The facial aging process results not only in skin laxity but in the formation of fine wrinkles, unsightly blemishes and “age spots”, as well. We see these wrinkles characteristically along the forehead, adjacent to the eyes as “crow’s feet”, in the cheek areas, and around the mouth. Prolonged or frequent sun exposure accelerates their formation, producing a “weathered” appearance to the skin.
Newer generation chemical peels safely eliminate fine facial wrinkles and address uneven pigmentation, as well as provide the skin with greater tone and luster. This is often used in conjunction with “lifting procedures” (facelift, blepharoplasty, browlift) to smooth as well as support the tissues. The chemical peel process has been used in facial plastic surgery for well over forty years, and with extensive use has been found to be safe and effective.
A chemical peel produces a superficial exfoliation of the skin, similar to a deep sunburn, which results in the regeneration of a new, smooth layer of skin. Penetration of the peel solution into the deeper layers of the skin, the dermis, results in tightening of the collagen layer and the elimination of wrinkles.
A chemical peel is also effective in treating facial skin blemishes (age spots) and areas of abnormal pigmentation that sometimes result from sun exposure, pregnancy, or from the use of birth control pills.
Generally all skin types tolerate the peel solution. Fair, olive, and brown complected persons have all been treated safely. The results of a chemical peel are usually excellent. Many people seek to repeat the procedure on an annual or semi-annual basis.
The Procedure
The chemical peel solution typically is applied without the use of anesthesia. In most cases a mild oral sedative will be provided. Prior to the peel we cleanse your face to remove excess skin oil. We then carefully apply the solution with a soft sponge. You will feel a mild burning sensation that will subside after 3 to 4 minutes. Anywhere from 2 to 4 applications will be provided depending upon the peel depth that you and your physician feel is appropriate. Prior to discharge from the office, your face is cleansed and post-operative instructions are provided.
Postoperative Care
Following the peel, a mild stinging sensation may be noted for several hours. We recommend cold compresses and analgesics (Tylenol, aspirin, Ibuprofen) to help relieve any discomfort. The day following the peel you should start cleansing your face twice a day, gently patting the peeled area. You will then apply a soothing facial cream to keep the peeled area moist.
Mild swelling may also be noted for the first 48 to 72 hours following the peel. Your skin will begin to crust and separate from the deeper layers. Depending upon the number of applications, the peeling process will continue for two to five days, revealing a fresh pink layer of “new” skin. This skin is sensitive and must be treated with great care.
We must warn you not to pick or pull at the skin crusts; you should let then separate on their own. If you do, you risk bleeding or scarring. You should continue your daily regimen of cleansing with the application of a facial moisturizer until all crusting is gone. nYou may use a water-based, hypoallergenic make-up once the peel process is complete. You should reduce your activity level for one week following the chemical peel. Strenuous exercise or exertional activities will accentuate the redness of your skin during the healing process.
You should be able to return to work or engage in public social activities five to seven days following your chemical peel. Direct sun exposure should be avoided during the peeling process. We also highly recommend the use of a total sunblock (SPF 15 or greater) for the first three months.
Limitations
A chemical peel is not intended for areas of skin laxity; this would require surgery to remove, lift and tighten the skin. A chemical peel may not entirely remove deeply etched wrinkles. This requires more aggressive treatment options such as laserbrasion.
Risks
The peel solution can cause a slight bleaching of the skin. We advise all patients that camouflaging of these minor color differences may be necessary following the peel. Patients who have a history of fever blisters may develop a flare-up following the application of a chemical peel. We address this with an oral anti-viral medication before and after therapy.
In rare circumstances, scarring has been observed following a chemical peel. In most cases, this has resulted from applying a variation of the standard peel solution or from not adhering strictly to postoperative instructions.
Finally
Mild swelling and exfoliation are expected during the chemical peel process. While your initial facial appearance may be somewhat disconcerting, we recommend patience. With proper care your facial skin will heal, providing you with a more youthful, vibrant appearance.