Chemical Peel

Chemical Peel is the accelerated exfoliation of skin that leads to the reorientation of new dermal connective tissue.  This results in an improved appearance of the skin with fewer wrinkles and sun spots, giving a more youthful appearance.

RELATIVE INDICATIONS

  • Melasma
  • Hyperpigmentation
  • Acne Scars
  • Superficial Wrinkles

INSTRUCTIONS & EXPECTATIONS POST CHEMICAL PEEL

  • Needs meticulous wound care
  • Follow-up appointment within 24-48 hours
  • Expect desquamation and serous weeping
  • Moderate edema
  • Shower and remove serous/fibrinous material and desquamated skin with half-strength hydrogen peroxide (use cotton balls and cotton tip applicators);  Aquaphor Gentle Wash is a good cleansing agent.
  • Then apply Bacitracin or Neosporin to cleansed face 
  • This regimen is followed three times a day
  • Patients should continue narcotic & NSAID pain medications
  • By one-week follow-up, re-epithelialization has taken place (new, pink shin appears);  wound care is discontinued and liberal use of facial moisturizers is recommended (Aquaphor Ointment is a good moisturizer)
  • Cosmetics may be applied 7 – 10 days post-operatively
  • Erythema gradually fades over several weeks to 2 months
  • Green-tinted base is helpful to mask pink tones of freshly peeled skin
  • Coordination with a cosmetic consultant greatly enhances patient’s comfort and satisfaction during this period
  • Use of sunscreen (SPF 15 or higher) and total sun avoidance are critical during the initial 3 month post-op