year

 

Chemical facial peels are not a substitute for a facelift. Chemical peels are not appropriate for people who will continue to have excessive sun exposure, and for people who tend to develop brown skin discoloration after injury such as a mild burn. It is advisable to have a test area peeled first before undergoing a full chemical face peel.

Before you choose to have a chemical facial peel, make sure that you have realistic expectations for what a chemical peel can do for you, and ensure that you choose an experienced and reputable practitioner.

What is a chemical peel Procedure? 

During a chemical peel, an acid solution is “painted” onto the skin to remove the outer layer of cells, lightly exfoliating the skin to give a healthy glow. There are three types of chemical face peel available – superficial chemical peel, medium-depth chemical peel and deep chemical peel.

Chemical facial peels can't alter the size of pores, improve sagging skin or remove deep scarring, but the treatment can reduce fine wrinkles, freckles and irregular pigmentation and remove sunspots and rough scaly patches on the patient’s skin.

A chemical peel is a technique used to improve the appearance of the skin. Chemical peels are designed to accelerate the removal of old, dead skin cells at the surface of the skin to promote new cell growth, and can be used to treat a particular area (such as lines around the eyes or mouth), or all over the face, arms, hands and neck. Chemical peels are normally safest and most effective when performed on the face.

Chemical facial peels can take anything from a few minutes to two hours, depending on the type of peel that you are having. Usually a series of 4-6 very superficial and superficial chemical peels are needed to treat ageing skin and acne and acne scars. For deep scars and lines and wrinkles 1-2 medium chemical face peels may be needed.

When having a chemical face peel, your skin will first be thoroughly cleansed, and then the chemical solution will be carefully applied. You may feel some mild stinging as the solution is painted on. The chemical peel is removed after a short time which varies on the depth of chemical peel you are having. The new regenerated skin is more uniform in colour, smoother and less wrinkled, giving a more youthful look to the face. Using sunscreen every time you go out will prevent further sun damage and maintain the improved skin quality after your chemical peel.

There are three types of chemical facial peel; superficial chemical peel, medium chemical peel, or deep chemical peel. With all types of peel you may be placed on a home care programme for a few weeks, where you will be asked to apply recommended products to your skin in order to prepare your skin for the chemical peel and ensure that it is in top condition prior to the peel. You may also need to use particular products at home after your chemical face peel. Superficial chemical peel

Superficial chemical peel

The most commonly used, the superficial chemical peel removes the outer layer of cells (the epidermis), lightly exfoliating the skin to give a healthy glow. This type of chemical facial peel usually uses combinations of alphahydroxy acids (AHAs) and betahydroxy acids (BHAs) e.g. glycolic acid, lactic acid, salicylic acid and maleic acid, and can be performed by some qualified beauty therapists as well as medical staff.

Treatment takes only a few minutes, and your skin may feel pink and feel tight for a couple of hours after the treatment. Superficial chemical face peels only affect the top layers of the skin you may need to have regular “top-up” treatments to maintain the effect.

Medium-depth chemical peel

The medium-depth chemical facial peel penetrates further into the skin to reduce small wrinkles and acne scars, and even out skin colour and tone. Medium chemical face peels can remove skin cells from both the epidermis and upper part of the dermis (the middle layer of the skin).

These chemical peels usually contain trichloroacetic acid (TCA), sometimes used in combination with glycolic acid. The peel remains on your face for a few minutes before being neutralized, and this type of chemical peel is performed by doctors and nurses.

A burning or stinging sensation may be felt during the application of the chemical peel and the skin may go brown or red in the days after the peel. It can take up to six weeks for the skin to return to normal. Medium chemical face peels may need to be repeated every 6 - 12 months to maintain the effect.

Deep chemical peel

A deep chemical facial peel penetrates the lower dermal layer of the skin to remove or lessen deeper wrinkles, lines and scars.

Deep peels go deeper into the lower part of the dermis. They are performed using phenol (a strong form of TCA) and may require a local anesthetic and sedative. The chemical peel is applied to the face, and the patient will feel as if the face is 'freezing'. The peel may be left on the face for up to 30 minutes or more, depending in the desired effect. This chemical peel procedure should only be carried out by a surgeon or dermatologist with relevant skills and experience in an accredited establishment.

Pain following a deep chemical face peel is treated with painkillers. There will be some peeling, redness and discomfort for a few days depending on the type of peel used. Most of the swelling should disappear within 14 days, although there may be some redness of the skin for some time, up to three months in some patients.

A deep peel is a 'one-off' treatment with lasting effects, unlike superficial and medium peels.

Some doctors prescribe a pre-treatment skin regime (for four to eight weeks), to prepare a patient's skin and speed the healing process after a chemical face peel. You should avoid electrolysis and sun beds for a couple of weeks before treatment and wear a total sun block for at least three months after chemical peel treatment.
 

Chemical peel Surgery Procedure Steps

In your initial chemical face peel consultation you will probably have been prescribed a pre-treatment skin regime by your doctor. This regime may involve applying products containing vitamin A, Alpha Hydroxy Acid or other preparations and will ensure that your skin is in optimum condition before your chemical face peel.

When you go in to have your chemical facial peel, your skin will firstly be thoroughly cleansed with acetone or another cleanser. Procedures will vary depending on the depth of the chemical peel you have chosen.

Superficial chemical peel

this is a quick treatment and shows immediate results.

  1. The face is cleansed
  2. The chemical peel solution is painted on and left for two to ten minutes. You may feel some mild stinging
  3. The chemical peel is then washed off and neutralized
The treatment should be repeated weekly for four to six weeks, and then maintained with a monthly chemical face peel.

Medium-depth chemical peel
  1. The skin is cleansed
  2. The chemical peel solution is applied evenly. The treated area will turn whitish grey over the course of several minutes.
  3. Cool saline compresses are then applied to neutralize the acid in the peel
Repeat the treatment monthly until you achieve the effect you want, and then maintain it with a peel every 6-12 months.

Deep chemical peel
  1. Local anesthetic is injected to freeze the face, and you may also be sedated.
  2. The skin is cleansed and a strong chemical peel is applied and left on for around 30 minutes to two hours, depending on which areas are being treated
  3. The chemical peel is neutralized with water
  4. Approximately one hour later, a thick coating of petroleum jelly is layered over the patient's face, covering the protective crust which develops rapidly over the area. This stays in place for 1 to 2 days
  5. In an alternative technique, the patient's face is covered by a "mask," composed of strips of adhesive tape, with openings for the eyes and mouth (this is particularly effective in cases of severe wrinkling).
One treatment can produce dramatic results and the effects last for 10 years.

The results

 

Superficial chemical face peel

The skin immediately looks brighter and more radiant. The skin will appear pink and may show faint white discoloration or blotches which will fade in one or two hours. There are no after-effects, and you can go straight back to normal daily life.

Medium depth and deep chemical peel

You won't see the results until the skin has peeled off, and then healed. It's important to follow the after-care instructions you'll be given to help the skin to heal successfully.
The results will depend on what chemicals are used, how deep the chemical peel is, and your own physiology and healing abilities.

Chemical peel Surgery Recovery and Healing Steps

The recovery and healing times for chemical peels vary depending on the depth of chemical face peel you have undergone.

After a superficial chemical facial peel, the skin will appear pink and may show faint white discoloration or blotches which will fade in one or two hours. This pinkness will depend on the sensitivity of the skin. Some flaking of the skin after your peel is normal and should subside during the first few days post peel. You can go straight back to daily life.

After a medium depth peel or deep chemical face peel, the skin will generally be red and swollen for the next 24 hours. Once the initial burning has worn off it is not painful, but feels tight. Over the next few days the skin dries and looks like brownish leather. Petroleum jelly should be applied several times a day to prevent cracking. You can use water on the skin, but avoid soap.

The skin begins to peel five to seven days after the chemical facial peel, and must be left to come off at its own pace. Don’t pick at your skin as this could cause scarring. As soon as the skin has healed, make up may be applied over the new, pink skin. Sometimes a secondary peel occurs during the second week in the form of dry scaling skin.

Patients often feel unwell after a deep chemical peel, and experience moderate to severe pain lasting several days. This can be controlled with pain medication. The face swells in the first two days and it can be very itchy during the healing process. A few days after the chemical face peel procedure, new skin with a bright pink color will emerge - this pinkness will fade in a few days. Post-operative puffiness also subsides in a few days, but the skin will remain sensitive.

It takes around two weeks before the face is healed enough for you to go out confidently in public.

It is very important to use a total sun block whenever you go outside for at least three months after a chemical face peel to prevent further sun damage and maintain your skin’s new quality. Using vitamin creams, AHA creams or enzyme creams can continue to improve the skin texture and reverse some of the effects caused by years of sun exposure.

Chemical peel Side Effects and Surgery Risks

There are some risks associated with chemical peels, including infection, skin color changes and scarring. The treated skin may appear darker or be tight or swollen for a time. You will need to avoid exposure to the sun for some time after your peel, but your practitioner should give you full information on this, depending on the strength of your chemical peel.

Scarring can occur with strong acids, but is unusual with weaker ones. The most common causes of scarring are infection, and pulling off the skin before it is ready to peel. Cold sores can be activated in those prone to them, but anti-viral medication can prevent this. Increased pigmentation may occur, and resolves with time. It can be largely prevented by religious use of sunscreen for three months after the chemical face peel.

There are chemical peel side effects and chemical peel risks particular to each depth of chemical peel and these may include:

Superficial chemical peel

  • Hyper pigmentation - new skin may have too much pigment which will turn to brown blotches in sunlight. Use a high factor sunscreen at all times to help prevent this problem.
  • Skin infection
  • Cold sores
Medium-depth chemical peel
  • Hyper-pigmentation can occur even if you use sunscreen
  • The red appearance of the face post-peel may last longer than two to three months
  • Permanent scarring
Deep chemical peel
  • The red face can last three to four months
  • Cysts or white spots may appear and last from a few days to several weeks
  • Scarring
  • Areas of skin may lose pigment permanently
  • Hyper-pigmentation

 

Questions to Ask a Surgeon about a chemical peel procedure

Knowledge is power so arm yourself with the facts before making any decision about chemical peels; here is an essential check list to help you find the right Perfect Yourself Surgeon.

  1. Am I a good candidate for chemical peel?
  2. Are my described expectations realistic?
  3. Where is the surgery performed?
  4. How long will the procedure take?
  5. What kind of anesthesia is used?
  6. What is your experience in performing chemical peel?
  7. Can I see your qualifications?
  8. Ask to see any before and after chemical peel photographs of recent procedures?
  9. What percentages of your chemical peel patients have had significant post-surgical complications? (surgeons should disclose this information to you)
  10. How much will my chemical peel cost?
  11. Do you offer patient financing? (Flexible payment schemes for your surgery)
  12. Will you repeat/correct procedures if the agreed goals are not met? If this is the case, will I be charged again?
  13. Ask to observe the exact procedure you are considering before you decided to have surgery if you are unsure (this could be on videotape or in real life).
  14. What is the recovery and healing period for chemical peel? When can I resume full normal activity?
  15. Have you ever had your malpractice insurance coverage denied, revoked, suspended
  16. Ask for and follow up on patient references (these can be invaluable to finding out what your surgeon is really like and the level of customer satisfaction he/she has received in the past)

 

Skin Rejuvenation Checklist

Skin Rejuvenation Checklist

Knowledge is power so arm yourself with the facts before making any decision about Chemical Peel procedures; click here for an essential check list to help you find the right Perfect Yourself skin specialist.

Most popular procedures on Perfect Yourself: liposuction, breast augmentation, face lifts, rhinoplasty, tummy tucks
 
Be sure to also visit our Expert Advice page where you can find great questions from real visitors, Answered by real plastic surgeons, cosmetic dentists, and skin rejuvenation specialists.
 


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